{"id":3420,"date":"2024-03-27T19:00:09","date_gmt":"2024-03-27T12:00:09","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=3420"},"modified":"2024-09-13T23:18:51","modified_gmt":"2024-09-13T16:18:51","slug":"lam-sao-de-phan-biet-tang-ast-va-alt-la-do-benh-gan-hay-benh-tim","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/lam-sao-de-phan-biet-tang-ast-va-alt-la-do-benh-gan-hay-benh-tim\/","title":{"rendered":"L\u00e0m sao \u0111\u1ec3 ph\u00e2n bi\u1ec7t t\u0103ng AST v\u00e0 ALT l\u00e0 do b\u1ec7nh gan hay b\u1ec7nh tim ?"},"content":{"rendered":"

L\u00e0m sao \u0111\u1ec3 ph\u00e2n bi\u1ec7t t\u0103<\/em><\/strong>ng AST v\u00e0 ALT l\u00e0 do b\u1ec7nh gan hay b\u1ec7nh tim ?<\/em><\/strong><\/p>\n

1. Tr\u01b0\u1edbc ti\u00ean c\u1ea7n t\u00ecm hi\u1ec3u AST v\u00e0 ALT l\u00e0 g\u00ec ?<\/em>
\n– Enzyme ALT (alanine transaminase) \u0111\u01b0\u1ee3c th\u1ea5y ch\u1ee7 y\u1ebfu \u1edf gan, c\u00f3 ch\u1ee7 y\u1ebfu \u1edf b\u00e0o t\u01b0\u01a1ng c\u1ee7a t\u1ebf b\u00e0o gan
\n– Enzym AST (aspartate transaminase) ch\u1eb3ng nh\u1eefng \u0111\u01b0\u1ee3c th\u1ea5y \u1edf gan m\u00e0 c\u00f2n \u0111\u01b0\u1ee3c th\u1ea5y \u1edf c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 c\u01a1, tim, th\u1eadn, n\u00e3o, h\u1ed3ng c\u1ea7u, \u2026 AST c\u00f3 c\u1ea3 \u1edf trong b\u00e0o t\u01b0\u01a1ng (20%) v\u00e0 \u1edf trong c\u00e1c ty th\u1ec3 (80%) c\u1ee7a t\u1ebf b\u00e0o gan
\n– C\u1ea3 hai enzyme n\u00e0y \u0111\u1ec1u c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c g\u1eafn k\u1ebft gi\u1eefa chuy\u1ec3n h\u00f3a carbohydrate v\u00e0 acid amin \u1edf c\u00e1c t\u1ebf b\u00e0o, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf gan v\u00e0 c\u01a1.
\n– N\u1ed3ng \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng c\u1ee7a AST v\u00e0 ALT l\u00e0 \u0111\u1ec1u l\u00e0 <40 UI\/L,
\n\"\ud83d\udccd\"<\/span>AST v\u00e0 ALT th\u01b0\u1eddng t\u0103ng trong :
\n\u2022 B\u1ec7nh l\u00fd: C\u00e1c b\u1ec7nh l\u00fd v\u1ec1 gan (nh\u01b0 x\u01a1 gan, vi\u00eam gan). Khi m\u1eafc c\u00e1c b\u1ec7nh l\u00fd n\u00e0y, t\u1ebf b\u00e0o gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng\u2192 gi\u1ea3i ph\u00f3ng c\u00e1c enzyme tr\u00ean v\u00e0o m\u00e1u -> t\u0103ng n\u1ed3ng \u0111\u1ed9 AST v\u00e0 ALT
\n\u2022 Thu\u1ed1c: M\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0 thu\u1ed1c h\u1ea1 s\u1ed1t gi\u1ea3m \u0111au (paracetamol), thu\u1ed1c ch\u1ed1ng lao (rifampicin, isoniazid), thu\u1ed1c h\u1ea1 m\u1ee1 m\u00e1u (statin) c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng gan \u2192 t\u0103ng AST v\u00e0 ALT.
\nAST v\u00e0 ALT c\u0169ng t\u0103ng cao trong b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim. Nh\u1ed3i m\u00e1u c\u01a1 tim x\u1ea3y ra khi \u0111m v\u00e0nh b\u1ecb t\u1eafc ngh\u1ebdn (m\u1ea3ng x\u01a1 v\u1eefa or huy\u1ebft kh\u1ed1i)-> thi\u1ebfu oxy cung c\u1ea5p cho c\u01a1 tim-> nh\u1ed3i m\u00e1u-> ho\u1ea1i t\u1eed-> gi\u1ea3i ph\u00f3ng c\u00e1c enzym n\u00e0y v\u00e0o m\u00e1u-> n\u1ed3ng \u0111\u1ed9 AST v\u00e0 ALT t\u0103ng cao. Do \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 m\u1ed9t s\u1ed1 ch\u1ea5t sinh h\u00f3a kh\u00e1c h\u1eefu \u00edch h\u01a1n n\u00ean 2 enzym n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n

\"\ud83d\udccd\"<\/span>C\u00e1ch \u0111\u1ec3 ph\u00e2n bi\u1ec7t t\u0103ng AST v\u00e0 ALT l\u00e0 do b\u1ec7nh gan hay b\u1ec7nh tim b\u1eb1ng c\u00e1ch kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c.
\n– N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n v\u00e0ng da, c\u1ed5 tr\u01b0\u1edbng, ch\u00e1n \u0103n + t\u0103ng bilirubin + k\u1ebft qu\u1ea3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 kh\u00f4ng h\u01b0\u1edbng t\u1edbi nh\u1ed3i m\u00e1u c\u01a1 tim \u2192 nguy\u00ean nh\u00e2n l\u00e0 do gan.
\n– M\u1eb7t kh\u00e1c, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au ng\u1ef1c, kh\u00f4ng c\u00f3 v\u00e0ng da, c\u1ed5 tr\u01b0\u1edbng + b\u1ea5t th\u01b0\u1eddng tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u2192 nguy\u00ean nh\u00e2n l\u00e0 do tim.<\/p>\n

\"\"
\nNgu\u1ed3n n\u1ed9i dung: Nguy\u1ec5n V\u0103n Nam.<\/em><\/strong>
\nNgu\u1ed3n \u1ea3nh: Ogatea<\/em><\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e0m sao \u0111\u1ec3 ph\u00e2n bi\u1ec7t t\u0103ng AST v\u00e0 ALT l\u00e0 do b\u1ec7nh gan hay b\u1ec7nh tim ? 1. Tr\u01b0\u1edbc ti\u00ean c\u1ea7n t\u00ecm hi\u1ec3u AST v\u00e0 ALT l\u00e0 g\u00ec ? – Enzyme ALT (alanine transaminase) \u0111\u01b0\u1ee3c th\u1ea5y ch\u1ee7 y\u1ebfu \u1edf gan, c\u00f3 ch\u1ee7 y\u1ebfu \u1edf b\u00e0o t\u01b0\u01a1ng c\u1ee7a t\u1ebf b\u00e0o gan – Enzym AST (aspartate transaminase) …<\/p>\n","protected":false},"author":32,"featured_media":3421,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[138],"tags":[],"class_list":["post-3420","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3420","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=3420"}],"version-history":[{"count":3,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3420\/revisions"}],"predecessor-version":[{"id":4404,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3420\/revisions\/4404"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3421"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3420"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3420"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}