Ukwandiswa gamma-GT, kanjani ukuba ababuyisele evamile?

Ukuze kuhlonzwe izifo sesibindi noma amanyikwe angabakhulula igazi umthambo ku GGT. Lokhu isifinyezo imele gamma-glutamyl. Uma uke wathola imiphumela, futhi lokho kwenza gamma GT, lokho kungase kubonise ukuthi amatshe atholakala enyongweni, isifo sesibindi esingelapheki kubantu, ukuba umlutha wotshwala, isifo sikashukela, pancreatitis, isigaba oyingozi noma ezingamahlalakhona, i-hyperthyroidism, ngisho wendlala umdlavuza, isibindi noma amanyikwe. Kodwa ningatatazeli kusengaphambili. Lesi sibalo kungaba kukhulu kakhulu uma uphuza zokuvimbela inzalo temlomo, izinga le-estrogen noma ezinye imithi yokwelapha engiyisebenzisayo ethonya imiphumela yokuhlolwa.

Lapho kutuswa GGT ukuthatha

Uma uyazi izinkinga zakho nge isibindi, amanyikwe, izinso, noma ezinye izinhlaka ipheshana wokugaya ukudla, kungenzeka sekudlule ngokuphindaphindiwe igazi emithambo yegazi ukuze ukuthola izinga gamma-GT.

Lawula kubalulekile, uma wazi ukuthi unayo izifo elandelayo:

- kwesibindi kohlobo, kuhlanganise ezakheke ngaphandle kokudala jaundice,

- umdlavuza kwamanyikwe, isibindi noma wendlala;

- ukuncika utshwala, ngawo ukulwa.

Ngo umdlavuza usebenzisa GGT inkomba ukusebenza ukwelashwa, ngezinhloso esifanayo, abheke ekulweni umlutha wotshwala.

Thola, kukhuphuke gamma GT noma cha, futhi ukuxilonga isifo sesibindi, ahambisana cholestasis. Lokhu kungaba, isibonelo, isifo sokusha kwesibindi kohlobo viral noma azalwa naso futhi jaundice obstructive, atresia biliary. Ngenxa yalezi izinkomba, kuba ngemva isilethikusebenza. Futhi, thola, kukhuphuke gamma GT amazinga egazini noma cha, kungenzeka ukuba uhlole esibindini obabubangwa izidakamizwa.

Izimbangela netindlela zokuthuthukisa umsebenzi enzyme

Gamma-glutamyl abahileleke ngokuqondile acid acid umzimba. Kuyinto nokudluliswa kulethe kusukela gamma-glutamyl peptide gamma glutamyl izinsalela. Umzimba omkhulu, okuyinto iyisonto enzyme, izinso: zingabantu ekuqukethe ezikhathini 7000 okukhulu kwenani ku serum igazi. Isibindi GGT enkulu ezikhathini 200-500, azihlukile kakhulu elikuqukethe futhi amanyikwe. liphinde samanje emathunjini, ubende, inhliziyo, ubuchopho, imisipha lwamathambo futhi wendlala.

Ukuhlaziywa kwe-gamma-GT ngokuvamile lenyuka ngenxa msebenzi omkhulukazi lokhu enzyme. Futhi kubonakala kwenzeka ukuthi inkinga iqala ngamadijithi isibindi nezindlela biliary. umsebenzi Ngokuvamile GGT uphansi, it is kuhlobane ngokuqondile excretion of enzyme, okuyinto kuhlelwe esibindini. Yingakho ngisho nalapho ingane inkinga gamma-GT anda.

izifo

Kuye jikelele isithombe yomtholampilo, nezinye izinkomba igazi imiphumela yocwaningo, udokotela wakho kungase kusikisele une ukuthuthukiswa izifo ezithile. Ngakho, kukhuphuke gamma-GT kungaba ngaphansi izifo elandelayo:

1. Cholestasis - ukukhulisa inani enzyme kanye extrahepatic, futhi ifomu intrahepatic lesi sifo. Ngakho kukhona izinkinga ezifana amatshe atholakala enyongweni, jaundice eyenga isibindi isimila, cholangitis.

2. olunamandla-hepatitis of omsakazo viral, izifo ezihlukahlukene enobuthi.

3. I-Hepatitis efomini ezingamahlalakhona.

4. pancreatitis - GGT liphakeme kokubili acute futhi ukugeleza ezingamahlalakhona.

5. Ukuphuza ngokweqile.

6. izifo Oncological kwesibindi, amanyikwe, noma wendlala.

Ngaphezu kwalokho, uma uphuza zokuvimbela inzalo temlomo, barbiturates, estrogens, cephalosporins, lizinga gamma-GT kungabuye anda. Akufanele sizame self-ukuxilonga ngokwakho isifo, udokotela kuphela Ungakwazi ukufaka.

amazinga GGT kanye nobudala

Uma uya ukuba banikele ngegazi, ukuthola ezingeni ye-gamma-glutamyl ke udinga ukukhumbula okulandelayo. Ngokuvamile, akuyona okusezingeni eliphezulu, kodwa izibalo okutholakele kuzohambisana engu futhi ngihlanganyele ubulili. Futhi, ningawenzi ancike idatha evela kweminye laboratories, ubheke kuphela imithetho ezisohlwini imiphumela cwaningo. ezingeni ekhethiwe incike amayunithi angakahleleki futhi imishini esetshenziswa.

Yingakho kwezinye laboratories wabonisa ukuthi okhushuliwe gamma-GT kuthanda, inqobo nje uma-ke mkhulu kakhulu kwabesifazane 36 no-64 U / l ngoba amadoda. Ngakho izingane eyamukelekayo ukwanda inani enzyme 2 noma ngisho izikhathi 4.

Ngamanye laboratories kukhona ukwahlukana ngokobudala. Ngakho-ke, abesifazane abadala kuyinsakavukela inani enzyme basukela amayunithi 6 kuya ku-42 ngoba amadoda - kusukela eminyakeni 10 kuya 71. Izingane Ezisathomba abaneminyaka engu-12 kuya ku-17, isibalo GGT e serum akufanele idlule 33 U / L emantombazaneni ne-45 abafana. Kungakhathaliseki ubulili, oneminyaka engu-6-12, mkhawulo evamile ubhekwa abalulekile-17 U / L, kusukela 3 kuya ku-6 - 23, kusukela ku-1 kuya eminyakeni emi-3 - kuze kufinyelele 18, 6 izinyanga ezingu-12 - 34.

isithombe esehlukile kancane nge izinsana lapho umsebenzi wonke zomzimba ngcono kuphela. Kulungile uma engaphansi kwengu izinsuku 5, GGT kuyoba ezingeni afika ku 185, futhi izinyanga 6, kungase ngisho bakhuphukele 204 U / L.

Indlela ahumushe imiphumela

Ngisho noma uthola assays lapho lenyuka gamma-GT, ningatatazeli. Ukuze ukuxilongwa kuphela ukwazi ulwazi umsebenzi serum lokhu enzyme akwanele. Kubalulekile futhi ukuthola ukuthi kunjani ukusabela GGT aminotransferase - GGT / AST noma ALT GGT isilinganiso - kuchazwe kwalo ukusatshalaliswa cholestasis ngokumelene cell ulwelwesi. Futhi-ke kujika ukusabela gamma-GT nezinye enzyme obhekene nokuthuthukiswa cholestasis, ezifana ane-alikhali phosphatase.

Uma ezingeni GGT idlula kuyinsakavukela by izikhathi 50, nakuba le mifanekiso yezinye enzyme ayikashintshi okuningi, kufakazela mayelana utshwala. Ngaphezu kwalokho, izokwenyuka ngo abantu ababhemayo ngaphezu usuku amaphakethe amabili kagwayi, imizamo okhuluphele noma ukuhlaziya ukulethwa. Qaphela ukuthi uma index mass body okukhulu kuka-30 kg / m ^2, ukuthi GGT ingase ibe mikhulu kuka-50%.

Ukwelashwa futhi ukulungiswa nemingcele

Uma imiphumela cwaningo ye-gamma-GT yanda, ungalungisa kanjani izinga, kumelwe azimisele nodokotela wakho. Phela, kubalulekile ukuba aphathe hhayi ezingeni enzyme, kanye imbangela izithelo zawo. Ngakho, uma luyanda ngenxa utshwala ngokweqile, ungoyedwa indlela yokuphuma - ukuze uyeke utshwala.

Kwezinye izimo, ngaphandle iseluleko kuchwepheshe lubaluleke. Uma kunjalo, isibonelo, pancreatitis, kubalulekile yokudla, lapho kuyadingeka ukuze senqabele kusuka ukudla okuthosiwe nokudla okunamafutha, ushokoledi, ikhofi. Kuyinto Kuwumqondo omuhle ukuthatha izidakamizwa ezithinta kwesibindi. Ezinye iziguli kwesibindi ebekiwe imithi efana "Ursofalk". Kungase futhi zisetshenziswe jaundice lapho ezisanda kubelethwa, ukuze amise ukusebenza evamile isibindi.