Liver and gallbladder problems are always found from time to time. In fact, this problem is extremely complicated. It is possible that it is related to multiple diseases. Therefore, we need to pay attention to several principles in life. When we feel that the liver function is abnormal, we must not judge blindly. Go to the hospital for examination first, and then treat the symptoms. Reaction Problem The physiological functions of the liver are extremely complex, so there are many types of liver function tests. Doctors often choose a few Representative liver function items are used to understand liver function, such as protein metabolism function test (serum protein electrophoresis, albumin/globulin ratio), bilirubin metabolism function test (including blood total bilirubin and direct bilirubin, urobilinogen and urine bilirubin), liver dye excretion test and various serum enzyme tests. However, liver function tests are not omnipotent and have certain limitations. First of all, the sensitivity of liver function tests is limited, and the liver's compensatory reserve capacity is very strong. Therefore, normal liver function tests do not necessarily mean the absence of liver disease. In addition, some indicators in liver function tests lack specificity, so abnormal liver function does not necessarily mean liver disease. In addition, serum enzyme activity is a very important criterion, but it does not reflect liver function. Enzyme indicators are only an estimate of the integrity of liver cells. In short, liver function tests can only be used as an auxiliary means to diagnose hepatobiliary diseases; to make a correct diagnosis of the disease, a comprehensive analysis must be conducted in combination with medical history, physical examination, and imaging examinations. Evaluation Criteria There are many liver function test methods, which shows that some test methods are not specific. When analyzing the results of liver function tests clinically, the following issues need to be considered to evaluate whether liver function is normal: (1) The liver has a large reserve capacity and strong regenerative and compensatory abilities. Therefore, normal liver function tests do not mean that liver cells are not damaged. On the contrary, when liver function tests are abnormal, it must reflect extensive liver disease. (2) Currently, there is no test that can reflect the full picture of liver function. Therefore, when certain liver functions are damaged, a certain liver function test that is sensitive to it will first show abnormalities, while other liver function tests may be normal. Therefore, several liver function tests are often performed simultaneously in clinical practice. |
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