Isiqhelo sesibindi Isivivinyo somSebenzi Qaphela ukutywala kweMithi
Inetyhefu yesibindi ingumphumo wecala lwezinye iirmritis . Ubuthi obunobuthi obuvela kumachiza e-arthritis abubheki njengento eqhelekileyo, kodwa xa kwenzeka oko kunokuba lunzulu. Oogqirha babedla ukulungiselela iimvavanyo zegazi rhoqo ukuze iingxaki zifumaneke ngaphambi kokuba zibe yiklinikhi ebalulekileyo.
Iimvumi ze-foie zifumaneka kwiiseli zesibindi.
Ukuba isibindi senzakaliswe okanye sonakaliswe, i-enzyme yesibindi iyaphalaza egazini, ibangele amanqanaba e-enzyme yesibindi. Iimvavanyo zeLebhabhoni ezenziwa kwiisampuli zegazi ziyakwazi ukubona i-enzyme yesibindi esiphezulu.
Ezinye iimvavanyo zegazi zingabonakalisa iingxaki zengxaki yesibindi ngokubona ukungalingani okubandakanya amaprotheni aseplasma kunye neengxaki zokuqhafaza igazi. Iimpawu eziqhelekileyo okanye zokubaluleka kwiimvavanyo zegazi zesibindi ziyahlukahluka ngokususelwa kwixesha okanye ubulili besigulane, kwakunye neendlela zelabhorari ezisetyenziselwa ukuvavanya.
Enzymes:
AST okanye i-SGOT (i-aspartate aminotransferase okanye i-serum glutamic oxaloacetic transaminase)
I-AST (i-SGOT) ayifumaneki kuphela kwisibindi. Ngokuqhelekileyo kufumaneka entliziyweni, emisipha, ebuchosheni, nasezintweni zesifo. Ukulimala nakweliphi na la ma thimsu kungabangela izinga eliphezulu legazi.
I-AST (SGOT) ibanga eliqhelekileyo li-10-34 IU / L.
ALT okanye i-SGPT (alanine aminotransferase okanye i-serum glutamic pyruvic transaminase)
I-ALT (i-SGPT) ifunyanwe ikakhulu kwisibindi, okwenza kube luvavanyo oluthe ngqo ngakumbi ekufumaneni ukungabikho kwesibindi.
I-ALT (i-SGPT) uluhlu oluqhelekileyo lu-5-35 IU / L.
Alkaline Phosphatase (ALP)
I-alkaline phosphatase (ALP) yintsholongwane kwiiseli ezihamba kumaconsi e-biliary yesibindi. I-ALP ifunyenwe nakwamanye amaziko kuquka i-bone, placenta, nesisu. Xa i-ALP iphakanyisiwe, olunye uvavanyo olubizwa ngokuba yiGGT (gamma-glutamyl transfasease) lunokuyalelwa ngugqirha ukuqinisekisa ukuba i-ALP ephakamileyo ifunyanwa kwisibindi okanye iphepheni yebhiliyari.
Udidi lwe-ALP oluqhelekileyo luyi-20-140 IU / L (iiyunithi zamazwe ngamazwe ngeyure).
I-Gamma-glutamyl transpeptidase (GGTP) okanye i-transfase (GGT)
I-Gamma-glutamyl transfasease (GGT) yintsholongwane eyiluncedo ekliniki xa kuthelekiswa ne-ALP. Ngokuthelekisa le mibini, inokumiselwa ukuba isiguli sinesifo okanye isifo sesibindi.
I-GGT okanye iGGTP ibanga eliqhelekileyo li-0-51 IU / L.
I-GGT + ephakamileyo ye-ALP iphakamisa izifo zethambo
I-GGT ephakamileyo + Iphakamileyo ye-ALP icetyisa isibindi okanye isifo se-bile-duct
Olunye Usebenziso lwezilwanyana Uvavanyo:
Bilirubin
I-Bilirubin ikhiqizwa ukusuka ekuphahleni kwe-hemoglobin (i-protein ye-protein pigment). Isibindi sisusa i-bilirubin emzimbeni ngokuyikhupha nge-bile ngaphakathi emathumbu. Amanqanaba e-bilirubin aphakanyisiweyo angabonakalisa ukuphazamiseka kwesibindi okanye ukukhutshwa kwamadayibhile. Kwiimvavanyo zelabhoratri, i-bilirubin ibalwa njenge- bilirubin epheleleyo kunye ne- bilirubin ngqo. Iyonke i-bilirubin, njengoko igama layo libonisa, imilinganiselo yazo zonke i-bilirubin egazini. I-bilirubin ngokukodwa isilinganiselo se-bilirubin eyenziwa esibindi.
Uhlobo oluqhelekileyo lwe-Direct Bilirubin lu-0-0.3 mg / dl kwaye uluhlu oluqhelekileyo lwe-Total Bilirubin ngu-0.3-1.9 mg / dl
Albumin
I-albin iyona protein ephambili kwi-plasma yegazi (inxalenye ephambili yeprotheni epheleleyo).
I-albin iyenziwa ngesibindi. Ukuhlolwa kweLebhanisi kubonisa indlela isibindi esenza ngayo i-albumin. Isifo sesibindi siphumela ekunciphiseni ukuveliswa kwe-albumin.
I-Albin iluhlu oluqhelekileyo luyi-3.4-5.4 g / dL.
Iprotheni epheleleyo
Uninzi lwamaprotheni aseplasma (i-albin kunye ne-globulins) emzimbeni ziveliswa sisibindi. Ukuhlolwa kweLebhanti kwiprotheyini epheleleyo yindlela yokuhlukanisa phakathi kwesenzo esiqhelekileyo nesingaqhelekanga sesibindi.
Iprotheni epheleleyo yoluhlu oluqhelekileyo lu-6.0-8.3 gm / dl (igramitha nganye).
Ixesha leProthrombin
Ixesha leprothrombin (PT) okanye i-protime yiyo vavanyo lwebhubhoratri elisetyenziselwa ukuvavanya ukuqheleka kwegazi okanye okuqhelekanga. Imiba yokuqhawula ngegazi iiprotheni ezenziwe ngesibindi.
Ukuba isibindi senzakaliswe okanye sonakaliswe, izinto ezinqamlekileyo azivelwanga ngokuqhelekileyo.
Ixesha leprothrombin udidi oluqhelekileyo luyi-11 ukuya kwe-13.5 imizuzwana.
Umxholo:
Ukubambelela ngenaliti ukufumana isampuli yegazi ukuvavanya kuyinto engavumelekanga kwizigulane ezithile, ngelixa abanye bacinga ukuba ayikho ingxaki. Ukuhlolwa kwegazi kuyimfuneko ukwenzela ukuba ugqirha unolwazi olufanelekileyo kwaye unokulinganisela ukhetho lwonyango . Ngaba isiguli kufuneka sihlale okanye sitshintshe amayeza athathe ngoku? Ngaba amayeza engezelelweyo angeniswa kwi-regimen yesigulane?
Ukuba isiguli siye saphakamisa i-enzyme yesibindi kwaye bayayimisa imithi ekhankanywa ukuba ibangele ingxaki, amanqanaba e-enzymes abuyele ejwayelekile kwiiveki okanye kwiinyanga.
Iinkcukacha ezithe xaxe:
- Iingqalelo ezikhethekileyo ekutolika iSever Function Test, kwi-AAFP
Imithombo:
I-Panel yesibindi. LabTestsOnline.org. Matshi 10, 2016.
https://labtestsonline.org/understanding/analytes/liver-panel/