Ukuhlolwa Komsebenzi Wesibindi

-Delile

• Yini ukuhlolwa kokusebenza kwesibindi?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kokusebenza kwesibindi?
• Kwenzekani ngesikhathi sokuhlolwa kokusebenza kwesibindi?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kokusebenza kwesibindi?
• Izinkomba

Yini ukuhlolwa kokusebenza kwesibindi?

Ukuhlolwa kokusebenza kwesibindi (okwaziwa nangokuthi iphaneli lesibindi) ukuhlolwa kwegazi okulinganisa ama-enzyme ahlukene, amaprotheni, nezinye izinto ezenziwe isibindi. Lezi zivivinyo zihlola impilo yonke yesibindi sakho. Izinto ezahlukahlukene zivame ukuhlolwa ngasikhathi sinye kusampuli eyodwa yegazi, futhi zingafaka okulandelayo:

• I-albhamuin, iphrotheni elenziwe esibindini
• Ingqikithi yamaprotheni. Lokhu kuhlolwa kukala inani eliphelele lamaprotheni egazini.
• ALP (i-alkaline phosphatase), ALT (i-alanine transaminase), I-AST (aspartate aminotransferase), kanye ne-gamma-glutamyl transpeptidase (GGT). Lawa ama-enzyme ahlukile enziwe yisibindi.
• I-Bilirubin, umkhiqizo odoti owenziwe isibindi.
• I-Lactate dehydrogenase (LD), i-enzyme etholakala kumaseli amaningi omzimba. I-LD ikhishelwa egazini lapho amaseli elinyazwe izifo noma ukulimala.
• Isikhathi se-Prothrombin (PT), iphrotheni ebandakanyeka ekunqandeni igazi.

Uma amazinga okukodwa noma amaningi alezi zinto engaphandle kwebanga elijwayelekile, kungaba uphawu lwesifo sesibindi.

Amanye amagama: iphaneli lesibindi, iphaneli yokusebenza kwesibindi, iphaneli yokusebenza kwephrofayili yesibindi, i-LFT

Zisetshenziselwani?

Ukuhlolwa kokusebenza kwesibindi kuvame ukusetshenziselwa:

• Siza ukuxilonga izifo zesibindi, njenge-hepatitis
• Ukuqapha ukwelashwa kwesifo sesibindi. Lezi zivivinyo zingabonisa ukuthi umuthi usebenza kahle kangakanani.
• Bheka ukuthi isibindi silinyazwe kangakanani noma sinesibazi sesifo, njenge-cirrhosis
• Gada imiphumela emibi yemithi ethile

Kungani ngidinga ukuhlolwa kokusebenza kwesibindi?

Ungadinga ukuhlolwa kokusebenza kwesibindi uma unezimpawu zesifo sesibindi. Lokhu kufaka phakathi:

• I-jaundice, isimo esidala ukuthi isikhumba namehlo akho abe phuzi
• Isicanucanu nokuhlanza
• Uhudo
• Ubuhlungu besisu
• Umchamo onombala omnyama
• Indle enombala okhanyayo
• Ukukhathala

Ungazidinga futhi lezi zivivinyo uma unezici ezithile zobungozi. Ungaba sengozini enkulu yesifo sesibindi uma:

• Yiba nomlando womndeni wesifo sesibindi
• Unenkinga yokusebenzisa utshwala, isimo lapho uba nobunzima bokulawula ukuthi uphuza kangakanani
• Cabanga ukuthi usuthole igciwane le-hepatitis
• Thatha imithi engadala ukulimala kwesibindi

Kwenzekani ngesikhathi sokuhlolwa kokusebenza kwesibindi?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Ungadinga ukuzila ukudla (ungadli noma uphuze) amahora ayi-10-12 ngaphambi kokuhlolwa.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Uma umphumela wokuhlolwa kokusebenza kwesibindi noma owodwa ubungejwayelekile, kungasho ukuthi isibindi sakho sonakele noma asisebenzi kahle. Ukulimala kwesibindi kungadalwa yizimo ezahlukahlukene, kufaka phakathi:

• I-hepatitis A
• I-Hepatitis B
• I-Hepatitis C
• Ukuphazamiseka kokusebenzisa utshwala, okubandakanya ukuphuza ngokweqile.
• Umdlavuza wesibindi
• Isifo sikashukela

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kokusebenza kwesibindi?

Uma noma yikuphi ukuhlolwa kokusebenza kwesibindi bekungejwayelekile, umhlinzeki wakho angadinga izivivinyo eziningi ukuqinisekisa noma ukukhipha ukuxilongwa okuthile. Lezi zivivinyo zingafaka ukuhlolwa kwegazi okuningi kanye / noma i-biopsy yesibindi. I-biopsy inqubo esusa isampula elincane lezicubu zokuhlolwa.

Izinkomba

1. Umtholampilo waseCleveland [Inthanethi]. I-Cleveland (OH): Umtholampilo waseCleveland; c2019. Ukuhlolwa Komsebenzi Wesibindi: Ukubuka konke [kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://my.clevelandclinic.org/health/diagnostics/17662-liver-function-tests
2. Umtholampilo waseCleveland [Inthanethi]. I-Cleveland (OH): Umtholampilo waseCleveland; c2019. Ukuhlolwa Komsebenzi Wesibindi: Imininingwane Yokuhlola [icashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://my.clevelandclinic.org/health/diagnostics/17662-liver-function-tests/test-details
3. Izingane Health from Nemours [Internet]. UJacksonville (FL): INemours Foundation; c1995–2019. Ukuhlolwa Kwegazi: Ukuhlolwa Komsebenzi Wesibindi [kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://kidshealth.org/en/teens/test-liver-function.html
4. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington D.C .; I-American Association for Clinical Chemistry; c2001–2019. I-Biopsy [ibuyekezwe ngo-2017 Jul 10; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/glossary/biopsy
5. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington D.C .; I-American Association for Clinical Chemistry; c2001–2019. I-Lactate Dehydrogenase (LD) [ibuyekezwe ngo-2018 Dec 20; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/lactate-dehydrogenase-ld
6. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington D.C .; I-American Association for Clinical Chemistry; c2001–2019. Iphaneli Yesibindi [ibuyekezwe ngo-2019 Meyi 9; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/liver-panel
7. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. Ukuhlolwa Komsebenzi Wesibindi: Mayelana; I-2019 Jun 13 [icashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/liver-function-tests/about/pac-20394595
8. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2019. Ukuhlolwa Komsebenzi Wesibindi [kubuyekezwe u-May 2017; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/diagnosis-of-liver,-gallbladder,-and-biliary-disorders/liver-function-tests?query=liver%20panel
9. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi [kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
10. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2019. Ukuhlolwa kokusebenza kwesibindi: Ukubuka konke [kuvuselelwe i-2019 Aug 25; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/liver-function-tests
11. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. I-Health Encyclopedia: Iphaneli Yesibindi [icashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=liver_panel
12. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Imininingwane Yezempilo: Iphaneli Yokusebenza Kwesibindi: Ukubuka konke kwesihloko [kubuyekezwe ngo-2018 Juni 25; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/special/liver-function-panel/tr6148.html
13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Imininingwane Yezempilo: Ukuhlolwa Komsebenzi Wesibindi: Ukubuka konke ukuhlolwa [kubuyekezwe ngo-2018 Juni 25; kucashunwe ngo-2019 Aug 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/testdetail/liver-function-tests/hw144350.html#hw144367

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.