Chiropa basa nemiedzo: inopangidza kuongorora. Normal chiropa basa zviratidzi

Chiropa - chimwe chezvinhu zvinokosha nhengo dzakavandika dzevanhu. Ndizvo tichibatsirwa paradzanisa uye muchetura, residues nemishonga. Zuva nezuva zviri pachena kuti zvikuru mupfungwa, asi, zvakadaro, nokukurumidza yakadzorerwa. Zvinosuruvarisa ichi chete kunoitika kune imwe pfungwa. Kuti usarudze chiropa basa nezvaanogona kubatsira chiropa shanda nemiedzo. Achiongorora zvaive zviri kuongorora kuchabatsira kuona dambudziko muviri.

Chiropa basa miedzo - kuti

Kuti tizive mamiriro chiropa uye bile ducts, mukurapa ano anoshandisa dzinoverengeka Murabhoritari zvidzidzo, pamwe akataura chiropa ushande nemiedzo. Material chidzidzo rakagadzirirwa nokuda venous ropa zvakabudiswa, uye kurishandisa kuti zvinotevera ongororo:

• AST, alt;
• bilirubin;
• alkaline phosphatase;
• zvachose mapuroteni;
• thymol bvunzo;
• sealbumin.

Izvi murabhoritari nemiedzo anobatsira kuongorora yaivapo kutyorwa, uyewo chiropa anogona kuramba mumwe ayo anokosha anoitwa - kubatana kwetunhu makemikari uye zvimwe zvinhu zvinodiwa kuti kwomuzvarirwo upenyu.

Chiropa basa nemiedzo - alt, AST

Endogenous makemikari AST uye alt yakatsauka rokuti zvinokosha pagadzirwe zvimwe amino acids. Norma AST uye alt yakasiyana zvichienderana chechikadzi uye zera murwere, uyewo ake muviri uremu, tembiricha uye mararamiro. Mune imwe nhengo utano, nhamba yavo kunyora nezvavo, uye varume zvishoma kupfuura vakadzi.

Aspartate aminotransferase (AST)

enzayemu izvi zviri kazhinji ari chiropa nyama, pamwe mumwoyo uye tsandanyama. Normal hadzi iri 10-35 U / L, uye vanhurume - kubva 14 kusvika 20 U / L. Kuwedzera kuipa tsika zvingaratidza kuvadza nhengo apo zvirimowo. Zvichienderana sei dzemunharaunda vari kupfuura (uye mufananidzo uyu dzinosiyana mashoma dzichiwedzera shanu - kagumi), kuona ukuru kukuvara. Kuti ave nechokwadi chokuti chinhu pathological muitiro kunokanganisa chiropa, uye kwakakwana chiropa shanda nemiedzo. Transcription kuongorora kunoratidza kana rinoramba kuti kunyumwira dzakakwirira mukana.

Alanine aminotransferase (alt)

Chiropa enzayemu, AST uye zvakafanana mubasa muviri uye zvikurukuru amino acids. Kungofanana AST, zvinganaka aripo ari chiropa mumasero, uye cardiac tsandanyama tishu. kugutsikana Its vakadzi kazhinji zvichisiyana 10 kusvika 30 U / L. Varume, mwero iri 10-40 U / L. Rinotaurawo kunoratidza zvakawandisa kukuvara rinenge rine alanine. Kana mwero AST uye alt yakawedzera, izvi zvingaratidza kuvapo kwezvirwere zvakadai nemavhairasi chiropa, chenjera chidhakwa kana chikafu chepfu, cirrhosis chiropa, kuvapo tupukanana.

bilirubin

Kune mhando nhatu bilirubin - mutsetse (hwakabatana), zvisina kunanga (vasina kusungwa) uye kwose, yokupedzisira hakuwaniki roga, asi muzvizhinji chokutanga uye chechipiri mhando. zvinhu izvi pigmented achiumbwa nokuda kuora pamusoro heme, izvo zvinozoita chikamu hemoglobin. The kwacho kunoitika chiropa mumasero. In pamberi pathological kwacho hepatocytes kana bile mutsinga dzinofamba nemukaka anochinja serum bilirubin.

bilirubin Total anogona siyana ari zvinobva 3,3 mol / L kusvika 20.5, nerwonzi vanenge 25% of yaipedzerwa, i.e. kusvika 3,3 mol / L, uye zvisina kunanga - 75% (13,6-17 , 1 mmol / l). Muna chiitiko zvakawedzera chiropa basa miedzo kungava fungira siyana anogumbura pezvakaitwa ari chiropa uye gallbladder. Nemaziso kuwedzera bilirubin jaundice anooneka.

alkaline phosphatase

Chimwe enzayemu bile ducts zvakakodzera kuti dzose kushanda kwemuviri, - a alkaline phosphatase. It inoita basa rinokosha calcium phosphorus muviri, zvakananga kukanganisa mamiriro mapfupa tishu. Zvisinei, yakawanda alkaline phosphatase aripo munyama chiropa uye intestinal mucosa, mammary mumasero. Normal kuverengwa napo murwere zera. In zera boka kusvika makore 30 kwomuzvarirwo tsika alkaline phosphatase kumusoro 32-92 Iu / L uye vakwegura - kubva 39 kusvika 117 Iu / L. Chii tichasimbiswawo bvunzo ropa? Chiropa basa nemiedzo kazhinji havaratidzi rutapudzo kuti indekisi ichi uye zvibereko zvayo zvinoratidza metabolic zvinetso, kunyanya - kutyora phosphorus zvifambiso. Izvi zvinogona kuva kutyora water drainage ose bile ari bile ducts (cholestasis), chiropa cirrhosis, parasitic zvirwere, chenjera chidhakwa chepfu.

mharidzo thymol

Thymol bvunzo - ichi mumwe muedzo, chikamu chiropa basa nemiedzo. Transcription kuongorora muna iyi inoratidza mano chiropa kuti synthesize puroteni zvinoumba ropa. Thymol bvunzo zvinoreva emadhaka. Ndokuatakurira kunze musanganiswa serum uye buffer mhinduro wakaradzikwa munhu zvine mhinduro ine thymol uye pashure hafu yeawa vanoyera kwokuomerwa mushonga anova Cloudy. Normal tsika pakati ivhu ranged kubva 0 kusvika 5 dzakabatana. Kurera kunoitika muna zvinetso mapuroteni usage uye aigona chiratidzo nemavhairasi chiropa, chiropa cirrhosis uye vamwe zvirwere connective tishu. Yaibatsira pane muedzo ropa? Chiropa basa nemiedzo, uye thymol zvikurukuru, kubvumira tanga, pasina vakamirira kurapwa zvinoratidza chirwere uye kuona kutanga zvakakwana mishonga.

sealbumin

Chimwe chikuru mapuroteni eplasma - sealbumin iri. Chinhu aitungamirira chinoumba Pakuchengeta oncotic aomerwa ropa uye, naizvozvo, zvazvinoita bhuku achiparadzira ropa. Uyezve, sealbumin inoita basa rinokosha mune chokufambisa mashandiro nokusunga kuti bile acids, bilirubin, karusiyamu ions uye somushonga zvinhu. The zvazvingava zvakajairika kuti sealbumin riri mukati 35 - 50 g / l. Kuwedzera waivako iri kuchengetwa varwere zvikuru kupera muviri, ungaderedza - ndiko chikonzero kufungidzira mashoko anogumbura pezvakaitwa ari chiropa, sepsis, rheumatic kwendangariro. Mukuwedzera, kuderera serum sealbumin zvinogoneka chete kwenguva refu nokutsanya, kushandiswa nemumuromo nhumbu, steroids, kusvuta.

Total mapuroteni

Shoko rokuti "zvachose mapuroteni" anoendeswa kureva zvachose Kuwanda sealbumin uye globulins neropa serum. Ndiro huru chezvinonhuwira mapuroteni muviri mumuviri womunhu. It anoita zvakasiyana siyana mashandiro: anoramba kuramba ph ropa munyaya pakugwamba urongwa, masoja siyana, kuchinjwa mafuta, hormone bilirubin ari nhengo uye munyama. Nei chiremba zvinoratidza varwere kuti aedzwe kuti chiropa shanda miedzo? Tsanangudzo (wokuyera indekisi ichi vanofanira siyana 64 kusvika 86 g / L) achaita unyanzvi kunzwisisa, kana mabasa aya sei. Saka, puroteni kuwedzera kunogona kuonekwa mune chakasimba uye chisingaperi anogumbura uye zvirwere zvinotapuriranwa, uyewo akakura kutsva. The Kuderera kungakonzerwa ropa, renal nezvirwere izvo pamwe nouchapupu nezvinhu mapuroteni (glomerulonephritis), kenza rikurumidze.

Chiropa basa miedzo, kuongorora inopangidza riri zvikuru muna nechirwere pakati pathological ezvinhu akawanda chiropa uye dzimwe nhengo vanofanira mangwanani achitsanya (okupedzisira kudya kunofanira kuitwa kwete asingasviki 8 maawa pamberi bvunzo). Pausiku vanoda kubvisa doro uye mafuta zvokudya.