Last weekend, Mr. Sun's unit arranged a physical examination for employees, and the liver function column of the physical examination report showed that the alanine aminotransferase was 75U/L, looking at the arrow on the test page.
Mr. Sun looked at the Internet, said that the normal value of the man should be in 5-40U/L, more than that means that the liver has a problem, then his own value is so much, is the liver damage very serious? This made Mr. Sun a little scared.
In fact, Mr. Sun's question is actually the doubt point of many people, what is the relationship between transaminases and the liver? Today I will give you a popular science popularization.
Let's first understand what transaminases are, in fact, it is a general term for some enzymes, the more common ones are glutamate aminotransferase, aspartate aminotransferase, alkaline phosphatase, Y-glutamyl transpeptidase, lactate dehydrogenase 5 kinds, the first two content in the liver the highest.
Generally speaking, they honestly stay in the liver cells, and when the integrity of the liver cells is destroyed, the enzymes will sneak out and enter the bloodstream, and then there will be the 'upward arrow' that Mr. Sun appears at the beginning of the article.
<h1 class="pgc-h-arrow-right" data-track="18" > transaminase is high, indicating liver disease? </h1>
In general, the normal value is 0-40U/L, if you exceed this range, you should beware of abnormal liver function.
However, it should be noted that transaminases are more sensitive and can be affected by a variety of factors, so if it is only a little higher than normal, it does not mean that the liver is in trouble.
Aminotransferase levels are not the only indicator of liver function, but they are sensitive to liver damage. When the liver is damaged, transaminases are released by liver cells into the bloodstream.
At this time, liver function tests will find elevated transaminases, which is of considerable value for the diagnosis of early acute hepatitis or chronic active hepatitis, and can roughly reflect the degree of damage to liver cells. Moreover, transaminases are not only present in the liver, but also in small amounts in cardiomyocytes, kidney cells, muscles and other places.
Therefore, when there is a problem in other parts, resulting in cell damage, it can also lead to a slight increase in transaminases. Diseases such as cholecystitis, myocarditis, pneumonia and other diseases can also cause elevated transaminases.
There are also physiological factors, such as excessive exercise, exertion, menstruation, and one-time heavy drinking, which can also lead to transient increase in transaminases.
Therefore, when we see that the transaminases are high, do not directly equate the level of transaminases with the status of liver function, and if you want to accurately determine whether the liver is healthy, you also need to combine other examination indicators to make a comprehensive judgment.
In general, the indicators to measure the liver are alanine aminotransferase, aspartate aminotransferase, direct bilirubin, indirect bilirubin, total bilirubin, albumin, total protein, total bile acid and other 8 indicators.
If elevated transaminases do occur, further testing can be done to find out what is causing the increase in its value, and then solve the problem.
However, it is also staged, and the general transaminases are between 40-80, mostly mild liver damage; 80-120 is moderate; greater than 120, it is severe liver damage. How to deal with it depends on the specific situation.
<h1 class="pgc-h-arrow-right" data-track="18" > transaminase is high, how to prevent it? </h1>
When the aminotransferase is elevated, liver function may be affected, the liver's metabolic level and detoxification function will also be weakened to a certain extent, and the digestive tract movement will also be affected, and many patients will have nausea, nausea, vomiting, decreased appetite, bloating, and general weakness.
At this time, it still needs to be paid attention to, and the consequences of not being able to do so cannot be underestimated. For example, it is caused by viral intervention, indicating that the liver has appeared inflammation, and accompanied by liver damage, if not resolved as soon as possible, the liver is repeatedly stimulated, it is easy to appear liver fibrosis, and even cirrhosis, liver cancer.
Therefore, it is best to go to the hospital in time to check and confirm the diagnosis, and then actively intervene to restore health correctly and early.
In view of the importance of the liver to human health, so we must usually do a good job of protection, such as diet, we can eat some specific foods to help maintain liver health, while paying attention to avoid some food that hurts the liver.
<h1 class="pgc-h-arrow-right" data-track="18" >· 3 kinds of food to eat less</h1>
Some high-salt diets, especially people with liver disease, eat too much food with high salt content, which can easily lead to water in the abdomen and swelling of hands and feet, so foods like pickled, smoked, and processed foods should be eaten less.
There are also high-fat foods such as fatty meat, fried, roasted, etc., which have a high fat content, eat too much, which is not good for the liver and is easy to increase the burden on the liver. The most important thing is alcohol, heavy drinking is very harmful to the liver, is one of the main factors leading to liver cancer, so to protect the liver, must stay away from alcohol.
<h1 class="pgc-h-arrow-right" data-track="18" >· These foods may wish to eat more</h1>
There are many foods that hurt the liver, and there are many foods that protect the liver, such as oats, and studies have shown that the β-dextran in it seems to help reduce the amount of fat stored in the liver of mice, thereby protecting the liver.
There is also green tea, which helps to reduce the overall fat content and reduce other symptoms of non-alcoholic fatty liver disease. In addition, some plant foods, such as avocados, figs, broccoli, papaya, etc., also have a certain protective effect on the liver.
If you want to protect the liver, you should pay attention to avoid the above foods that hurt the liver, and eat more foods that have the effect of protecting the liver, but pay attention to the fact that it is not a food that has a liver protection effect, so it is not OK, the most important thing is to achieve a balanced diet.
Let's go back to the beginning of the article and mention that there are many causes of elevated transaminases, so if we want to solve it, we must first find out the cause, and then solve the symptoms.
For example, some lifestyles are caused, we must develop good living habits, including staying up less late, trying to ensure more than 8 hours of sleep time a day; do a good job of balanced diet, eat more vegetables and fruits, eat less meat, do not overeat; proper exercise, not only can protect the liver, but also greatly help maintaining physical health.
Second, we want to make a hepatitis B pentath and hepatitis C antibodies to see if there is a hepatitis virus infection. If it is indeed infected, timely treatment can be done, most of the hepatitis C can be cured, hepatitis B needs to decide whether to carry out antiviral therapy according to the situation.
Finally, it is necessary to pay attention to a point, do not rush to take drugs, drugs are mainly decomposed through the liver, if the wrong drug is used, the damage to the liver is also very large, so it is best to take it on time under the guidance of the doctor, so as to solve the problem better and faster.
To a certain extent, the high transaminases still mean that liver function begins to have problems, so at this time we should not be careless, of course, there is no need to worry too much, timely synthesis of other examination items to make a judgment, find out the cause, and then targeted treatment on the line. #Rumor Zero Plan ##39健康超能团 #
Resources:
[1] High aminotransferase indicates that there is something wrong with the liver? Expert: It needs to be determined by combining other projects" People's Daily News.2017-09-20
[2] "Several causes and harms of elevated transaminases, re-treatment for good diseases". Changsha Fangtai Liver Disease Hospital. 2019-12-04
[3] "Elevated transaminases indicate hepatitis?" 》. Yangcheng Evening News.2014-07-23
[4] What does it mean that the "aminotransferase" in the physical examination report is high? What do I need to be aware of? 》. Dr. Li.2020-10-31
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