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Ka hoʻoholo ʻana i nā troponins i loko o ke koko
Ka wehewehe ʻana o ka troponin
La troponin he mea protein i komo iloko o ke kumukanawai o nā olonā mākala a hooponopono i ko lakou contraction, me ka pae o puʻuwai puʻuwai.
He paʻakikī ia i hana ʻia me ʻekolu mau protein: troponins I, -C a me -T.
Aia nā ʻano kikoʻī o ka puʻuwai no ka troponin T a me I, hiki ke ʻike i ka pōʻino o ka naʻau.
No ke aha e hana ai kahi hoʻokolohua troponin?
ʻO ke ʻano o nā troponins cardiac hiki ke:
- e ʻike a pōʻino naʻau,
- e hoʻopaʻa i ka pilikia (prognosis) i ka poʻe i loaʻa i ka a maʻi ʻaʻano coronary syndrome
- e hōʻike a myocardial infarction (maʻi hohola)
No laila, he mea koʻikoʻi kēia ʻano no ka maʻi maʻi, prognosis a me ka nānā ʻana i ka therapeutic o nā maʻi coronary acute, e pili ana i nā maʻi āpau e hiki mai ana ke hoʻopaʻa ʻia kekahi o nā aʻa e hāʻawi ana i ka puʻuwai (nā ʻāpana coronary arteries) holoʻokoʻa a ʻāpana paha. . ʻO ka myocardial infarction kekahi o lākou.
He aha nā hopena e hiki iā mākou ke manaʻo mai kahi hoʻokolohua troponin?
Lawe ʻia ka dosage ma o kahi laʻana koko maʻalahi. Hoʻokumu ʻia ka ʻenehana assay i nā antibodies e ʻike i nā ʻano cardiac o nā troponins like ʻole.
I ka loaʻa ʻole o kahi pilikia puʻuwai, haʻahaʻa loa ka ʻike o ka troponin i ke koko. Pono ia ma lalo o 0,6 μg / L (micrograms no ka lita).
ʻO ka piʻi ʻana o ke kiʻekiʻe o ka troponin i loko o ke kahe koko he hōʻailona ia o ka pōʻino i ka myocardium, ka puʻuwai puʻuwai. Ma hope o ka hōʻeha puʻuwai a i ʻole ka emi ʻana o ke koko i ka puʻuwai, necrotize nā puʻuwai a make, e hoʻokuʻu ana i nā troponins.
ʻIke ʻia kēia mau mea i ke koko 2-4 mau hola ma hope o ka hoʻomaka ʻana o ka pilikia myocardial.
Hiki ke ʻike ʻia ka piʻi ʻana o ka troponin i ke koko ma:
- byka embolism pulmonary,
- de ka maʻi ʻehaʻeha (ka mumū o ka myocardium),
- byhoʻopau puʻuwai mau,
- byka maʻi renal pae hope
Heluhelu pū kekahi: E aʻo hou e pili ana i nā pilikia puʻuwai ʻO kā mākou pepa pono i ka infarction myocardial He aha ka hana ʻole o ka renal? |