Cholestasis Detection Enzyme Tests, in Pregnant Women with Different Hospitalization Diagnosis
Issue:
Volume 1, Issue 1, May 2015
Pages:
1-5
Received:
11 May 2015
Accepted:
18 May 2015
Published:
22 May 2015
Abstract: The aim of the study is the evaluation of serum Alkaline Phosphatase and Gamma-glutamyl Transferase levels in pregnant women as indicators of cholestasis. Cholestasis is defined as a decrease in bile flow due to the obstruction of it through intra/extra hepatic bile ducts. GGT enzyme was previously thought to be helpful in confirming a hepatic source of ALP however, GGT elevations lack the necessary specificity to be a useful confirmatory test for ALP. We analyzed 500 cases of pregnant women from year 2011-2013. Serum enzyme levels (ALP and GGT) were measured respectively using Beckman Synchron LX 20 and Enzymatic method Activity Colorimetric Kit, at the Medical Laboratory “PhD. Stelijan Buzo” in Tirana. According to the laboratory reference values of ALP (100-290 U/L): 50% of the cases resulted normally pregnant women, 50% suffering from liver disease (<100 U/L or >290 U/L); whereas according to values of GGT (8-31 U/L): 75% resulted normally pregnant women, 25% with liver damage (<8 U/L or >31 U/L). Micronutrients deficiency leads to irreversible disorders of development; Nutritional advice would have been more effective either for the mother and the future of her child. There are few reported cases of young mothers, with sufficient income, which limit some foods due to fear of increasing body weight, while forgetting that the lack of appropriate micro-nutrients, directly affects the health of growing babies.
Abstract: The aim of the study is the evaluation of serum Alkaline Phosphatase and Gamma-glutamyl Transferase levels in pregnant women as indicators of cholestasis. Cholestasis is defined as a decrease in bile flow due to the obstruction of it through intra/extra hepatic bile ducts. GGT enzyme was previously thought to be helpful in confirming a hepatic sour...
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The Impact of Enzymes in the Hepatic Function
Issue:
Volume 1, Issue 1, May 2015
Pages:
6-10
Received:
22 May 2015
Accepted:
27 May 2015
Published:
28 May 2015
Abstract: The aim of this study is the application of Alkaline Phosphatase (ALP) and Gamma-glutamyl Transferase (GGT) activity, by using the corresponding kinetic methods, at the Clinical Chemistry Laboratories in our place. Enzymes are proteins synthesized in the cells of living organisms in order to play the role of bio-catalysts. Today are recognized about 2000 different enzymes. Some of those have been isolated in pure form of the chemical. We used serum as a material and we took into consideration 15 healthy patients, 15 patients who had viral hepatitis and 15 patients with idiopathic hyper-bilirubinemia. Solution where the substance is being analyzed, was treated with specific reagents according to the procedures such as incubation, heating, etc, until the color is formed. The absorbance of the coloring solution was measured using photometry at a wavelength of 405nm. As an analytical method for the determination of ALP, we chose 4-nitrophenylphosphate (4NPP) as a substrate, while as a buffer for the optimal pH adjustment of the reaction we used 2-amino-2 methyl -1-propanol (AMP). ALP was within permitted values from 100 to 290 U /l, whereas Gamma-glutamyl Transferase was at normal reference values of 5 to 51 U /l. Automated method was equal to the standard method, with a correlation coefficient of r = 0997. Accuracy within the series of measurements had a variation coefficient of only 1.25%. From the results taken from the laboratories, we had an increased precision, accuracy, sensitivity and reliability as a result of the technological process of electronic engineering of new modern techniques with monoclonal antibodies and immobilized enzymes.
Abstract: The aim of this study is the application of Alkaline Phosphatase (ALP) and Gamma-glutamyl Transferase (GGT) activity, by using the corresponding kinetic methods, at the Clinical Chemistry Laboratories in our place. Enzymes are proteins synthesized in the cells of living organisms in order to play the role of bio-catalysts. Today are recognized abou...
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