Vavanyo lweHepatic.

Uvavanyo lwe-Hepatic - ukuhlolwa kwesimo sebindi. Inani elikhulu kakhulu leemvavanyo zelabhoratri kuze kube yimhla lingabalelwa kwiimvavanyo ze-hepatic, kwaye zonke zibonisa intsholongwane kunye neenkqubo ezinokuthi zithintela kuyo.

Izibonakaliso eziqhelekileyo zesibindi somsebenzi:

• Iprotheni epheleleyo - 65-85 g / l;
• Creatinine 55-115 μmol / l;
• I-cholesterol - 3.5-5.2 mmol / l;
• Iipoproteins - iiyunithi ezingama-35-55;
• I-Cholesterol - 1.4-1.6 mmol / l;
• I-coefficient ye-atherogenicity ukuya kwi-4;
• ALT - 8-56 E / L;
• AST 5-40 E / L;
• I-alkaline phosphatase 45-140 E / L;
• I-Bilirubin iyonke - 8.55-20.52 I-Mkmol / l:

Eboshwe - 2.4-5.13 iMakol / l,

Ikhululekile - 6.41-15.39 I-Mkmol / l.

• Iprotheyini esebenzayo yeC-negative.

Ukuba nayiphi na i-hepatic pathology inqatshelwe, ukuhlolwa kwegazi ngegazi kunye nokuzimisela kwinqanaba le-alanine aminotransferase kunye ne-aspartate aminotransferase iyakhiwa ngokukhawuleza, kwaye ngokuqhelekileyo bayabizwa kungekudala i-ALT ne-AST. I-alkaline phosphate, i-bilirubin kunye nawo onke amaqhezu ayo, i-gamma glutamyltransferase kunye neeplasma zamaproteni nazo zibonakaliso ezibalulekileyo zesibindi kunye ne-gallbladder esebenzayo.

Kufuneka kuqondwe ukuba ukuhlolwa kwesibindi ephakamileyo akusoloko kubonisa ukugula. Ngokwenza oko, ukusilela kwesiqhelo kubangelwa ukusetyenziswa kwezixhobo okanye ukuphazamiseka kwisigulane, ngoko zonke iisampuli zesibindi kufuneka ziphindwe kwakhona ukuze zicacise umphumo kwaye zijonge ukuguqulwa kwenkqubo.

Ukuvavanywa kwamathambo kuqukwa: ukuzimisela kokwakhiwa kwe-antigenic ukufumanisa izifo ezithile zentsholongwane, kunye nokuzimisela kokuxilongwa kwe-alpha1-antitrypsin. Nangona kunjalo, abakwazi ukubizwa ngokuba ngamaxesha amaninzi asetyenziswayo, kuba ukusebenzisa kwabo kubiza kwaye kungabi nolwazi olunzulu.

Uvavanyo lwesibindi alisoloko lubonakalisa imeko yesibindi ngeli xesha, kuba kwezinye iimeko, izifo ezidluliselweyo ziphinde zitshintshe uphawu lwazo kwi-laboratory data.

Ukuba sithetha ngolu hlobo lophando, iimvavanyo ezivakalayo ezibonisa kakuhle ukuba amandla ebindi asebenzise ubunzima bokubaluleka komsebenzi wendalo yonke-ayilungele "ngokuphathelele ukusebenza kwesibindi.

Ezi zikhombisi ziquka izinga le-albumin. Xa kunciphisa, isibindi asisasebenzisi ngamandla ngokupheleleyo, oko kuthetha ukuba umzimba uhlambuluzwa yinkcitho yawo. Le enzyme inokukhathazeka kakhulu kumgangatho wokutya, kwaye ihlobene ngokufanayo nomsebenzi weentso. Ngoko ke i-100% yesiphumo somphumo emva kokuphumeza isampuli esinikiweyo ukuyifumana ayiyi kwenzeka.

Uvavanyo lwamaHepatic luzimisele kwakhona ukukwazi ukuba nesibindi senze izinto zokugawula igazi. Isiqalo solu sampulu ukuzimisela kwexesha leprothromini, elihlobene kakhulu ne-vitamin K. Kungenxa yoko, ukuba emva kokulawulwa kwe-10 mg ye-vitamin, isalathisi seprothrombin ayitshintshi, ngoko ke ukusebenza kwesibindi kuphazamiseka.

Njengoko kuchazwe ngasentla, ukuhlolwa okuthe ngqo kwe-pathology ye-hepatic kukumisela kwezinga le-serum transaminases-ALT kunye ne-AST. Uvavanyo lobindi lusetyenziselwa ukufumana ukuphulwa kwezinto ezithintekayo kwisibindi. Nangona kunjalo, izibonakaliso zolu vavanyo zinokuchaphazela izinto ezahlukeneyo (ubushushu, ukuthatha nawaphi na amayeza, i-hormonal kunye ne-enzymatic status) - oku kufuneka kuthethwe ingqalelo xa kutyunjwa.

Ukuzimisela kwinqanaba le-bilirubin kunye namaqhezu awo kusivumela ukuba singabhekiseli kwi-cholecystectomy engadingekanga kwaye sifake ukuxilongwa ngokufanelekileyo.

Kwakhona, kwimivavanyo ethile isetyenziselwa ukuchonga izifo ezidityanisiweyo kwizigulane.

Iimpawu zokuzimela ngokuzenzekelayo zisetyenziselwa iisampuli ze-hepatic kuphela ukuba isigulane sinempawu zesifo esingenawo umzimba, ukuqinisekisa okanye ukungabandakanyi ukuxilongwa.

Ekugqibeleni, kufuneka kuqatshelwe ukuba umsebenzi wesibindi usetyenziswa njengokulawula kwesibindi. Isiqhelo sazo zonke izikhombisi ziyakwazi ukuguqulwa kwinqanaba elingaphantsi neliphezulu. Ukuba ukugqithisa okanye ukunciphisa kwinqanaba lesalathisi kufinyelela kwisibingelelo sangasentla ngaphezu kweemimiselo ezimbini, ngoko-ke kufuneka kuhlolwe kwakhona iimviwo zezigulane.