Troponin: he aha ka hoʻāʻo a he aha ke ʻano o ka hopena

Anter

• I ka manawa e lawe ai i ka hōʻike
• He aha ke ʻano o ka hopena

Hana ʻia ka hoʻokolohua troponin e loiloi i ka nui o nā proteinin T a me tropinin I i loko o ke koko, i hoʻokuʻu ʻia ke loaʻa kahi ʻeha i ka puʻuwai puʻuwai, e like me ke kū ʻana o ka puʻuwai puʻuwai, no ka laʻana. ʻO ka nui o ka poino o ka puʻuwai, ʻo ka nui o kēia mau protein i ke koko.

No laila, i ka poʻe olakino, ʻaʻole ʻike ka hoʻokolohua troponin i ke kū ʻana o kēia mau protein i ke koko, a manaʻo ʻia he hopena maikaʻi ʻole. ʻO nā waiwai maʻamau o troponin i ke koko:

• Troponin T: 0.0 a 0.04 ng / mL
• Troponin I: 0.0 a 0.1 ng / mL

I kekahi mau hihia, hiki ke kauoha ʻia kēia hōʻike me nā hoʻokolohua koko ʻē aʻe, e like me ke ana ʻana o myoglobin a i ʻole creatine phosphokinase (CPK). Hoʻomaopopo i ke ʻano o ka hōʻike CPK.

Hana ʻia ka hoʻokolohua mai kahi hāpana koko i hoʻouna ʻia i ka hale hana no ka loiloi. No kēia ʻano anamanaʻo lapaʻau, ʻaʻohe mea hoʻomākaukau e pono ai, e like me ka hoʻokē ʻai a me ka hōʻalo ʻana i nā lāʻau.

I ka manawa e lawe ai i ka hōʻike

Kauoha pinepine ʻia kēia hoʻāʻo e ke kauka ke loaʻa kahi kānalua no ka hōʻeha ʻana o ka puʻuwai e like me ke ʻano o nā ʻōuli e like me ka ʻeha o ka umauma nui, paʻakikī ka hanu ʻana a i ʻole ke kani ʻana i ka lima hema, no ka laʻana. I kēia mau hihia, hana hou ʻia ka hoʻāʻo he 6 a me 24 mau hola ma hope o ka hōʻike mua. E hōʻoia no nā hōʻailona ʻē aʻe e hōʻike i kahi hōʻeha puʻuwai.

ʻO Troponin ka māka biochemical nui i hoʻohana ʻia e hōʻoia i ka infarction. Hoʻomaka ka piʻi ʻana o ke koko i 4 a 8 mau hola ma hope o ka infarction a hoʻi i ka hoʻoliʻiliʻi maʻamau ma hope o 10 mau lā, hiki ke hōʻike i ke kauka ke hiki ke hōʻike. ʻOiai ʻo ia ka māka nui o ka infarction, ana pinepine ʻia ʻo troponin me nā māka ʻē aʻe, e like me CK-MB a me myoglobin, nona ka nui o ke kahe e hoʻomaka ai e hoʻonui i 1 mau hola ma hope o ka infarction. E aʻo hou aʻe e pili ana i ka hoʻokolohua myoglobin.

Hiki ke kauoha ʻia ka hōʻike troponin ma muli o nā kumu ʻino ʻē aʻe o ka puʻuwai puʻuwai, e like me nā hihia o ka angina e ʻoi aku ana ka hewa i ka manawa, akā ʻaʻole ia e hōʻike i nā ʻōuli o ka infarction.

He aha ke ʻano o ka hopena

ʻO ka hopena o ka hoʻokolohua troponin i ka poʻe olakino maikaʻi ʻole, ʻoiai ʻo ka nui o nā protein i hoʻokuʻu ʻia i loko o ke koko he haʻahaʻa loa ia, me ka ʻike liʻiliʻi a ʻaʻohe paha. No laila, inā maikaʻi ʻole ka hopena 12 a 18 mau hola ma hope o ka ʻeha o ka puʻuwai, ʻaʻole paha ia he puʻuwai puʻuwai, a ʻo nā kumu ʻē aʻe, e like me ka nui o ke kinoea a me nā pilikia digestive.

Ke maikaʻi ka hopena, ʻo ia hoʻi aia kekahi ʻeha a i ʻole hoʻololi i ka hana naʻau. ʻO nā kumukūʻai kiʻekiʻe loa he hōʻailona ia o ka puʻuwai puʻuwai, akā hiki i nā kumukūʻai haʻahaʻa ke hōʻike i nā pilikia ʻē aʻe e like me:

• ʻO ka wikiwiki o ka puʻuwai;
• Ke koko kiʻekiʻe ma nā akemāmā;
• Embolism Lung;
• Hoka puʻuwai Congestive;
• Ka hoʻohaunaele o ka puʻuwai puʻuwai;
• Hoʻopilikia ʻia e nā ulia pōpilikia.
• Maʻi maʻi ʻōniʻoniʻo.

ʻO ka maʻamau, hoʻololi ʻia nā waiwai o troponins i loko o ke koko ma kahi o 10 mau lā, a hiki ke loiloi i ka hala ʻana o ka manawa e mālama pono ʻia ai ka maʻi ʻino.

E ʻike i nā hoʻāʻo āu e hiki ai ke hana e loiloi i kou olakino puʻuwai.