I-SGPT imele i-Serum Glutamic Pyruvic Transaminase enzyme, enye ebizwa ngokuthi i-GPT noma i-ALT enzyme, okuyi-enzyme ekhishwa isibindi. Le enzyme ikhona emisipha, inhliziyo, izinso nesibindi.
Isibindi siyisitho esibalulekile esibhekene nokuqeda izinto ezinobuthi egazini. Kuyasiza futhi ekukhiqizeni ijusi ye-bile equkethe ama-enzyme e-ALT/GPT. Ama-enzyme e-SGPT asebenza ngokudiliza amaprotheni ayinkimbinkimbi abe amandla. Ukuhlolwa kwe-SGPT kungasiza ukuxilonga ukuphazamiseka noma izifo zesibindi ngokulinganisa izinga lama-enzyme e-SGPT akhona kusampula yegazi.
Ukuhlolwa kwe-SGPT kuyinqubo yokuxilonga ye-serological esetshenziselwa ukuhlaziya izinga lama-enzyme e-SGPT akhona kusampula yegazi. Lesi sivivinyo sinikeza imininingwane ku- impilo yesibindi futhi ngokuvamile isetshenziselwa ukuqapha izimo zesibindi. Ayikho imiphumela emibi eyaziwayo ehlotshaniswa nalokhu kuhlolwa. E-India, intengo yokuhlolwa kwegazi ye-SGPT isukela phakathi kwama-Rs. 90 kanye nama-Rs. 180.
Udokotela angase anikeze ukuhlolwa kwe-SGPT ngezizathu ezihlukahlukene, kusukela ekuhloleni ukulimala kwesibindi okusekelwe ezimpawu zomzimba ukuze kuqashwe ukusebenza kokwelashwa kwesifo sesibindi. Isinqumo sokuhlolwa kwe-SGPT senziwa kangcono ngudokotela.

Udokotela angase atuse ukuhlolwa kwegazi kwe-SGPT uma esola ukulimala kwesibindi ngokusekelwe ezimpawini ezifana nalezi:
Ezinye izimpawu ezingase zibonise izifo ezinzima zesibindi zihlanganisa:
Ukuhlolwa kwe-SGPT kungase futhi kunconywe udokotela ngokuhlolwa okujwayelekile kwempilo yesibindi ezimweni lapho isiguli sibhekene nezici ezithile eziyingozi ezandisa amathuba okuba nezifo zesibindi. Lezi zici zobungozi zingafaka:
Ngaphezu kwalokho, ukuhlolwa kwe-SGPT kungase kunconywe udokotela ukuze alandelele ukuqhubeka kokwelashwa kwesibindi ezigulini ezilulama ezifweni zesibindi.
Ukuhlolwa kwe-SGPT kwenziwa ngokuthola isampula yegazi esigulini. I-phlebotomist ivamise ukudonsa igazi emithanjeni bese ilithumela elabhorethri ukuze lihlolwe. Inqubo yokudonsa igazi ithatha cishe imizuzu emi-5 futhi ngokuvamile ayibuhlungu njengokulunywa yintuthwane. Ngokuvamile ayikho imiphumela emibi evela kule nqubo.
A uchwepheshe welebhu ihlaziya isampula yegazi ukuze ihlole izinga le-SGPT. Umbiko wokuhlola ukhiqizwa ngokusekelwe ekuhlaziyweni, okungasiza odokotela ukuthi bahlonze noma bakhiphe izifo zesibindi.
Ukuhlolwa kwegazi kwe-SGPT kusetshenziselwa ngokuyinhloko ukuthola izifo noma ukulimala esibindini sesiguli. Ingase futhi inikeze imininingwane ku- izingozi zezinso, inhliziyo, noma izifo ezithile zeqembu lemisipha noma ukulimala. Odokotela bangase banqume ukuthi lokhu kuhlolwa kwenziwe ngezikhathi ezithile ukuze kuqashwe impilo yesibindi.
Ngokuhlolwa kwe-SGPT, azikho izinyathelo eziqondile okumelwe zithathwe. Ukuzila ukudla kungase kungadingeki lapho unikeza isampula. Noma yiziphi izinyathelo zokuphepha okufanele zithathwe zizophakanyiswa udokotela owelaphayo.
I-Serum Glutamic Pyruvic Transaminase (SGPT) enzyme inobubanzi obujwayelekile obuchaziwe. Izinga le-enzyme ye-SGPT ekhona kusampula yegazi likalwa ngamayunithi ngelitha. Inani eliphakeme kunelijwayelekile le-enzyme ye-SGPT lingabonisa ukulimala kwesibindi noma izifo, ezidinga ukunakekelwa kwezokwelapha ngokushesha.
|
IF. Cha. |
Ibanga (ilitha ngalinye) |
Isimo |
|
1. |
<7 |
ongaphakeme |
|
2. |
7 - 56 |
Normal |
|
3. |
> 56 |
High |
Ibanga elijwayelekile le-SGPT lingahluka kubo bobabili abesilisa nabesifazane. Izinto ezimbalwa zingathonya uhla olujwayelekile lwe-SGPT yegazi, okuhlanganisa:
Kwabesilisa, uhla olujwayelekile lwe-SGPT lungahluka kusuka kumayunithi angama-29 kuye kwangama-33 ilitha, kanti kwabesifazane, amanani ajwayelekile we-SGPT angahluka kusuka ku-19 kuya ku-25 amayunithi ilitha. Kodwa-ke, amazinga e-SGPT afika kumayunithi angama-55-56 ilitha abuye athathwe njengephephile kubo bobabili abesilisa nabesifazane.
I-SGPT isho ukuthi iphezulu noma ingakhombisa izimo zezempilo ezahlukahlukene, okuhlanganisa:
Amazinga aphansi e-SGPT angabonisa ukusebenza kahle kwesibindi kanye nempilo yesibindi iyonke. Kodwa-ke, zingase zitholakale nasezimeni ezifana nokuntuleka kwe-Vitamin B6. Izinto ezivamile nezimo ezingaholela emazingeni aphansi e-SGPT embikweni wokuhlolwa kwegazi we-SGPT zifaka:
Ekuphetheni, ukuhlolwa kwegazi kwe-SGPT kuyindlela yokuxilonga esetshenziselwa ukuhlola impilo yesibindi nokubona izifo noma ukuphazamiseka okuthinta isibindi. I-SGPT iyi-enzyme ehlotshaniswa nomsebenzi wesibindi. Okuphakeme noma okuphansi kunobubanzi obujwayelekile bokuhlolwa kwe-SGPT obunconyiwe kungase kubonise izimo zezokwelapha eziphazamisa ukusebenza kwesibindi.
Izimpendulo. Imiphumela yokuhlolwa kwe-SGPT ikalwa ngamayunithi ilitha ngalinye legazi. Ububanzi bereferensi obunempilo ngokuvamile bunikezwa embikweni wokuhlolwa kwegazi we-SGPT. Ukuhlola amazinga e-enzyme atholakele emiphumeleni kunganikeza ukuqonda ngesimo samazinga e-SGPT egazini. Uma izinga le-enzyme ye-SGPT liwela phakathi kwe-7 kuya ku-56 ilitha ngalinye, kubhekwa njengokujwayelekile, futhi kungase kube khona isizathu sokukhathazeka.
Izimpendulo. Nakuba kungase kungabi khona izimpawu ezisheshayo zamazinga e-SGPT aphakeme, udokotela angase atuse ukuhlolwa okwengeziwe ukuze aqinisekise ukuxilongwa.