I-GT Range Exam (GGT): yenzelwe ini nokuthi ingaba phezulu nini

-Delile

• Kusho ukuthini inani eliguquliwe
• Ibanga eliphakeme le-glutamyl transferase
• Ibanga eliphansi le-glutamyl transferase
• Ungasilungiselela kanjani isivivinyo
• Ungasithatha nini isivivinyo seGamma-GT

Ukuhlolwa kwe-GGT, okwaziwa nangokuthi yi-Gamma GT noma i-gamma glutamyl transferase, kuvame ukucelwa ukuthi kubhekwe izinkinga zesibindi noma ukuvinjelwa kwe-biliary, ngoba kulezi zimo ukugxila kwe-GGT kuphezulu.

I-gamma glutamyl transferase iyi-enzyme ekhiqizwa kumanyikwe, enhliziyweni nasesibindi, ikakhulukazi, futhi ingaphakanyiswa lapho noma iyiphi yalezi zitho ifakwa ebucayini, njenge-pancreatitis, infarction kanye ne-cirrhosis, ngokwesibonelo. Ngakho-ke, ukusiza ukuxilongwa kwezinkinga zesibindi ne-biliary, udokotela uvame ukucela isilinganiso sakhe kanye ne-TGO, TGP, bilirubins kanye ne-alkaline phosphatase, eyi-enzyme futhi eyehlisiwe ukusiza ukuxilonga izinkinga zesibindi nokuvinjelwa kwe-biliary. Bona ukuthi ukuhlolwa kwe-alkaline phosphatase kwenzelwe ini.

Lokhu kuhlolwa kungalawulwa njengokuhlolwa okujwayelekile ngudokotela ojwayelekile noma lapho kusolwa khona i-pancreatitis, isibonelo. Kodwa-ke, lokhu kuhlolwa kunconyelwa kakhulu ezimweni zokucatshangelwa ukuthi yi-cirrhosis, isibindi esinamafutha, esingamafutha esibindi, nokusetshenziswa kotshwala ngokweqile. Oinani lesethenjwa ziyahlukahluka kuye ngokuthi ilabhorethri ijwayelekile phakathi 7 no-50 IU / L.

Kusho ukuthini inani eliguquliwe

Amanani walokhu kuhlolwa kwegazi kufanele ahlolwe njalo ngudokotela wezifo zesibindi noma udokotela ojwayelekile, kepha ezinye izinguquko yilezi:

Ibanga eliphakeme le-glutamyl transferase

Lesi simo ngokuvamile sikhombisa ukuba khona kwenkinga yesibindi, njenge:

• I-hepatitis yegciwane engapheli;
• Ukwehla kwegazi kuye esibindini;
• Isimila sesibindi;
• Ukuqina kwesibindi;
• Ukuphuza ngokweqile utshwala noma izidakamizwa.

Kodwa-ke, akunakwenzeka ukwazi ukuthi yini inkinga ethile, futhi kuyadingeka ukwenza ezinye izivivinyo ezifana ne-computed tomography noma i-ultrasound, isibonelo, ngaphezu kokunye ukuhlolwa kwelabhorethri. Thola ukuthi iziphi izivivinyo ezihlola isibindi.

Kwezinye izimo ezingavamile, lawa manani angashintshwa futhi ngenxa yezifo ezingahlobene nesibindi, njengokuhluleka kwenhliziyo, isifo sikashukela noma i-pancreatitis.

Ibanga eliphansi le-glutamyl transferase

Inani eliphansi le-GGT liyafana nenani elijwayelekile futhi likhombisa ukuthi alukho ushintsho esibindini noma ekusetshenzisweni ngokweqile kweziphuzo ezidakayo, isibonelo.

Kodwa-ke, uma inani le-GGT liphansi, kepha inani le-alkaline phosphatase liphezulu, ngokwesibonelo, lingakhombisa izinkinga zamathambo, njengokushoda kukavithamini D noma isifo sikaPaget, futhi kubalulekile ukwenza izivivinyo eziningi ukuhlola lokhu kungenzeka.

Ungasilungiselela kanjani isivivinyo

Ukuhlolwa kufanele kwenziwe ngokuzila ukudla okungenani amahora ayi-8, njengoba amazinga e-GGT angehla ngemuva kokudla. Ngaphezu kwalokho, iziphuzo ezidakayo kufanele zigwenywe amahora angama-24 ngaphambi kokuhlolwa, ngoba zingaguqula umphumela. Eminye imishanguzo kufanele inqanyulwe, ngoba ingakhuphula ukugxila kwale enzyme.

Kubalulekile futhi ukuxhumana lapho bekungokokugcina lapho kuphuzwa khona utshwala ukuze bucatshangelwe lapho kuhlaziywa imiphumela, ngoba noma ngabe bekungekho emahoreni angama-24 ngaphambi kokuhlolwa, kusengaba nokwanda ukuhlushwa kwe-GGT.

Ungasithatha nini isivivinyo seGamma-GT

Lolu hlobo lokuhlolwa lwenziwa lapho kusolwa ukulimala kwesibindi, ikakhulukazi uma kunezimpawu ezifana nokuthi:

• Ukwehla okumakiwe kokudla;
• Ukuhlanza nokuhlanza;
• Ukungabi namandla;
• Ubuhlungu besisu;
• Isikhumba esiphuzi namehlo;
• Umchamo omnyama;
• Izitulo zokukhanya, njenge-putty;
• Isikhumba esilumayo.

Kwezinye izimo, lokhu kuhlolwa kungabuye kucelwe ukuthi kuhlolwe abantu abathola ukwelashwa kokukhipha utshwala, kube sengathi bebephuza iziphuzo ezidakayo ezinsukwini ezimbalwa ezedlule, amanani azoguqulwa. Qonda ukuthi ezinye izimpawu zingakhombisa ukuqala kwesifo sesibindi.