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ຌກສືກສາແພຈຎີ ໆ ີ 5
ຂຽຌໂຈງ: ສຸ ກຬຸ ຈຬຌ ເຌຄຢ ຎີ 2012-2013
Transferase
aspartate amonotransferase
ຉ຺ວກະຉຸ ຌ (transaminase)
ກາຌຉີລາາຏ຺ຌວິເາະ
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 ຌະກວຈຫຌ າີໆຂຬຄຉຍ. ຎ຺ກະຉິແລວະມີຬຈ ຉາສໆວຌ 1:1
ຊາ AST > ALT ແມໆ ຌພ຺ຍໃຌ Hepatitis າກ ເຫລ຺າ (alcohol-induced hepatitis), cirrhosis
ແລະmetastatic cancer ຂຬຄຉຍ
ຊາ AST < ALT ແມໆ ຌະເຫຌາກ 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
ສາງເຫຈີໆເຎຌໄຎໄຈຂຬຄກາຌຏີຈຎ຺ 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
ຎຈໃຉໆ າຄີໆພາໃຫມກ
ີ າຌຏິຈຎ຺ ກະຉິ
ກາຌເກຍຉ຺ວຢໆາຄຍໆ ຊືກເອຈໃຫເມຈເລືຬຈແຉກ
ຢາີໆພາໃຫມກ
ີ 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 ຌະມາາກກາຌໃຆຢາຬີກເຆໆ ຌ: ຢາ statin ຢາຌີະພາໃຫ enzyme ຂືຌ 6 ຫາ 12 ຬາິຈ