Ukuhlolwa kwe-Hepatic

Isibindi yisigungu esibaluleke kunazo zonke, ngaphandle komuntu ongeke abe khona. Isibindi sibamba iqhaza kuyo yonke inqubo ye-metabolic, i-detoxifi ye-toxins, iqhaza ekugayeni. Hlola isimo kanye nokusebenza kwalesi sitho kungenziwa ngokuhlaziywa okukhethekile - okubizwa okuthiwa i-hepatic blood test.

Kuyini ukuhlolwa kwegazi ekuhlolweni kwesibindi?

Ukuhlolwa kwe-Hepatic kuyinkimbinkimbi yokuhlaziywa kwezinto eziphilayo eziyinkimbinkimbi ezivumela ukukhomba izifo zesibindi (kanye nama-bile ducts) ekugxilweni kwezinto ezithile ezisegazini. Uma, ngokwezibalo zokuhlolwa kwesibindi, inani lalezi zinto likhuphuka noma liyancipha, lokhu kubonisa ukwephula ukusebenza komzimba. Ngokuvamile, iqoqo lokuhlola okuhlosiwe lihilela ukucacisa ukugxila kwezizinto ezilandelayo:

• i-alanine aminotransferase (ALT);
• i-aspartate aminotransferase (ACT);
• i-gamma-glutamyltransferase (GTT);
• i-alkaline phosphatase (AFP);
• i-bilirubin (ejwayelekile, eqondile noma engaqondile);
• amaprotheni we-serum yegazi (ikakhulukazi i-albin), njll.

Ungathatha kanjani ukuhlolwa kwesibindi?

Ukuhlolwa kwe-Hepatic kudinga ukulungiswa kokuhlaziywa, okuhlanganisa ukugcina imithetho enjalo:

1. Ngemuva kwezinsuku ezimbili ngaphambi kokuhlaziywa, gwema ukwanda komzimba, ukuphuza utshwala, ukuvimbela ukusetshenziswa kwezici ezibabayo, okuthosiwe kanye namafutha.
2. Ngemuva kwesidlo sokugcina, okungenani amahora angu-8 kufanele adlule.
3. Ukuqeda imithi emasontweni angu-1 ukuya kwangu-2 ngaphambi kokuhlaziywa (ngaphandle kwalokho, kwazisa udokotela ukuthi yimiphi imithi kanye nesilinganiso esasetshenziswa).

Ukuhlolwa kwe-Hepatic - okulotshiwe

Ake sicabangele ukuthi imiphumela yenzani ukuhlaziya ngokuphambuka kusuka kwendabuko kwesinye isiqondiso noma enye ingasho. Kumele kuqashelwe ukuthi kuma laboratories ahlukahlukene izindlela zokuqhuba izifundo zihlukile, ngakho-ke izinkomba zesimiso samasampuli ase-hepatic azifani. Ngaphezu kwalokho, lapho kuhlaziywa ukuhlaziywa, zonke izinkomba eziyinkimbinkimbi ziyacatshangelwa, ngokucabangela ubudala, ubulili besiguli, izifo ezihambisana nezifo, izikhalazo, njll.

1. I-ALT - i-enzyme eyenziwa yisibindi, ingxenye encane yayo evame ukuya egazini. Umkhuba we-ALT wabesifazane ungama-35 amayunithi / l, amadoda - amayunithi angu-50 / litre. Uma ukuhlaziywa kubonisa ukwanda kokuqukethwe kwe-ALT izikhathi ezingu-50 noma ngaphezulu, lokhu kungabonisa ukwephulwa okunamandla kwe-perfusion ye-hepatic, i-necrosis ephawulekayo ye-hepatocytes, i-hepatitis ye-viral. Amanani aphezulu e-ALT agcinwa nge-hepatitis enobuthi, i- cirrhosis yesibindi , ukuxubana kwesibindi, ukulimala kwesibindi sokudakwa.
2. AST - i-enzyme engena egazini ngenxa yomonakalo weseli. Umthetho we-AST ufana no-ALT. Izinga le-AST, elidlula ukujwayelekile kwezikhathi ezingu-20 kuya kwezingu-50, libhekwa e-virus yesifo sofuba nesifo sesibindi, kuhambisane ne-necrosis yezicubu ze-hepatic. Ukwenyuka kokuqukethwe kwe-AST kungabonisa nokulimala kwenhliziyo yesisu. Ukuqonda ukuthi yisiphi isitho esithintekile - isibindi noma inhliziyo, uma kunyuke kwinombolo ye-AST ne-ALT, isilinganiso se-AST / ALT - de Ritis coefficient (evamile 0.8 - 1) sisetshenzisiwe. Ukwanda kwe-coefficient kubonisa isifo senhliziyo, futhi ukwehla kubhekisela ekuguleni kwesibindi.
3. I-GTT iyi-enzyme, okwenyuka kuyo yonke izifo zesibindi: isifo sofuba esibangelwa i-etiology ehlukene, i-cholestasis, umonakalo wesibindi sokudakwa, njll. I-GTT evamile yamadoda - amayunithi angu-2 - 55 / l, abesifazane - amayunithi angu-4 - 38 / litre.
4. I-AP iyi-enzyme ehilelekile ekudlulisweni kwe-phosphorus. Umkhuba we-APF ungama-30 kuya kwangu-120 amayunithi / ilitha. Ukunyuka kwezinga le-alkaline phosphatase kungabonisa ukuthi i-hepatitis, i-cirrhosis, i-hepatic tishu necrosis, i-hepatocarcinoma, i-sarcoidosis, isifo sofuba , izilonda zesibindi sesibindi, njll. Futhi ukwanda okulinganiselayo kule enzyme egazini kungaba yindabuko - ngesikhathi sokukhulelwa nangemva kokuya esikhathini.
5. I-albinini iyiprotheni ebalulekile yokuthutha eyenziwe yisibindi. Isimo saso singama-38 - 48 g / l. Izinga le-albinini liyehla nge-cirrhosis, ukuvuvuka kwesibindi, umdlavuza noma izifo zesibindi zesibindi. Ukwanda kwe-albinin kwenzeka ngokulahlekelwa yingxenye yetshezi yegazi (umkhuhlane, isifo sohudo), kanye nokulimala nokushisa.
6. I-Bilirubin - enye yezingxenye ze-bile, isakhiwe ngesikhathi kuqubuka i-hemoglobin. Ukwanda kwezinga le-bilirubin kungabonisa ukwehluleka kwesibindi, ukuvinjelwa kwamadayipi enobungozi, ukulimala kwesibindi esinobuthi, isifo sofuba esiphundu nesiguli, njll.

Izindlela ze-bilirubin:

• 5,0 - 21,0 μmol / l - inani;
• 3.4 μmol / l - ngqo;
• 3.4 - 18,5 mkmol / l - engaqondile.