After receiving the consultation, the doctor gave Xiaolin blood routine, HBV DNA, AFP and B-ultrasound of liver, gallbladder, pancreas and spleen. The results showed that HBV DNA activity and AFP were above100000, and the right liver occupied a huge space.
With years of experience, the director immediately called an expert consultation and suggested that Xiaolin do a magnetic vibration examination. The final result confirmed the doctor's idea that the right posterior lobe is a huge tumor with multiple lesions.
Some patients have normal liver function, but they have liver cancer. The reason for this situation is actually not complicated.
Compared with other organs of the human body, the liver should be the most "strong" organ. Even if only13 of the liver function is normal, it will not affect the normal metabolism of the human body, so some people look healthy, and even the liver function test shows that everything is normal.
There are two reasons for "normal liver function". First of all, when blood tests are conducted, liver cells are healthy, and diseased cells are left out. Another possibility is that there is something wrong with the liver, but the inflammation problem is not prominent during the blood test, which leads to the normal test.
Even in the early and middle stages of liver cancer, cancer cells oppress and invade the surrounding liver tissue, but because transaminase is only slightly increased or normal, the test results may be considered normal.
Some people may think that since there are loopholes in liver function test, what's the use of it? This idea is not accurate either. For healthy people who are not patients with hepatitis B, liver function examination can make people spend less money and understand the overall situation of the liver.
For patients with their own liver diseases, no matter what kind of liver diseases, liver function tests can no longer meet the needs, and more examination data can be obtained by other means.
To sum up, for healthy people, it is enough to do liver function examination at ordinary times; For high-risk groups such as patients with liver disease, we need to pass a variety of tests to understand what liver is more clearly.
In the liver function examination, there are mainly the following indicators:
① transaminase
There are five kinds of enzymes, namely alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, glutamyltranspeptidase and glutamyltransferase.
② protein.
Protein * * * is four items, namely: total protein, albumin, globulin and white ball ratio.
③ Bilirubin
Bilirubin is a kind of bile pigment, the main pigment in bile, including total bilirubin, direct bilirubin and indirect bilirubin. Red blood cells will release hemoglobin when they age. Heme in hemoglobin is metabolized into indirect bilirubin insoluble in water in the body, and indirect bilirubin forms direct bilirubin soluble in water through the liver, and then is excreted with urine through the kidney. Total bilirubin is the sum of direct bilirubin and indirect bilirubin.
Bilirubin is an important index of liver function and the main basis for judging jaundice, which is helpful for the diagnosis of hepatobiliary diseases and blood diseases.
The reference range of total bilirubin is 3.4 17. 1μmol/L, the reference range of direct bilirubin is 0.6.8 μ mol/L, and the reference range of indirect bilirubin is1.710.2 μ mol/l.
The values of liver examination and liver function can still reflect the overall situation of the liver within a certain range. Clinically, the slight increase of transaminase is not significant, but if bilirubin and protein standards are abnormal, further examination is needed to rule out the possibility of liver disease.
# Diary of Healthy Life ##39 Healthy Super Group #
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