Uvavanyo lweHepatic

Isibindi siyilungu ebaluleke kakhulu, ngaphandle kwendoda eyayingeke ibe khona. Isibindi sithatha inxaxheba kuzo zonke iinkqubo zokuxilisa, ukuxosha i-toxins, kuthatha inxaxheba ekutyeni. Ukuvavanya imeko kunye nokusebenza kweli candelo kungenziwa ngohlalutyo olukhethekileyo-okubizwa ngokuba yi-hepatic blood tests.

Yintoni ukuhlolwa kwegazi kwiimvavanyo zesibindi?

Uvavanyo lwe-Hepatic luyinkimbinkimbi yohlalutyo lwe-biochemical evumela ukuba ichonge izifo zesibindi (kunye ne-bile ducts) ekugxininiseni izinto ezithile ezisegazini. Ukuba, ngokwemiphumo yokuhlolwa kwesibindi, inani lezi zinto linyuka okanye liyancipha, oku kubonisa ukuphulwa komsebenzi womzimba. Ngokuqhelekileyo, iisethi zeemvavanyo ezinobungozi zibandakanya ukuqikelela ukugxilwa kwezi zinto ezilandelayo:

• alanine aminotransferase (ALT);
• i-aspartate aminotransferase (UMTHETHO);
• i-gamma-glutamyltransferase (GTT);
• i-alkaline phosphatase (AFP);
• i-bilirubin (ngokubanzi, ngqo kunye ngqo);
• iiprotheni ze-serum yegazi (ngokukodwa, i-albin), njl njl

Ungathabatha njani iimvavanyo zesibindi?

Iimvavanyo ze-Hepatic zidinga ukulungiselela ukuhlalutya, okuquka ukugcina imithetho enjalo:

1. Kwiintsuku ezimbini ngaphambi kokuhlalutya, ungabi nokunyuka komzimba, ukusela utywala, ukukhawulela ukusetyenziswa kweziqholo, ukutya okuthosiweyo kunye namafutha.
2. Emva kwesidlo sokugqibela, ubuncinane ubuncinane iiyure ezingama-8.
3. Ukuphelisa amayeza kwiiveki ezi-1 ukuya kwezi-2 phambi kohlalutyo (ngaphandle koko, xelela ugqirha apho izidakamizwa kunye nokulingana kusetyenziswa).

Uvavanyo lweHepatic - umbhalo

Makhe siqwalasele ukuba iziphumo zokuhlalutya ngeempembelelo ezivela kumgangatho wendlela enye okanye enye inokuthi. Kufuneka kuqatshelwe ukuba kwii-laboratories ezahlukeneyo iindlela zokuqhuba izifundo zihluke, ngoko ke izibonakaliso zesimiso seesampuli ze-hepatic azifani. Ukongezelela, xa uhlalutya ukuhlalutya, zonke izikhombisi ezinzima ziqwalaselwa, ziqwalasela iminyaka, isondo sesigulane, izifo ezithintekayo, izikhalazo, njl njl.

1. I-ALT - i-enzyme eveliswe sisibindi, inxalenye encinci edla ngokuya egazini. Isiqhelo se-ALT yabasetyhini ngamacandelo angama-35 / l, kumadoda - ama-unit / 50 ilitha. Ukuba uhlalutyo lubonisa ukunyuka kokuqukethwe kwe-ALT ngamaxesha angaphezu kwama-50 okanye ngaphezulu, oku kungabonisa ukuphulwa kancinci kwe-perfusion ye-hepatic, i-necrosis ephawulekayo ye-hepatocytes, i-virus ye-hepatitis. Iimpawu eziphezulu ze-ALT zibonwa ngetyhefu ye-hepatitis, isibindi se-cirrhosis , ukudibanisa kwisibindi, umonakalo wesibindi sokutywala.
2. I-AST - i-enzyme engena kwigazi ngenxa yesonakaliso seseli. Umgaqo we-AST ufana no-ALT. Umgangatho we-AST, ogqithiseleyo kwimiqathango yamaxesha angama-20 ukuya kuma-50, ubonakala kwi-virus ye-viral hepatitis kunye nezifo zesibindi, ezihamba ne-necrosis yezicubu ze-hepatic. Ukwanda kwimixholo ye-AST kungabonakalisa umonakalo kwimisipha yentliziyo. Ukuqonda ukuba yiliphi iqumrhu elichaphazelekayo-isibindi okanye intliziyo, ukuba kukho ukwanda kwenani le-AST kunye ne-ALT, u-AST / ALT-de-Rit coefficient (normary 0.8 - 1) isetyenziswe. Ukwanda kwenyunithi kubonisa isifo senhliziyo, kwaye ukwehla kubhekisela kwi-pathology yesibindi.
3. I-GTT iyi-enzyme, ukunyuka kwayo kubonwa ngazo zonke izifo zesibindi: i-hepatitis ye-etiology ehlukeneyo, i-cholestasis, umonakalo wesibindi sokunxila, njl njl. I-GTT eqhelekileyo yamadoda - ii-2 - 55 iiyunithi / l, kubafazi - iiyunithi ezine-38/38 / ilitha.
4. I-AP yi-enzyme ebandakanyekayo ekutshintsheni kwe-phosphorus. Isiqhelo se-APF ngamayunithi angama-30 ukuya kwe-120 / ilitha. Ukwanda kwinqanaba le-alkaline phosphatase kungabonisa i-hepatitis, i-cirrhosis, i-hepatic tissue necrosis, i-hepatocarcinoma, i-sarcoidosis, isifo sofuba , izilonda zesibindi, njl njl. Kwakhona, ukwanda okwemodareyitha kule nzyme egazini kunokuba ngumzimba - ngexesha lokukhulelwa nangemva kokumisa umva.
5. I-albin iyona prothini ebalulekileyo yezothutho eyenziwe yibindi. Isiqhelo sayo si-38 - 48 g / l. I-albin level iyancipha nge-cirrhosis, ukuvutha kwesibindi, umhlaza okanye iintsholongwane zesibindi. Ukwanda kwe-albinin kwenzeka ngokulahlekelwa yinxalenye yamanzi yegazi (umkhuhlane, isifo sohudo), kunye nokulimala kunye nokutshisa.
6. I-Bilirubin - enye yeengxenye ze-bile, yenziwa ngexesha lokuphulwa kwe-hemoglobin. Ukwanda kwinqanaba le-bilirubin kunokubonisa ukungaphumeleli kwesibindi, ukukhutshwa kwezidakamizwa ze-bile, ukulimala kwesibindi, isifo sobungozi besifo esiyingozi, njl.

Imigangatho ye-bilirubin:

• 5,0 - 21,0 μmol / l - iyonke;
• 3.4 μmol / l - ngqo;
• 3.4 - 18,5 mkmol / l - ngqo.