Check-up «Liver Function Test»

Check-up «Liver Function Test» Check-up «Liver Function Test»

Check-up «Liver Function Test»

An examination to assess the function of the liver, biliary tract and protein metabolism. Includes the determination of bilirubin, liver enzymes, total protein, albumin and the albumin/globulin ratio.
The liver is involved in metabolism, the synthesis of proteins, enzymes and hormones, as well as in detoxification. Disorders of its function may be asymptomatic. The check-up allows you to assess the degree of inflammation, signs of cholestasis, impaired protein-synthetic function and possible systemic changes. It is used in the diagnosis of liver and biliary tract diseases, monitoring therapy and in planned preparation for treatment.

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Diagnosis of acute and chronic liver diseases
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Monitoring of liver function when taking hepatotoxic drugs
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Detection of bile outflow disorders
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Assessment of suspected fatty liver disease, hepatitis, cirrhosis
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Screening before surgery or chemotherapy
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Complaints of heaviness in the right hypochondrium, nausea, bitterness in the mouth
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Increased liver enzymes in previous tests
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Suspected hepatitis, fatty liver disease, cirrhosis
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Monitoring therapy when taking potentially hepatotoxic drugs
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Screening before surgery, chemotherapy or long-term medication
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Chronic alcohol consumption
Programme components
01
Total Bilirubin

A chemical compound that is formed during the breakdown of hemoglobin. Consists of direct and indirect fractions. It is used to assess jaundice and hepatobiliary diseases.

Normal range: 3–21 µmol/l

Indicators above normal: viral hepatitis, cirrhosis, Gilbert's syndrome, hemolysis, mechanical jaundice
Indicators below normal: no diagnostic value

02
Direct Bilirubin

Fraction of bilirubin bound in the liver with glucuronic acid. This form is water-soluble and excreted in bile.

Normal range: 0–5 µmol/l

Indicators above normal: cholestasis, liver tumors, hepatitis, biliary obstruction
Indicators below normal: no diagnostic value

03
Indirect Bilirubin

Fraction not bound in the liver. Formed during the breakdown of red blood cells.

Normal range: up to 16 µmol/l

Indicators above normal: hemolytic anemia, Gilbert's syndrome, neonatal jaundice
Indicators below normal: no diagnostic value

04
Alanine aminotransferase (ALT/SGPT)

An enzyme primarily localized in liver cells. The level increases with damage to liver cells. Used to diagnose viral and toxic hepatitis, fatty hepatosis and drug reactions.

Normal range: up to 40 U/l

Indicators above normal: acute or chronic hepatitis, fatty liver disease, toxic damage
Indicators below normal: possible with severe liver failure, decreased muscle mass

05
Aspartate aminotransferase (AST/SGOT)

Present in the liver, cardiac muscle and skeletal muscles. AST levels are assessed together with ALT to determine the source of cellular damage. The AST/ALT ratio helps to clarify the nature of the disease and suspect cirrhosis.

Normal range: up to 40 U/l

Indicators above normal: viral hepatitis, cirrhosis, myocardial infarction, alcoholic liver disease
Indicators below normal: rare, can be observed in muscular dystrophy

06
Alkaline phosphatase (ALP)

An enzyme whose level increases when bile outflow is impaired. Also produced in bone tissue. Together with GGT, it helps to identify intrahepatic or extrahepatic obstruction.

Normal range: 40–150 U/l

Indicators above normal: cholestasis, liver tumors, biliary obstruction, bone diseases
Indicators below normal: hypophosphatemia, hypothyroidism, zinc deficiency

07
Gamma Glutamyl Transferase (GGT)

An enzyme involved in amino acid metabolism. It is a sensitive marker of cholestasis and toxic liver damage. An increase in levels is often observed with alcohol abuse and long-term medication use.

Normal range:

Men: up to 60 U/l
Women: up to 40 U/l

Indicators above normal: alcoholism, medication, cholestasis, liver tumors
Indicators below normal: no clinic value

08
Total Protein

The sum of all protein fractions in the blood serum. The level reflects the synthetic function of the liver and the general state of protein metabolism.

Normal range: 64–83 g/l

Reasons for increased values: chronic inflammatory diseases, infections, myeloma
Reasons for decreased values: cirrhosis, nephrotic syndrome, exhaustion, malabsorption

09
Albumin

The main plasma protein, synthesized in the liver. Maintains oncotic pressure, participates in the transportation of hormones, bilirubin and drugs.

Normal range: 35–50 g/l

Reasons for increased values: dehydration
Reasons for decreased values: liver failure, chronic inflammation, nephrotic syndrome

10
Albumin/Globulin Ratio (A/G Ratio)

A coefficient characterizing the relative content of albumin and globulins.

Normal range: 1.2–2.2

Reasons for increased values: possible with dehydration
Reasons for decreased values: chronic liver diseases, autoimmune processes, infections

Check-up «Liver Function Test»
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