Nei Troponin Yakakosha?

Zvemukati

• Akajairika mazinga etroponin
• Yakakwidziridzwa troponin inokonzeresa
• Chii chekutarisira panguva yekuedzwa
• Outlook

Chii chinonzi troponin?

Troponins mapuroteni anowanikwa mune yemoyo uye yemhasuru yemhasuru. Kana moyo wakakuvadzwa, unoburitsa troponin muropa. Vanachiremba vanoyera matanho ako etroponin kuti vaone kuti uri kusangana nechirwere chemoyo here kana kuti kwete. Bvunzo iyi inogona zvakare kubatsira vanachiremba kuti vawane kwakanyanya kurapwa nekukurumidza.

Pakutanga, vanachiremba vaishandisa kumwe kuongorora kweropa kuti vaone chirwere chemwoyo. Izvi zvaive zvisingaite, zvakadaro, nekuti bvunzo dzaive dzisinganetseke zvakakwana kuti dzione kurwisa kwese. Ivo zvakare vaisanganisira zvinhu zvisina kunyatso kukwana kumwoyo mhasuru. Kurwiswa kwemoyo kudiki kwakasiya nzira yekuongororwa kweropa.

Troponin inonyanya kunetseka. Kuyera masero emoyo troponin muropa kunotendera vanachiremba kuti vaongorore chirwere chemwoyo kana zvimwewo zvinoenderana nemoyo zvinobudirira, uye vape kurapwa nekukurumidza.

Troponin mapuroteni akapatsanurwa kuita matatu masuniti:

• troponin C (TnC)
• Kuende (KUE)
• troponin I (TnI)

Akajairika mazinga etroponin

Muvanhu vane hutano, huwandu hwe troponin hwakadzikira zvakakwana kuti zvisaonekwe. Kana iwe wakasangana nekurwadziwa kwepfupa, asi troponin mazinga achiri mashoma 12 maawa mushure mekurwadziwa kwepfupa kwatanga, mukana wekurwadziwa kwemoyo zvisingaite.

Nzvimbo dzakakwirira dze troponin mureza mutsvuku. Iyo yakakwira iyo nhamba, inowedzera troponin - kunyanya troponin T neni - yakaburitswa muropa uye inowedzera mukana wekukuvara kwemoyo. Matanho eTroponin anokwanisa kukwidza mukati memaawa matatu kana matatu mushure mekunge moyo wakanganisika uye unogona kuramba wakakwira kusvika mazuva gumi nemana.

Matanho eTroponin anoyerwa muma nanograms pamamirilita. Maitiro akajairika anowira pasi pe 99th percentile mukuyedzwa kweropa. Kana troponin mhedzisiro iri pamusoro peichi chikamu, inogona kunge iri chiratidzo chekukuvara kwemoyo kana kurwara kwemoyo. Nekudaro, zvinoratidza kuti vakadzi vanogona kusangana nekukuvara kwemoyo kubva pakurwara kwemoyo pamatanho pazasi pazvino "zvakajairika" zvakatemwa. Izvi zvinoreva kuti mune ramangwana, izvo zvinoonekwa zvakajairika zvinogona kusiyana kuvarume nevakadzi.

Yakakwidziridzwa troponin inokonzeresa

Kunyangwe kukwira kwematanho etroponin kazhinji kuchiratidzira kwekurwadziwa kwemoyo, kune zvimwe zvikonzero zvinoverengeka nei mazinga achikwirisa.

Zvimwe zvinhu zvinokonzeresa kumatunhu epamusoro etroponin anosanganisira:

• kurovedza muviri kwakanyanya
• kutsva
• hutachiona hwakakura, sepsis
• mishonga
• myocarditis, kuzvimba kwemutsipa wemwoyo
• pericarditis, kuzvimba kwakakomberedza saga remoyo
• endocarditis, hutachiona hwemagetsi emoyo
• cardiomyopathy, moyo wakaneta
• kutadza kwemoyo
• chirwere cheitsvo
• pulmonary embolism, ropa rinovhara mumapapu ako
• chirwere cheshuga
• hypothyroidism, utachiona husingashandi
• sitiroko
• kubuda ura

Chii chekutarisira panguva yekuedzwa

Matanho eTroponin anoyerwa pamwe neyakajairwa kuongororwa ropa. Anopa hutano anotora muyenzaniso weropa rako kubva mutsinga iri muruoko rwako kana ruoko. Iwe unogona kutarisira kurwadziwa kwakapfava uye pamwe kubuda kwechiedza.

Chiremba wako achakurudzira bvunzo iyi kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona

• kurwadziwa mumutsipa, musana, ruoko, kana shaya
• kudikitira kukuru
• musoro wakareruka
• dzungu
• kusvotwa
• mweya wekufema
• kuneta

Mushure mekutora muyero weropa, wako mupi wezvehutano anoongorora ako troponin mazinga kuti aongorore chirwere chemwoyo. Vachatarisawo chero shanduko pane electrocardiogram (EKG), inoteedzera magetsi emoyo wako. Iyi bvunzo inogona kudzokororwa kanoverengeka pamusoro pemaawa makumi maviri nemana ekutsvaga shanduko. Kushandisa iyo troponin bvunzo nekukurumidza kunogona kuburitsa nhema-isina. Kuwedzera kwematanho etroponin kunogona kutora maawa usati waonekwa.

Kana yako troponin mazinga ari akaderera kana akajairwa mushure mekusangana nekurwadziwa kwepfupa, unogona kunge usati wambosangana nekurwadziwa kwemoyo. Kana ako mazinga akaonekwa kana akakwirira, mukana wekukuvara kwemoyo kana kurwisa kwemoyo kwakakwira.

Pamusoro pekuyera matroponin ako uye kuongorora EKG yako, wako mupi wezvehutano anogona kuda kuita mamwe bvunzo kuti aongorore hutano hwako, kusanganisira:

• kuwedzerwa kuongororwa kweropa kuyera mwero weiyo enzyme yemoyo
• kuongororwa kweropa kune mamwe marapirwo
• iyo echocardiogram, iyo yemoyo ultrasound
• X-ray yechipfuva
• computed tomography (CT) scan

Outlook

Troponin ipuroteni yakaburitswa muropa rako mushure mekunge iwe warwara nemoyo. High troponin mazinga anogona kuve zviratidzo zveimwe moyo mamiriro kana zvirwere, futi. Kuzviongorora pachako hakuna kumbokurudzirwa. Zvese kurwadziwa kwepfupa kunofanirwa kuongororwa mukamuri rekukurumidzira.

Kana iwe ukatanga kunzwa kurwadziwa pachipfuva kana kufungidzira kuti une chirwere chemwoyo, fonera 911. Kurwadziwa kwemoyo uye mamwe mamiriro emwoyo anogona kuuraya. Mararamiro uye marapirwo anogona kusimudzira hutano hwemwoyo uye nekukupa iwe hwepamusoro hupenyu. Tarisa uone matipi edu ekuchengeta moyo wako uine hutano.