GGTP - chii ichocho? GGTP (kuongorora ropa): chii chakaitwa uye chei?

Mune masero eropa, bile yakaumbwa, iyo inofanirwa kuti kuve kwemafuta kubva pakudya uye kubviswa kwemamwe mishonga. Nzira yekugadzirwa kweB bile inopfuurira, asi inopinda mumatumbo chete kana uchidya kana mushure mekudya. Nguva yose iyo inounganidza mu gallbladder. Chidzidzo chekunyanya kunzwisisika chekutsvaga kwe bile ndiyo GGTP test. Chinyiko ichi kuongorora, ruzivo rwupi runopa uye runoitwa sei? Tichataura pamusoro peizvi munyaya ino.

GGTP: ruzivo rwehuwandu

Mune masero echiropa, pamwe chete nemakumbo e-bile, kune enzyme, iyo iyo inokonzera mamwe maitiro ehupenyu. Inonzi GGTP (gamma-glutamyltranspeptidase) uye inongova mumasero ayo, kana akaparadzwa, kupinda muropa. Sezvo kuvandudza chikamu chemasero inzira yakakwana, kuvapo kwechidiki cheGGTP muropa kunobvumirwa. Zvisinei, apo nhamba yakawanda yemasero inoparadzwa, huwandu hweiyo enzyme inogona kusunungurwa, iyo chiratidzo chekuridza. Izvi zvinoratidza kuvapo kwechirwere chinokonzera chiropa kana kuti bhiariary tract.

Kukosha kwekugadzirisa GGTPs

Kuongororwa kwechiitiko cheGGTP (kuongorora ropa kwekutsanangurira hutano hwe enzyme iyi) kunokosha zvikuru pakuzarura zvinotevera:

• Cholestasis (bile stasis) ;
• Cytolysis (cell destruction);
• Kumhanyira kukura muropa;
• Zvinodhaka kana doro kudhakwa.

Zvakakosha kubhadhara zvakananga kune pfungwa yekupedzisira. Doro nemimwe mishonga inobatsira kugadzirwa kweGGTP. Izvi zvinorevei? Ichokwadi chokuti chiyero che enzyme chinogona kukura zvikuru kunyange musipo kwechiropa chechiropa. Uye izvi zvinoshamisa zvinowanikwa kune vanhu vanoshandisa doro zvisina kufanira kana kutora mamwe marudzi emishonga (somuenzaniso, "Paracetamol" kana "Phenobarbital"). Munyaya iyi, kuedza kweGGTP kunowanzoshandiswa pakurapa doro.

Mukuwedzera, huwandu hwehupenyu hwehuyu enzyme muropa hunotsanangurira zvinangwa zvinotevera:

• Kuti asimbise kusava nechokwadi kwekuvharwa kwebii duct (muhupo hwepamuviri yepancreas kana matombo mu bile ducts);
• Nokuda kwekuongororwa kwe sclerosing cholangitis uye biliary cirrhosis (primary);
• Kuziva kuti chii chinokonzera kuwedzera alkali phosphatase (bone pathology kana chirwere chechiropa);
• Kuchengeta mamiriro uye kubudirira kwekurapa kwemurwere ane GGTP yakakwirira.

Zvinogona kutaurwa pamusoro peGGTP kuti iyi ndiyo enzyme inonyanya kubata zvirwere zvechiropa uye bile ducts. Nhamba yake inomhanya nokukurumidza kudarika alkaline phosphatase, somuenzaniso. Saka, inonyanya kukosha pakuongororwa kwezvirwere, apo dzimwe zviratidzo "dzinonoka" kana dzinoda kusimbiswa.

Basa rekuongorora

Mune zviitiko zvipi varwere vanopiwa chirwere chezvemuviri chekuongorora ropa (GGTP), nevanaani uye inoitwa sei? Nyanzvi inofanirwa kuendeswa kune mibvunzo ine chokuita ne gamma-glutamyltranspeptidase inonzi hepatologist. Kune mamiriyoni mamiriro ezvinhu umo zvakakosha kuzivikanwa nehupenyu hwehuyu enzyme:

1. Pakutanga, muedzo wokutsanangurira huwandu hwee enzyme iyi inokosha mukuzvibata kwekuedza kwechiropa, iyo inoshandiswa kuongorora mabasa emuviri uyu.

2. Mukuvapo kwekutsvaga, kushambidzika, kushaya simba nguva dzose, kurwadziwa kwepamuviri, kuchenesa kweganda, kutsanangurwa kwemasese kana kusviba kwemuti, ne jaundice.

3. Kana doro rinoshungurudzwa kana murwere achibatwa nehutachiona hwehupembenene.

4. Mukati yekuongororwa kwechirongwa chekurapa kana kugadzirira kwekuvhiyiwa.

Izvo zvinotyisa kana ropa rinoshandiswa pakudzidza. Munguva yekushandiswa kwekushongedza uye kuputika kwemuviri, pane zvingave zvisingafadzi zvikuru, izvo chiremba anogara achiyambira mberi. Mukuwedzera, paunenge uchigadzirira kuongororwa, murwere anoudzwa nemitemo yakawanda inokosha. Saka, maawa gumi nemaviri asati sarudzo iwe uchida kumira kudya, uye hafu yenguva isati yasvika-usasvuta, usapinda mumuviri kana mupfungwa. Izvi zvichawana data yakarurama.

Migumisiro yekudzidza uye kukosha kwavo

Somugumisiro wekuedzwa, unogona kuona kuti kukosha kweGGTP kwakakwirira kana kuti kwakasikwa. Imwe haina kupiwa, sezvo iri muropa uye iyo yose enzyme inogona kunge isipo (pakutanga inongova mumasero), kunyange izvi zvichiitika zvisingaiti. Tsanangudzo yeGGTP (yezinga rayo) ndeyotevera:

• Kune vakadzi, iyo inofanirwa kutaridzika inobva ku 0 kusvika ku 32-38 units / l;
• Kune varume, chiyero ichi chakakwirira-kubva pa 0 kusvika ku50-55 maundi / litita.

Iyo inowedzera huwandu hwavo, inorema kukuvadza kwa bile ducts kana chiropa. Ngatitarisei zvikonzero zvinowanzoitika zvekuwedzera huwandu hwee enzyme iyi.

Zvikonzero zvepamusoro yeGGTU

Kana sechikonzero chekudzidza kwakawedzera huwandu hwe enzyme iyi yakaonekwa, zvino munhu anokwanisa kutaura pamusoro pezvakatsauka kubva pachiri. Kuwedzera kweGGTP basa kunogona kuitika nekuda kwekuputsa kwekutevera:

• Mhando dzakasiyana dzezvipembenene zvechiropa uye bile ducts - mechanical jaundice, zvikanda, mabwe kana kuvhara mukati mebi, dumbu, kenza yemuviri kana pancreatic musoro;
• Chirwere chechiropa chechiropa - chimiro chemazuva ano chinoputika chinoshandiswa nekuvhara, sechikonzero chekuita kwechigunha ichi kunokanganiswa;
• Chirwere chechiropa kana mastasti dzakapfuurira kuchiropa nemamota emamwe nhengo;
• Hepatitis (zvose zvakaoma uye zvisingaperi), kusanganisira doro;
• Infectious mononucleosis;
• Kuzvidzivirira zvipembenene zve bile bile ducts zvinotungamirira ku primaire biliary cirrhosis kana sclerosing cholangitis;
• Kurwisa kwakanyanya kwepancreas;
• Metastases muropa pachikonzero chemuzamu, prostate, kenza yemapapu;
• Kutadza kwemoyo uye myocardial infarction (pamwe nekubatanidzwa kwechipiri chechiropa);
• Hyperthyroidism uye chirwere cheshuga mellitus.

Sezvaunogona kuona, kune zvikonzero zvakawanda zvekusimudza huwandu hweGGTP. Imwe nzira kana imwe, dzose dzakabatana nebasa rechiropa. Mukuwedzera, iyi enzyme inowanikwa mune pancreas, spleen, itsvo, prostate (kunyange zvishoma zvishoma). Nokudaro, zvirwere zvezvikamu izvi zvinokanganisa nharaunda yeropa. Zvisinei, kuwedzera kwekuwedzera mumakamuri emagamba-glutamyltranspeptidase mumatambudziko eropa. Zvikonzero zvekudzikisa GGTP zvinogona kuva kuderera kwetachiona basa uye kubhadharwa kwepirhosis.

Mhedziso

Muchikamu ichocho takakurukura enzyme yakakosha seGGTP. Izvozvi uye izvo zvinotsanangurwa nehuwandu hwazvo, zvakaudzwa zvakare. Tadzidza zvingave zvakabatana uye izvo zvinoratidzirwa nekushandurwa muhutano hwayo muropa, uyewo kana kuongororwa kunoitwa kweGGTP uye kuti inoitwa sei. Tinovimba kuti ruzivo rwacho rwakava runobatsira kwauri.