Iimvavanyo zokuxilongwa ezisetyenziselwa ukulinganisa iMpilo yakho yeBindi
Izilingo zomsebenzi wentsholongwane (i-LFTs) ibhetri yeemvavanyo zegazi eziqhelekileyo ezinika udokotela wakho ingcamango yokuba isibindi sakho sisebenza kakuhle kangakanani. Kule uphando, ugqirha wakho unokukwazi ukubona ukunyanzeliswa kwesibindi, ukuxinezeleka kweziyobisi ezichaphazela isibindi, okanye izifo zesibindi ezifana ne- hepatitis B okanye i- hepatitis C. Kukho iimvavanyo ezahlukeneyo ezibandakanya ukubeka iliso lwe-LFT, kuquka:
I-albin (ALB)
I-albin iprotheni eyenziwa sisibindi esinceda ukugcina uxinzelelo lwe-osmotic kwimithambo yegazi. Ngokugcina lo xinzelelo, umkhuhlane uhlala kwisistim se-vascular esikhundleni sokuphuma kwiifom kunye nokudala i-edema (ukuvuvukala). I-albin ibuye ithwale amaminerali athile kwigazi.
- Iimpawu eziqhelekileyo: 4 ukuya ku-6
- Iphakanyisiwe: Ngokuqhelekileyo ibonisa ukutyalwa kwamanzi
- Ngaphantsi kwesiqhelo: Unokubonakalisa ukungasebenzi kwesibindi okanye ukungena ngokwaneleyo kwiprotheni
I-alkaline phosphatase (ALK PHOS)
I-alkaline phosphatase yintsholongwane efunyenwe kwiinkalo ezininzi emzimbeni, kubandakanywa nesibindi, inkqubo yokutya, iintso kunye namathambo.
- Ixabiso eliqhelekileyo: 30 ukuya ku-120
- Iphakanyisiwe: Ngokuqhelekileyo isibonakaliso sokulumkisa sokuba kukho uhlobo oluneengxaki zesibindi ezibangelwa umonakalo wesibindi okanye isifo sengqondo esinjengomhlaza okanye ukuphulukana nokuphilisa
- Ngaphantsi kwe siqhelo: Ngokuqhelekileyo ayibalulekanga
Alanine aminotransferase (ALT okanye i-SGPT)
Le protheni itholakala ngokuyinhloko kwisibindi. Ikhutshelwe egazini xa kukho uhlobo oluthile lomonakalo weethambo zesibindi.
- Ixabiso eliqhelekileyo: ngaphantsi kwama-35
- Iphakanyisiwe: Ingabonakalisa ukuba ukulimala kwesibindi kuye kwenzeka ngenxa yentsholongwane, imithi, i-cirrhosis, okanye ukulimala kwesibindi
- Ngaphantsi kwe siqhelo: Ngokuqhelekileyo akukhathazeki
I-Aspartate aminotransferase (AST okanye i-SGOT)
Le protheni itholakala ngokuyinhloko kwisibindi. Ikhutshelwe egazini xa kukho uhlobo oluthile lomonakalo weethambo zesibindi.
- Ixabiso eliqhelekileyo: ngaphantsi kwama-35
- Iphakanyisiwe: Ngamana angabonakalisa umonakalo weethambo ngenxa yezinto ezifana nokukhuseleka, i-hepatitis, okanye i-cirrhosis
- Ngaphantsi kwe siqhelo: Ngokuqhelekileyo ayibalulekanga
Iyonke i-bilirubin (TBIL)
I-Bilirubin yinto eqhelekileyo yamaseli obomvu. Xa la maseli ephula i-bilirubin ekhululekile ikhutshwa kwigazi. I-Bilirubin iqhutyelwa kwisibindi apho idilizwe kwaye ikhutshwe. Xa isibindi singasebenzi kakuhle, i-bilirubin inokwakha emzimbeni, kubangele i- jaundice (ukuluphuka kwesikhumba kunye namehlo).
- Iimpawu eziqhelekileyo: ngaphantsi kwe-1.0
- Ukuphakanyiswa: Ngokuqhelekileyo kubangelwa ukungasebenzi komsebenzi okwehla i-bilirubin, kubandakanya ukuphazamiseka okanye ukuhluleka kwesibindi
- Ngaphantsi kwe siqhelo: Ngokuqhelekileyo ayibalulekanga
Izizathu ze-Enzymes eziphakamileyo ze-HIV
Xa unyango lwe-HIV, ii-enzyme zesibindi zingaphakanyiswa ngenxa yezizathu ezininzi, kubandakanywa neziyobisi ze-HIV, ukukhokhiswa kwe-HIV kunye nezinye iimeko, i-HIV ngokwayo. Phakathi kwezi zinto:
- Intsholongwane ye-hepatitis iyabonakala kubantu abanentsholongwane kaGawulayo, malunga neepesenti ezingama-30 ezixhomekeke kwi-hepatitis C yodwa. Esi sifo sinokuchaphazela kakhulu isibindi, kubangele i-fibrosis (i-scarring) kunye ne-cirrhosis (ukuguga okungapheliyo).
- Ezinye izidakamizwa ze-antiretroviral zingabangela i-hepatoxicity (inetyhefu yesibindi) kuquka i-Viramune (nevirapine), kunye ne-Aptivus (tipranavir) xa ikhuliswa ngu-Norvir (ritonavir).
- Utywala kunye nemithi ethile ye-anti-counter-mayeza iye yaziwa ngokubangela iingxaki zesibindi kunye ne-hepatotoxicity echaphazelekayo yonyango. Kwanokuba izongezo zokutya ezifana ne- St. John's Wort yindawo inokunyusa imiphumo ye-hepatotoxic yeziyobisi ezifana neViramune.
- Isifo sesibindi esingasinxilisayo sesifo (i-NAFLD) sichaphazela naphi na i-17% ukuya kuma-33 e-Amerika ase-Amerika kwaye kaninzi ihlobene nokukhuluphala. Phantse umntu wesithathu wabantu abaneNTSHOLONGWANE KAGAWULI be-NAFLD kungakhathaliseki ukusuleleka kwe-hepatitis B okanye i-C.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. "I-HIV ne-Viral Hepatitis." Atlanta, Georgia; fi kelele ngoJuni 3, 2015.
> Intengo, J. kunye noTheo, C. "Izifo zesibindi kwi-HIV-Echaphazelekayo ngabanye." KwiKlinikhi yaseGastroenterol Hepatol. 2010; 8 (12): 1002-21. INGXELO: 10.1016 / j.cgh.2010.08.024.
> Isebe lezeMpilo laseMzantsi Afrika kunye neNkonzo zoLuntu. "Imiphumo emibi yeeNtsholongwane kaGawulayo-i-HIV kunye neHepatoxicity." AIDSInfo. EWashington, DC; fi kelele ngoJuni 3, 2015.