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Synevo Aspartataminotransferaza (GOT - ASAT - AST) Printează
Synevo Aspartataminotransferaza (GOT - ASAT - AST) Printează
2012
- Synevo - http://www.synevo.ro -
Aspartataminotransferaza (GOT/ASAT/AST)
Postat de Synevo Pe august 13, 2009 @ 2:34 pm n categoriile: Biochimie generala din sange si
urina,Teste de biochimie | Nu sunt comentarii
Valori ( U/L)
0-6 luni
<77
7-12 luni
<82
1-3 ani
<48
4-6 ani
<36
7-12 ani
<47
F: 13-17 ani
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<25
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M: 13-17 ani
F: >17 ani
M: >17 ani
<29
<32
<38
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Cresteri
Medicamente care produc colestaza: acid aminosalicilic, amitriptilina, steroizi anabolizanti,
androgeni, azatioprina, benzodiazepine, carbamazepin, carbazona, clorotiazida,
clorpropamida, acid clavulanic, dapsone.
Medicamente care produc o afectare hepatocelulara: acetaminofen, alopurinol, acid
aminosalicilic, amiodarona, amitriptilina, steroizi anabolizanti, androgeni, asparaginaza,
aspirina, azatioprina, carbamazepin, chenodiol, clorambucil, cloramfenicol, clorpropamida,
cimetidina, ciclosporina, danazol, dantrolen, dapsona, diclofenac, dicumarol (rar), disulfiram,
eritromicina, estrogeni, etionamida, gliburid (glibenclamid), saruri de aur, imipramina,
mercaptopurina, metimazol, acid nicotinic, nitrofurantoin, contraceptive orale, etanol (exces),
etionamida, fluconazol, halotan, ibuprofen, imipramina, indometacin, saruri de fier
(supradozare), izoniazida, ketoconazol, inhibitori MAO, mercaptopurina, metotrexat,
metoxifluran, metildopa, naproxen, papaverina, parametadion, penicilamina, peniciline,
fenotiazine, fenilbutazona, progestative, propoxifen, sulfonamide, sulfone, sulindac,
tamoxifen, tolbutamida, perhexilin, fenazopiridina, fenobarbital [1] , fenilbutazona, fenitoin,
plicamicin (mitramicin), probenecid, procainamida, propiltiouracil, pirazinamida, chinidina,
rifampin, salicilati, sulfasalazina, sulfonamide, tetracicline, trimetadiona, acid valproic [2] ,
vitamina A, warfarina (rar).
Multe alte medicamente pot determina cresteri care in general sunt tranzitorii dar in anumite
cazuri indica o hepatotoxicitate. Intre acestea sunt incluse : acebutolol, aminoglutetimid,
aminoglicozide, azitromicin, bromocriptin, captopril, carboplatin, carmustin, cefalosporine,
ciclosporine, clindamicin, clofibrat, clotrimazol, citarabina, dacarbazin, dapsona, didanosin,
disopiramid, enfluran, acid etacrinic, etambutol, etopozid, fenofibrat, fluorochinolone (ex:
ciprofloxacin [3] ), ganciclovir, heparina, inhibitori ai 3 hidroxi-3 metilglutaril CoA reductazei
(ex: lovastatin, simvastatin), idarubicin, interferon, isotretinoin, labetalol, levamisol,
levodopa, lincomicin, mebendazol, mefloquin, metoprolol, mexiletin, nifedipin, omeprazol,
peniciline, pentamidina, piroxicam, propoxifen, protriptilina, piridoxina, ranitidina, ritodrina,
sargramostim, streptozocin, sulfoniluree, tiotixen, tiabendazol, tioguanina, ticlopidina,
tobramicina, tretinoin, verapamil, zalcitabin 1 .
Scaderi: acid ascorbic, alopurinol, ciclosporina, clomipramina, ibuprofen, metronidazol,
penicilamina, pindolol, prednison, progesteron, rifampicina, simvastatin, ursodiol1 .
Interferente analitice
Prezenta macroenzimei AST (formarea de complexe intre AST si imunoglobuline) poate
determina cresteri neexplicate de AST (de pana la 30 ori fata de limita superioara a
normalului), cu niveluri normale de ALT si creatinkinaza 5 .
In cazul unui ser hemolizat, pot aparea valori fals crescute datorita activitatii AST din
eritrocite.
Lipemia poate creste absorbanta probei, valoarea AST neputand fi calculata.
Foarte rar, la pacientii cu gamopatii monoclonale, in special de tip IgM (boala Waldenstrm)
rezultatele obtinute pot fi neconcludente 4 .
Bibliografie
1. Frances Fischbach. Effects of the Drugs on Laboratory Tests. In A Manual of
Laboratory and Diagnostic Tests. Lippincott Williams & Wilkins, USA, 8 ed., 2009, 12251227.
2. Frances Fischbach. Chemistry Studies. In A Manual of Laboratory and Diagnostic
Tests. Lippincott Williams & Wilkins, USA, 8 ed., 2009, 420-422.
3. Jacques Wallach. Analizele de sange. In Interpretarea testelor de diagnostic. Editura
Stiintelor Medicale, Romania, 7 ed., 2001, 51-52.
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4. Laborator Synevo. Referinte specifice tehnologiei de lucru utilizate 2010. Ref Type:
Catalog.
5. Laboratory Corporation of America. Directory of Services and Interpretive Guide. AST.
www.labcorp.com 2010. Ref Type: Internet Communication.
6. Lynch R, Melloy S. Inwood Medical Laboratory Technology and Clinical Pathology,
1999, 310-311.
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