What is the meaning in which liver function checks at the time of liver cirrhosis? 's symptom
Check the diagnosis of liver cirrhosis and treat, all have important meanings in liver function. Check the project of commonly used liver function to introduce as follows now. (1)Serum GPT (ALT) : ALT is the most abundant in the liver in the tissue, the hepatocyte that any reason causes can make serum inner ALT rise to damage, measure the hepatocyte most sensitive index. ALT rises and mainly sees acute one and activity one at various hepatitis, ALT can rise at the time of hepatitis activity damaged in liver cirrhosis progress or with the hepatocyte. But must get rid of diseases such as various gallbladder departments, pancreas, myocarditis, big leaf pneumonia,etc.. (2)Transaminase of millet straw (AST) : Contain transaminase of millet straw in the hepatocyte too, when the hepatocyte is damaged, AST can rise, but not so sensitive as ALT, as hepatocyte serious necrosis, AST vigor higher than ALT. Without heart illness (such as myocardium infarction) , AST and ALT rise at the same time, announces the hepatocyte is damaged. (3)Serum bilirubin is determined: Serum bilirubin does not reflect whether there is cirrhosis, but can brief on the properties of jaundice. Liver, at the cellulous jaundice, direct bilirubin and indirect bilirubin increases in the blood, rely mainly on the fact that indirect bilirubin increases. (4)Albumin of blood is determined: The albumen supersession is the important behaviour that the liver compensates ability, it is the reflection after chronic disease of the liver is damaged. At the time of liver cirrhosis formate albumin often reduce,is it white in in blood /reduce even invert globulin ratio, the lower the ratio is, prove it is the worse that the liver compensates ability. (5)The electric swimming of albumen: The electric swimming of albumen increases, briefs on chronic hepatopathy - globulin proportion. After hepatitis when liver cirrhosis is lost, compensated, it is the most prominent that - globulin increases. (6)The time determination of thrombinogen: When liver essence cells are damaged, synthetic many kinds of blood coagulation factors of liver can be reduced. When liver function is severed, thrombinogen time determine one comparatively sensitive index, the time of thrombinogen lengthens in the later period of liver cirrhosis. (7)Alkaline phosphatase (AKP) : There is no specificity in liver cirrhosis, when present more tumours in obstructive jaundice, primary bile liver cirrhosis and liver. (8) - ext. peptide enzyme: Rise more obviously in silt gallbladder type hepatitis, chronic active hepatitis, going on liver cirrhosis and primary hepatocarcinoma. (9)Immunoglobulin (Ig) is determined: Increase to see more with IgG and IgA, increase as the main fact with IgG more in liver cirrhosis after hepatitis. IgM increases at the time of primary bile liver cirrhosis, IgA increases commonly when alcohol hepatitis is hardened.
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