Kuyesa Kwantchito Ya Chiwindi

Zamkati

• Kodi ndimayeso ati odziwika bwino a chiwindi?
• Mayeso a Alanine transaminase (ALT)
• Mayeso a Aspartate aminotransferase (AST)
• Kuyesa kwa alkaline phosphatase (ALP)
• Mayeso a Albumin
• Mayeso a Bilirubin
• Chifukwa chiyani ndikufunika kuyesedwa kwa chiwindi?
• Kodi zizindikiro za matenda a chiwindi ndi ziti?
• Momwe mungakonzekerere kuyesa kwa chiwindi
• Momwe kuyesa kwa chiwindi kumagwirira ntchito
• Kuopsa kwa kuyesa kwa chiwindi
• Pambuyo pa kuyesa kwa chiwindi

Kodi kuyesa kwa chiwindi ndi chiyani?

Kuyesa kwa chiwindi, komwe kumadziwikanso kuti chemistries a chiwindi, kumathandizira kudziwa thanzi la chiwindi chanu poyesa kuchuluka kwa mapuloteni, michere ya chiwindi, ndi bilirubin m'magazi anu.

Kuyezetsa chiwindi kumalimbikitsidwa nthawi izi:

• kuwunika kuwonongeka kwa matenda a chiwindi, monga hepatitis B ndi hepatitis C
• kuwunika zoyipa zamankhwala ena omwe amadziwika kuti amakhudza chiwindi
• ngati muli ndi matenda a chiwindi, kuwunika matendawa komanso momwe mankhwala ena akugwirira ntchito
• ngati mukukumana ndi zizindikiro za matenda a chiwindi
• ngati muli ndi matenda ena monga high triglycerides, matenda ashuga, kuthamanga kwa magazi, kapena kuchepa kwa magazi
• ngati mumamwa mowa kwambiri
• ngati muli ndi matenda a ndulu

Mayesero ambiri amatha kuchitidwa pachiwindi. Mayeso ena amatha kuwonetsa magawo osiyanasiyana a chiwindi.

Mayeso omwe amagwiritsidwa ntchito kawirikawiri kuti aone zovuta za chiwindi ndikuyesa kuyesa:

• alanine transaminase (ALT)
• aspartate aminotransferase (AST)
• zamchere phosphatase (ALP)
• chimbale
• bilirubin

Mayeso a ALT ndi AST amayesa michere yomwe chiwindi chanu chimatulutsa poyankha kuwonongeka kapena matenda. Chiyeso cha albumin chimayesa momwe chiwindi chimapangira albinini, pomwe mayeso a bilirubin amayesa momwe amatayira bilirubin. ALP itha kugwiritsidwa ntchito poyesa njira zamagulu a chiwindi.

Kukhala ndi zotsatira zoyipa pazoyeserera zilizonse za chiwindi kumafunikira kutsata kuti mudziwe chomwe chimayambitsa zovuta. Ngakhale zotsatira zabwino pang'ono zimatha kuphatikizidwa ndi matenda a chiwindi. Komabe, michere iyi imapezekanso m'malo ena kupatula chiwindi.

Lankhulani ndi dokotala wanu za zotsatira za kuyesa kwa chiwindi ndi zomwe zingatanthauze kwa inu.

Kodi ndimayeso ati odziwika bwino a chiwindi?

Kuyesa kwa chiwindi kumagwiritsidwa ntchito kuyeza ma enzyme ndi mapuloteni m'magazi anu.

Kutengera mayeso, kuchuluka kwa michere iyi kapena mapuloteni amatha kuwonetsa vuto lanu.

Zina mwazomwe zimachitika poyesa chiwindi ndi monga:

Mayeso a Alanine transaminase (ALT)

Alanine transaminase (ALT) amagwiritsidwa ntchito ndi thupi lanu kupukusa mapuloteni. Ngati chiwindi chawonongeka kapena sichikuyenda bwino, ALT imatha kumasulidwa m'magazi. Izi zimapangitsa milingo ya ALT kukulira.

Zotsatira zapamwamba pamayesowa zitha kukhala chizindikiro cha kuwonongeka kwa chiwindi.

Malinga ndi American College of Gastroenterology, ALT yoposa 25 IU / L (mayunitsi apadziko lonse pa lita imodzi) mwa akazi ndi 33 IU / L mwa amuna nthawi zambiri imafuna kuyesedwa ndikuwunikanso.

Mayeso a Aspartate aminotransferase (AST)

Aspartate aminotransferase (AST) ndi enzyme yomwe imapezeka m'magulu angapo amthupi mwanu, kuphatikiza mtima, chiwindi, ndi minofu. Popeza kuchuluka kwa AST sikunena za kuwonongeka kwa chiwindi monga ALT, nthawi zambiri kumayesedwa limodzi ndi ALT kuti muwone mavuto a chiwindi.

Chiwindi chitawonongeka, AST imatha kutulutsidwa m'magazi. Zotsatira zapamwamba pamayeso a AST zitha kuwonetsa vuto la chiwindi kapena minofu.

Mulingo wabwinobwino wa AST nthawi zambiri umakhala mpaka 40 IU / L mwa akulu ndipo umatha kukhala wokwera kwambiri mwa makanda ndi ana aang'ono.

Kuyesa kwa alkaline phosphatase (ALP)

Alkaline phosphatase (ALP) ndi enzyme yomwe imapezeka m'mafupa anu, ma ducts, ndi chiwindi. Mayeso a ALP amalamulidwa limodzi ndi mayeso ena angapo.

Kuchuluka kwa ALP kumatha kuwonetsa kutupa kwa chiwindi, kutsekeka kwa ma ducts, kapena matenda amfupa.

Ana ndi achinyamata atha kukhala ndi ALP yokwanira chifukwa mafupa awo akukula. Mimba imathandizanso kukulitsa milingo ya ALP. Mtundu wabwinobwino wa ALP nthawi zambiri umakhala mpaka 120 U / L mwa akulu.

Mayeso a Albumin

Albumin ndiye puloteni wamkulu wopangidwa ndi chiwindi chanu. Imagwira ntchito zambiri zofunika m'thupi. Mwachitsanzo, albumin:

• kuyimitsa madzi kutuluka m'mitsempha yanu
• chakudya matupi anu
• imatumiza mahomoni, mavitamini, ndi zinthu zina mthupi lanu lonse

Kuyesedwa kwa albumin kumawunikira momwe chiwindi chako chimapangira puloteniyi. Zotsatira zochepa pamayesowa zitha kuwonetsa kuti chiwindi chako sichikuyenda bwino.

Mulingo wabwinobwino wa albumin ndi magalamu 3.5-5.0 pa desilita imodzi (g / dL). Komabe, otsika albumin amathanso kukhala chifukwa cha kusadya bwino, matenda a impso, matenda, ndi kutupa.

Mayeso a Bilirubin

Bilirubin ndi chinthu chotayidwa chifukwa cha kuwonongeka kwa maselo ofiira. Amakonzedwa ndi chiwindi. Imadutsa pachiwindi isanatulutsidwe kudzera pampando wanu.

Chiwindi chowonongeka sichitha kukonza bwino bilirubin. Izi zimabweretsa kuchuluka kwa bilirubin m'magazi. Zotsatira zapamwamba pamayeso a bilirubin zitha kuwonetsa kuti chiwindi sichikuyenda bwino.

Mulingo woyenera wa bilirubin yathunthu amakhala mamiligalamu 0.1-1.2 pa desilita imodzi (mg / dL). Pali matenda ena obadwa nawo omwe amakweza milingo ya bilirubin, koma chiwindi chimagwira bwino.

Chifukwa chiyani ndikufunika kuyesedwa kwa chiwindi?

Kuyesedwa kwa chiwindi kungakuthandizeni kudziwa ngati chiwindi chanu chikugwira bwino ntchito. Chiwindi chimagwira ntchito zingapo zofunika mthupi, monga:

• kuchotsa zonyansa m'mwazi wanu
• kutembenuza zakudya kuchokera kuzakudya zomwe mumadya
• kusunga mchere ndi mavitamini
• malamulo magazi clotting
• kupanga cholesterol, mapuloteni, michere, ndi bile
• kupanga zinthu zomwe zimalimbana ndi matenda
• kuchotsa mabakiteriya m'magazi anu
• kukonza zinthu zomwe zitha kuvulaza thupi lanu
• kukhalabe ndi mahomoni
• kuwongolera kuchuluka kwa shuga wamagazi

Mavuto ndi chiwindi amatha kudwalitsa kwambiri munthu komanso akhoza kukhala owopsa.

Kodi zizindikiro za matenda a chiwindi ndi ziti?

Zizindikiro za matenda a chiwindi ndi monga:

• kufooka
• kutopa kapena kutaya mphamvu
• kuonda
• jaundice (khungu lachikaso ndi maso)
• kusonkhanitsa madzi m'mimba, otchedwa ascites
• kutuluka kwamthupi (mkodzo wamdima kapena malo opepuka)
• nseru
• kusanza
• kutsegula m'mimba
• kupweteka m'mimba
• kuvulaza kapena kutuluka magazi

Dokotala wanu akhoza kuyitanitsa kuyesa kwa chiwindi ngati mukukumana ndi zizindikilo za matenda a chiwindi. Kuyesa kosiyanasiyana kwa chiwindi kumatha kuwunikiranso momwe matenda akupitira kapena chithandizo cha matenda ndikuyesa zotsatira za mankhwala ena.

Momwe mungakonzekerere kuyesa kwa chiwindi

Dokotala wanu adzakupatsani malangizo amomwe mungakonzekerere gawo lazoyeserera zamagazi.

Mankhwala ena ndi zakudya zingakhudze kuchuluka kwa michere iyi ndi mapuloteni m'magazi anu. Dokotala wanu akhoza kukupemphani kuti mupewe mitundu ina ya mankhwala, kapena angakufunseni kuti mupewe kudya chilichonse kwakanthawi musanayezedwe. Onetsetsani kuti mukupitiliza kumwa madzi musanayesedwe.

Mungafune kuvala malaya okhala ndi manja omwe amatha kukulunga mosavuta kuti zisakhale zosavuta kutengera magazi.

Momwe kuyesa kwa chiwindi kumagwirira ntchito

Mutha kukoka magazi anu kuchipatala kapena kumalo ena oyeserera. Kuyesa mayeso:

1. Wothandizira zaumoyo amatsuka khungu lanu musanayesedwe kuti muchepetse mwayi woti tizilombo tina tomwe timayambitsa matenda anu tikhoza kuyambitsa matenda.
2. Atha kukulunga lamba wokutira padzanja lanu. Izi zidzathandiza kuti mitsempha yanu iwoneke kwambiri. Adzagwiritsa ntchito singano kuti atenge magazi m'magazi anu.
3. Pambuyo pokoka, wothandizira zaumoyo adzaika gauze ndi bandeji pamalo obowolapo. Kenako amatumiza magazi awo ku labotale kuti akayesedwe.

Kuopsa kwa kuyesa kwa chiwindi

Kukoka magazi ndizomwe zimachitika ndipo sizimayambitsa mavuto ena aliwonse. Komabe, kuopsa kopezeka magazi kungaphatikizepo:

• Kutaya magazi pansi pakhungu, kapena hematoma
• kutaya magazi kwambiri
• kukomoka
• matenda

Pambuyo pa kuyesa kwa chiwindi

Mukayesedwa, nthawi zambiri mumatha kusiya moyo wanu monga mwa nthawi zonse. Komabe, ngati mukumva kukomoka kapena kumutu pamutu mukamakoka magazi, muyenera kupumula musanachoke pamalo opimirirapo.

Zotsatira za mayeserowa siziuza dokotala zomwe muli nazo kapena kuwonongeka kwa chiwindi, koma zitha kuthandiza dokotala kudziwa njira zotsatirazi. Dokotala wanu adzakuyitanani ndi zotsatira kapena kukambirana nanu pamsonkhano wotsatira.

Mwambiri, ngati zotsatira zanu zikuwonetsa vuto ndi chiwindi chanu, adotolo adzawunikanso zamankhwala anu komanso mbiri yakale yazachipatala kuti akuthandizeni kudziwa chifukwa chake.

Ngati mumamwa mowa kwambiri, ndiye kuti muyenera kusiya kumwa. Ngati dokotala atazindikira kuti mankhwala akuyambitsa michere yokwanira ya chiwindi, ndiye kuti akukulangizani kuti musiye mankhwalawa.

Dokotala wanu atha kusankha kuti akuyeseni ngati muli ndi matenda a chiwindi, matenda ena, kapena matenda ena omwe angakhudze chiwindi. Angasankhenso kujambula, monga ultrasound kapena CT scan. Angalimbikitse chiwindi chofufuza chiwindi ngati chili ndi fibrosis, matenda a chiwindi chamafuta, kapena ziwindi zina.