ʻO ka hoʻāʻo peptide natriuretic maʻa

ʻO ka hoʻāʻo peptide natriuretic Brain (BNP) kahi hōʻike koko e ana i nā pae o ka protein i kapa ʻia ʻo BNP i hana ʻia e kou puʻuwai a me nā kīʻaha koko. ʻOi aku ka kiʻekiʻe o nā pae BNP ma mua o ka maʻamau ke loaʻa ʻole ka puʻuwai.

Pono kahi laʻana koko. Lawe ʻia ke koko mai kahi aa (venipuncture).

Hana pinepine ʻia kēia hōʻike ma ka lumi pilikia a i ʻole ka haukapila. Loaʻa nā hopena i 15 mau minuke. I kekahi mau haukapila, loaʻa kahi hōʻoia prick manamana me nā hopena wikiwiki.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, ʻike paha ʻoe i kahi ʻeha iki. ʻO ka hapanui o ka poʻe manaʻo he prick a i ʻole kahi ʻūniu ʻino. A ma hope paha e loaʻa mai paha kahi ʻōhū a ʻūlū paha.

Pono ʻoe i kēia hōʻoia inā loaʻa iā ʻoe kahi hōʻailona o ka puʻuwai puʻuwai. Pākuʻi ʻia nā ʻōuli me ka pōkole o ka hanu a me ka pehu ʻana o kou mau wāwae a ʻōpū paha. Kōkua ka hōʻoia i nā pilikia ma muli o kou puʻuwai ʻaʻole kāu mau māmā, nā puʻupaʻa, a me ke akepaʻa.

ʻAʻole maopopo inā he kōkua nā hōʻike BNP hou i ke alakaʻi ʻana i ka mālama ʻana i ka poʻe i hōʻike ʻia me ka maikaʻi ʻole o ka puʻuwai.

Ma ke ʻano laulā, nā hualoaʻa ma lalo o 100 picograms / milliliter (pg / mL) he hōʻailona ʻaʻohe puʻuwai puʻuwai o ke kanaka.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Piʻi nā pae BNP ke hiki ʻole i ka puʻuwai ke pauma i ke ala e pono ai.

ʻO kahi hopena i ʻoi aku ma mua o 100 pg / mL he mea maʻamau. ʻO ke kiʻekiʻe o ka helu, ʻoi aku ka nui o ka puʻuwai o ka puʻuwai a ʻoi aku ke koʻikoʻi.

I kekahi manawa hiki i nā kūlana ʻē aʻe ke kumu i nā pae BNP kiʻekiʻe. Pākuʻi ʻia kēia mau mea:

• Hewa ʻole nā ​​hakuʻala
• Emperorism pulmonary
• Hypertension pulmonary
• ʻO ka maʻi nui (sepsis)
• Nā pilikia o ka lepa

ʻO nā pōpilikia e pili ana i ke kau ʻana o ke koko he mea liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

ʻO kahi hōʻike e pili ana, i kapa ʻia ka hōʻike N-terminal pro-BNP, hana ʻia ma ke ala like. Hāʻawi ia i ka ʻike like, akā ʻokoʻa ka pae maʻamau.

ʻO Bock JL. ʻO ka maʻi Cardiac, atherosclerosis, a me ka maʻi thrombotic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 18.

ʻO Felker GM, ʻo Teerlink JR. ʻIke a me ka hoʻokele o ka hōʻeha puʻuwai koʻikoʻi. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 24.

ʻO Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka puʻuwai puʻuwai: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2013; 128 (16): e240-e327. PMID: 23741058 pubmed.ncbi.nlm.nih.gov/23741058/.