Pehea e maopopo ai i ka hōʻike TGO-AST: Aspartate Aminotransferase

Anter

• He aha ka manaʻo o ka AST kiʻekiʻe
• Kumu Ritis
• Ke kauoha ʻia ka hōʻike

ʻO ka ninaninau ʻana i ka aspartate aminotransferase a i ʻole oxalacetic transaminase (AST a i ʻole TGO), he hoʻokolohua koko e noi ʻia e nānā i nā liona e hoʻopilikia i ka hana maʻamau o ke ake, e like me ka hepatitis a i ʻole cirrhosis, no ka laʻana.

ʻO ka oxalacetic transaminase a i ʻole aspartate aminotransferase kahi enzyme i loko o ke akepaʻa a hoʻonui ʻia i ka wā ʻoi aku ka ʻeha o ke akepaʻa, ʻoiai aia ia i loko o ke ake ake. Eia nō naʻe, hiki i kēia enzyme i loko o ka puʻuwai, a hiki ke hoʻohana ʻia ma ke ʻano he hōʻailona puʻuwai, kahi e hōʻike ai infarction a i ʻole ischemia.

Ma ke ʻano he hōʻailona ate, ana pinepine ʻia ʻo AST me ALT, no ka mea hiki ke hāpai ʻia i nā hanana ʻē aʻe, kūpono ʻole no kēia kumu. ʻ Aia ka waiwai kuhikuhi enzyme ma waena o 5 a me 40 U / L o ke koko, e loli paha e like me ka keʻena hoʻokolohua.

He aha ka manaʻo o ka AST kiʻekiʻe

ʻOiai ʻaʻole kikoʻī ka hoʻāʻo AST / TGO, hiki i ke kauka ke kauoha i kēia hōʻike me nā poʻe ʻē aʻe e hōʻike i ke olakino ate, e like me ke ana ʻana o gamma-glutamyltransferase (GGT), alkaline phosphatase (ALK) a, ʻo ALT / TGP ka nui. E aʻo hou aʻe e pili ana i ka hōʻike ALT.

Hōʻike ka AST hoʻonui ʻia, a i ʻole TGO kiʻekiʻe paha:

• Kākoʻo pancreatitis;
• ʻO ka maʻi hepatitis maʻi ākea;
• Hepatitis ʻalekohola;
• Hepatical cirrhosis;
• Loaʻa i ke ake;
• Ka maʻi ʻaʻai ate mua;
• Ka hōʻeha nui;
• Hoʻohana i ka lāʻau e hōʻino ai i ke ake;
• Ka lawa ʻole o ka cardiac;
• Ischemia;
• Infarction;
• Burns;
• Hypoxia;
• ʻO ka pale ʻana i nā aʻa o ka bile, e like me cholangitis, choledocholithiasis;
• ʻEhaʻeha a me ka hypothyroidism;
• Hoʻohana i nā lāʻau e like me ka heparin therapy, salicylates, opiates, tetracycline, thoracic a i ʻole isoniazid

Hōʻike nā kumukūʻai ma luna o 150 U / L i kekahi hōʻino o ke ake a ma luna o 1000 U / L hiki ke hōʻike i ka maʻi hepa i hoʻokumu ʻia e ka hoʻohana ʻana i nā lāʻau, e like me paracetamol, a i ʻole hepatitis ischemic, no ka laʻana. Ma ka ʻaoʻao ʻē aʻe, hiki i nā hōʻemi AST hōʻemi ke hōʻike i ka hemahema o ka wikamina B6 i ka hihia o ka poʻe e pono ai ka dialysis.

[hōʻike-loiloi-tgo-tgp]

Kumu Ritis

Hoʻohana ʻia ke kumu o Ritis i ka hana olakino e loiloi i ka nui o ka hōʻino o ke ake a no laila hoʻokumu i ka lapaʻau maikaʻi loa no ke kūlana. Lawe ʻia kēia lākiō i nā waiwai o AST a me ALT a ke kiʻekiʻe aʻe ma mua o ka 1 he hōʻailona ia no nā hōʻeha ʻoi aku ka nui, e like me ka cirrhosis a i ʻole ke kanesa ate, ʻo kahi laʻana. Ke emi ma lalo o 1 hiki ke hōʻike i ke ʻano koʻikoʻi o kahi hepatitis viral, no ka laʻana.

Ke kauoha ʻia ka hōʻike

Hiki ke kauoha ʻia e ke kauka ke hōʻoia koko TGO / AST ke pono ia e loiloi i ke olakino o ke ake, ma hope o ka nānā ʻana ua kaumaha ke kanaka, he momona i loko o ke akepaʻa a hōʻike paha i nā hōʻailona a i ʻole nā ​​hōʻailona e like me ka ʻili melemele, ʻeha ma ka ʻōpū ʻaoʻao ʻākau a i ʻole i ka hihia o nā noho māmā a me ka mimi ʻeleʻele.

ʻO nā kūlana ʻē aʻe kahi e pono ai paha e loiloi i kēia enzyme ma hope o ka hoʻohana ʻana i nā lāʻau i hiki ke hōʻino i ke ake a me ka loiloi i ke ake o ka poʻe e ʻai ana i nā mea inu ʻona.