Ukwanda gamma-GT, ukuba njani zibuyele esiqhelweni?

Kuba lokufunyaniswa izifo zesibindi okanye injeke unokuhlangula igazi ukusuka apho iphuma kwi GGT. Le abbreviation imele gamma-glutamyl. Ukuba ufumene iziphumo, okunyuke wesigrike GT, oko kusenokubonisa enyongweni, isifo esinganyangekiyo isibindi, butywala, isifo seswekile, pancreatitis, isigaba etsolo okanye engapheliyo, hyperthyroidism, nokuba yesinye umhlaza, isibindi okanye pancreas. Kodwa musa ukuphaphazela kwangaphambili. Eli nani liphezulu kakhulu ukuba uthatha izivimbela, estrogen okanye eminye imithi echaphazela iziphumo zovavanyo.

Xa kuphakanyiswe GGT ukuthatha

Ukuba uyazazi iingxaki zakho isibindi, injeke, izintso, okanye kweminye imibutho phecana wokudla, kuba kusenokwenzeka ukuba sele udlule ngokuphindaphindiweyo igazi lwemithambo ukuze ukufumanisa izinga gamma-GT.

Lawula kuyimfuneko, ukuba uyazi ukuba ezi zifo zilandelayo:

- kohlobo, kubandakanywa ukwakheka kwalo ngaphandle ibangela senyongo,

- umhlaza zepancreas, isibindi okanye yesinye;

- ukuxhomekeka etywaleni, ngazo ukulwa.

In umhlaza ngokusebenzisa isibonisi GGT esweni impumelelo konyango, ukwenzela iinjongo ezifanayo, ukuba ujonga ekulweni likhoboka lotywala.

Fumanisa, ukwanda wesigrike GT okanye hayi, kananjalo ukubona isifo sesibindi, zikhatshwa cholestasis. Oku kunokuba, umzekelo, sohlobo wentsholongwane egazini okanye iziphene kwaye senyongo obstructive, atresia biliary. Kuba ezi mpawu, kuba emva kokuba iposi engabalulekanga. Kwakhona, ufumanise, ukwanda wesigrike amanqanaba GT egazini okanye akunjalo, sinako ukukhangela kwesibindi ubuthi iziyobisi.

Oonobangela kunye neendlela zokuthuthukisa umsebenzi enzyme

Gamma-glutamyl ababandakanyeka ngqo acid acid ukutya. Yeyona ukudluliselwa ngumnxibelelanisi ukusuka gamma-glutamyl iintsalela peptide gamma glutamyl. Umzimba omkhulu, nto leyo likwaneklinkhi i-enzayim, le kidney: ukuba imixholo yawo kumaxesha 7000 mkhulu le mali kwi- serum egazini. Isibindi GGT kakhulu ngamaxesha 200-500, azahlukanga kakhulu imixholo yawo nepancreas. ukuba ukhona apha emathunjini, udakada, intliziyo, ingqondo, izihlunu skeletal kunye wendlala.

Umhlaba wokuhlahlelwa gamma-GT ngokuqhelekileyo landile ngenxa umsebenzi awongezelelekileyo yale enzyme. Yaye kubonakala kwimeko ingxaki iqala isibindi kunye neendlela biliary. umsebenzi Ngokwesiqhelo GGT esezantsi, oko ngqo enxulumene kukhuthaza enzyme, nto leyo kuhlelwe esibindini. Yiloo nto kwanaxa minor ingxaki gamma-GT landa.

ukubonwa kwezifo

Kuxhomekeka umfanekiso lwezonyango jikelele, ezinye izalathisi igazi kunye neziphumo zophando, ugqirha wakho kusenokubonisa ukuba uphuhliso izifo ezithile. Ngenxa yoko, ukwanda wesigrike-GT kunokuba ngaphantsi kwe izifo zilandelayo:

1. Cholestasis - ukunyusa ubungakanani enzyme kunye extrahepatic, kunye nefomu intrahepatic esi sifo. Ngenxa yoko kukho iingxaki ezifana enyongweni, senyongo eyabangelwa isibindi ithumba, cholangitis.

2. Acute kwesibindi of umyalezo wentsholongwane egazini, izifo ezahlukeneyo ityhefu.

3. Hepatitis kwifomu ezigulo ezondeleyo.

4. pancreatitis - GGT iya kunyuswa kokubini acute kunye flow ezigulo ezondeleyo.

5. Alcoholism.

6. izifo Oncological kwesibindi, injeke, okanye wendlala.

Ukongeza, ukuba ngaba uthatha izivimbela, barbiturates, estrogen, cephalosporins, inqanaba gamma-GT kwakhona zandiswe. Kufuneka sizame self-ukufumanisa wena sifo, kuphela ugqirha uzifakelele.

amanqanaba GGT nobudala

Ukuba uhamba ukuba unikele ngegazi, ukuze ufumanise inqanaba gamma-glutamyl, ngoko ke kufuneka ukuba ukhumbule oku kulandelayo. Ngokuqhelekileyo, akukho phezulu, kodwa amanani efunyenweyo iya kuxhomekeka yobudala kunye ngesondo. Kwakhona, musa ukuthembela data evela kwezinye iilebhu, yiya kuphela imithetho zidweliswe kule kweziphumo zophononongo. kwinqanaba okukhethiweyo kuxhomekeke iiyunithi zomlinganiselo kunye nezixhobo ezisetyenziswayo.

Ngenxa yoko, kwezinye iilebhu lubonise ukuba okwandileyo gamma-GT, ngokuxhomekeka ukuba mkhulu ukuba abafazi 36 no 64 U / l amadoda. Ngaloo ndlela abantwana imali eyamkelekileyo ukwanda enzyme-2 okanye 4 amaxesha.

Ngamanye iilebhu kukho ukwahlukana ngokobudala. Ngoko ke, ngokuba abafazi abadala norm sisixa enzyme kumqolo ukusuka kweeyunithi ezi-6 ukuya 42 emadodeni - ukususela kwiminyaka eli-10 ukuya 71. Abafikisayo abaneminyaka eli-12 ukuya ku-17, inani GGT kwi serum mayingagqithi 33 U / L emantombazaneni ne 45 amakhwenkwe. Kungakhathaliseki sex, iminyaka 6-12, qondo liphezulu eqhelekileyo kuthathwa ukuba ezibalulekileyo ukuya ku 17 U / L, ukususela-3 ukuya kwisi-6 - 23, ukusuka ku-1 ukuya kwiminyaka-3 - phezulu ukuya kwi-18, iinyanga ezi-6 ukuya ku-12 - 34.

umfanekiso kancinci ezahlukeneyo kunye kuzalwa apho umsebenzi zonke iinkqubo zomzimba iba ngcono kuphela. Kulungile ukuba abangaphantsi kweminyaka iintsuku ezi-5, GGT uya kuba kumgangatho ukuya ku 185, yaye ukuya kutsho kwiinyanga ezi-6, kusenokuba ukuya 204 U / L.

Indlela ukutolika iziphumo

Nokuba umelwe kukuba zePCR banda apho gamma-GT, musa ukothuka. Moshilongo siyazi kuphela ulwazi kumsebenzi serum yale enzyme akwanelanga. Kubalulekile ukufumana phandle indlela GGT aminotransferase - GGT / AST okanye ALT GGT ratio - ezichazwe kwaso unikezelo cholestasis nxamnye ingaphandle cell. Kwakhona ke wajikela oyenzayo gamma-GT kunye nezinye enzyme unoxanduva lokuphuhlisa cholestasis, ezifana obrak phosphatase.

Ukuba inqanaba GGT idlula eqhelekileyo ngokuphindwe-50, lo gama amanani kwezinye enzayim ayitshintshanga kangako, oko ungqina ngako butywala. Ukongeza, iya kwandiswa abantu abatshayayo packs ngaphezu usuku ukuya ezimbini yecuba, yimizamo sidudla okanye ukuhlalutya ukwenziwa. Qaphela ukuba ukuba isalathiso ubunzima nomzimba mkhulu kuno-30 kg / m ^2, ukuze GGT ukuze ibe ngaphezulu kwe-50%.

Unyango hlengiso parameters

Ukuba iziphumo analyses gamma-GT banda, ukuba ulungise indlela izinga, kufuneka imiselwe kunye nogqirha wakho. Ngapha koko, kuyimfuneko ukuba baphathe hayi kwinqanaba le-enzyme, kwaye ingcambu unobangela indyebo yalo. Ngoko ke, ukuba lwakukhula ngenxa yokusetyenziswa kakhulu utywala, indlela enye kuphela - ukuba uyeke utshwala.

Kwezinye iimeko, ngaphandle iingcebiso zeengcali buyafuneka. Ukuba kunjalo, umzekelo, i-pancreatitis, kubalulekile kwizidlo, apho kuyimfuneko ukwala kudliwe du uyadinga, itshokolethi, ikofu. Kananjalo ngumbono omhle ukuthatha amachiza ezichaphazela isibindi. Ezinye izigulane hepatitis emiselweyo amayeza afana "Ursofalk". Kusenokwenzeka kwakhona isicelo senyongo xa lweentsana, ukuze amise eqhelekileyo yokusebenza esibindini.