Troponin bvunzo

Muedzo we troponin unoyera matanho e troponin T kana troponin I mapuroteni muropa. Aya mapuroteni anosunungurwa kana mhasuru yemoyo yakakuvara, senge inoitika nekurwadziwa kwemoyo. Kunyanya kukuvara kune moyo, huwandu hwetroponin T neni huchave muropa.

Muenzaniso weropa unodiwa.

Hapana matanho akakosha anodikanwa kugadzirira, kazhinji yenguva.

Unogona kunzwa kurwadziwa kushoma kana kurumwa kana tsono yaiswa. Iwe unogona zvakare kunzwa kumwe kurovera panzvimbo iyi mushure mekudhonzwa kweropa.

Chikonzero chakajairika kwazvo chekuita iyi bvunzo kuona kana chirwere chemwoyo chaitika. Anopa hutano hwako anorayira bvunzo iyi kana uine kurwadziwa pachipfuva uye zvimwe zviratidzo zvekurwadziwa kwemoyo. Muedzo unowanzo dzokororwa kavirizve pamusoro peanotevera maawa matanhatu kusvika makumi maviri nemana.

Wako mupi anogona zvakare kuraira iyi bvunzo kana iwe uine angina iri kuramba ichiwedzera, asi hapana zvimwe zviratidzo zvekurwadziwa kwemoyo. (Angina kurwadziwa muchipfuva kunofungidzirwa kuti kunobva pachikamu chemoyo wako kusawana kukwana kweropa kuyerera.)

Iyo troponin bvunzo inogona zvakare kuitwa kuti ibatsire kuona uye kuongorora zvimwe zvikonzero zvekukuvara kwemoyo.

Iyo bvunzo inogona kuitwa pamwe chete nemamwe emoyo mamaki bvunzo, senge CPK isoenzymes kana myoglobin.

Cardiac troponin mazinga anowanzo kuve akaderera zvakanyanya haakwanise kuonekwa pamwe neruzhinji kuongororwa kweropa.

Kuva neyakajairika troponin mazinga maawa gumi nemaviri mushure mekurwadziwa kwepfupa kwatanga zvinoreva kuti chirwere chemwoyo hachikwanise.

Iyo yakajairika kukosha renji inogona kusiyana zvishoma pakati pema laboratories akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana (semuenzaniso, "kukwirira kwekunzwa troponin bvunzo") kana kuyedza sampuro dzakasiyana. Zvakare, mamwe marabhabhu ane akasiyana cutoff mapoinzi e "zvakajairika" uye "pamwe myocardial infarction." Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Kunyangwe kuwedzera kudiki padanho retroponin kunowanzoreva kuti kwave nekumwe kukuvara kumoyo. Akakwirira kwazvo mazinga etroponin chiratidzo chekuti chirwere chemwoyo chaitika.

Vazhinji varwere vane chirwere chemwoyo vakawedzera troponin mazinga mukati maawa matanhatu. Mushure memaawa gumi nemaviri, anenge munhu wese akarwara nemoyo anenge akwirisa nhanho.

Matanho eTroponin anogona kuramba akasimukira kwemavhiki maviri kana maviri mushure mekurwadziwa kwemoyo.

Kuwedzera kwetroponin mazinga anogona zvakare kuve nekuda kwe:

• Asina kujairika nekukurumidza kurova kwemoyo
• Kuwedzera kweropa mumapapu emapapu (pulmonary hypertension)
• Kuvharika kwemapapu arteri neropa, mafuta, kana tumarara maseru (pulmonary embolus)
• Kuunganidzwa kwemoyo kukundikana
• Coronary tsinga spasm
• Kuzvimba kweiyo moyo mhasuru kazhinji nekuda kwehutachiona (myocarditis)
• Kugara uchirovedza muviri (semuenzaniso, nekuda kwemarathoni kana matatuatatu)
• Trauma inokuvadza moyo, senge tsaona yemotokari
• Kushaya simba kwemoyo mhasuru (cardiomyopathy)
• Yenguva refu chirwere cheitsvo

Kuwedzera kwetroponin mazinga kunogona zvakare kukonzeresa kubva kune mamwe marapirwo maitiro akadai se:

• Cardiac angioplasty / kunhuwa
• Mwoyo defibrillation kana yemagetsi cardioversion (zvine chinangwa kuvhundutsa kwemoyo nevashandi vekurapa kugadzirisa iyo isina kujairika moyo mutinhimira)
• Vhura kuvhiyiwa kwemoyo
• Radiofrequency ablation yemoyo

TroponinI; TnI; TroponinT; TnT; Cardiac-yakatarwa troponin I; Cardiac-yakatarwa troponin T; cTnl; cTnT

Bohula EA, Mangwana DA. ST-Kukwidza myocardial infarction: manejimendi. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2018: chits. 59.

Bonaca, MP, Sabatine MS. Kusvika kumurwere nekurwadziwa pachipfuva. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 56.

Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC / AHA / SCAI Inotarisa kuvandudza pane yekutanga percutaneous coronary kupindira kwevarwere vane ST-Elevation myocardial infarction: gadziriso ye2011 ACCF / AHA / SCAI nhungamiro yeaccipral coronary kupindira uye 2013 ACCF / AHA nhungamiro yevatungamiriri ve ST- Elevation myocardial infarction: chirevo cheAmerican College yeCardiology / American Heart Association Task Force pamakiriniki ekudzidzira nhungamiro uye Sosaiti yeCardiovascular Angiography uye Kupindira. Kutenderera. 2016; 133 (11): 1135-1147. PMID: 26490017 www.ncbi.nlm.nih.gov/pubmed/26490017.

Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD; Executive Group pachinzvimbo cheJoint European Society of Cardiology (ESC) / American College of Cardiology (ACC) / American Heart Association (AHA) / World Heart Federation (WHF) Task Force yeiyo Universal Tsananguro yeMyocardial Infarction. Chechina Universal Dudziro yeMyocardial Infarction (2018). Kutenderera. 2018; 138 (20): e618-e651 PMID: 30571511 www.ncbi.nlm.nih.gov/pubmed/30571511.