N'chiyani chikusonyeza atayezetsa ngati alt ndi Ast kuchuluka?

Pakuti matenda enieni yake zambiri osati kuona chabe wodwala ndipo anamnesis. A otsogolera ku matenda a matenda kusewera osiyanasiyana kafukufuku, kuphatikizapo mtima wa magazi magawo amuzolengedwa.

Okwera transaminase misinkhu. kuchita zotsatira za kuwunika chiyani?

Kuona mlingo wa alanine aminotransferase (alt) ndi aspartate aminotransferase (Ast) ndi yofunika phunziro la chiwindi, mtima, kapamba. Kuwonjezeka kapena, Tikawonetsetsa kutsitsa transaminase magazi kungasonyeze matenda aakulu monga myopathy, gout, neoplasms angapo fupa. Burns, agwilitse linali lalikulu, anavulala kwambiri zimachitika kuchuluka kwa michere tatchulazi.

Alt ndi Ast ndi kuchuluka, ndipo kwambiri matenda chiwindi. Koma ngati ndi zizindikiro thymol kuposa wabwinobwino, izo chidzasonyeza chiwindi matenda a chiwindi.

Kuchuluka kwa alt ndi Ast michere ndi wokwezeka pa infarction m'mnyewa wamtima, myocarditis, mtima kulephera. Tikumbukenso kuti, ngati kukwezeka kaperekedwe ka transferase Ast si yafupika kuyambira kumuukira, izo zikusonyeza kuti n'zotheka kuti madokotala ananena zawo osauka wodwalayo. Amakhulupirira kuti ngati mitengo kuenjezera Ast ndi alt anati mu nthawi zosakwana 10, kungasonyeze angapo ena kuposa kuwonongedwa kwa chiwindi matenda. Kuwonjezeka mlingo wa nthawi zoposa 10 ikukamba za matenda chiwindi - kutupa (tizilombo poizoni, kapena ischemic autoimmune) gepatoze mafuta, khansa chiwindi.

Malamulo magazi sayansi kusanthula deta

Kudziwa kuchuluka kwa Ast ndi magazi alt mayeso kudali kudya kwambiri. Chakudya kuphatikizapo palibe pasanafike 18 pm, mu magazi yapita zitsanzo zosankhidwazi 8:00 kuti achotse chakudya, kuphatikizapo madzi aliwonse. Nthawi zambiri kulandira magazi sayansi zoikamo outpatient amapezeka m'mawa, maola 10. Mu zipatala zambiri padziko koloko.

chakuti alt ndi Ast kuchuluka, n'zotheka kuti owonjezera mitengo ya kusanthula amuzolengedwa magazi a zizindikiro zotsatirazi:

• chifukwa alt - 0,1-0,68 mol / (ml ya * HR);
• chifukwa Ast - 0,1-0,45 mol / (ml ya * HR).

Pa nkhani ya kuchepetsa mlingo wa michere transaminase akhoza amaganiziridwa akusowa mu vitamini pyridoxine (B6).

Komanso matenda yolondola ntchito index Rytis. Mwachibadwa, chizindikiro ichi ayenera kukhala wolingana 1.3. Ngati inu kuwonjezera n'zotheka kulankhula zokhuza kuthekera infarction m'mnyewa wamtima, ndi kuchepa ndi - za matenda tizilombo.

Tikumbukenso kuti trimester mimba lingamakumane transaminase okwera si zovuta alt. Analysis ayenera kubwereza mwezi umodzi pambuyo pa kubadwa. Ngati msinkhu ndi otsika - palibe chifukwa nkhawa.

Ndipo komabe, kodi kuchita?

Choyamba, tiyenera zichotsedwa ku phwando nthawi yapitayi kusanthula mankhwala ena, n'zothandiza kuwonjezeka mu transferases mlingo magazi. Chachiwiri, ngati kuchuluka kwa alt ndi Ast kuchuluka, musazengereze ulendo kwa dokotala. Kumbukirani kuti mankhwala okha perekani katswiri. Self-mankhwala akhoza kuyambitsa mavuto aakulu.