GGT - abin da yake da shi? GGT (a jini gwajin) inda aikata, kuma ga abin da?

A hanta Kwayoyin kafa bile, wanda wajibi ne ga sha na kitse daga cikin abinci da kuma janyewar wasu kwayoyi. Kan aiwatar da kafa m bile, amma shi shiga cikin hanji kawai a lokacin da cin abinci ko bayan shi. Sauran lokaci shi ne adana a cikin gallbladder. A mafi m nazari dangane da stagnation na bile jarrabawa ne a gare GGT. Abin da irin bincike, wanda ya samar da bayanai da kuma yadda shi ke yi? Wannan shi ne abin da za mu tattauna a wannan talifin.

GGT: general bayanai

A hanta Kwayoyin, da kuma biliary fili shi ne wani enzyme cewa shi ne mai kara kuzari ga wasu biochemical halayen. Shi ne ake kira GGT (gamma glutamyl transpeptidase) da yake kunshe ne kawai a Kwayoyin a karaya wanda ya shiga cikin jini. Tun da sabuntawa da Kwayoyin ne gaba daya na al'ada tsari, kasancewar wani karamin adadin jini ne m GGT. Duk da haka, da lalata wani gagarumin yawan Kwayoyin iya saki wani babban adadin wannan enzyme, cewa shi ne sigina na ƙararrawa. Wannan halin da ake ciki ya nuna gaban m hanta ko biliary fili cututtuka.

Muhimmancin kayyade GGT

Ganewar asali GGT aiki (jini gwaje-gwaje domin sanin matakin da wannan enzyme), shi ne na bayar da muhimmanci a gano wadannan matakai:

• cholestasis (bile stasis) .
• cytolysis (cell hallaka).
• ƙari girma a cikin hanta.
• miyagun ƙwayoyi, ko barasa maye.

Yana da daraja na musamman da hankali ga mayar da hankali a kan na karshe abu. Barasa da kuma wasu kwayoyi shafi samar da GGT. Abin da ake nufi? Wannan adadin enzyme iya karu sosai har in babu hanta cututtuka. Kuma akwai sabon abu na mutane suke cũtar barasa ko shan wani iri kwayoyi (misali, "Paracetamol" ko "Phenobarbital"). A wannan connection, da gwajin don GGT ne sau da yawa amfani da magani daga shan barasa.

Bugu da kari, da matakin da wannan enzyme a cikin jini ne niyya a cikin wadannan tsari:

• tabbatar da zargin da clogging na biliary fili (a gaban wani pancreatic ciwon daji ko duwatsu a cikin bile ducts).
• domin diagnosing sclerosing cholangitis kuma biliary cirrhosis (primary).
• domin kayyade hanyar karuwa da alkaline phosphatase (hanta ko kashi Pathology da cutar).
• saka idanu da matsayi da kuma nasarar da lura da wani haƙuri wanda yana da wani ƙara GGT.

GGT iya ce game da cewa shi ne mafi saukin kamuwa zuwa cututtuka na hanta da kuma biliary fili enzyme. Its matakin yakan sauri fiye da alkaline phosphatase, misali. Wannan shi ne dalilin da ya sa shi ne musamman m a cikin ganewar asali da wasu cututtuka a lokacin da sauran Manuniya ne "lagging" ko bukatar tabbatarwa.

Dalilin bincike

A wasu lokuta, marasa lafiya sanya biochemical bincike na jini (GGT), wanda kuma yadda shi da aka kashe? Specialist da za a tuntube ga al'amurran da suka shafi alaka gamma-glutamyl ne hepatologist. Akwai da dama yanayi inda yana da muhimmanci a san da jini matakan da enzyme:

1. A cikin farko gwajin domin sanin matakin da wannan enzyme da muhimmanci a lokacin hanta samfurori, ana amfani da su kimanta da jikin ayyuka.

2. Idan kana da tashin zuciya da amai, m wani rauni, ciki zafi, fata itching, stool walƙiyarsa ko duhun fitsari, jaundice.

3. Lokacin da barasa zagi, ko magani daga mãsu haƙuri daga giya hepatitis.

4. A cikin shakka daga na yau da kullum likita jarrabawa ko shiri domin tiyata.

Domin nazarin dauka venous ko capillary jini. A kan aiwatar da tourniquet da venipuncture iya zama ba sosai m ji game da abin da likita yawanci yayi kashedin a gaba. Bugu da kari, a cikin shirye-shiryen da ganewar asali na haƙuri ne sanar da game da dama da muhimmanci dokoki. Saboda haka, mutum goma sha biyu sa'o'i kafin analysis wajibi ne a daina cin abinci, da kuma rabin sa'a kafin shi - ba hayaki, kauce wa jiki ko wani tunanin danniya. Wannan zai samu daidai data.

A sakamakon binciken da su abubuwan

Bisa ga sakamakon gwajin za a iya gani cewa, darajar GGT ya karu ko al'ada. A wasu ba ba, saboda a cikin jini, kuma maiyuwa ba za'a samunsu a duk enzyme (da farko shi ne samuwa ne kawai a Kwayoyin), ko da yake wannan ya faru da wuya. Bayani GGT (ta matakin) ne kamar haka:

• Mata reference dabi'u ne daga 0 up to 32-38 U / l .;
• ga maza da wannan adadi ne mafi girma - daga 0 to 50-55 U / L ..

A mafi girma da matakin da mutum lalace bile ducts ko hanta. Bari mu dubi fi na kowa dalilan da kiwon da matakin da wannan enzyme.

Sanadin dagagge GGT

Idan sakamakon bincike da aka saukar dagagge matakan wannan enzyme, za mu iya magana game da sabawa daga na kullum. Karuwan GGT aiki iya hade da wadannan cuta:

• dukan hanta da kuma biliary fili - obstructive jaundice, scars, duwatsu ko wani ƙari a cikin bile bututu, da ciwon daji na ciki ko shugaban pancreas.
• hanta cirrhosis - al'ada hanta nama yana maye gurbinsu da tabo, game da shi, keta wannan sashin jiki aiki.
• ciwon daji ko hanta metastases, hanta lokacin da switched ga marurai na sauran gabobin.
• hepatitis B (duka biyu m da kullum), ciki har da barasa.
• dauke da kwayar cutar mononucleosis.
• autoimmune lalacewar da bile ducts manyan zuwa firamare biliary cirrhosis ko sclerosing cholangitis.
• m kumburi da pancreas.
• metastases a cikin hanta a sakamakon cutar sankarar nono, prostate, huhu.
• cardiac insufficiency da kuma tsokar zuciya infarction (tare da sakandare hannu na hanta).
• hyperthyroidism da ciwon sukari.

Kamar yadda ka gani, da dalilai na kiwon GGT sa. Ko ta wani hanya, suka duka dangantaka da hanta. Bugu da ƙari, enzyme dauke a cikin pancreas, saifa, koda, prostate (albeit a karami yawa). Saboda haka, cutar na wadannan gabobin kuma zai shafi ta matakai a cikin jini. Duk da haka, ba musamman kara maida hankali gamma-glutamyl kawai a cuta daga cikin hanta. A dalilan ragewan GGT iya rage thyroid aiki da decompensated cirrhosis.

ƙarshe

A wannan labarin, za mu duba a irin wannan muhimmanci enzyme kamar yadda GGT. Mẽne ne kuma abin da aka kaddara ta matakin, yadda aka gaya. Mun koya, abin da za a iya hade kamar yadda aka nuna ta hanyar canje-canje a cikin jini taro, da kuma lokacin da sanya analysis GGT da kuma yadda shi ne ya ciyar. Muna fatan cikin bayanai da aka amfani a gare ku.