ʻO nā enzymes o ke akepaʻa -ʻo kēia kekahi o nā mea nui loa o nā hana biochimika i loko o ke kino. No ka hanaʻana o ka ate i kahi nui o nā hana, ua hoʻokaʻawaleʻia nā enzymes e ia ma o kekahi mau'āpana: hōʻoluʻolu, hōʻailona a me secret secret. Me nā maʻi likeʻole a me nā hanaʻino o ka hanu i ka plasma toto, hoʻololi ka helu enzyme. He mea nui kēia hōʻailona diagnostics.
ʻO ka hāʻina o nā enzymes ke hoʻohanaʻia nei i kaʻike?
ʻO nā enzymes o ke ake, nā mea e hoʻonuiʻia ai i nā maʻi me ka lukuʻiaʻana o nā hepatocytes, i kapaʻia he mau enzymes. Eia kēia mau mea:
- glutamate dehydrogenase (Gldg);
- aspartate aminotransferase (AST);
- lactate dehydrogenase (LDH);
- gamma-glutamyltransferase (GGT);
- alanine aminotransferase (ALT).
ʻO kaʻoi aku o ka manawa, ua kauʻia nā maʻi o ka ate e hōʻike i ke koko no ka hoʻoholoʻana i ka helu enzyme o AST a me ALT. No nā wāhine,ʻo ka maʻamau o ACT ke 20-40 U / l. Me nā maʻi kino a me nā kinikini i nā hepatocytes, hoʻomāhuahua nui kēia mau enzymes i ka hana.
ʻO ka maʻamau o ka helu o nā enzymes o nā maʻi ALT i ke koko he 12-32 U / l (wahine). Me nā maʻi maʻiʻeha, hoʻonui ikiʻia kā lākouʻoihana - i nā manawa likeʻole. I kēia hihia, hiki keʻikeʻia nā hōʻailona o ka maʻi. ʻO ia ke kumu e hoʻohana pinepineʻia aiʻo ALT eʻike i ka maʻi hepatitis i ka wā mua.
ʻO kekahi mea hōʻailona maʻamau ka lākiō Ritis (AST / ALT). I loko o kahi kanaka olakino, he 1.3.
Nā ho'āʻo hepatic hou no nā enzymes
No ka hoʻokaʻawaleʻana i nā maʻi kūpono, hiki ke hoʻolālā hou i ka hoʻolālā aʻike i nā enzymes i nā koko i hoʻokiʻekiʻeʻia i loko o ke koko. I nā maʻi leʻaleʻa o ke akepaʻa, nā maʻi o ka'ikepuni, nā lāʻauʻawaʻawa nui a me nā maʻi pīpī, nā'ōlelo a Gldg maʻi (ma
ʻO ka māhele o nā enzymes o nā manawa i hunaʻia i loko o nā kēpau bile. Hāpai lākou i kaʻaiʻana. ʻO kēlāʻano enzyme he phosphatase alkaline. ʻO ka mea maʻamauʻaʻole ka nui o nā mea o ka pae honua alkaline ma mua o 120 U / l. Akā inā ua uhakiʻia nā hana hana kūmole, ua hoʻonuiʻia kēia hua'ōlelo i kahi 400 U / l.