http___www.krenizdravo.rtl.hr_zdravlje_simptomi-zdravlje_poviseni-enzimi-jetre_1.xml
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Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site. Information from Your Family Doctor Elevated Liver Enzymes Am Fam Physician. See related article on mildly elevated liver transaminase levels. What are liver enzymes? The liver releases several substances when it is injured. Two of these are enzymes called alanine transaminase (ALT) and aspartate transaminase (AST). What causes elevated ALT and AST levels? There are many causes of mildly elevated ALT and AST levels. About three out of 10 people will have normal levels again if blood tests are repeated in two to four weeks. Medical conditions such as hepatitis (swelling of the liver), nonalcoholic fatty liver disease, the metabolic syndrome, and alcoholic liver disease are the more common causes. Certain medicines can also cause elevated liver enzymes. What are some of the symptoms of elevated ALT and AST levels? People with mild elevations usually do not have any symptoms. What will my doctor do? Your doctor will ask you questions and examine you to try to find out why your enzymes are elevated. He or she may do another blood test to make sure the results weren't wrong. If these tests are also positive, your doctor will do other tests to find out what is causing the problem. How is it treated? Treatment depends on what is causing your liver enzymes to be elevated. If your doctor thinks you have nonalcoholic fatty liver disease or the metabolic syndrome, you will need to watch your diet, stop drinking alcohol, lose weight, and control your cholesterol. What if my liver enzymes stay elevated? If your liver enzymes are still elevated after six months, your doctor may do more blood tests or an ultrasound. He or she also might want you to see another doctor who specializes in the digestive system. This doctor will check for other causes and may also do a liver biopsy. This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. Copyright © 2011 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests. Want to use this article elsewhere? Get Permissions Article Tools CME Quiz Information From Industry AFP Resources Stay Connected
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Povišeni enzimi jetre- uzroci i liječenje Povišeni enzimi jetre mogu ukazivati na upalu ili oštećivanje stanica u jetri. Upaljene ili ozlijeđene stanice u jetri ispuštaju određene količine nekih kemikalija, uključujući i jetrenih enzima u krv. To može dovesti do povišenih jetrenih enzima. Najčešći jetreni enzimi koje nalazimo u krvi su: - Alanin transaminaza (ALT) - Aspartat transaminaza (AST) Povišeni jetreni enzimi mogu biti otkriveni tijekom rutinskog testiranja krvi. U većini slučajeva, razina jetrenih enzima je samo blago i privremeno povišena. Najčešće povišeni enzimi jetre ne signaliziraju kroničan problem jetre. Uzročnici Mnoge bolesti i stanja mogu doprinijeti povišenju jetrenih enzima. Liječnik određuje specifičan uzrok povišenih jetrenih enzima pregledavajući listu lijekova koje konzumirate, simptome koje imate i, u nekim slučajevima, dodatnih dijagnostičkih testova. Češći uzroci povišene jetrene enzime uključuju: - određeni lijekovi na recept, uključujući statin koji se koristi za kontrolu kolesterola - konzumiranje alkohola - otkazivanje srca - Hepatitis - Hepatitis B - Hepatitis C - bezalkoholno masne bolesti jetre - gojaznost - neki bezreceptni lijekovi bolova, uključujući i acetaminofen Ostali uzroci povišenih jetrenih enzima mogu uključivati: - Alkoholni hepatitis (upala jetre uzrokovana konzumiranja alkohola) - Autoimuni hepatitis (upala jetre uzrokovana autoimunim poremećajem) - Celijakija - Ciroza - Citomegalovirus (CMV) infekcije - Dermatomyositis (upalna bolest koja uzrokuje slabost u mišićima i osip na koži) - Epstein-Barr virus - upala žuči (kolecistitis) - srčani napad - Hemokromatoza (previše željeza pohranjena u vašem tijelu) - Hipotireoza - rak jetre - mononukleoza - Mišićna distrofija (nasljedna bolest koja uzrokuje progresivnu slabost mišića) - Pankreatitis (upala gušterače) - Toksični hepatitis (upala jetre uzrokovana lijekovima ili toksinima) - Wilsonova bolest (previše bakra pohranjena u vašem tijelu) Liječenje Ako je test funkcija jetre otkrio povišene jetrene enzime, pitajte svog liječnika o mogućem uzročniku. Ukoliko je potrebno, vaš liječnik će zatražiti dodatne pretrage kako bi se utvrdila i sanirala moguća bolest koja je uzročnik povišenih enzima. - NAJČITANIJI TEKST DANAS: Ublažite bore i podočnjake uz jedinstven spoj organskih ulja i pčelinjih proizvoda Poklanjamo vam besplatne E-mail novosti Vi označite što vas zanima, a mi ćemo se pobrinuti pružiti vam samo korisne informacije.