Liver function result is unusual, get liver disease namely? The hepatologist teaches you how to read the report

Liver function examination is a common item in physical examination. A series of indexes related to liver function are examined to judge whether the liver function is normal and whether the liver is healthy. For ordinary people, check liver function, if the results are normal, it means that the liver is healthy, the results of some abnormal, it means that the liver disease. Is that true? Maybe the answer is quite different from what you think. In this article, the hepatologist teaches you how to read the report. < / P > < p > hepatology doctors said that under normal circumstances, abnormal liver function may indeed indicate liver diseases and abnormal indicators, indicating abnormal metabolism or synthesis of liver. The first thought must be liver disease. However, liver function test is not the gold standard to measure the health of the liver. Some of the indicators are lack of specificity. It can only be said that the liver function is abnormal. It may be due to liver disease, but it is not absolute. < / P > < p > let’s take the index of transaminase as an example. Generally speaking, the transaminase is high and the liver function is abnormal. It may be liver disease, but it may also be a one-time increase, which is not persistent. The increase of transaminase is mostly normal. If it is checked after overwork, staying up late, smoking and drinking or strenuous exercise, the level will be on the high side. < / P > < p > for newborn infants, the level of transaminase in the body will be higher than that of ordinary people, which is also a normal phenomenon. With the extension of time, it will gradually return to the normal level, so pay attention to observation at ordinary times. < / P > < p > if the elevation of transaminase is caused by pathological reasons, in addition to liver disease, it may also be caused by other diseases, such as heart disease, or because chronic diseases need long-term medication, drugs are metabolized in the liver, which is easy to damage liver function, leading to abnormal liver function, and there may be large fluctuations in transaminase and other indicators. < / P > < p > of course, this is only one of the indicators of liver function. In fact, the increase of other indicators, such as bilirubin, is the same reason. It may not be liver disease, but may also be related to the health of biliary tract. < / P > < p > abnormal liver function results do not necessarily mean liver disease. Conversely, if the liver function test results are all normal, it can not be categorically said that the liver must be OK, which is not rigorous. Why do you say so? < / P > < p > clinically, some patients with liver disease often had normal liver function before examination, but finally got liver cancer. In the early stage of liver cancer, the physical symptoms are not particularly obvious. Due to the powerful compensatory function of the liver, even if only 30% of the healthy cells are left, it can still work tenaciously. Early detection of liver function may not appear abnormal, especially for viral hepatitis, such as hepatitis B, which has a long incubation period, and it may be difficult to find its trace through the detection of liver function. < / P > < p > since normal liver function does not mean that the liver must be healthy, and abnormal liver function does not mean liver disease, is it unnecessary to check liver function? No, regular examination of liver function is of great significance for the detection of liver disease. If there is abnormality, further examination, such as CT, is needed to further diagnose the disease, which needs comprehensive judgment. < / P > < p > the hepatologist told you that when you get the report, you can focus on the three indicators of transaminase, albumin and bilirubin, which are closely related to liver health. < / P > < p > generally speaking, abnormal liver function is not necessarily liver disease, but also may be some of the other reasons mentioned above, which are physiological and pathological. Similarly, normal liver function does not mean that the liver must be very healthy. When you read the report, you should find out the key points. 08/16/2020