High γ-glutamyl transpeptidase 145U/L suggests that there may be biliary obstructive disease, viral hepatitis, alcoholic hepatitis and other diseases, the first step should be to find out the cause of the disease, and according to the cause of the disease to give medication or surgical treatment.
Gamma-glutamyl transpeptidase is mainly used to determine the presence of hepatobiliary diseases, and the normal value is 11-50U/L for men and 7-32U/L for women. γ-glutamyl transpeptidase high 145U/L exceeds the normal value. γ-glutamyl transpeptidase is elevated by the following methods:
1. Identify the cause: high r-glutamyl transpeptidase is related to primary biliary cirrhosis, sclerosing cholangitis, hepatocellular carcinoma, viral hepatitis, alcoholic hepatitis, drug-induced hepatitis, fatty liver, pancreatitis and other diseases. First of all, CT or MRI of the upper abdomen, Hepatitis B V, anti-nuclear antibody and other tests should be perfected. If necessary, complete the liver tissue biopsy examination to clarify the cause.
2. Drug treatment: patients with high γ-glutamyl transpeptidase can take drugs such as polyene phosphatidylcholine, glutathione, glycyrrhetinic acid and other drugs to protect the liver and reduce the enzyme; patients with viral hepatitis should be given anti-viral drugs; patients with primary biliary cirrhosis and sclerosing cholangitis should be given drugs such as ursodeoxycholic acid and so on.
3. Surgical treatment: patients with hepatocellular carcinoma, which causes the elevation of this index, also need to be given surgical treatment.
Patients with high γ-glutamyl transpeptidase 145 are recommended to go to hospital in time, improve the examination to find out the reason and treat under the guidance of doctor.