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Platforma pyet mjekun nuk merr përsipër asnjë përgjegjësi ose përgjegjësi për ndonjë gabim ose lëshim në përmbajtjen e kësaj faqeje. Informacioni i përmbajtur në këtë faqe ofrohet mbi bazën \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\"siç është\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\" pa garanci për plotësinë, saktësinë, dobinë ose afatin kohor.
Pershendetje
Doja te dija ne rast e nje pacienti me hapatit b kronik ne analiza rutin shikohet rritje te asl ne 106 dhe te alt ne 67, eshte shenje per prezencen e hepatiti d.
pacienti nuk pin alkol dhe as ilace
Faleminderit
Duhet hyni ne llogarine tuaj ose Regjistrohuni per te shtuar pergjigjen.
Answers ( 3 )
Pershendetje
Rritjet e nivelit te AST dhe ALT Jane njelloj te ngjashme ne rastet e hepatiteve kronike me faza riakutizimi (acarimi).
Per te percaktuar qe ky pacient ka DHE hepatitin D, ne rekomandojme analiza me specifike si anti-HDV IgM dhe IgG, nderkohe qe kerkohet dhe HDV antigjen qe del pozitiv, por Jo ne rastin tend.
Shpresoj tju jem pergjigjur pyetjes suaj. Me shkruani serish nese keni ndonje pyetje tjeter.
Faleminderit per pergjigjen tuaj te shpejt.
Nuk dyshohet ne kete rast HVD pasi vlerat AST/ALT jan me te ngjashme me nje faze reaktivizim te HVB?
Ne analizat rutin 6- mujore parametrat e HVB zakonisht kan qen.:
AST 24; ALT 21 ;UI/ML me luhatje nga 1000-2500
HBeAg Negativ
a-HBc Positiv
a-HBe Positiv
Nuk esht rekomanduar mjekim .
Ne analizat e fundit jo ( check up per hepatitin) dolen parametrat AST 106 ;ALT 67.
Ratio AST/ALT esht me e madhe se 1, tregon activizim, virus akut, fibroz? Ketu dhe dyshimi im per HVD.
Pershendetje,
Ringrintja e vlerave te AST dhe ALT flet per nje ri-akutizim te virusit. Megjithate kjo mbetet vetem ne rast se nuk keni konsumuar alkool e nuk keni mbajtur dieten e duhur. Ne rast se nuk keni konsumuar alkool, atehere kemi nje ri-aktivizim te virusit.
E vetmja qe na ndihmon te percaktojme ne ju duhet mjekim apo jo eshte matje e HBV DNA test. Eshte pak i shtrenjte e nuk behet nga te gjitha laboratoret se mostrat cohen jashte e pergjigja vonon per deri ne 3 jave.
Jua rekomandoj kete test, plus ju rekomandoj te konsultoheni me mjekun infeksionist e te filloni mjekim me Silimarin deri ne marrjen e pergjigjes.
Me shkruani serish nese do keni ndonje pyetje tjeter.
Gjithe te mirat.