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໇ ໆ າ .

ຌກສືກສາແພຈຎີ ຋ໆ ີ 5
ຂຽຌໂຈງ: ຋ ສຸ ກຬຸ ຈຬຌ ເຌຄຢ ຎີ 2012-2013

Transferase

ກໆ ຽວກຍ alanine aminotransferase ແລະ aspartate amonotransferase ແມໆ ຌຉ຺ວກະຉຸ ຌຎະຉິກ ິ


ລິງາເຆີໆຄອູ ໇ກຌວໆາ : Transaminase ຋ີໆເຂ຺າອວ
໇ ໆ ມກາຌ metabolism ຂຬຄ protein ຎະຉິກລ
ິ ງ ໇ ໆ າ:
ິ າຌິແມໆ ຌເຬີຌວ
transamination ເຆີໆຄຎະຉິກລ
ິ ງ ໇ ຌມີກາຌສ຺ໆຄ amino acid group ຅າກ amino acid ໄຎຫາ alpha-
ິ າຌີແມໆ
keto acid ແລະ ກະຉຸ ໇ຌກາຌສ຺ໆຄ amino acid ຅າກ keto acid ໄຎເຎຌ amino acid

Transaminase alanine aminotransferase

aspartate amonotransferase

Transaminase ຅ະສຸ ຄເມືຬ຅ຸລຄມີກາຌຊືກ຋າລາງ ແລ໇ວ຅ະເອຈໃຫ໇ຉວ ໇


຺ ກະຉຸ ຌ໇ ຌີຬຬກ຅າກ຅ຸ
ລຄຫລາງ

Aspirate aminotransferase (AST) ຫລື (SGOT) ສຸ ຄສໆວຌຫລາງແມໆ ຌ Myocardiac


infarction
alanine aminotransferase (ALT) ຫລື (SGPT) ສຸ ຄສໆວຌຫລາງແມໆ ຌພະງາຈຉຍ

Amino acid + alpha-ketoacid glutamate + pyruvate

ຉ຺ວກະຉຸ ຌ໇ (transaminase)

ກາຌຉີລາ຃າຏ຺ຌວິເ຃າະ

຃ໆາຎ຺ກະຉິ
ເພຈງີຄ: 7–30 U/L (0.12–0.50 μkat/L SI units)
ເພຈຆາງ: 10–55 U/L (0.17–0.91 μkat/L SI units)

ກາຌກວຈ ກາຌຎະເມີຌ ALT ຅ະອໆວມກຍ AST ແມໆ ຌ຅ະກວຈຫຌ ໇າ຋ີໆຂຬຄຉຍ. ຎ຺ກະຉິແລ໇ວ຅ະມີຬຈ ຉາສໆວຌ 1:1

ຊ໇າ AST > ALT ແມໆ ຌພ຺ຍໃຌ Hepatitis ຅າກ ເຫລ຺າ໇ (alcohol-induced hepatitis), cirrhosis
ແລະmetastatic cancer ຂຬຄຉຍ

ຊ໇າ AST < ALT ແມໆ ຌ຅ະເຫຌ຅າກ ກາຌຆືມເຆືຬ໇ virus, ຢາ(drug-induced hepatitis), hepatic
obstruction due to causes other than malignancy
໇ ໆ າ . ຌກສືກສາແພຈຎີ ຋ໆ ີ 5
ຂຽຌໂຈງ: ຋ ສຸ ກຬຸ ຈຬຌ ເຌຄຢ ຎີ 2012-2013

ສາງເຫຈ຋ີໆເຎຌໄຎໄຈ໇ຂຬຄກາຌຏີຈຎ຺ ກະຉິຂຬຄenzyme
ກລະຌີມກ ີ າຌເພີໆມຂືຌ໇
Biliary obstruction
Bone metastases
Cholestasis
Cirrhosis
Congestive heart failure
Eclampsia
Hepatic ischemia
Hepatic necrosis
Hepatitis
Infectious mononucleosis
Liver cancer
Muscle inflammation
Obesity
Pancreatitis
Pulmonary infarction
Reye’s syndrome
Shock
Trauma

ຎຈໃ຅ຉໆ າຄ໅຋ີໆພາໃຫ໇ມກ
ີ າຌຏິຈຎ຺ ກະຉິ
ກາຌເກຍຉ຺ວຢໆາຄຍໆ ຊືກເອຈໃຫ໇ເມຈເລືຬຈແຉກ
ຢາ຋ີໆພາໃຫ໇ມກ
ີ າຌເພີໆມຂືຌຂຬຄ
໇ ALT ເຆໆ ຌ: ACE-inhibitors, acetaminophen, anticonvulsants,
antibiotics, antipsychotics, benzodiazepines, estrogens, ferrous sulfate, heparin,
interferons, lipid-lowering agents, NSAIDs, salicylates,thiazides. ກາຌເພີໆມຂືຌຂຬຄ


enzyme ແມໆ ຌ຅ະມາ຅າກກາຌໃຆ໇ຢາຬີກເຆໆ ຌ: ຢາ statin ຢາຌີ຅ະພາໃຫ໇ enzyme ຂືຌ໇ 6 ຫາ 12 ຬາ຋ິຈ

ຂຈ຅າກ: LAB interpretation by Jonh willium 2008

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