Liver function test is one of the common liver tests in life, timely understanding of the liver function test items for hepatitis B patients to analyze the condition of a lot of help, but the reality is that many people are not clear, in response to this problem, the following listen to Jinan TCM Liver Disease Hospital experts is how to say. Experts pointed out that there are many indicators of liver function tests, mainly reflecting the indicators of hepatocellular damage, reflecting the indicators of liver synthesis and storage function, reflecting the serum markers of liver tumors, and reflecting the indicators of liver secretion and excretion function. I. Indicators reflecting hepatocyte injury: glutamic transaminase ALT (GPT), glutamic transaminase AST (GOT), alkaline phosphatase (ALP), γ-glutamyl transpeptidase (γ-GT or GGT) and so on. B. Indicators reflecting the secretion and excretion function of the liver: total bilirubin (TBil) and direct bilirubin (DBil). Indicators reflecting liver synthesis and storage function: total protein (TP), albumin (ALB), immunoglobulin G, prothrombin time (PT). Indicators reflecting liver fibrosis and cirrhosis: chronic hepatitis and cirrhosis patients' albumin production decreases while globulin production increases, resulting in inversion of A/G ratio; chronic hepatitis B patients with long-term inversion of white globulin ratio are on the alert for signs of cirrhosis; albumin level reflects the number of normal hepatocytes to a certain extent; if albumin value gradually decreases during the course of the disease, it indicates a more serious condition with a poor prognosis. Fifth, reflecting the serum markers of liver tumor: among the liver function test items, alpha-fetoprotein (AFP) is a biochemical test index used to diagnose primary liver cancer, and at this time, the treatment of high alpha-fetoprotein is something we all should pay attention to. Experts remind that liver function test is an important indicator used to reflect whether the liver is healthy, but also to determine whether the condition of hepatitis B patients is deteriorating, hepatitis B treatment is an important criterion, so be sure to choose a regular professional hospital to carry out the examination! Jinan Chinese Medicine Liver Disease Hospital is a national key liver disease specialist hospital integrating medical treatment, prevention and scientific research, and has advanced liver disease diagnostic and treatment equipment, which can effectively avoid misdiagnosis, misdiagnosis and over-treatment caused by improper examination, and has been designated as a designated unit of municipal medical insurance, so the general public is welcome to come to the hospital to have their liver disease examined, diagnosed and treated. In addition, Jinan TCM Liver Disease Hospital adopts bio-immunotherapy, super-oxygen autologous blood activation therapy to treat liver disease, and at the same time carries forward the advantages of 5,000 years of traditional Chinese medicine, using 76 identification of corrective and restorative therapies to carry out the characteristic conditioning, specializing in the treatment of Hepatitis B triple yang, Hepatitis B triple yang, cirrhosis of the liver, ascites, viral hepatitis, etc, and getting the majority of the patients with liver disease trust.
What are the main liver function test items
The liver has a vital role for the human body, the protection of the liver is also necessary, regular and good checkups are an effective means of protecting the liver, then? According to different functions, liver function test items can be divided into many kinds. Common liver function test items include bilirubin, transaminase and other indicators. Liver function test items I, liver excretion function: bromosulfophthalein sodium (BsP) excretion test and indocyanine green (ICG) excretion test are more commonly used. Liver function test items two, protein metabolism function: serum total protein and albumin, globulin, prealbumin, protein electrophoresis, prothrombin time, alpha-fetoprotein (AFP) determination; Liver function test items three, lipid metabolism function: serum total cholesterol, serum triglycerides, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoproteins, apo-, Apo-, Apo-p, Lipoproteins, Lipoproteins determination Liver function tests: serum iron, transferrin and ferritin, and serum copper. Liver function test item V. Hormone metabolism function: plasma estrogen (E2) and testosterone determination, urinary 17-keto steroid determination and urinary 17-hydroxysteroid determination. Liver function test items VI, bilirubin metabolism function: serum bilirubin quantitative test, direct bilirubin, indirect bilirubin determination, urine bilirubin qualitative test, urinary urobilinogen determination; Liver function test items VII, bile acid metabolism function: enzyme biochemistry to determine the total serum bile acid and radioimmunoassay to determine the bound bile acid; Liver function test items VIII, interstitial metabolism function: hyaluronic acid, laminin, fibrin, collagen type IV, collagen type IV, collagen type IV. Liver function tests: hyaluronic acid, laminin, fibronectin, type IV collagen and fragments, type III collagen N-terminal pre-peptide, type I collagen C-terminal pre-peptide, type I collagen C-terminal tail peptide, collagen cleavage products and hydroxyproline, etc.; Liver function tests: serum enzymes related to liver injury: 1. Enzyme tests reflecting hepatocellular damage: serum aminotransferase activity, the most commonly used ones are alanine aminotransferase or glutamic acid aminotransferase; 2, Serum lactate dehydrogenase activity measurement: reflecting biliary obstruction enzyme test, serum alkaline phosphatase and r-glutamyl transpeptidase measurement. 3, Other enzymes: r-glutamyl transpeptidase related to chronic and alcoholic hepatitis and tumors, and monoamine oxidase related to hepatic fibrosis activity.
What are the liver function tests
Glutamyltransferase, glutamate transaminase, total protein, albumin, globulin, albumin/globulin, and total bilirubin, etc., Xinko Liver Disease, free screening
What are the items included in the liver function tests
? Because of the diverse functions of the liver, there are many ways to check liver function, only often heard of aminotransferases, bilirubin, albumin and many other indicators, so in the end? The following we come to see Changsha Fangtai Liver Disease Hospital expert Zhu Shunxiang professor's specific introduction. Professor Zhu Shunxiang pointed out that the liver function test is through a variety of biochemical test methods to detect and liver function metabolism related indicators to reflect the basic condition of liver function, what? (1) The indicators reflecting liver fibrosis mainly include type III pre-collagen (PIIIP), type IV collagen (C-IV), hyaluronic acid (HA), laminin (LN) and so on, which can assist in the diagnosis of liver fibrosis and early cirrhosis. (2) The indicators reflecting liver parenchymal damage mainly include alanine aminotransferase (ALT), aspartate aminotransferase (AST) and so on, of which ALT is the most commonly used sensitive indicator, when 1% of liver cells are necrotic, the level of serum ALT can be elevated by a factor of 1. Continuous elevation of AST, with the value exceeding that of ALT is often indicative of severe liver parenchymal damage, and is a sign of aggravation of the degree of chronicity. (3) Reflect the bilirubin metabolism and cholestasis indicators mainly include total bilirubin (TBil), direct and indirect bilirubin, urobilirubin, urobilinogen, blood bile acid (TBA), γ-glutamyl transpeptidase (γ-GT) and alkaline phosphatase (ALP). When hepatocyte degeneration and necrosis, bilirubin metabolism disorder or intrahepatic cholestasis, the above indexes can be elevated. In hemolytic jaundice, indirect bilirubin can be elevated. >>>>Recommended reading: what is the normal index of liver function (4) reflecting the liver synthesis function of the indicators mainly include albumin, prealbumin, cholinesterase and prothrombin time and activity, etc., long-term albumin, cholinesterase lower, prothrombin activity decreased, supplementation of vitamin K can not be corrected, indicating that the gradual reduction of normal hepatocytes, liver cells synthesize protein, Poor function of coagulation factors, diminished liver reserve function and poor prognosis. The above are the most routine liver function tests, but not every test should be done, patients with liver disease can choose some liver function tests according to their condition and doctor's suggestion, and review them regularly for dynamic observation, which can reflect whether the treatment is effective or not to a certain extent. For example, when the condition of acute hepatitis improves, ALT will return to normal; if ALT fluctuates for a long time or continues to rise, it suggests that hepatitis B has a tendency to slow down. Liver function test precautions 1. Liver function test must be fasting before checking the liver function to go to the hospital in the morning to draw blood, so before the test need to fasting, do not eat, forbid breakfast, so as not to affect the results of the liver function. 2. Before the liver function test, pay attention to rest, ensure sleep, do not do strenuous exercise, and do not drink alcohol. Because strenuous exercise and drinking alcohol will affect the normal value of aminotransferases.3. In the liver function test before some drugs can not be taken, such as taking vitamin D, adiponectin and other drugs will affect the jaundice index of the measurement; taking opiate-containing drugs can lead to increased aminotransferases and affect the accuracy of the liver function test.
What are the items included in the routine liver function test
Liver function test is not everything, it has some limitations. First of all, the degree of sensitivity of liver function tests has a certain limit, and the liver compensatory reserve capacity is very strong, there is a strong regenerative capacity and compensatory function, when the lesion scope is not large, and time is long, the liver function test may not not check the abnormal performance. Therefore, even if the results of liver function tests are normal, it does not mean that there is no lesion in the liver, and a more comprehensive physical examination and screening must be carried out. In addition, some indicators in liver function tests lack specificity, so abnormal liver function is not necessarily liver disease. In addition, serum enzyme activity is a very important criterion, but it does not reflect liver function; the enzyme index is only an estimate of liver cell integrity. Therefore, checking liver function is only a general means to judge liver injury. On the basis of liver function examination, a variety of physical examination programs such as abdominal ultrasound, liver ultrasound, liver cancer screening, carcinoembryonic antigen and other physical examination programs are comprehensively carried out in order to find out the exact degree of liver injury and to understand the root cause of liver injury, so as to improve the scientific basis for the liver health care and treatment in the later stage. General examination, blood collection, routine blood, routine urine, 11 items of liver function, 3 items of kidney function, 2 items of blood lipid, fasting glucose, 2 items of cardiac enzymes, 2 items of tumors, internal medicine, men's surgery, ophthalmology examination, non-contact intraocular pressure, ear, nose and throat, oral cavity, abdominal ultrasound, pelvic ultrasound, thorax orthopnea, lung function, bone density, cervical vertebrae ortho-lateral position.
What are the routine liver function tests?
Hepatitis B five and liver function are two important indicators for determining whether you have hepatitis B or not. However, many people know more about the hepatitis B five, but they are really confused about the liver function test. What are the routine liver function test items? The following hospital liver disease experts to explain. Liver function test is an important index to correctly reflect liver function, and liver function is also an important standard to determine whether the condition of hepatitis B patients is deteriorating and whether hepatitis B treatment is carried out. So what are the liver function test items? Hepatitis B patients should check their liver function to determine whether and how to treat if there is a problem with the hepatitis B five items. This is an important test indicator that must be based on in the current hepatitis B treatment process. However, many people understand hepatitis B five, liver function test is confused, so what are the routine liver function test items? The check items are the following nine aspects: 1, check the liver excretion function: sodium bromosulfophthalein excretion test and indocyanine green excretion test is more commonly used. 2, check the protein metabolism function: serum protein and albumin, globulin, pre-albumin, protein electrophoresis, prothrombin time, alpha-fetoprotein determination. 3, check the lipid metabolism function: serum cholesterol, serum triglyceride, degree of lipoprotein cholesterol, LDL cholesterol, apo cholesterol, LDL cholesterol, LDL cholesterol. Lipoprotein cholesterol, apolipoprotein, apolipoproteins, apolipoproteins, lipoproteins determination. 4, check the function of mineral metabolism: serum iron, transferrin and ferritin and serum copper determination. 5, check the function of hormone metabolism: plasma estrogen, testosterone determination, urinary 17-ketosteroids determination, urinary 17-hydroxysteroids determination. 6, check the function of bilirubin metabolism: serum bilirubin quantitative test, direct bilirubin Bilirubin, indirect bilirubin determination, urine bilirubin qualitative test, urinary urobilinogen determination. 7, check bile acid metabolism function: enzyme biochemical method to determine serum bile acid and radioimmunoassay to determine the binding of bile acid. 8, check the metabolic function of the interstitial matrix: hyaluronic acid, laminin, fibronectin, collagen type Ⅳ and fragmentation, collagen type Ⅲ N-terminal pre-peptide, collagen type Ⅰ C-terminal pre-peptide, collagen type Ⅰ C-terminal tail peptide, collagen C-terminal tail peptide, collagen cleavage products and hydroxyproline, etc. 9, liver injury related serum enzyme determination. Hospital liver disease experts remind: go to the hospital to do liver function test must be fasting before, fasting time is generally 8-12 hours, liver function test is generally more appropriate to go in the morning, do not eat breakfast. Liver function test blood test the day before the best do not drink alcohol, eat spicy food. Because the liver function test a number of content measurement value and diet has a great relationship. If you still do not understand the problem of hepatitis B examination or treatment or need experts to help you analyze your condition, experts can consult free of charge, you can get the most specific answer, to help you get rid of liver disease! For the convenience of patients and the general public to better understand the disease-related information, the hospital has opened an expert online consulting service, by the authoritative liver disease experts online for you to answer the liver-related disease problems, such as the need for help, you can consult online or our free expert hotline, they will patiently and carefully answer the many questions in your mind! Thank you very much for your support, I wish you a happy mood! (Editor: Gan Zhuo )