Amuzolengedwa kusanthula magazi. Alt ndi Ast: decoding ntchito

Alanine, kapena alt ndi aspartate aminotransferase, kapena Ast, ndi michere, zomwe zili maselo a thupi, ndipo zimakhudzidwa kagayidwe kwa amino acid. Iwo zili okha maselo a zimakhala limba ndi magazi kulowa maselo kumachitika kokha pamene oipa mu kuvulala zoopsa kapena pathologies.

yonse ya matenda

misinkhu Kugwiritsa wa alt limasonyeza chitukuko cha pathologies limba maselo amene alipo ndi chiwerengero chachikulu kwambiri. Pali zifukwa kuenjezera alanine kudwala aminotransferase chiwindi. Ululu komanso ululu ufulu nusu chapamwamba, kutsekula m'mimba, icteric kudetsa khungu ndipo zimagwira ntchito zosiyanasiyana mucous, flatulence, belching zowawa - izi ndi zizindikiro za kuwonjezeka alt. Pogwira MAGAZI chinawonjezeka alt ndi Ast akulowa kukwezeka milingo bilirubin, kumene kukula kwa chiwindi. Nthawi zambiri kuenjezera alt limasonyeza zikamera matenda ena. Alt ndende mwachindunji amadalira mlingo wa kusalekerera matenda.

Necrotic ndondomeko mu mtima minofu mu magazi akapsa amasulidwe michere imeneyi. Kuchuluka seramu awo ananenanso za chitukuko cha kardiopatology ena: kulephera, kutupa minofu mtima. Komanso, chifukwa kuwonjezeka woipa seramu alt akhoza kupezeka mu kuvulala thupi zomwe imakhudzana ndi kuwonongeka kwa minofu minofu, ndi kapamba.

Amuzolengedwa kusanthula magazi alt ndi Ast kungasonyeze matenda chiwindi, kapamba, mtima. Pamene kardioinfarkte Ast ndende kumawonjezera kangapo, ndipo alt - pang'ono.

zikuonetsa kuti

Ziwalo za thupi la munthu ali mosiyanasiyana michere alt ndi Ast, kotero kuwonjezera ndende ya enzyme makamaka amasonyeza zotupa yeniyeni limba:

• alt makamaka ili mu chiwindi, mtima, impso ndi pancreatic maselo. Pankhani ya kuwonongedwa kwa matupi awa m'magazi adzamasulidwa zambiri alt. Ndiye, kuti atsimikizire matenda n'kofunika kuliphunzira mu aminotransferase alanine.

• Ast makamaka anapeza mu mitsempha, minofu, chiwindi ndi mtima maselo, ndi muyezo waung'ono maselo a kapamba, m'mapapo ndi impso zimakhala. Choncho, mu phunziro ili mlanduwu aminotransferase aspartate.

A magazi alt ndi Ast (mawu olembedwa) chimasonyeza ziwalo boma. Kuwonjezera umboni wawo ziwalo minofu kuwonongeka imene michere imeneyi ili. Ndipo moyenera, yafupika umboni wa machiritso. A kuwonjezeka pang'ono alt mu trimester mimba, yololeka, koma ayenera kachiwiri kufufuza magazi aminotransferase, kupewa kuwonongeka kwa chiwindi.

Amuzolengedwa kusanthula magazi (zizindikiro za alt, Ast) akapatsidwa pamene kardioinfarkt akuganiza, iwo chizindikiro oyambirira pa matenda yovuta ino. Kufotokoza Ast pa kusanthula amuzolengedwa limachititsa oterewa ndi kuwunika kusintha zina mwa mphamvu ya mtima minofu, matenda a chiwindi ndi matenda a musculature striated.

Kukonzekera kwa deta magazi kwambiri phunzirolo

Magazi kwa kusanthula sayansi wachotsedwa mtsempha ndi m'mawa pa chopanda kanthu m'mimba. Pa nthawi ya kusanthula ayenera kupita 8:00. ku ntchito lotsiriza la foodstuff lapansi. 24 ola. kuti zochepa chabe pamalangizo magazi ndikoletsedwa mowa ndi yokazinga ndi zakudya mafuta. Ndi bwino kuchepetsa fiznagruzki. Chikadzangotha ultrasound ndi X-ray, kuphunzira fluorography, colonoscopy kapena magazi physiotherapy ali osavomerezeka kusankha kwa kusanthula, mwinamwake adzakhululukidwa molakwika mawu olembedwa sayansi. Kwa masabata 1-2. maphunziro amuzolengedwa ayenera kusiya kumwa mankhwala. Pamene sikutheka kukumana chikhalidwe ichi, motsogozedwa dokotala yoganizira, cholembedwa pa phwando mankhwala ndi mlingo awo. Pa amuzolengedwa kusanthula magazi (mawu olembedwa a alt, Ast) angakhudzidwe ndi fiznagruzki katundu, komanso kumwa mowa ndi kugwiritsa hemolysis.

Chinawathandiza kumvetsa n'chakuti kuyesa kwa magazi - alt, Ast: ponseponse

Kodi nambala ya michere imeneyi asungike mu magazi wathanzi anthu? Mafanizo magazi zimapangidwira (mawu olembedwa alt, Ast), mlingo akazi - kuyambira mayunitsi 31 35 pa lita imodzi ya magazi. Kwa kugonana wamphamvu, chithunzi ichi ndi chosiyana. Normal alt mu magazi a anthu (sayansi decoding) - kuchokera 41 mpaka 50 U / L. Makanda (mwezi 1.) Limafanana ndi kuwerenga yachibadwa mayunitsi 75, kuchokera 2 mpaka miyezi 12. - zosaposa 60 mayunitsi, ndi kwa chaka chimodzi mpaka 14 zaka - zosakwana mayunitsi 45. kusanthula magazi (decoding alt, Ast) ndi umboni mkulu zingasonyeze cirrhotic choipa kapena pachimake kutupa chiwindi, congestive kapena hemolytic matenda a chikasu ndiyo, matenda ena chiwindi (ndi neoplasms R. H), angina mu siteji khunyu, pachimake enaake ophwanya carditis, myopathy, ya ndulu stasis , thromboembolic matenda m'mapapo mwanga embolism ndi pachimake kapamba. Alt ndi Ast magazi (decoding) ndi kuwonjezeka zikuonetsa anati mu kuvulala zoopsa, mtima opaleshoni kapena angiokardiografii. Kuchuluka Ast mlingo nthawi 20-50 zina, umboni wa chiwindi matenda, limodzi ndi necrosis, chiwindi ndi etiology tizilombo. misinkhu apamwamba Ast nthawi 2-5 akhonza kuyankhula zokhudzana ndi matenda hemolysis, zoopsa minofu, pachimake kapamba ndi chilonda. Pamene zochitika osachiritsika mu minofu ndi dermatomyositis anati ponso 8 khola mu kachitidwe.

koyefishienti Rytis

Pofuna kupeza kusanthula molondola mayankho a alt magazi ndi Ast (decoding) chimasonyeza ubale zizindikiro transferases. ubale Izi zikusonyeza koyefishienti de A Ritis amachitika limodzi seramu kuphunzira. Ngati nambala pamwamba mwakale (N = 1,3), izo zikusonyeza kukhalapo kwa kardioinfarkta, ndipo pamene ali pansipa zizindikiro muyezo - pa matenda a chiwindi tizilombo.

Popeza aminotransferases ndi minofu kutanthauzira, ndi kusanthula magazi limasonyeza decoding Ast m'mnyewa wamtima kudwala ndi alt - chiwindi kudwala, i.e. pamaso pa zinyalala ma:

• Pamene pali owonjezera nthawi 2 kapena kuposa, mu mtima kudziwa vuto la mtima.

• A magazi alt ndi Ast (mawu olembedwa) anasonyeza owonjezera chidwi - ndi umboni wa matenda a chiwindi mu nthawi makulitsidwe.

• Ndi kuchepetsa aminotransferase zizindikiro - kusowa thupi pyridoxine. Pali muyenera mimba difdiagnostiki.

machenjerero

Mwachibadwa, mu seramu transferase kukhalapo mu mabuku ang'ono. Zosintha onse kusintha njira aminotransferase kuvomerezedwa kukumana kufufuza.

Kuyamba yachiwiri amuzolengedwa kusanthula magazi (mawu olembedwa a alt, Ast) iyenera kuchitikira. Re kupenda payekha (wopereka) za gawo limodzi la milandu kusonyeza milingo yachibadwa.

Kenako muyenera mosamala kusonkhanitsa mbiri ndi kuchita kufufuza zonse.

Udindo wa mbiri pogwira decryption

mbiri zakale zikuphatikizapo nkhani phwando mankhwala, magazi, pamaso pa matenda a chikasu ndiyo kapena chiwindi matenda, matenda banja la chiwindi kapena pamaso pa ndondomeko cirrhotic mwa iye m'mimba ululu, khansa, shuga, kunenepa kapena, Tikawonetsetsa mofulumira kuwonda.

chiwindi matenda banja - ndi mowa kudalira, matenda Wilson , ndi ena.

Ngati alt kuyesedwa Ast magazi (mawu olembedwa) anasonyeza pamwamba mfundo yachibadwa mu nthawi osachepera awiri, m'pofunika bungwe kuyang'aniridwa ndi anayendera 2 khola. Msampha umenewu ndi mulingo woyenera odwala.

A alt magazi ndi Ast - mawu olembedwa mu matenda ena

Kuwonjezeka pang'ono zamadzimadzi transferases zimasonyeza nonalcoholic mtundu choipa chiwindi, kuphatikizapo "mafuta m'chiwindi", nonalcoholic steatogepatoz, chiwindi tizilombo mu mawonekedwe aakulu.

Wongolerani kuwonjezeka angathe kukhala mu tizilombo kapena mowa kutupa chiwindi ndi matenda osiyanasiyana aakulu chiwindi kapena popanda kuwononga cirrhotic izo.

misinkhu okwera ankaikira pachimake kutupa kwambiri, poizoni kapena mankhwala necrosis, mantha kapena kwa chiwindi ischemia.

Nkosafuna kofunikira kwambiri (kuposa 2,000-3,000 U / L) kutichitikira overdosing panado ndi ntchito njira odwala mowa amadalira mu mantha ndi / kapena kwa chiwindi ischemia.

Tikumbukenso, kuyambira alt ali maselo ofiira, m'pofunika kuteteza kugwa kwa yokonza seramu kwa kusanthula. Alt mwina kuchepetsedwa pamene kusungidwa seramu kwa masiku angapo.

Ntchito ya zipangizo zachipatala, masamba ndi zina

Mosamala mbiri kutenga decoding zasayansi zotsatila zofunika kudziwa mankhwala anachititsa ukuwonjezeka transferases. Similar chiwindi kuwonongeka wapezeka mu 1-2% milandu kutupa aakulu mu mawonekedwe chiwindi. Iwo ali oyanjana ndi kutenga mankhwala antiepileptics, zoletsa wa hydroxymethylglutaryl-CoA zoletsa reductase, nonsteroidal odana ndi yotupa mankhwala ndi medicaments zochizira TB.

The njira zovuta kudziwa kudalira mwa kuchuluka kwa aminotransferases njira iliyonse - kupasula, ndipo kusunga mlingo enzyme. No Kulipira zikutanthauza ubale uwu sungakhoze zotsimikizika.