Zolemba za Matenda a Chiwindi, Chiwindi Biopsy, ndi Cirrhosis mu Ana

A GWIRITSANI KwaulereKutulutsidwa 8 | eTurboNews | | eTN
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Written by Linda Hohnholz

Deta yatsopano yapadziko lonse lapansi yowunika alanine aminotransferase (ALT) mwa ana idavumbulutsa kusiyana pakati pa kufalikira komanso kuopsa kwa matenda a chiwindi amafuta osamwa mowa (NAFLD). Phunziroli, Variation in Alanine Aminotransferase in Children with Non-Alcoholic Fatty Liver Disease, linasindikizidwa m'magazini yowunikiridwa ndi anzawo Ana. Zambirizi zidatengedwa kuchokera ku gulu lomwe likupitilira la TARGET-NASH, mothandizidwa ndi mtsogoleri wadziko lenileni la Target RWE.

NAFLD yakula kukhala imodzi mwa matenda ofala kwambiri, omwe amakhudza ana aang'ono azaka ziwiri, ndipo chiwerengero chikupitirirabe. Pakati pa amuna ndi akazi ndi magulu amitundu / mafuko.1,2 Kuchuluka kwa NAFLD kwawonjezeka kwambiri ndi kuwonjezeka kwa kunenepa kwambiri kwa ana.3

Kafukufuku watsopanoyu akufotokoza za kugawidwa kwa machitidwe azachipatala ndi kagayidwe kachakudya pakati pa ana omwe amalembedwa mu gulu lalikulu la deta la TARGET-NASH. Ochita kafukufuku adawonetsa kugawa kwapamwamba kwambiri kwa ALT komanso kugawa kwazachipatala ndi mbiri ya biopsy ndi seramu yapamwamba kwambiri ya ALT level (≤70,> 70 mpaka ≤250, ndi> 250 U/L) kuti azindikire ma comorbidities ndi njira zamankhwala. pakukula uku, koma anthu osaphunzira.

Kuwunikaku kunaphatikizapo ana 660 omwe ali ndi zaka zapakati pa 13. Zotsatira zazikulu ndi izi:

• Ana onse a 187 anali atachitidwa opaleshoni, anali okhoza kukhala Puerto Rico kapena Latino (67% vs. 57%) komanso kukhala ndi cirrhosis (10% vs. 1%).

• Kuchuluka kwa matenda a cirrhosis kapena siteji iliyonse ya chiwindi fibrosis kunali kofala kwambiri mwa ana omwe ali ndi kuchuluka kwa ALT> 70 U/L.

• Kukula kwa matenda a shuga amtundu wa 2 kunali 2.2 mwa ana omwe ali ndi ALT>250 U/L poyerekeza ndi ana omwe ali ndi ALT yapamwamba pakati pa 71 ndi 250 ndi ana omwe ali ndi ALT yapamwamba ≤ 70 U/L.

"Panali modabwitsa chiwerengero cha odwala omwe ali ndi chiwerengero chapamwamba cha ALT choposa 250 m'magulu osiyanasiyana a dziko lapansi," anatero Eduardo Castillo-Leon, MD, Dipatimenti ya Pediatrics, School of Medicine, University of Emory. "Kafukufuku wam'mbuyomu wofufuza za ana a NAFLD achitika makamaka m'mayesero olamulidwa ndi njira zenizeni zophatikizira / zopatula komanso kulephera kuyang'ana momwe zikuyendera pakapita nthawi mu anthu enieni padziko lapansi. Njira zambiri zophatikizira pa kafukufukuyu zidalola kuwunika kwa odwala omwe ali ndi ma ALT abwinobwino, omwe nthawi zambiri amanyalanyazidwa. "

Miriam Vos, MD, MSPH, Dipatimenti ya Pediatrics, School of Medicine, University of Emory, anati Miriam Vos, MD, MSPH, Dipatimenti ya Pediatrics, School of Medicine, Emory University, ndi dokotala wa ana a ku Spain, "ALT" Atlanta. "Zotsatirazi zikuthandizira kufunikira kowonjezereka kwa chithandizo chamankhwala ndi kuwunika kwa matenda kwa ana omwe ali ndi milingo yayikulu ya ALT."

Kuwunikaku kunaphatikizapo ana omwe adalembetsa pakati pa Ogasiti 1, 2016, ndi Okutobala 12, 2020, okhala ndi muyeso wa ALT osachepera umodzi atalembetsa.

TARGET-NASH ndi gulu lenileni lapadziko lonse lapansi la anthu akuluakulu ndi ana omwe ali ndi NAFLD ndi/kapena NASH akulandira chisamaliro chanthawi zonse kuchokera ku masukulu amaphunziro ndi ammudzi ku US ndi Europe, ndikulembetsa anthu opitilira 7,000 mpaka pano.

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Linda Hohnholz

Mkonzi wamkulu kwa eTurboNews zochokera ku eTN HQ.

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