Alt. Ast m'magazi

Alt, Ast - ndi mapuloteni wapadera - zambiri ndendende, ndi michere ali maselo amene amagwira ntchito mwachangu kagayidwe wa amino zidulo - thunthu imene Mapuloteni anamanga. Kodi alt ndi Ast zili kawiri-kawiri m'Chipangano maselo a anthu. Pali chifukwa chimodzi chokha chimene alt, Ast mu magazi - zinthu zowonongeka kapena kuwonongedwa kwa maselo imene adalikukhalamo. michere imeneyi sapezeka yofanana (ofanana) ziwalo zonse. Chotero ngati kuchuluka misinkhu magazi mmodzi wa michere izi, izo zikhoza kukhala chizindikiro cha matenda mu chiwalo makamaka. Choncho Mwachitsanzo, m'kati mwa matenda aliwonse chiwindi zinthu limatuluka Pamlingo kuposa kuchita. Mu pachimake m'mnyewa wamtima infarction alt komanso apamwamba kwambiri kuposa Ast. Ast amachita zayamba kuchuluka aakulu kumawononga hepatocyte. Nthawi zambiri ntchito ya Ast amatanthauza avareji ntchito alt 1 mpaka 3 (otchedwa "de Ritis koyefishienti"). pafupi masiku 10 kapena 15 pamaso pa isanayambike zizindikiro za matenda a chikasu ndiyo ntchito ya michere amenewa komanso kuchuluka. Ndipo masabata pang'ono maonekedwe a chiwindi B limapezekanso kuchuluka alt ndi Ast imene imafikira munthu pazipita mu wachiwiri kapena wachitatu sabata la matenda. Ndipo otaya chabwino cha matenda pa tsiku kuchuluka 30-40e alt amabwerera yachibadwa ake, pamene chiwerengero cha zinthu - pa 25-31. Koma ngati kuchuluka alt ndi Ast anali mobwerezabwereza amasonyeza kuti necrosis wa limba matenda kapena mobwerezabwereza m'kati. Koma ngati matenda anasamuka pachimake kwa nthawi aakulu - ndiye kuchuluka kwa michere zatchulidwazi mu magazi si kuchepa pa nthawi pamene otsala khola kapena kupitiriza kukula.

Pamene otaya matenda enaake chiwindi mu maonekedwe ake zobisika, michere imeneyi kuwonjezeka pafupifupi mwaonapo. Komabe, ngati wodwalayo chiwindi matenda enaake mu thupi lithe, kuwonjezeka alt ndi Ast kugonjetsedwa, koma ang'ono. Chotero awonjezere chinapezeka mwa ambiri amene ali wodwala thupi lithe ndi matenda enaake a m'chiwindi.

Kukonza alt ntchito mayesero tcheru kuposa ntchito kudziwa kuchuluka kwa Ast m'magazi. Kudziwa ntchito michere imeneyi kuthandiza magazi. Alt makamaka zimapezeka maselo a ziwalo monga chiwindi, chigoba minofu, mtima, impso ndi kapamba. Ngati pakhala kuwonongeka kwa ziwalo izi (nthawi zambiri - chifukwa cha matenda a), pa izi alt choncho mu magazi, amene ayenera kukhala phunziro kwa thupi ndi thanzi langwiro. Matenda a osafunika kuonjezera ntchito michere yofunika kwambiri ankaimba ndi kusanthula yake ya magazi. Alt, Ast, kulowa magazi, njira ina kuthandauza N'zosatheka. Zosiyana likhoza kupanga mkodzo.

Ast amadziwikanso kusungidwa mu myocardium ndi Minofu chigoba, chiwindi ndi minofu mantha. Zosakwana impso, kapamba ndi mapapo. Ngati matupi tatchulawa kuonongeka, eneyi chakuti mlingo mu magazi kwambiri chifukwa Ast ndi apamwamba kwambiri kuposa zachibadwa. Choncho, kuchuluka alt ndi Ast - ichi ndi chizindikiro choyamba kuti aliyense - aliyense ziwalo imene michere amenewa akupezeka, vuto chinachitika.

Norma michere kwa akazi ndi amuna sali yemweyo. Wapakati wamwamuna alt osati kuposa mayunitsi 47 pa lita, ndi akazi alt, Ast - makhalidwe onse sayenera upambana mayunitsi 31 pa lita. Ana Chiwerengerochi zingasiyane malingana ndi msinkhu ndi kugonana. Anyamata, mlingo wa Ast, alt pakati angakhale mayunitsi ochepa pa lita kuposa chizindikiro chomwecho za anzawo.

Si nthawi zonse ponso michere imeneyi ndi chizindikiro cha matenda. Mwachitsanzo, gululi alt, Ast zambiri amapezeka amene ali mwangwiro wathanzi chonyamulira cha matenda a chiwindi B Antigen Izi zikuonetsanso kuti chiwindi ndi asymptomatic, koma njira yogwira. Nthawi zambiri nkhawa mayi anamva zimene anali kusanthula magazi - alt, Ast adakula mwana. Ngati mwana wamng'ono, ndipo zilibe upambana ndi zaka miyezi 6 - mu nkhani iyi, mlingo wa zinthu izi mu mwazi wake akhoza kuposa, ndipo - osati kuphwanya mwakale.

Ngati, monga momwe atayezetsa, alt, Ast mu amayi apakati si yachibadwa, ndi zambiri chifukwa cha masinthidwe kwachilengedwenso mu akazi. Pafupifupi miyezi 6 yoyambirira ya mimba ndondomeko alt amagwa (ngakhale zina limatuluka nthawi imeneyi, amenenso osati chizindikiro cha matenda). Komanso posachedwapa asanabadwe, chiwerengero cha michere imeneyi, mkazi akhoza kukhala wamkulu kuposa mlingo wa nthawi ziwiri kapena zitatu. Izi kawirikawiri wosatsutsika wakuti magazi. Alt, Ast, kuchuluka woyembekezera, samasankha kulankhula za matenda aliwonse.