Physical examination questions AST11, ALT5, ratio 2 2, is it normal, 25 years old 5

AST in medicine Aspartate aminotransferase The English abbreviation AST is a type of liver function. The normal value of aspartate aminotransferase is 10 40 L, and when the alanine aminotransferase (ALT) is significantly elevated, and the ratio of alanine aminotransferase (AST) to alanine (ALT) is 1, it indicates liver parenchymal damage.

ALT, a type of liver function test, is "alanine aminotransferase", formerly known as "GPT" The normal reference value of alanine aminotransferase is 0 40u L, congratulations on these two indicators of your liver are normal.

Alanine aminotransferase ALT and AST are mainly distributed in the hepatocytes of the liver. ALT and AST are elevated during hepatocyte necrosis. The degree of elevation is consistent with the degree of hepatocyte damage and is therefore the most commonly used indicator of liver function.

The distribution of these two enzymes within liver cells is different. ALT is mainly distributed in the hepatocytoplasm, and AST is mainly distributed in the hepatocytoplasm and mitochondria of hepatocytes. Thus, the degree of ALT and AST elevation and the ratio of AST ALT are not the same in different types of patients with hepatitis.

Acute hepatitis and chronic hepatitis and mild, although there is hepatocyte damage, the mitochondria of hepatocytes remain intact, so only ALT present in the hepatocytoplasm is released into the blood, so the liver function is mainly manifested by an increase in ALT, then the ratio of AST ALT 1. In moderate and severe cases of severe hepatitis and chronic hepatitis, the mitochondria of hepatocytes are also severely damaged, and AST is released from the mitochondria and cytoplasm, thus exhibiting AST ALT 1. In patients with cirrhosis and liver cancer, the degree of destruction of liver cells is more severe, and the mitochondria are also severely damaged, therefore, AST is significantly elevated, AST ALT 1, or even 2.

In patients with ALD, AST activity is also often greater than that of ALT. However, due to a large number of hepatocytes necrosis, the number of normal hepatocytes is small, the production and release of aminotransferases are low, and serum bilirubin is significantly increased"Chole-enzyme separation"The phenomenon suggests that it is dangerous.

It's fine if it doesn't exceed the normal value, but if it doesn't, it doesn't matter if the ratio is not exceeded.

Hello landlord. 1 The results of the two-and-a-half examination indicate that the fluid has been infected with hepatitis B virus.

2 The function of the hepatic poor body is normal, and the simple analysis is currently a hepatitis B carrier, and there is no need for ** for the time being.

3 The condition is closely related to liver function, and it is recommended to regularly check liver function and monitor the condition based on the results of liver function tests.

4. It is recommended to strictly abstain from alcohol and smoking, avoid overwork, avoid staying up late for a long time, eat a light, nutritious and comprehensive diet, eat three meals regularly, and avoid long-term high-fat and high-sugar diets.

If you pose your ast

Alt are all within the normal shirt book circle range or collapse, AST

The alt ratio is not indicative and should not be left alone.

Disease analysis: Hello, generally in the laboratory liver function, the ratio of aspartate aminotransferase and alanine aminotransferase is a little high, then whether the hole is of clinical significance depends on whether the two enzymes of alanine aminotransferase and alanine aminotransferase are normal.

Suggestions: If alanine aminotransferase and aspartate aminotransferase are normal during the liver function test, then their ratio is a bit high, which is not clinically significant.

Analysis:

Suggestions:"What to do if the aminotransferases are high, don't be too nervous, don't worry about having serious liver disease, but you must also pay enough attention, rest well, and accept regular re-examination and ** in time. A single high aminotransferase is not a disease.

What to do if the aminotransferases are high That is, if all other indicators are normal, the problem of "high aminotransferases" should be ignored. It is not uncommon for aminotransferase levels to temporarily exceed the normal range in healthy people. Like what; Strenuous exercise, exertion, irritability or greasy food, smoking, drinking, and taking drugs can all cause transaminases to be temporarily high.

For example, if you don't exercise and walk a little longer before the check-up, the aminotransferases may also be higher than the normal range. It is recommended to go to the hospital to check for other liver lesions. "

Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) are enzymes needed in the body to convert sugars and proteins into each other.

An AST ALT ratio of 1 in liver disease is often indicative of milder liver damage, while an AST ALT ratio of 1 is associated with more severe liver damage. However, alcohol is particularly damaging to mitochondria, with the exception of an AST ALT ratio of 1 in more than 90 cases of acute alcoholic hepatitis.

Abnormal serum aminotransferases do not necessarily mean viral hepatitis. For example, aminotransferases can be elevated in liver diseases caused by toxic hepatitis, liver tuberculosis, liver abscess, fatty liver and other causes, as well as biliary tract infections (cholecystitis, capillary cholangitis, etc.), cholelithiasis, pancreatitis, infectious mononucleosis, myocarditis, hyperthyroidism, diabetes and other extrahepatic diseases. In other physiological cases, aminotransferases may be mildly elevated temporarily.

Such as strenuous exercise, overnight overtime, excessive emotional stress, pregnancy, etc.

At present, serum aminotransferases are one of the main means for diagnosing viral hepatitis, but they need to be complementary to other liver function tests to better reflect the actual function of the liver.

alt ；

If the above items above AST are high, it means that there is liver cell damage, which is common in various acute and chronic hepatitis, but the specific cause needs to be investigated!

It is recommended to recheck liver function, liver enzyme spectrum, hepatobiliary color ultrasound, hepatitis B five, hepatitis C and other items.

I like to eat meat dishes, I don't eat much vegetables, this habit is not good, I should try to change it at present, I should pay attention to rest, don't stay up late, quit smoking and drinking, eat less greasy fried meat and fatty food, and eat more vegetables and fruits.

You should see a hepatology or infectious disease specialist as soon as possible.

Most of them are fatty liver, and the reasons you have already said: improper diet, eating before bedtime, and abdominal obesity. If hepatitis is not completely ruled out, you can check hepatitis B two halves and hepatobiliary ultrasound.

Look at your results somewhat like fatty liver. The landlord is still **! Keep your mouth shut, open your legs, and exercise more, after all, you're only 25 years old!