Cov ntshav muaj ntau ntau hom tshuaj yeeb thiab lwm yam. Feem ntau peb hnov txog cov qe ntshav liab, leukocytes, platelets. Lawv tau qhia txog lawv thaum lub sij hawm cov lus qhia ntawm lub cev. Qhov tseeb, nyob rau hauv tsev kawm ntawv chav kawm, ib yam dab tsi yog hais txog ALT thiab AST, thiab lawv cov cai hauv cov poj niam. Tab sis, raws li txoj cai, cov ntaub ntawv no muaj kev nyab xeeb dhau los ntawm pob ntseg thiab tsis nco qab lawm.
Tus qauv ntawm ALT thiab AST nyob rau hauv cov ntshav ntawm cov poj niam
Cov tshuaj yeeb dej caw no muaj rau cov plhaus nkas enzymes. AST - aspartate aminotransferase - ib qho kev tiv thaiv ntawm cov ntshav, uas tswj cov zog ntawm cov amino acid aspartate los ntawm ib qho biomolecule rau lwm tus. ALT - alanine aminotranserase - yog ib qho enzyme uas ua haujlwm zoo ib yam li thauj khoom hauv cheeb tsam. Ob qho ntawd, thiab lwm yam tshuaj yog ua intracellularly thiab nyob rau hauv cov ntshav tau nyob rau hauv ib tug me me.
Raws li cov qauv, ALT nyob rau hauv cov ntshav ntawm cov poj niam yuav tsum tsis pub ntau tshaj 30 - 32 units ib liter. Thiab tus naj npawb ntawm ASTs tuaj yeem sib txawv ntawm 20 txog 40 units. Yog tias qhov ntsuas ua tau zoo los ntawm tus nqi qub rau ntau dua lossis tsawg dua, ces lub cev hloov. Thiab kom paub tseeb tias lawv tsis txaus ntshai, nws yog ib qho tsim nyog mus nrhiav tswv yim ntawm ib tus kws kho mob tshwj xeeb.
Dab tsi yog cov deviations ntawm AST thiab ALT los ntawm ib txwm nyob hauv txoj kev ntsuas ntshav?
Ib qho tsawg tsawg ntawm cov enzymes tuaj yeem hloov nyob rau hauv lub cev ntawm ib tug neeg noj qab nyob zoo. Cuam tshuam txog qhov no:
- ntau lub cev qaug;
- siv tshuaj siv tshuaj (tshuaj tua kab mob, tshuaj tua kab, tshuaj yeeb, tshuaj yeeb, tshuaj hormonal contraceptives);
- kev raug mob;
- ua ntej ua haujlwm.
Feem ntau ALT tshaj qhov cai hauv cov poj niam cev xeeb tub. Kev sib txawv tsis yog ib qho tshwm sim tshwm sim, thiab nws tsis yog teeb meem kab mob.
Lub hauv paus loj yog qhov kev hloov hauv hormonal keeb kwm. Feem ntau, qib ntawm cov enzymes sai sai rov qab rau qub.
Qhov tseem ceeb yog qhov sib txawv, nyob rau hauv kaum, thiab txawm ntau pua lub sij hawm sib txawv ntawm tus nqi qub. Tshaj siab ntawm ALT thiab AST cov cai, xws li:- Teebmeem ua rau qis ntawm thaj tsam amineotransferase hauv kab mob siab. Qee lub sij hawm, vim kev tsom ntawm ALT thiab AST, qhov "A" hom kab mob yog txiav txim siab txawm tias ib lim piam ua ntej qhov pom ntawm nws thawj cov cim.
- Cirrhosis ntawm daim siab - tus kab mob yog heev secretive. Lub sijhawm ntev nws cov tsos mob yuav mus tsis pom. Thiab tus yam ntxwv ceev ceev rau tus kab mob yog sau rau hnub tom qab hnub tsis zoo. Yog tias qhov nkees nkees tsim txom koj, koj yuav tsum kuaj ntshav kom txaus. Qib ntawm alanine aminotransferase yuav qhia seb puas muaj tej yam ua rau txhawj xeeb.
- Tshaj dhau tus qauv ntawm ALT thiab AST hauv qhov kev tshuaj ntsuam yuav qhia tau tias tus mob myocardial infarction. Tus kab mob no tawm tsam rau tom qab ntawm kev mob plawv thiab nws yog qhov kev tuag ntawm lub plawv ntawm lub plawv.
- Kab mob Mononucleosis tseem yuav txiav txim tau los ntawm cov nab npawb ntawm cov enzymes. Qhov no yog ib yam kab mob ntawm cov keeb kwm tuaj yeem, uas tsis yog cov kab mob hauv cov ntshav hloov xwb, tab sis deformations ntawm daim siab thiab tus po lee kuj pom.
- Xee qhov kev nce nqi ntawm ALT thiab AST kuj tuaj yeem yog hais txog cov kab mob steatosis, uas yog ib qho kab mob uas muaj roj hauv cov kab mob hauv lub siab loj.
Hauv kev txiav txim siab rau cov ntawv txheeb xyuas los ua ib daim duab txhim khu kev qha, ua ntej muab lawv ib tus neeg yuav tsum tsis txhob noj khoom noj nyhav, haus cawv. Yog tias koj noj cov tshuaj, tus kws kho mob yuav tsum ceeb toom txog qhov no.
ALT thiab AST hauv qab no
Nrog ib tug ntse txo nyob rau hauv aspartate aminotransferase thiab alanine aminotranserases, tshwj xeeb muaj feem tsawg dua. Qhov teeb meem tshaj plaws yog thaum:
- mob loj heev;
- tsis muaj vitamin B6 nyob rau hauv lub cev.