A Dubi AST da ALT
Hanyoyin enzymes suna da abubuwa da hanta suka haifa wanda za'a iya aunawa ta hanyar gwajin jini. Sakamakon waɗannan enzymes wanda ke kewaya cikin jininka ya ba likitoci damar koyo game da lafiyar hanta. Akwai dubban wadannan enzymes a cikin hanta da jini, amma guda biyu daga cikinsu- aminotransferases AST da ALT-sune mahimmanci don gano lalata hanta da kuma cututtuka.
Menene Aminotransferases?
Aminotransferases sune sunadarai hanta yana amfani da su don taimakawa wajen samar da kwayoyin glycogen. Aspartate aminotransferase, ko AST, ana samuwa a cikin hanta, har ma da kwakwalwa, mahaukaci, zuciya, tsokaran tsoka, kodan, da kuma huhu. Alanine aminotransferase, ko ALT, an samo shi a cikin hanta.
Yaya aka gwada Hannun Enzymes?
Don gwada AST da ALT, likita ya bukaci yin gwajin gwajin enzyme, wanda yawanci ya ƙunshi ƙarin gwaji kamar albumin, bilirubin, da lokacin prothrombin. Wani mai fasaha zai zana samfurin jinin ku kuma aika shi a cikin lab don gwaji. Ana aika sakamakon zuwa likitan ku.
Mene Ne Aiki na AST da ALT?
Hanyoyin al'ada na AST da ALT sun bambanta daga mutum zuwa mutum kuma suna dogara ne akan rubutun ka na jiki (BMI), ko kuma girman girmanka da nauyi. Ƙananan adadin AST da ALT kullum suna cikin jininka, saboda haka yana da karuwa mai yawa a matsayin matakinka wanda ya nuna matsala.
Mutanen da ke dauke da cutar mai ciwon daji mai cututtuka na iya samun aminotransferase matakan sama da dubu 1,000 a kowace lita na jini (IU / L). Kasuwancin al'ada na al'ada na AST da ALT sune:
- AST 2-45 IU / L
- ALT 2-40 IU / L
Me yasa AST da ALT amfani ne?
Saboda waɗannan ƙwayoyin enzymes suna cikin kwayoyin hanta (hepatocytes), wanda ke da alaƙa da lambar jinin ku, AST da ALT zasu iya "laka" a cikin jini idan masu cutar hepatocytes sun lalace.
Yin gwajin jini zai iya ƙayyade yawan waɗannan enzymes a cikin jininka kuma likitoci zasu iya amfani da wannan bayanin don taimakawa wajen ganewar asali ko kuma ƙarin ƙarin gwaji.
Matsanancin matakan da ke tattare da hanta enzymes sun nuna cewa an lalata sassan hanta, amma basu iya san abin da ya lalacewa ba. Saboda ƙananan matakan enzyme za'a iya gani a wasu cututtuka ( ciwon zuciya , kiba, ciwon sukari , mononucleosis), sun kasance guda ɗaya daga cikin ƙananan ƙwaƙwalwar. Don ba likitoci cikakke hotunan hoto, dole ne ayi amfani da matakan enzyme tare da wasu gwaje-gwaje na jini, bincike na haƙuri, da tarihin likita.
Saboda AST yana samuwa a wurare da dama a cikin jiki, matakan AST kadai ba su bayar da shawarar cutar cututtuka (sananne ba, amma rare, banda cutar Wilson). Duk da haka, rabo daga AST zuwa ALT, ko matakin AST idan aka kwatanta da matakin ALT, yana bayar da alamu ga abin da ke faruwa a ciki. Bisa ga wadannan halayen, likitoci zasu iya mayar da hankalinsu kan abin da irin wannan cutar hanta zai iya kasancewa. Ga wasu shafukan da ake amfani dashi don cutar cutar hanta:
- An AST: Yanayin ALT daidai da ɗaya (matakin ALT ya fi girma ko daidai da AST), amma matakan suna da tsayi sosai, yana nuna ƙwayoyin cututtukan da ke dauke da kwayar cutar hepatitis ko ilpatitis.
- An AST: Matsayin ALT mafi girma daga 2: 1 (sau biyu matakin AST zuwa ALT) yana da kyau game da cutar hanta.
- An AST: Yanayin ALT mafi girma fiye da ɗaya (inda matakin AST ya fi ALT) zai iya nuna nau'in cirrhosis a cikin mutumin da ba shi da hepatitis giya.
Kara karantawa:
Sources
- Pratt DS, Kaplan MM. Binciken aikin hawan. A cikin: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo, da Dokar Magungunan Harkokin Cikin Gida ta Harrison , 17th. New York, McGraw-Hill, 2008.