{"id":103394,"date":"2021-08-19T00:00:00","date_gmt":"2021-08-19T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/xet-nghiem-sgot\/"},"modified":"2022-09-12T00:00:00","modified_gmt":"2022-09-12T00:00:00","slug":"xet-nghiem-sgot","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/xet-nghiem\/xet-nghiem-sgot\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m SGOT"},"content":{"rendered":"\n

C\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y r\u1eb1ng x\u00e9t nghi\u1ec7m SGOT l\u00e0 m\u1ed9t trong nh\u1eefng x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u01b0\u1eddng quy \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 gan. Ch\u1ec9 s\u1ed1 SGOT th\u01b0\u1eddng \u0111i c\u00f9ng v\u1edbi ch\u1ea9n \u0111o\u00e1n t\u1ed5n th\u01b0\u01a1ng gan, \u0111\u1ed3ng th\u1eddi s\u1ef1 bi\u1ebfn thi\u00ean c\u1ee7a ch\u1ec9 s\u1ed1 n\u00e0y c\u00f2n c\u00f3 nhi\u1ec1u \u00fd ngh\u0129a, ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m n\u00e0y, m\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng Docosan<\/a> tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n\n\n\n

SGOT l\u00e0 g\u00ec?<\/h2>\n\n\n\n

SGOT – Serum Glutamat Oxaloacetate Transaminase <\/strong>hay c\u00f2n g\u1ecdi l\u00e0 AST – Aspartate Aminotransferase<\/strong>, hay t\u00ean g\u1ecdi n\u00e0y \u0111\u1ed3ng ngh\u0129a v\u1edbi nhau. \u0110\u00e2y l\u00e0 enzym chuy\u1ec3n h\u00f3a t\u1ebf b\u00e0o c\u00f3 nhi\u1ec7m v\u1ee5 x\u00fac t\u00e1c ph\u1ea3n \u1ee9ng sau:<\/p>\n\n\n\n

L – Aspartate +<\/strong> \u03b1 Oxoglutamate \u21d4 Oxaloacetate + L – glutamate. <\/strong><\/p>\n\n\n\n

C\u00e1c SGOT hay AST c\u00f3 trong b\u00e0o t\u01b0\u01a1ng v\u00e0 trong b\u00e0o quan ty th\u1ec3 c\u1ee7a t\u1ebf b\u00e0o m\u00f4 c\u01a1 quan sau (theo tr\u00ecnh t\u1ef1 t\u0103ng d\u1ea7n<\/strong>) g\u1ed3m:<\/p>\n\n\n\n

  • Tuy\u1ebfn t\u1ee5y <\/li>
  • Th\u1eadn <\/li>
  • C\u01a1 x\u01b0\u01a1ng <\/li>
  • Gan <\/li>
  • Tim <\/li><\/ul>\n\n\n\n

    SGOT t\u0103ng l\u00ean trong m\u00e1u ng\u01b0\u1eddi b\u1ec7nh khi x\u1ea3y ra t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng hay ch\u1ebft c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ch\u1ee9a enzyme n\u00e0y. C\u00e1c SGOT c\u00f3 th\u1eddi gian b\u00e1n h\u1ee7y trong m\u00e1u l\u00e0 17h.<\/p>\n\n\n\n

    \"x\u00e9t
    SGOT c\u00f3 trong t\u1ebf b\u00e0o c\u1ee7a nhi\u1ec1u lo\u1ea1i m\u00f4 c\u01a1 quan kh\u00e1c nhau<\/figcaption><\/figure>\n\n\n\n

    T\u00e1c d\u1ee5ng c\u1ee7a x\u00e9t nghi\u1ec7m SGOT<\/h2>\n\n\n\n

    X\u00e9t nghi\u1ec7m SGOT gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00f3 t\u00ecnh tr\u1ea1ng ph\u00e2n h\u1ee7y t\u1ebf b\u00e0o trong c\u00e1c m\u00f4 c\u01a1 quan hay kh\u00f4ng, nh\u1ea5t l\u00e0 c\u00e1c m\u00f4 c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u01a1 tim, gan v\u00e0 c\u01a1 v\u00e2n. V\u00ec v\u1eady, x\u00e9t nghi\u1ec7m SGOT gi\u00fap \u0111\u1ecbnh l\u01b0\u1ee3ng n\u1ed3ng \u0111\u1ed9 enzym transaminase th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3:<\/p>\n\n\n\n

    • \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o c\u01a1 tim trong nh\u1ed3i m\u00e1u c\u01a1 tim, nh\u01b0ng hi\u1ec7n nay \u00edt c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/li>
    • \u0110\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 s\u1ef1 ch\u1ebft c\u1ee7a t\u1ebf b\u00e0o gan do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau <\/li>
    • Theo d\u00f5i t\u00e1c \u0111\u1ed9ng c\u1ee7a \u0111\u1ed9c t\u1ed1 tr\u00ean m\u00f4 t\u1ebf b\u00e0o gan c\u1ee7a c\u00e1c thu\u1ed1c s\u1eed d\u1ee5ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nguy c\u01a1 g\u00e2y \u0111\u1ed9c cho gan.<\/li><\/ul>\n\n\n\n
      \"x\u00e9t
      T\u00e1c d\u1ee5ng c\u1ee7a x\u00e9t nghi\u1ec7m SGOT<\/figcaption><\/figure>\n\n\n\n

      Nh\u1eefng \u00fd ngh\u0129a x\u00e9t nghi\u1ec7m SGOT<\/h2>\n\n\n\n
      • X\u00e9t nghi\u1ec7m SGOT h\u1eefu \u00edch trong b\u1ec7nh l\u00fd tim \u0111\u1ec3 ph\u00e1t hi\u1ec7n nh\u1ed3i m\u00e1u c\u01a1 tim hay vi\u00eam c\u01a1 tim c\u1ea5p, trong nh\u1ed3i m\u00e1u c\u01a1 tim gi\u00e1 tr\u1ecb SGOT t\u0103ng l\u00ean s\u1edbm ngay t\u1eeb gi\u1edd th\u1ee9 4 sau khi thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ee5c b\u1ed9 v\u00e0 tr\u1edf l\u1ea1i m\u1ee9c b\u00ecnh th\u01b0\u1eddng v\u00e0o ng\u00e0y th\u1ee9 3. N\u00f3i chung, gi\u00e1 tr\u1ecb c\u1ee7a SGOT s\u1ebd t\u0103ng gi\u1ea3m song h\u00e0nh v\u1edbi gi\u00e1 tr\u1ecb c\u1ee7a CK v\u00e0 ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 lan r\u1ed9ng ho\u1ea1i t\u1eed c\u1ee7a c\u01a1 tim.<\/li>
      • X\u00e9t nghi\u1ec7m n\u00e0y cho ph\u00e9p x\u00e1c \u0111\u1ecbnh m\u1ed9t b\u1ec7nh l\u00fd gan v\u00e0 theo d\u00f5i di\u1ec5n ti\u1ebfn c\u1ee7a b\u1ec7nh gi\u00fap ti\u00ean l\u01b0\u1ee3ng v\u00e0 thay \u0111\u1ed5i \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. <\/li>
      • X\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc nh\u1ea1y nh\u1ea5t \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan do virus hay do thu\u1ed1c v\u00ec t\u0103ng n\u1ed3ng \u0111\u1ed9 enzyme gan c\u00f3 th\u1ec3 hi\u1ec7n di\u1ec7n tr\u01b0\u1edbc t\u00ecnh tr\u1ea1ng t\u0103ng bilirubin m\u00e1u \u0111\u1ebfn h\u00e0ng tu\u1ea7n<\/li>
      • X\u00e9t nghi\u1ec7m kh\u00f4ng th\u1ec3 thi\u1ebfu \u0111\u01b0\u1ee3c \u0111\u1ec3 ti\u1ebfp t\u1ee5c theo d\u00f5i c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng lao, thu\u1ed1c h\u00f3a tr\u1ecb ung th\u01b0 c\u0169ng nh\u01b0 thu\u1ed1c c\u00f3 chuy\u1ec3n h\u00f3a t\u1ea1i gan v\u00ec nguy c\u01a1 vi\u00eam gan do thu\u1ed1c r\u1ea5t cao.<\/li>
      • K\u1ebft qu\u1ea3 c\u1ee7a x\u00e9t nghi\u1ec7m k\u1ebft h\u1ee3p v\u1edbi SGPT, n\u1ebfu t\u1ef7 l\u1ec7 SGOT \/ SGPT > 1 v\u00e0 c\u00f3 t\u0103ng Gamma globulin m\u00e1u k\u00e8m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 antithrombin III s\u1ebd r\u1ea5t g\u1ee3i \u00fd c\u00f3 t\u00ecnh tr\u1ea1ng x\u01a1 gan.<\/li><\/ul>\n\n\n\n
        \"x\u00e9t
        Nh\u1eefng \u00fd ngh\u0129a x\u00e9t nghi\u1ec7m SGOT trong ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan<\/figcaption><\/figure>\n\n\n\n

        X\u00e9t nghi\u1ec7m SGOT nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n\n\n

        L\u1ea5y b\u1ec7nh ph\u1ea9m<\/h3>\n\n\n\n

        \u0110\u1ecbnh l\u01b0\u1ee3ng SGOT th\u1ef1c hi\u1ec7n tr\u00ean huy\u1ebft thanh c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 kh\u00f4ng ph\u1ea3i y\u00eau c\u1ea7u ph\u1ea3i nh\u1ecbn \u0111\u00f3i tr\u01b0\u1edbc khi l\u1ea5y m\u1eabu x\u00e9t nghi\u1ec7m SGOT \u0111\u01a1n thu\u1ea7n.<\/p>\n\n\n\n

        Tuy nhi\u00ean \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 thu\u1ed1c \u0111ang s\u1eed d\u1ee5ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ebf b\u00e0o gan c\u1ea7n khai b\u00e1o cho b\u00e1c s\u0129 bi\u1ebft v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c u\u1ed1ng tr\u01b0\u1edbc khi l\u1ea5y m\u00e1u x\u00e9t nghi\u1ec7m.<\/p>\n\n\n\n

        \"x\u00e9t
        L\u1ea5y b\u1ec7nh ph\u1ea9m m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 x\u00e9t nghi\u1ec7m SGOT<\/figcaption><\/figure>\n\n\n\n

        L\u01b0u \u00fd l\u00fac l\u1ea5y m\u00e1u l\u00e0m x\u00e9t nghi\u1ec7m<\/h3>\n\n\n\n
        • Nh\u00e2n vi\u00ean x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 b\u1ea3o qu\u1ea3n m\u00e1u b\u1ec7nh nh\u00e2n trong 24h \u1edf nhi\u1ec7t \u0111\u1ed9 ph\u00f2ng hay 48h \u1edf 20 \u0111\u1ebfn 24 \u0111\u1ed9 C, v\u00ec ho\u1ea1t \u0111\u1ed9 c\u1ee7a SGOT huy\u1ebft thanh t\u01b0\u01a1ng \u0111\u1ed1i \u1ed5n \u0111\u1ecbnh t\u1ed1t.<\/li>
        • T\u00e1ch h\u1ed3ng c\u1ea7u ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh c\u1ea9n th\u1eadn v\u00e0 nhanh \u0111\u1ec3 h\u1ea1n ch\u1ebf v\u1ee1 h\u1ed3ng c\u1ea7u l\u00e0m k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m kh\u00f4ng ch\u00ednh x\u00e1c<\/li>
        • Khi mu\u1ed1n \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim th\u00ec c\u1ea7n x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 SGOT trong v\u00f2ng 3 ng\u00e0y li\u00ean ti\u1ebfp khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n v\u1edbi b\u1ec7nh c\u1ea3nh c\u00f3 \u0111au th\u1eaft ng\u1ef1c v\u00e0 sau \u0111\u00f3 1 tu\u1ea7n.<\/li><\/ul>\n\n\n\n

          Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a SGOT <\/h3>\n\n\n\n

          Khi \u1edf nhi\u1ec7t<\/strong> \u0111\u1ed9 c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng<\/strong>, n\u1ed3ng \u0111\u1ed9 SGOT trong huy\u1ebft t\u01b0\u01a1ng \u1edf nam l\u00e0 nh\u1ecf h\u01a1n 35 UI\/L v\u00e0 \u1edf n\u1eefa l\u00e0 nh\u1ecf h\u01a1n 25 UI\/L. <\/span><\/p>\n\n\n\n

          N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 k\u1ebft qu\u1ea3 cao tr\u00ean ng\u01b0\u1ee1ng n\u00e0y t\u1eeb 2 l\u1ea7n tr\u1edf l\u00ean th\u00ec c\u1ea7n \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa. <\/p>\n\n\n\n

          Nguy\u00ean nh\u00e2n t\u0103ng n\u1ed3ng \u0111\u1ed9 SGOT <\/h2>\n\n\n\n

          B\u1ec7nh l\u00fd tuy\u1ebfn t\u1ee5y<\/h3>\n\n\n\n

          C\u00e1c t\u1ed5n th\u01b0\u01a1ng g\u00e2y \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng n\u1ed9i ti\u1ebft c\u1ee7a t\u1ea1ng t\u1ee5y, v\u00ed d\u1ee5 nh\u01b0 t\u00ecnh tr\u1ea1ng Vi\u00eam t\u1ee5y c\u1ea5p s\u1ebd th\u00fac \u0111\u1ea9y ph\u00f3ng th\u00edch nhi\u1ec1u SGOT v\u00e0 khi x\u00e9t nghi\u1ec7m m\u00e1u s\u1ebd ph\u00e1t hi\u1ec7n SGPT t\u0103ng cao b\u1ea5t th\u01b0\u1eddng. <\/p>\n\n\n\n

          B\u1ec7nh l\u00fd tim <\/h3>\n\n\n\n

          C\u00e1c b\u1ec7nh l\u00fd x\u1ea3y ra t\u1ea1i tim s\u1ebd c\u00f3 ch\u1ec9 s\u1ed1 SGOT\/SGPT > 1 hay AST\/ALT > 1, m\u1ed9t s\u1ed1 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p nh\u01b0 <\/p>\n\n\n\n

          • Nh\u1ed3i m\u00e1u c\u01a1 tim <\/li>
          • Vi\u00eam c\u01a1 tim <\/li>
          • Ch\u00e8n \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c <\/li>
          • Ph\u1eabu thu\u1eadt tim, sau th\u1ee7 thu\u1eadt th\u00f4ng tim c\u1ea5p c\u1ee9u <\/li>
          • Suy tim m\u1ea5t b\u00f9 v\u00e0 gan xung huy\u1ebft <\/li><\/ul>\n\n\n\n
            \"x\u00e9t
            SGOT ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng tim do nhi\u1ec1u nguy\u00ean nh\u00e2n <\/figcaption><\/figure>\n\n\n\n

            C\u00e1c b\u1ec7nh l\u00fd gan<\/h3>\n\n\n\n

            N\u1ebfu SGOT \/ SGPT < 1 hay AST \/ ALT < 1 <\/h4>\n\n\n\n
            • Vi\u00eam gan do virus: Vi\u00eam gan A, B, C, D ho\u1eb7c E; t\u0103ng b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n nhi\u1ec5m tr\u00f9ng, vi\u00eam gan do cytomegalovirus <\/li>
            • Vi\u00eam gan do thu\u1ed1c: rifampicin, INH, heparin<\/li>
            • Vi\u00eam gan nhi\u1ec5m \u0111\u1ed9c: CCI4, amanit phalloid<\/li>
            • T\u1eafc m\u1eadt do c\u00e1c nguy\u00ean nh\u00e2n s\u1ecfi hay giun chui \u1ed1ng m\u1eadt <\/li>
            • Ho\u1ea1i t\u1eed m\u00f4 t\u1ebf b\u00e0o gan.<\/li><\/ul>\n\n\n\n

              N\u1ebfu SGOT \/ SGPT > 1 hay AST \/ ALT > 1 <\/h4>\n\n\n\n
              • B\u1ec7nh x\u01a1 gan <\/li>
              • Vi\u00eam gan do r\u01b0\u1ee3u <\/li>
              • Th\u00e2m nhi\u1ec5m gan: do ung th\u01b0 di c\u0103n, nhi\u1ec5m sarcoid, lao, u lympho, lupus ban \u0111\u1ecf<\/li><\/ul>\n\n\n\n

                C\u00e1c b\u1ec7nh l\u00fd c\u01a1 <\/h3>\n\n\n\n
                • Vi\u00eam \u0111a c\u01a1 <\/li>
                • B\u1ec7nh lo\u1ea1n d\u01b0\u1ee1ng c\u01a1 c\u1ee7a Duchenne<\/li>
                • T\u0103ng th\u00e2n nhi\u1ec7t \u00e1c t\u00ednh <\/li><\/ul>\n\n\n\n

                  Nguy\u00ean nh\u00e2n kh\u00e1c<\/h3>\n\n\n\n
                  • Ch\u1ea5n th\u01b0\u01a1ng n\u00e3o <\/li>
                  • Ung th\u01b0 di c\u0103n x\u01b0\u01a1ng <\/li>
                  • S\u1ea3n ph\u1ee5 ti\u1ec1n s\u1ea3n gi\u1eadt<\/li>
                  • Nh\u1ed3i m\u00e1u ph\u1ed5i <\/li>
                  • B\u1ecfng n\u1eb7ng <\/li>
                  • Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/li><\/ul>\n\n\n\n

                    Ph\u00f2ng Kh\u00e1m nh\u1eadn x\u00e9t nghi\u1ec7m SGOT<\/h2>\n\n\n\n
                    • Trung t\u00e2m ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m y khoa \u0110iag – Medical \u0110iag center – Q.10<\/li><\/ul>\n\n\n\n