Biochemical bincike na jini. Alt da AST: bidiyon dikodi yi

Alanine, ko Alt da aspartate aminotransferase, ko AST, suna enzymes, wanda aka dauke a cikin jiki Kwayoyin, kuma suna da hannu a cikin amino acid metabolism. Suna located kawai a cikin sel na sashin jiki tsokoki da jini shiga Kwayoyin auku ne kawai a lokacin da lalata a traumatic rauni ko pathologies.

irin cututtuka

Wuce kima matakan Alt ya nuna ci gaban da sashin jiki pathologies a Kwayoyin wanda ya wanzu shi ne mafi girma da lambar. Akwai dalilai domin karuwa da alanine aminotransferase hanta Pathology. Rashin jin daɗi da kuma zafi a cikin dama babba quadrant, zawo, icteric batawa na fata da kuma mucous membranes, flatulence, belching m - wadannan su ne alamun da karuwa a Alt. A dauke da fitar jini gwaje-gwaje don ƙara Alt da AST shiga dagagge bilirubin matakan, inda akwai ci gaban hepatitis. Sau da yawa karuwa da Alt ya nuna fitowan da sauran cututtuka. Alt maida hankali ne kai tsaye dogara a kan mataki na cuta mai tsanani.

Necrotic aiwatar a cardiac tsoka a jini triggers a saki wadannan enzymes. Ƙara musu magani kuma yayi magana game da ci gaban sauran kardiopatology: gazawar, kumburi daga cikin zuciya tsoka. Bugu da ari, dalilai na karuwa a magani Alt yawa na iya zama ba a cikin jiki raunin da ake dangantawa da lalacewar tsoka nama, da kuma pancreatitis.

Biochemical bincike na jini a Alt da AST iya nuna cutar hanta, pancreas, zuciya. Lokacin da kardioinfarkte AST taro qara sau da yawa, da kuma Alt - kadan.

alamomi ga

Gabobin jikin mutum dauke da daban-daban yawa na enzymes Alt da AST, don haka kara maida hankali a musamman enzyme nuna wani takamaiman Gabar raunuka:

• Alt ne yafi located a cikin hanta, zuciya, koda da kuma pancreatic Kwayoyin. A cikin hali na lalata wadannan gawawwaki a cikin jini da aka saki mai yawa Alt. Sa'an nan, ya tabbatar da ganewar asali ne zama dole su yi nazarin shi a cikin alanine aminotransferase.

• AST ne yafi samu a jijiya, tsoka, hanta da kuma zuciya Kwayoyin, kuma a cikin kananan yawa a cikin sel da pancreas, huhu da koda kyallen takarda. Saboda haka, a cikin wannan yanayin binciken a kan aspartate aminotransferase.

A jini gwajin Alt da AST (kwafi) ya nuna jihar gabobin. Karuwa a cikin shaida na nama lalacewar gabobin a cikin abin da wadannan enzymes suna located. Kuma, daidai da, rage shaidar waraka. A kadan karuwa a Alt a farko trimester na ciki, yana halalta, amma dole ne sake bincika jini aminotransferase, don kauce wa lalacewar da hanta.

Biochemical bincike na jini (Manuniya na Alt, AST) da ake sa a lokacin da ake zargin kardioinfarkt, su ne wani wuri alamar a wannan mawuyacin cuta. Bayani AST a biochemical analysis sa ya yiwu don gane asali da kuma saka idanu wasu canje-canje a cikin muhimmancin da zuciya tsoka, hanta cututtuka da kuma cututtuka na striated musculature.

Shiri ga jini tarin domin binciken

Jini domin Biochemistry bincike da aka dauka daga wani jijiya da safe a kan komai a ciki. A lokacin da bincike kamata je 8:00. daga karshe amfani da kayan abinci. 24 hour. to jini Samfur da aka haramta yin amfani da barasa da soyayyen da kuma m abinci. An shawarar rage fiznagruzki. Nan da nan bayan duban dan tayi, X-ray, fluorography binciken, colonoscopy ko physiotherapy jini ba da shawarar a zabi for analysis, in ba haka ba za a gurbata kwafi Biochemistry. Domin 1-2 makonni. Biochemical nazarin bukatar dakatar da shan magani. Lokacin da ba shi yiwuwa a sadu da wannan yanayin, a cikin shugabanci na likita domin bincike, bayanin kula a kan liyafar da kwayoyi da kuma su sashi. A cikin biochemical bincike na jini (kwafi na Alt, AST) za a iya rinjayi nauyi fiznagruzki, kazalika da yin amfani da barasa da kuma rike hemolysis.

Deciphering da jini gwajin - Alt, AST: na kullum

Abin da dama daga cikin wadannan enzymes ya kamata a kiyaye a cikin wani lafiya jinin mutum? Zane jini sunadarai (kwafi Alt, AST), da kudi ga mata - jere daga 31 zuwa 35 raka'a da lita na jini. Don da karfi jima'i, wannan adadi ne kadan daban-daban. Al'ada Alt a cikin jini na maza (Biochemistry dikodi mai) - daga 41 zuwa 50 U / L. A jarirai (har zuwa 1 ga watan.) Yayi dace da al'ada karatu na 75 raka'a, daga 2 zuwa 12 watanni. - ba fiye da 60 raka'a, da kuma daga shekara guda da har zuwa shekaru 14 - kasa da 45 raka'a. Jini analysis (bidiyon dikodi Alt, AST) da wani babban nuni iya nuna cirrhotic rauni ko m hanta ciwon kumburi, congestive ko hemolytic jaundice, wasu cutar hanta (da neoplasms r. H), angina a kãmun mataki, m rheumatic carditis, myopathy, bile stasis , thromboembolic cutar huhu embolism kuma m pancreatitis. Alt da AST jini gwajin (dikodi mai) tare da kara alamomi lura a traumatic raunuka, cardiac tiyata ko angiokardiografii. Karuwan AST kudi 20-50 sau a wasu lokuta, shaidar cutar hanta, tare da necrosis, hepatitis da kuma kwayar etiology. Dagagge matakan AST 2-5 sau iya magana game da hemolysis cututtuka, tsoka rauni, m pancreatitis da gangrene. Lokacin da degenerative mamaki a cikin tsokoki da kuma dermatomyositis lura 8-Musulunci karuwa a ACT.

coefficient Rytis

Domin samun cikakken bincike na martani na jini Alt da AST (dikodi mai) ya nuna dangantakar Manuniya transferases. Wannan dangane da nuna coefficient de Ritis gudanar a daya binciken magani. Idan lambar sama da na kullum (N = 1,3), shi ya nuna gaban kardioinfarkta, da kuma lokacin da shi ne a kasa misali Manuniya - a kan kwayar hepatitis.

Tun aminotransferases da nama sarrafawa, da jini bincike ya nuna dikodi mai AST tsokar Pathology da Alt - hanta Pathology, Ina nufin gaban salula tarkace:

• Lokacin da akwai wani wuce haddi na 2 ko fiye sau, a cikin zuciya na kayyade bugun zuciya.

• A jini gwajin Alt da AST (kwafi) ya nuna wani gagarumin wuce haddi - shi ne shaidar dauke da kwayar cutar hepatitis a cikin shiryawa zamani.

• By rage aminotransferase Manuniya - jikin ta rashin pyridoxine. Akwai bukatar difdiagnostiki ciki.

dabara

Yadda aka saba, a cikin magani transferase wanzu a kananan kundin. All zabin don inganta hanyar aminotransferase m sha gudanar da bincike.

Don fara wani biyu biochemical bincike na jini (kwafi na Alt, AST) ya kamata a gudanar. Re-jarrabawa na wasu mutum (mai bayarwa) game da daya bisa uku na lokuta nuna al'ada matakan.

Next ka bukatar a hankali tattara da tarihi da kuma gudanar da wani cikakken jarrabawa.

Rawar da tarihin a dauke da fitar da Mabudi

Past tarihi ya hada da bayanai game da liyafar da magunguna, jini, gaban jaundice ko hepatitis ciwo, iyalinmu cututtuka na hanta ko gaban cirrhotic tsari a cikin ta ciki zafi, ciwon daji, da ciwon sukari, kiba ko, conversely, m nauyi asara.

Family cutar hanta - shi ne barasa dogara, Wilson ta cuta , da sauransu.

Idan Alt da AST jini gwajin (kwafi) ya nuna a sama al'ada dabi'u a cikin kasa da biyu sau, shi wajibi ne don tsara da kulawa da kuma dubawa na 2-Musulunci. Wannan dabara ne mafi kyau duka ga marasa lafiya.

A jini gwajin Alt da AST - kwafi a wasu cututtuka

A kadan karuwa a sia transferases nuni da nonalcoholic hanta lahani type, ciki har da "m hanta", nonalcoholic steatogepatoz, kwayar hepatitis a kullum form.

Matsakaici karuwa iya zama a cikin kwayar ko giya hanta kumburi da kuma daban-daban na kullum cutar hanta da ko ba tare da cirrhotic lalacewa shi.

Dagagge matakan hali na m tsanani hepatitis, mai guba ko miyagun ƙwayoyi necrosis, bugu ko hanta ischemia.

A bukatarsa high matakan (mafi girma daga 2,000-3,000 U / L) wanzu don overdosing acetaminophen da kuma yin amfani da nufin a barasa-dogara marasa lafiya a buga da kuma / ko hanta ischemia.

Ya kamata a lura, tun Alt ne a cikin ja da maikacin jini, wajibi ne don hana auka daga cikin shirye-shiryen da magani domin bincike. Alt iya rage lokacin da adana magani ga dama, kwanaki.

Rawar da na'urorin kiwon lafiya, ganye da sauran abubuwa

Hankali tarihi karɓarsu ga kuma dikodi mai dakin gwaje-gwaje sakamakon ne da muhimmanci ga gano miyagun ƙwayoyi-jawo ƙaruwa transferases. Similar hanta lalacewar gano a cikin 1-2% na lokuta na kullum kumburi a cikin hanta form. Su suna hade da shan maganin rigakafi, antiepileptics, hanawa na hydroxymethylglutaryl-CoA reductase hanawa, nonsteroidal anti-kumburi kwayoyi da kuma medicaments domin lura da tarin fuka.

A mafi sauki hanya domin sanin dogara da karuwa daga aminotransferases tare da duk abin nufin - to warware shi, kuma su tsai da enzyme matakin. Babu sokewa yana nufin wannan dangantaka ba za a iya ƙaddara.