Alanine aminotransferase mainly exists in liver, heart and skeletal muscle. Damage or necrosis of liver cells or some tissues will increase alanine aminotransferase in blood. There are many diseases that can cause abnormal transaminase in clinic, so we must identify them.
1, viral hepatitis This is the most common disease that leads to the increase of transaminase. All kinds of acute and chronic viral hepatitis can cause the increase of transaminase.
2, toxic hepatitis A variety of drugs and chemicals can cause the increase of transaminase, but after stopping the drug, transaminase can return to normal.
3. Heavy or long-term drinkers will also increase alanine aminotransferase.
4. Liver cirrhosis, liver cancer cirrhosis active stage, transaminase is higher than the normal level, should be actively treated.
5, biliary tract diseases, cholecystitis, gallstones acute attack, often fever, abdominal pain, nausea, vomiting, jaundice, serum bilirubin and transaminase increased.
6, heart disease acute myocardial infarction, myocarditis, heart failure, alanine aminotransferase and aspartate aminotransferase are elevated, patients often have chest pain, palpitations, shortness of breath, edema. Cardiac examination showed positive signs and abnormal electrocardiogram.
7. Other infectious diseases, such as pneumonia, typhoid fever, tuberculosis and infectious mononucleosis. All of them have elevated transaminase, but these diseases have typical clinical manifestations and can be diagnosed by laboratory examination. In addition, acute soft tissue injury and strenuous exercise can also lead to a transient increase in transaminase. Therefore, it is necessary to go to the hospital for a comprehensive examination, find out the reasons and deal with them in time.
Analysis and recommendations:
1, two and a half shows that you have some resistance to hepatitis B.
2. The total bilirubin is 33.3, which is a bit high.
3. Alanine aminotransferase 157 104 is still on the high side.
4. I don't know why the doctor diagnosed you with elevated transaminase. It shows a downward trend. This means that your treatment is effective,
You don't have hepatitis B, and you have a certain resistance, so you don't need to get hepatitis B vaccine. But it can be strengthened, but it must be fully restored.
6. After alanine aminotransferase is reduced, you can still be qualified as a soldier.
May all your wishes come true! ! !