TGO a me TGP: he aha lākou, he aha lākou a me nā waiwai maʻamau
Anter
ʻO TGO a me TGP, ʻike ʻia ʻo transaminases, he mau enzyme i hana maʻamau ʻia e loiloi i ke olakino ate. Hana ʻia ʻo TGO, i kapa ʻia ʻo transalase oxalacetic a i ʻole AST (aspartate aminotransferase) i loko o nā ʻano like ʻole, e like me ka puʻuwai, nā mākala a me ke ake, aia i loko o nā akepaʻa ate.
No laila, ke piʻi ka piʻi o nā pae TGO wale nō, he mea maʻamau ia e pili ana i kahi hanana ʻē aʻe i pili ʻole i ke ake, no ka mea ma ke ʻano o ka hōʻino ʻia o ke ake, pono e hoʻomāhuahua ka leona no laila nā hunaola ate. ua haki. a alakaʻi i ka hoʻokuʻu o TGO i loko o ke koko.
Ma kekahi ʻaoʻao, ʻo TGP, i ʻike ʻia ma ke ʻano he pyruvic transaminase a i ʻole ALT (alanine aminotransferase), hana wale ʻia i loko o ke akepaʻa, a no laila, ke loaʻa nā loli i kēia hui, aia ka hoʻonui i ka nui o ke kaapuni o ke koko. E aʻo hou aʻe e pili ana iā TGP.
Nā waiwai maʻamau
Hiki ke hoʻololi i nā kumukūʻai o TGO a me TGP e like me ka keʻena hoʻokolohua, akā i ka nui, ʻo nā kumukūʻai i manaʻo ʻia he maʻamau i loko o ke koko.
- TGO: ma waena o 5 a 40 U / L;
- TGP: ma waena o 7 a me 56 U / L.
ʻOiai manaʻo ʻia ʻo TGO a me TGP nā māka hepatic, hiki ke hana ʻia kēia mau enzyme e nā mea ʻē aʻe, keu hoʻi ka puʻuwai i ka hihia o TGO. No laila, he mea nui e hoʻokō ʻia ka loiloi o ka hoʻokolohua e ke kauka nāna i noi i ka hoʻokolohua, no ka mea he mea hiki ke hōʻoia inā aia kekahi loli a, inā pēlā, e hiki ai ke hoʻokumu i ke kumu.
[hōʻike-loiloi-tgo-tgp]
He aha ka mea e hiki ke hoʻololi ʻia ʻo TGO a me TGP
ʻO nā loli i nā pae o TGO a me TGP e hōʻike mau nei i ka hōʻino o ke ake, i hiki ke hana ma muli o ka hepatitis, cirrhosis a i ʻole ke kū ʻana o ka momona i ke ake, a noʻonoʻo ʻia kēia mau mea hiki ke ʻike ʻia nā waiwai kiʻekiʻe o TGO a me TGP.
Ma ka ʻaoʻao ʻē aʻe, ke hoʻololi wale ʻia ʻo TGO, no ka laʻana, he hiki ke hoʻololi i ka puʻuwai, ʻoiai ʻo TGO kekahi mea hōʻailona puʻuwai. No laila, i kēia kūlana, hiki i ke kauka ke hōʻike i ka hana o nā hoʻokolohua e loiloi i ke olakino puʻuwai, e like me ke ana ʻana o troponin, myoglobin a me creatinophosphokinase (CK). E aʻo hou aʻe e pili ana iā TGO.
Ma ka laulaha, hiki i nā hoʻololi i nā pae o TGO a me TGP ke pili i kēia mau hanana aʻe:
- Hepatitis Fulminant;
- Hepatitis ʻalekohola;
- Cirrhosis ma muli o ka nui o ka inu ʻana i nā mea inu ʻona;
- Ka hana ʻino ʻana i nā lāʻau i pāpā ʻia;
- Momona kōpaʻa;
- Ke kūʻana o abscess i ke ake;
- Kākoʻo pancreatitis;
- ʻO ke keʻakeʻa ʻana o ka bile;
- Infarction;
- Ka lawa ʻole o ka cardiac;
- Ischemia Cardiac;
- ʻEha ʻeha;
- Hoʻohana o ka lāʻau no kahi wā lōʻihi a me / a me ka ʻole o ka ʻōlelo aʻoaʻo a ka lāʻau.
No laila, noi ʻia ke kauka o kēia mau enzyme e ke kauka ke manaʻo ʻia kekahi o kēia mau hanana a ke loaʻa nā hōʻailona manaʻo, e like me ka ʻili melemele a me nā maka, ka mimi ʻeleʻele, ka luhi pinepine a kūpono ʻole hoʻi a me nā noho melemele a keʻokeʻo paha. ʻIke i nā ʻōuli ʻē aʻe o nā pilikia o ke ake.
Ma waho aʻe o ka helu ʻana i nā pae o TGO a me TGP, e hōʻoia i ka ʻeha o ke ake a me kona nui, hoʻopili ke kauka i ka lakio o Ritis, ʻo ia ka lakio ma waena o nā pae o TGO a me TGP a ʻoi aku ke kiʻekiʻe ma mua o ka 1 e hōʻike nei i nā ʻeha ʻoi aku. koʻikoʻi, a pono e hoʻomaka koke i ka mālama ʻana e pale i ka holo ʻana o ka maʻi.