谷丙转氨酶降（Glutamic pyruvic transaminase）

谷丙转氨酶降（Glutamic pyruvic transaminase） 谷丙转氨酶降(Glutamic pyruvic transaminase) Glutamic pyruvic transaminase drops below 40 The current clinical curative effect is better, more applications are as follows: the society of Schisandra preparations and preparation of bifendate preparations; Shandougen Ganyanlin needle; licorice extract and preparation of glycyrrhizin and diammonium glycyrrhizinate injection needle; Chuipencao preparation of sarmentosum syrup, hanging tablets; Ligustrum lucidum extract Qi domain acid tablets silymarin; preparation of silymarin and control glue. These drugs mainly promote the regeneration of liver cells and improve the liver detoxification function. Eliminating the accumulation of hepatic fat and improving the metabolic function of the liver, etc., and by reducing the ALT escape from the liver cells and accelerating the removal of ALT from the blood, two ways to achieve the purpose of reducing glutamic pyruvic transaminase. If the individual increase, the possibility of liver disease is less, should consider other reasons, such as transition fatigue, taking certain drugs, etc., need to identify the cause of re treatment. Glutamic pyruvic transaminase on the high side is indeed related to the liver. It has something to do with your father's HBsAb positivity. There is also your fat is also one of the reasons, high blood lipids. In addition, alanine aminotransferase high and many aspects, such as your blood before the day of exercise, drink, sleep late, will lead to high, so it does not matter. However, as high as 150, it should be noted that it is recommended to review it once to prevent fatty liver or other types of hepatitis. GPT in liver, heart, skeletal muscle and kidney cells, organs containing alanine aminotransferase quantity in the liver cells, so whenever liver cell damage, such as liver cell degeneration, necrosis of liver cells, ALT is released into the blood, so that serum alanine transaminase stack increased the most common cause of viral hepatitis in the incubation period of acute period of onset, and latent infection can have elevated serum alanine aminotransferase, and alanine aminotransferase is often single increase in the early diagnosis of viral hepatitis of various types which help. But other causes of liver damage, such as drug-induced hepatitis, fatty liver, liver damage caused by various internal and external toxins, intrahepatic cholestasis, liver abscess and so on, can also increase serum alanine aminotransferase. In addition, other diseases such as biliary obstruction, pancreatic disease, hyperthyroidism, acute myocardial infarction, heart failure, dermatomyositis, polymyositis, shock, also can have the serum alanine aminotransferase increased, but often the clinical symptoms and laboratory abnormalities associated with various diseases, is rarely a single alanine aminotransferase increased. Sometimes physiological changes can make serum transaminase increase, such as strenuous sports activities, women, pregnancy and so on may have slightly increased, often also is the individual serum transaminase increased, but mostly one-time. Therefore, the cause of elevated alanine aminotransferase is common in all types of viral hepatitis, but not unique. It should be combined with clinical considerations, whether there are other intrahepatic or extrahepatic causes. At present, various hepatoprotectiv many kinds of drugs, and hepatoprotectiv really effective ones are few, in the course of treatment do not abuse, must find the real cause of transaminase Eleations, for this reason treatment, can obtain good results. In the course of treatment and medication, patients should follow the following three principles: first, choose the correct and effective liver protection and enzyme lowering drugs. The treatment caused by various causes of aminotransferase, effective drugs are traditional Chinese medicine and its effective component extract, generally choose drugs containing chemical composition wuweizisu, glycyrrhizic acid, oleanolic acid and silymarin. Six kinds of five tablets is composed of Schisandra chinensis, forsythia, licorice and other drugs, with nourishing kidney, tonifying the liver detoxification effect of Qushi, can be used for the treatment of various chronic hepatitis is transaminase, hepatoprotectiv drugs for the treatment of a new generation, it has been widely applied in clinic. Transaminase can be effectively controlled as long as the patient uses the enzyme reducing drugs correctly, and the effect of enzyme lowering treatment is stable and lasting. Second, the course of treatment must be guaranteed. When the enzyme reducing enzyme makes the transaminase return to normal, the dosage of enzyme reducing drugs should be gradually reduced, and the medicine should not be stopped abruptly. The use of enzyme degrading drugs should be over 1 years, Even if it is to maintain the liver function recovery consolidation therapy at the lowest level. For example, the use of intravenous drip of diammonium glycyrrhizinate reducing enzyme, liver function is normal, can be changed to daily infusion day after infusion, once every two days to lose; if you use oral hypoglycemic drugs instead of enzyme, the best selection of potent drugs such as six kinds of five spirit tablets, smoothly through the transfusion is changed into oral shift. Third, in liver protection and enzyme reduction, we must take the measures of "cure the root" for the cause of disease. For example, hepatitis B must be treated with antiviral and immunomodulatory treatment. Treatment of hepatitis B is a difficult problem in the world, the best way is to combine medication, comprehensive treatment, that is, the so-called "sample and treat", anti-virus treatment for the root of the law, for the treatment of the root. Although there is no specific treatment of hepatitis B drugs, but there are some effective drugs, drugs represent the latest research results of the nucleoside antiviral drugs, adefovir, entecavir, telbivudine, long-acting interferon is currently one of the main drugs to treat hepatitis B. Hepatitis B patients need to cooperate with antiviral therapy when they are treated with liver protection and enzyme reduction. After the treatment, long-term effective, laboratory examination in patients with hepatitis B virus replication index all negative seroconversion occurred between hepatitis B virus e antigen, e antibody, which means that the condition was fundamentally improved, it is possible to obtain long-term transaminase stability. Treatment of hepatitis C, first of all consider the use of interferon combined with ribavirin antiviral treatment, while the combination liver protection and enzyme lowering drugs, six flavor five Ling tablets and so on, the course of treatment for more than 1 years. Autoimmune hepatitis patients need to use immunosuppressive agents, and six flavored five Ling tablets and other liver protection enzyme down drugs, the course of treatment is more than 1 years. For alcohol, liver, fatty liver and so on, first of all need to stop drinking, improve diet structure, weight loss, and choose six flavor, five Ling tablets and other liver protection and enzyme lowering drugs. In short, in order to solve the problem of persistent high transaminase, we must find out the reasons and prescribe the remedy to the case so as to achieve effective results. If the single GPT is high, the other is good enough. You may be the fatty liver, not what big problem. Special attention should be paid to the conditioning diet, avoid high fat, high oil, high calorie foods, eat more fruits and vegetables, ban alcohol. So the reasonable diet, moderate exercise is the most important. If the number of fatty liver below can help you, it is useful for you: the treatment of fatty liver: diet therapy: diet therapy is the most basic method of treatment of fatty liver patients, is also an important measure to prevent and control the progress of fatty liver disease. It is well known that the sources of heat are proteins, fats and sugars in foods, and their requirements are related to age, sex, and type of work. Excessive caloric intake can increase the body weight and increase the amount of fat synthesis, thus accelerating the steatosis of liver cells. Therefore, should develop and adhere to a reasonable diet system, lean meat, fish, egg white and fresh vegetables are rich in dietary lipophilic substances, contribute totheextinction of fatty liver, high fiber foods help to increase satiety and control blood glucose and blood lipid, which caused by excessivenutritionis fatty liver is especially important. We say high fiber foods are corn bran, wheat flour, rice, nuts, beans, letinous edodes, kelp, fungus, pear, konjac etc.. At the same time, we should pay attention to reasonable drinking water, in general, adult daily drinking water is 2000ml, 1500ml in the elderly, obese due to the body moisture less than normal 15% ~ 20%, the daily amount of water to 2200ml ~ 2700ml, the average of 3 hours was 300ml ~ 500ml; the best choice of drinking water, mineral water, boiling water is white purification of water and light tea, must not be a variety of beverages, milk, coffee instead of drinking water. If it is nutritional surplus fatty liver, 20 minutes before meals, drinking water, so that the stomach has a certain degree of satiety, can reduce appetite, reduce eating volume, help to lose weight. Fatty liver people should pay attention to three major nutrition reasonable collocation, which increase the protein intake, pay attention to the quality and quantity of fat, carbohydrate diet should be moderate, restriction of monosaccharide and disaccharide. What needs to be reminded is that.., Fatty liver should be in the low fat diet is appropriate, and to vegetable fat, eat as much as possible a number of monounsaturated fatty acids (such as olive oil, rapeseed oil, tea oil, etc.) try to eat some saturated fatty acids (such as lard, butter, suet, butter, cream, etc.) at the same time should be limited to cholesterol the intake of animal offal, such as brain, egg yolk, eggs, squid etc.. In the aspect of carbohydrate intake, should eat some low carbohydrate diet, can not eat foods rich in mono - and disaccharides, such as sugar cakes, ice cream, candy and jujube. Fatty liver people should also resolutely remove bad eating habits, the implementation of a regular three meals a day. Long term heavy drinking can cause fatty liver, should be determined to abstain from alcohol. At the same time, excessive intake of food, snacks, night food, inter food, and excessive pursuit of high grade, high calorie seasoning food will lead to excessive accumulation of fat in the body, so we should try to avoid. Irregular diet, such as regular breakfast or three meals, will cause disturbance of body metabolism and provide conditions for the onset of obesity and fatty liver. Studies have shown that, in the same amount of energy intake in one day, fixing at night to eat too much more than regular 3 times eating more prone to obesity. In addition, people who eat too fast are not likely to have satiety and are prone to obesity due to excessive intake of energy. Exercise therapy: Sports: fatty liver people choose systemic low intensity dynamic movement to exercise the body strength and endurance as the goal, also known as aerobic exercise, such as jogging, fast walking (115 to 125 steps / minutes), riding a bicycle, up and down stairs, climbing, playing badminton and shoot the ball, shuttlecock, skipping, dancing, do gymnastics and swimming, this kind of exercise on fatty liver people losing weight, promote better effect of extinction in fatty liver. Exercise intensity: fatty liver should according to the degree of fatigue after exercise and heart rate (pulse) to choose the appropriate amount of exercise, to exercise the pulse is 100 to 160 times per minute (170 minus age), lasts twenty or thirty minutes, exercise fatigue in ten or twenty minutes to disappear. Some people think that the amount of exercise in order to achieve faster breathing, slightly sweating, and then adhere to exercise for a period of time is appropriate. Exercise time and frequency: according to research, the same sports and exercise intensity, exercise in the afternoon or evening, more than morning exercises consume 20% of the energy. Therefore, the exercise time is best to choose in the afternoon or evening; the best time to walk is 45 minutes after dinner, at this time the maximum heat consumption, weight loss is also the best. The frequency of exercise is appropriate for 3~5 days a week, depending on the degree of obesity, leisure time, and interest in exercise. If the fatigue after exercise does not last for second days, it is OK to exercise every day. Drug therapy: so far, there is no effective drug for the prevention and treatment of fatty liver. Generally used in protecting liver cells, degreasing agents and antioxidants, such as vitamin B, C, E, lecithin, ursodeoxycholic acid, silymarin, inosine, coenzyme A, glutathione, taurine and carnitine orotate and Glucurolactone, and certain lipid-lowering drugs etc.. Although many of these drugs, but most still need to further verify the efficacy and safety, therefore, should be correct under the guidance of doctors, must not abuse. Hello, Dr. Zhang. I have established an electronic medical record. I have made two tests for excessive transaminase. But I have not tested for hepatitis C. I would like to ask: what should I do after a week's review? Better be more detailed, thank you! View the medical records provided by the questioner Reply 1: Check for HCV antibodies, antinuclear antibodies, ENA antibody profiles, double stranded DNA, ESR, etc. According to the information you provide, consider: 1. C: the test of hepatitis C antibody, HCV RNA quantitative diagnosis. 2. alcoholic hepatitis: have you ever had a long history of drinking?. 3. fatty hepatitis: are you fat, fatty liver?. Four Drug hepatitis: have you been taking any medication for liver damage for nearly 2 months?. 5. autoimmune hepatitis: this possibility is smaller, if necessary, can be checked erythrocyte sedimentation rate, antinuclear antibody and other immune antibodies to assist in the diagnosis.