Miedzo yekuongorora Inoshandiswa Kuenzanisa Chiropa chako Health
Liver function tests (LFTs) ibheti yekuongorora nguva dzose yeropa iyo inopa chiremba wako pfungwa yokuti chiropa chako chinoshanda zvakadini. Kubva pane izvi zvitsva, chiremba wako anogona kuona chikonzero chechiropa chisingaiti, kushungurudzwa kwemishonga kunokonzera chiropa, kana zvirwere zvechiropa zvakadai sehepatitis B kana hepatitis C. Kune huwandu hwekuedza kwakasiyana-siyana kunosanganisira kuongorora kweLFT, kusanganisira:
Albumin (ALB)
Albumin ipuroteni inoberekwa nechiropa inobatsira kuchengetedza osmotic muropa mumitsipa yeropa. Nekuchengetedza uku kukwikwidza, mvura inosara inoramba iri mumashonga epascular panzvimbo yekubuda mukati mamasumbu uye ichikonzera edema (kukuputika). Albumin inotakurawo zvimwe zvicherwa muropa.
- Zvinowanzodiwa: 4 kusvika ku6
- Yakapetwa: Kazhinji inoratidza kuderedza mvura
- Pasi pemazuva ose: Zvinogona kuratidza kuti haisi kushanda kwechiropa kana kuti hauna kukwana mapuroteni
Alkaline phosphatase (ALK PHOS)
Alkaline phosphatase is enzyme inowanikwa munhengo dzakawanda mumuviri, kusanganisira chiropa, chirwere chekudya, mafungiro, nemapfupa.
- Kazhinji tsika: 30 kusvika 120
- Yakapetwa: Kazhinji chiratidzo chekunyevera kuti kune rumwe rudzi rwechiropa chinokonzera kuora kwechiropa kana chirwere chepfupa chakadai sekenza kana kuporesa kuporeka
- Pasi pemazuva ose: Kazhinji haisi kukosha
Alanine aminotransferase (ALT kana SGPT)
Iyi protein inowanikwa zvikuru muropa. Inosunungurwa muropa kana pave pane imwe rudzi rwechiropa chekuvadza.
- Zvinowanzodiwa: pasi pemakumi matatu
- Yakasimudza: May ingaratidza kuti kuora kwechiropa kwakaitika nekuda kwehutachiona, mishonga, cirrhosis, kana kukuvara kunorwadza nechiropa
- Pasi pemazuva ose: Kazhinji haisi hanya
Aspartate aminotransferase (AST kana SGOT)
Iyi protein inowanikwa zvikuru muropa. Inosunungurwa muropa kana pave pane imwe rudzi rwechiropa chekuvadza.
- Zvinowanzodiwa: pasi pemakumi matatu
- Yakasimudza: May ingaratidza kukanganisa kwemuviri semugumisiro wezvinhu zvakadai sekudzivirira, hepatitis, kana kuti cirrhosis
- Pasi pemazuva ose: Kazhinji haisi kukosha
Zvose bilirubin (TBIL)
Bilirubin chikamu chinowanzoitwa masero matsvuku eropa. Apo masero aya anoputsa pasina bilirubin inosunungurwa muropa. Bilirubin inotakurwa kuenda kuchiropa umo inoputsika uye yakanyanyiswa. Kana chiropa chisina kushanda zvakanaka, bilirubin inogona kuvaka mumuviri, zvichikonzera jaundice (yellowing yeganda nemeso).
- Kazhinji tsika: pasi pe 1.0
- Yakasimudza: Kazhinji inokonzerwa nekusavhiringidza kwehurongwa hunoputsa bilirubin, kusanganisira kuvhara kana kushaya kwechiropa
- Pasi pemazuva ose: Kazhinji haisi kukosha
Zvikonzero zveHurumende Yakakosha Enzymes muHIV
Kana uchitarisana nehutachiona hweHIV, zvirwere zvinokonzera chiropa zvinogona kukwidziridzwa nokuda kwezvikonzero zvakasiyana-siyana, kusanganisira mishonga yeHIV, mari inoshandiswa neHIV, uye mune dzimwe nguva, HIV. Pakati peizvi:
- Viral hepatitis inowanzoonekwa kune vanhu vane HIV, vane inoda kusvika 30 kubva muzana vakabatwa nehepatitis C voga. Chirwere ichi chinogona kukanganisa chiropa, zvichikonzera fibrosis (scarring) uye cirrhosis (kusagadzikana kusingaperi).
- Zvimwe zvinodhaka zvinodhaka zvinogona kukonzera hepatoxicity (chiropa chekutyisa) kusanganisira Viramune (nevirapine), uye Aptivus (tipranavir) kana yakawedzerwa neNorvir (ritonavir).
- Doro nedzimwe mishonga yakawanda-in-anti yakazivikanwa kuti inokonzera zvinetso zveropa uye huwandu hwehutachiona hwehupatotoxicity. Kunyange zvokudya zvekudya zvakadai saSt. John's Wort nzvimbo zvinogona kuwedzera hutachiona hwehutachiona hwezvinodhaka seViramune.
- Kwete-doro rakawanda chiropa chirwere (NAFLD) chinokanganisa chero kupi zvako kubva ku17 kusvika ku 33 muzana yeAmerica uye inowanzoenderana nekuneta. Inenge chikamu chetatu chevanhu vane HIV vane NAFLD pasinei nehutachiona hweH hepatitis B kana C.
> Sources:
> Centres for Disease Control and Prevention. "HIV uye Viral Hepatitis." Atlanta, Georgia; yakasvika musi waJune 3, 2015.
> Price, J. uye Theo, C. "Chirwere Chirwere muhutachiona hweHIV. Clin Gastroenterol Hepatol. 2010; 8 (12): 1002-21. DOI: 10.1016 / j.cgh.2010.08.024.
> Dhipatimendi reUnited Health yeHurumende neHuman Services. "Migumisiro Yechirwere yeHIV Mishonga - HIV uye Hepatoxicity." AIDSInfo. Washington, DC; yakasvika musi waJune 3, 2015.