Tātari matüora o toto. ALT me AST: wetewaehere mahi

Alanine, ALT ranei me aspartate aminotransferase, AST ranei, he whākōkī, e kua roto i te pūtau tinana, a kua whai wāhi i roto i te waikawa amino pākia. E tū ana anake i roto i te pūtau o te kopa whēkau me te toto tomo pūtau puta noa, no te te pirau i roto i whara ngaukino pathologies ranei.

momo o mate

taumata nui o ALT whakaatu te whanaketanga o pathologies okana i roto i ngā pūtau i te tīariari ko reira te tau nui rawa. He take mō te hua o alanine māuiuitanga aminotransferase ate. Hūhi me te mamae i roto i te hautahi o runga tika, korere, poke icteric o te kiri, me kiriuhi mucous, flatulence, te paowa kawa - he tohu o te hua i roto i te ALT enei. I roto i te mau ana i roto i whakamātautau toto ki nui haere ALT me ngā taumata bilirubin piki AST hono, te wahi i reira ko te whanaketanga o te kakā. E mea pinepine hua o ALT tohu te putanga o te tahi atu mate. Ko tika ti'aturi i runga i te tohu o te mate pakeke ALT kukū.

tukanga Necrotic i roto i te uaua cardiac i toto pāngia e te tuku o enei whākōkī. ano korero nui haere ratou serum e pā ana ki te whanaketanga o ētahi atu kardiopatology: kore, mumura o te uaua ngakau. I tua atu, ko te take mo te hua i roto i nohanga ALT serum taea e hakari i roto i te whara te tinana e e pā ana ki te kino ki te uaua kiko, me te pancreatitis.

tātari matüora o te toto i runga i ALT me AST kia tohu mate ate, repe taiaki, ngakau. A, no te faarahi kardioinfarkte AST kukū e rave rahi taime, me ALT - he iti.

Tuhinga hoki

Whēkau o te tinana tangata i roto i rerekē moni o whākōkī ALT me AST, na kua neke ake te kukū o te pūmua whākōkī ngā tohu he pāpaka okana motuhake:

• Kei te nuinga kei ALT i te ate, ngakau, tākihi me te pancreatic ngā pūtau. I roto i te take o te whakangaromanga o enei tinana i roto i te toto tukua te he rota o te ALT. Na, ki te whakaū i te tātaritanga he tika ki te ako i te reira i roto i te aminotransferase alanine.

• Kei te nuinga kitea AST i karere, uaua, ate me te ngakau ngā pūtau, a i roto i te rahinga iti i roto i ngā pūtau o te repe taiaki, pūkahukahu me te tākihi te kopa. Na reira, i roto i tenei ako take i runga i aminotransferase aspartate.

He ALT whakamātautau toto me AST (tuhinga) E whakaatu ana te okana kāwanatanga. Whakanuia i roto i to ratou taunakitanga o whēkau kiko kino i roto i nei e kei enei whākōkī. Na, i runga i, heke taunakitanga o whakaora. He hua iti i roto i te ALT i te huatū tuatahi o hapūtanga, kua tukua reira, engari me anō-titiro i te aminotransferase toto, ki te karo kino ki te ate.

Matüora tātaritanga o toto (tohu whakaritea o ALT, AST) te ka te kardioinfarkt pea, he ratou he tohu wawe i tenei mate tino. AST whakamārama i te tātari matüora hanga reira taea ki te tātari me te aroturuki tahi atu whakarerekētanga i roto i te akiakinga o te uaua ngakau, mate ate me te mate o te musculature striated.

Te faaineineraa no te kohinga toto mo te ako

tangohia toto hoki tātari mataora i te rua i roto i te ata i runga i te puku kau. I te wa o te tātaritanga kia haere 8:00. i te whakamahi whakamutunga o te rāno. 24 haora. ki te tīpako toto rāhuitia te whakamahi o te waipiro me te parai me ngā kai fatty. E tūtohutia ana ki te whakaiti i fiznagruzki. i muri tonu i te ultrasound, X-ray, ako fluorography, e kore e tūtohu colonoscopy i tua toto ranei ki te tīpako mo te tātari, te kore e kia mio'i reira tuhinga matūora. Hoki 1-2 wiki. Me ki te mutu tango i te rongoā ako matüora. A, no te e kore e taea ki te whakatau i tēnei huru, i roto i te ahunga o te rata mo tātari, he nota i runga i te fariiraa o te raau taero, me ratou inenga. I runga i te matüora tātaritanga o toto (tuhinga o ALT, AST) e taea te tākiekina e fiznagruzki taimaha, me te te whakamahi o te waipiro, me te pupuri hemolysis.

Deciphering te whakamātautau toto - ALT, AST: täkupu

He aha kia pupuri i te maha o enei whākōkī i roto i te toto hauora tangata? Drawing matū toto (tuhinga ALT, AST), te tere hoki wahine - mai i 31 ki te 35 wae ia rita o toto. Ki te takoto kaha, ko te iti rerekē tenei ahua. ALT Pūnoa i roto i te toto o nga tangata (Biochemistry wetemuna) - i 41 ki te 50 U / L. I roto i nga kohungahunga (ki runga, ki te 1 marama.) Hāngai ki te pānui noa o 75 waeine, i 2 ki runga ki te 12 marama. - kaua e neke atu i te 60 wae, me i te tau kotahi, me te ake ki te 14 tau - iti iho i te 45 wae. tātari toto (wetemuna ALT, AST) ki te tohu tiketike kia tohu whara cirrhotic ranei whakapeka mumura ate, jaundice congestive hemolytic ranei, te tahi atu mate ate (me r neoplasms. H), angina i atamira ärai, whakapeka carditis, myopathy, stasis ate rūmātiki , mate thromboembolic Embolism pūkahukahu, me te pancreatitis whakapeka. ALT me AST whakamātautau toto (wetemuna) ki te whakanui ake tohu kitea i roto i whara ngaukino, tafa cardiac angiokardiografii ranei. Nui ake auau AST 20-50 wa i roto i ētahi wā, taunakitanga o te mate ate, haere tahi i te necrosis, kakā me te etiology viral. taumata teitei o te AST taea 2-5 wa kōrero e pā ana ki ki te mate hemolysis, uaua whētuki, pancreatitis whakapeka, me te kikohangatia. A, no te kite ari degenerative i roto i te uaua, me te dermatomyositis he hua 8-puninga i ACT.

tau whakarea Rytis

I roto i te tikanga ki te whiwhi tātari tika o nga urupare o te toto ALT me AST (wetemuna) E whakaatu ana te transferases tohu hononga. E whakaatu ana tēnei e pā ana tau whakarea de whakahaeretia Ritis i roto i te kotahi serum ako. Ki te te tokomaha i runga i te täkupu (N = 1.3), tohu te reira i te aroaro o te kardioinfarkta, a ka he te reira i raro tohu paerewa - i runga i kakā viral.

Mai aminotransferases whai kiko localization, whakaatu ana te tātari toto wetemuna AST myocardial māuiuitanga me te ALT - ate māuiuitanga, i.e. te aroaro o te otaota pūkoro:

• A, no te reira he he i te taikaha o te 2 atu ranei nga wa, i roto i te ngakau o te whakatau i te whakaeke ngakau.

• He ALT whakamātautau toto me te AST (tuhinga) whakakitea he taikaha nui - he taunakitanga o te kakā hopuhopu i roto i te wā heki.

• Na roto i te whakaiti tohu aminotransferase - kore o pyridoxine o te tinana. He Me hapū difdiagnostiki.

tātai

Tikanga, i roto i te serum transferase te tīariari i roto i ngā pukapuka iti. kōwhiringa katoa ki te whakapai ake i te ara i te aminotransferase mamae whakahauanga tūhuratanga.

Hei tīmata i tētahi tātaritanga matüora tuarua o te toto (tuhinga o ALT, AST) kia whakahaere. Re-whakamātautau o etahi takitahi (kaituku) e pā ana ki te kotahi-toru o te wā e whakaatu ana ngā taumata noa.

Next hiahia koe ki āta kohikohi i te hītori, me te whakahaere i te whakamātautau ki tonu i.

Ko te tūranga o te hītori i roto i te whakahaere i te wetemunatanga

hītori Past ngā pārongo e pā ana ki te fariiraa o ngā rongoā, huhu toto, te aroaro o te jaundice kakā ranei syndrome, mate te utuafare, o te ate te aroaro o te tukanga cirrhotic i roto i tona puku mamae, mate pukupuku, mate huka, te mōmona ranei ranei, hei kōrero, mate taimaha tere.

mate ate Family - he waipiro ti'aturiraa, mate a Wilson , me ētahi atu.

Ki te ALT me whakamātautau AST toto (tuhinga) whakakitea i runga ake uara noa i roto i iti iho i te rua nga wa, he mea e tika ana ki te whakarite i te mātakitaki me te tirohanga o te 2-taiepa. he tino pai mō ngā tūroro tenei rauhanga.

He ALT whakamātautau toto me te AST - tuhinga i roto i te tahi mau mate

Te hua iti i roto i transferases lipid tohu o te momo ate whara nonalcoholic, tae atu "ate fatty", steatogepatoz nonalcoholic, kakā viral i roto i te puka ma'i.

kia tīariari hua āhua i viral waipiro ranei mumura ate, me ngā mate ate ma'i ki waho kino cirrhotic reira ranei.

taumata teitei angamaheni o kakā whakapeka kino, paitini tarukino ranei necrosis, ru ranei ischemia ate.

Takekore ki ngā taumata teitei (nui ake i 2,000-3,000 U / L) te tīariari hoki overdosing acetaminophen me te whakamahi i te tikanga i roto i te tūroro waipiro-ti'aturi i roto i te ru ischemia ate, me te / ranei.

Me kï hoki, mai he ALT i te pūtau toto whero, e tika ana ki te ārai i te parariraa o te faaineineraa o te serum mō tātari. kia heke ai ALT, ka rongoa serum mō te maha nga ra.

Ko te tūranga o ngā pūrere rata, otaota, me ētahi atu matū

He nui hoki te tāutu piki transferases tarukino-piri tango hītori tupato, me te wetemuna taiwhanga hua. kino ate rite kitea i roto i te 1-2% o ngā take o te mumura ma'i i roto i te puka ate. E pā ana ratou ki te tango i paturopi, antiepileptics, inhibitors o inhibitors reductase hydroxymethylglutaryl-ropu mai, nonsteroidal taero anti-inflammatory me medicaments mo te maimoatanga o te mate kohi.

Ko te tikanga māmā ki te whakatau i te fakafalala o te hua o aminotransferases ki mea katoa tikanga - ki te whakakahore i te reira, a ki te mau i te taumata whākōkī. tikanga No whakakorenga kore e taea te whakatau tenei hononga.