AST Ukwanda egazini: Oonobangela and Treatment

Namhlanje, ngamnye kuthi ungaya kwiqembu igazi, ukuze abone ukuba kukho nasiphi na isitenxo enkulu kwimpilo, kwaye ukuba ikhona, ixesha lokuba athathe unyango. Ukuba emva kokuba efumene iziphumo zohlalutyo watyhila ukuba yonke le mifanekiso ngaphezulu okanye ngaphantsi eziqhelekileyo, kodwa eziphakamileyo amanqanaba AST, umbuzo uvela ngoko nangoko wokuba: njani yingozi na, yintoni na le oonobumba ezintathu capital twi kunye kakhulu neminye imiba for free. Inqaku lethu liza kukunceda ufumane iimpendulo kubo.

Yintoni AST

Aspartate aminotransferase, okanye AST kuba elifutshane - ligama enzyme, eyinxenye ye ngokupheleleyo zonke izakhiwo cellular umzimba. Kodwa inani inkulu aminotransferase aspartate na myocardium kunye izihlunu skeletal, ngoko kwiiseli sesibindi inyama ehlise nezintso. Ukuba umzimba lo eqhelekileyo, kunye nezalathisi yomsebenzi AST egazini ziphantsi.

Kodwa umonakalo amalungu okanye iinkqubo ze-enzayim ezahlukeneyo iqala ukuba akhululwe kwaye ngenisa egazini. Ngoko, xa uhlalutyo kwemichiza, kuyacaca ukuba AST ephakamileyo egazini - usinika isizathu orhanela ugqirha ekuqaleni iinkqubo etshabalalisayo iiseli. I-enzayim aspartate aminotransferase ifunelwa ukusebenza kakuhle iiseli. Iqhuba imisebenzi zothutho, ekuqhubeni ukuziswa amaqela athom le asidi ezahlukeneyo acid.

Iimpawu Normal AST

amanqanaba abaqhelekileyo kwi indlela woqondo yokufumanisa (IU) zezi zilandelayo:

• ukuba abafazi - ukuya ku 35 IU;
• amadoda - ukuya ku 41 IU;
• kubantwana - ukuya ku-50 MNA.

Reaction Reitman-Frankel (mkomol / h / ml):

• ukuba abafazi - ukuya kwi 0,35;
• amadoda - ukuya 0,45;
• kubantwana - ukuya ku 0.5.

Ukuba eziphilayo igazi wabonisa AST, ayidluli amaxabiso ekhankanyiweyo - oku kubonisa ukuba inkqubo enzyme wentliziyo, isibindi nezintso abasebenza ngesiqhelo, nokwakhiwa zeselula lwemizimba akufuneki yonakele. Ndikunye ezinxaxhileyo ezikhoyo apha kuhlalutyo kwaye ifumanise ngobekuphandwa ngako oko esinyusiweyo AST egazini kufuneka ivavanywe kunye namanye amagosa amakishayo ezithile (troponins, creatine phosphokinase, ALT t. D.).

Ndimele ndithi yokuba iilabhoratri ezahlukeneyo ukuze usebenzise wezenzi ezahlukeneyo neendlela isifundo. Ngenxa yoko, iziphumo ezifunyenweyo kwiindawo ezahlukeneyo inokuba nomahluko kancinane omnye komnye.

AST Ukwanda egazini: Oonobangela

Ukuba inqanaba enzyme igazi eziphakamileyo, oko kusenokubonisa ukuba kukho nasiphi na isifo kolu luhlu lulandelayo:

• iposi engabalulekanga - yenye ezingunobangela rhoqo UMTHETHO eziphakamileyo kakhulu, kwaye endaweni ebanzi umonakalo engabalulekanga, kungona uyazikhomba enzyme aspartate aminotransferase egazini;
• ukwenzakala ngenhliziyo evulekileyo okanye elivaliweyo;
• isifo sentliziyo rheumatism;
• angina;
• komzimba okanye myocarditis esosulelayo;
• bile cancer yobisi;
• umhlaza wesibindi;
• sisilonda esidumbileyoesingaphakathi isibindi kuwenza;
• cholestasis;
• steatosis utshwala;
• fat steatosis;
• hepatitis load;
• izilonda hepatic buthi;
• Ukungaphumeleli intliziyo;
• intshabalalo olubanzi esiqwini kwezihlunu (iyasilwa syndrome, myositis ngokubanzi, myodystrophy);
• pancreatitis abukhali.

Kwakhona xa kwaphakanyiswa AST egazini, oko ibonakala konzakale zezihlunu skeletal, kunye ukunxila olomeleleyo utywala, ukutsha, inxeba ubushushu, Embolism kwimikhumbi yegazi kunye mushroom ityhefu enetyhefu.

kuphakanyiswe kancane KOMTHETHO lusemnyango umthambo kakhulu emzimbeni ngexesha yokwamkela kwezinye izinto amayeza (nadlamkisayo, imithi, njalo njalo. D.).

Yintoni onokuyifunda ekugqibeni umgangatho igazi aminotransferase aspartate

Xa kunjalo, ukuba AST egazini landa kancinci (5 amaxesha), ngoko mhlawumbi oku kubangelwa FH, yokwamkela amanye amachiza (barbiturate, statins, imithi, iziyobisi, iiarhente ichemotherapy, njalo njalo).

Phakathi, ukwanda avareji ye-enzyme (ukuya kalishumi ngaphezulu kunesiqhelo) kusenokuba ngenxa sisifo esingapheliyo isibindi, ukuqina kwesibindi, iposi engabalulekanga, miokardiostrofiey, iinkqubo ziyenzeka iiseli ezonakeleyo izintso nemiphunga, mononucleosis, umhlaza.

Ukuba kwaphakanyiswa AST ngamandla egazini (ngakumbi izihlandlo 10) - oku uxelela ugqirha ukuba isigulana ukuze hepatitis yintsholongwane kwinqanaba etsolo, umonakalo eyityhefu izakhiwo kwesibindi, ihepatitis-wayenga drug (yondele), yaye oku kubonisa ukuba ukuhamba emzimbeni iinkqubo kunye necrosis yethishyu (umz, nangezilonda).

Ekuqaleni esi sifo, sikwinqanaba etsolo, xa inkqubo wentshabalalo inyama kungenzeka, kukho izinga eliphezulu aspartate aminotransferase. Ukunciphisa AST kwi serum kutsho ekuqaleni iinkqubo ekuphulukenwe iiseli kunye nezigqeba ekuphulukenwe yesigulane. excess kancinane kwemimiselo aba uphawu yokusilela emzimbeni.

Yeyiphi sinokuwagqwetha iziphumo zohlalutyo

Ngamanye amaxesha ugqirha, akubona ukuba AST kwi yegazi eyonyukileyo, kodwa bengafumani isigulane akukho zimpawu zibonakale zesi sifo, ikhuthaza ukuba banikele ngegazi kwakhona, kwaye oku uhlalutyo ezongezelelweyo ibonisa amanqanaba eqhelekileyo enzyme. A imibuzo eneenkcukacha kubonakala ukuba isigulana phezu olwandulela umnikelo ngegazi yokuqala wathabatha iziyobisi, nezithe zanegalelo ukuchaneka amanani. Ukuze siphephe iimeko ezinjalo, kubalulekile ukwazi ukuba sinokuwagqwetha iziphumo:

1. Ukuthatha amayeza athile amayeza. Kubalulekile ukuba ugqirha midlalo yonke ezithatha ichiza. Ugqirha ingaluthintela ukusebenzisa amayeza ezithile iintsuku ezimbalwa phambi kokuba igazi.
2. Ukusetyenziswa amayeza esintu: Echinacea okanye valerian.
3. Ukuthathwa amathamo amakhulu vitamin A.
4. Ukukhulelwa.
5. komzimba Severe.
6. Catheterization okanye uqhaqho lwentliziyo kutshanje.

Ukuba AST yegazi eyonyukileyo, izizathu inokuba nomahluko, maxa wambi engalindelekanga. Ngoko akukhathazeki ngokungeyomfuneko ngenxa iziphumo ezingachanekanga, ayikhuthazwa iiyure ezimbalwa ukuba unikele ngegazi ukuze uhlalutyo emva sicatshulwa kwezi nkqubo zilandelayo:

• -X-reyi;
• zoviwo efakwa;
• ultrasound;
• ukuyifundisa;
• ray.

Njani na uphando AST igazi

Uhlalutyo igazi, kumanqanaba enzyme okanye hayi, kwenziwa ngokulandelelana ulandelayo: yokumisela aspartate igazi siphande ezinto eziphilayo. izinto Kucingo olubiyele eveliswa ukusuka apho iphuma khona kuphela kusasa kuphela ungatyanga.

Umongikazi ingalo eliphezulu lokuqala sibonakala nezikrweqe, uze emva koko lesitofu iphuma kunye inaliti ingqalelo malunga 15-20 ml yegazi. Le bethwele koko isuswe kwaye isicelo kwisiza inaliti cotton kwasala. Isigulane uyaxelelwa ukuba Wayitsala ingalo uyibhekise kwaye ngokuqinileyo ukubacinezela inaliti ukunqanda ukopha. Unako ukuhlala okwemizuzu embalwa uze emva koko bagoduke.

Yaye igazi uyarhoxiswa a icentrifuge esahlula plasma, wavelisa imichiza kuyimfuneko. awasabela ngayo kunye AST umsebenzi uzimisele. Ezi ziphumo ilungele ngosuku olulandelayo. Self-decrypting ekhutshwe kwi ezandleni iziphumo kubhetele ukuba ukuyenza, kufuneka wenze ugqirha.

Ukwanda aspartate aminotransferase: into udinga unyango?

Kubalulekile ukuqonda ukuba xa uhlalutyo lwaqhutywa waza waqinisekisa ukuba kakhulu eziphakamileyo AST egazini, kwakungenakuza ukuba kwenzeke nje ngokwayo. Oku kungenxa ubukho nasiphi ngezifo emzimbeni, kunye ukutshatyalaliswa lwesakhiwo wesibindi, imisipha intliziyo, okanye ezinye kwizihlunu. Oku kuthetha ukuba AST esezantsi ngaphandle unyango lwezifo ezibangelwa xi jump enzyme, akunakwenzeka.

Ngoko ke, lo msebenzi eziyintloko gqirha na ukufumana, kwimeko xa AST yegazi eyonyukileyo, izizathu oku. Oko ephambili uqhuba isigulo kwangethuba, uze sabelo unyango. Emva ekupheliseni nokuncipha sifo kunye neqondo aminotransferase aspartate.

Indlela ukulungiselela uhlalutyo malunga nokuqulethwe AST

Ukuvavanya iziphumo ezichanileyo ngakumbi, kubalulekile ukuba unikele ngegazi ungatyanga. Kwaye kufuneka kugqitha emva kwesidlo yokugqibela iiyure eziyi-8. Kubaluleke kakhulu ukuba usuku ngaphambi kokuba kwilebhu ukuba uyeke utshwala, okunamafutha kunye eqhotsiweyo, kwaye zinqanda zombini eninzi emzimbeni nangokweemvakalelo okanye engqondweni. Kusasa phambi kokuba uhlalutyo ndingasela kuphela amanzi acocekileyo, kodwa akukho tyala musa ukusela ikofu, incindi kunye neti - oko esilimaza uvavanyo lwegazi.

AST inyuswe okanye hayi, ufumanise ukuba ngaphambili ngaphezu kweentsuku ezisixhenxe emva wokubhekiswa uhlahlelo, ukuze abe nexesha elaneleyo. Kuba mnye, ekukhethwa iiveki ezimbini phambi kokuba iingcali study Kucetyiswa ngamandla ukuba lokwala amayeza. Xa kunjalo, ukuba uphumeze le mfuneko akwenzeki, ngokuqinisekileyo kufuneka azise kugqirha wakho ukuze decrypting uhlalutyo lweenkcukacha wenze izilungiso eziyimfuneko okanye inkqubo elimisiweyo ngosuku olulandelayo. Ukuba kukho mngundo okanye ukukhulelwa, kuyimfuneko kwakhona ukwazisa ugqirha ngayo.

Ubungqina obubonakalayo buxela ukuba uhlalutyo ngenjongo

Uhlalutyo ngasentla uboniswe izifo ezithile:

• isifo sentliziyo Acute okanye engapheliyo.
• Zonke izifo esibindini.
• Izifo kwegazi.
• Gciwane.
• insufficiency kwezintso.
• izifo komzimba.
• Encephalopathy umyalezo akukacaci.
• Ukutyeshelwa yibilirubin ukutya, kunye neendidi ezahlukeneyo senyongo.
• Pathology of ubovu-izilonda.
• pancreatitis Chronic.
• Cholelithiasis kunye waphula nencindi inyongo.
• ngamathumba amabi.
• izifo Ezingokuqandusela.
• Izifo ezibangelwa komzimba.
• Lungiselela ukuba utyando olukhulu.
• Ukwenzakala ukuba Isifuba okanye esisu.

Ngaphezu koko, oko lwanziwa ukuvavanya neentshukumo unyango ezimbi ezesifuba hepatic kunye antibiotics ngexesha (ixesha elide), izinto ezahlukeneyo ityhefu, ngokunjalo ichemotherapy.

Malunga olubonisa ALT

Yintoni AST oluphezulu lwegazi, oonobangela kwale meko, siye wafumanisa. Ngoku makhe sithethe malunga nezalathi mncinane. Ngokuqhelekileyo, wabele uvavanyo lwegazi kwemichiza, ugqirha ufuna ukubona kuphela kwinqanaba AST, kodwa umxholo omnye enzyme - ALT.

Le alanine, leyo, efana AST abakhoyo iiseli onke amalungu, kodwa uninzi mali wayo esibindini kunye nezintso. Xa kuvela iingxaki esibindini, lo ALT kwi egazini. ungeniselo lwayo ukufumanisa isifo kakhulu zesibindi phambi yimbonakalo senyongo - luphawu uphawu sohlobo ezahlukeneyo. Ngoko ke, igazi high ALT unyango mayingatolikwa ibonisa umonakalo iziko yesihloko.

Xa umntu sele kudlule ekuphicothweni zengqo- of ALT igazi AST banda, oko kungathetha ukuba umzimba ijongene iinkqubo kakhulu yingozi. Khumbula ukuba zombini enzymes zikhutshelwa egazini hi mpimo ephakamileyo kuphela xa kukho ukuphazamiseka izakhiwo cellular. Oku akuthethi ibonisa ubukho sifo. Izigqibo ezichanekileyo unokwenza kugqirha kuphela, emva kokuba iinkqubo ezinye diagnostic. Wena na ekufuneka nokungoyiki, kodwa yokulibazisa angafanele utyelelo kugqirha.

intetho lokuvala

ALT Ukwanda AST egazini ayikho isivakalisi, kwanokuba la manani kude igqithe eqhelekileyo. Eyona nto ibalulekileyo - yinto isifo ngexesha kunye nonyango phantsi kolwalathiso liyincutshe onamava. Sinqwenela wonke uhlalutyo elungileyo kunye nempilo entle!