No ke aha he mea nui ka Troponin?

Anter

• Nā pae maʻamau o troponin
• Nā kumu troponin kiʻekiʻe
• He aha ka mea e kali ai i ka wā o ka hoʻāʻo
• Outlook

He aha ke troponin?

ʻO nā Troponins nā protein i loaʻa i ka naʻau a me nā mākala iwi. Ke hōʻino ʻia ka puʻuwai, hoʻokuʻu ia i ka troponin i loko o ke koko. Ana nā kauka i kāu mau pae troponin e ʻike ai inā paha ʻoe e ʻike nei i kahi puʻuwai puʻuwai a i ʻole ʻaʻole paha. Hiki i kēia hōʻoia ke kōkua i nā kauka e ʻike i ka lāʻau maikaʻi ma mua koke.

Ma mua, ua hoʻohana nā kauka i nā hoʻokolohua koko ʻē aʻe e ʻike i ka hōʻeha puʻuwai. ʻAʻole maikaʻi kēia, akā naʻe, no ka mea ʻaʻole i maʻalahi nā hoʻokolohua e ʻike ai i kēlā me kēia hoʻouka ʻana. Ua pili pū lākou i nā mea i kikoʻī ʻole i ka puʻuwai puʻuwai. ʻAʻole i loaʻa i kahi puʻuwai puʻuwai liʻiliʻi i nā kolo i nā hoʻokolohua koko.

ʻOi aku ka maʻalahi o Troponin. ʻO ke ana ʻana i nā pae troponin cardiac i loko o ke koko e ʻae i nā kauka e hōʻoia i kahi puʻuwai puʻuwai a i ʻole nā ​​ʻano pili i ka naʻau me ka maikaʻi, a hāʻawi i ka lāʻau koke.

Hoʻokaʻawale ʻia nā protein Troponin i ʻekolu mau subunits:

• troponin C (TnC)
• troponin T (TnT)
• troponin I (TnI)

Nā pae maʻamau o troponin

I nā kānaka olakino, haʻahaʻa nā pae troponin i hiki ʻole ke ʻike ʻia. Inā ua ʻike ʻoe i ka ʻeha o ka umauma, akā haʻahaʻa nā pae troponin ma kahi o 12 mau hola ma hope o ka hoʻomaka ʻana o ka ʻeha o ka umauma, ka hiki ʻole o ka puʻuwai puʻuwai i ka ʻole.

ʻO nā kiʻekiʻe kiʻekiʻe o troponin kahi hae ʻulaʻula koke. ʻO ke kiʻekiʻe o ka helu, ʻo ka nui o troponin - kikoʻī i troponin T a me I - i hoʻokuʻu ʻia i loko o ke kahe o ke koko a me ke kiʻekiʻe o ka likelike o ka hōʻino puʻuwai. Hiki i nā pae Troponin ke hoʻokiʻekiʻe i waena o 3-4 mau hola ma hope o ka hōʻino ʻia o ka puʻuwai a hiki ke hoʻomau i ke kiʻekiʻe no 14 mau lā.

Hoʻopili ʻia nā pae Troponin i nā nanogram i kēlā me kēia milliliter. Hāʻule nā ​​pae maʻamau ma lalo o ka 99th pākēneka i ka hōʻoia koko. Inā aia nā hualoaʻa troponin ma luna o kēia pae, he hōʻailona paha ia o ka hōʻino puʻuwai a i ʻole ka hōʻeha puʻuwai. Eia naʻe, hōʻike e hiki i nā wahine ke ʻike i ka hōʻino puʻuwai mai kahi puʻuwai puʻuwai ma nā pae ma lalo o ka "maʻamau" ʻoki ʻia. ʻO kēia ka mea i ka wā e hiki mai ana, he aha ka mea i manaʻo ʻia he maʻamau no nā kāne a me nā wahine.

Nā kumu troponin kiʻekiʻe

ʻOiai ka piʻi ʻana o nā pae troponin he hōʻailona pinepine ia no ka hōʻeha puʻuwai, aia kekahi mau kumu ʻē aʻe i hiki ai i nā pae ke kiʻekiʻe.

Nā kumu ʻē aʻe i hiki ke hāʻawi i nā pae troponin kiʻekiʻe me:

• hoʻoikaika kino
• kuni
• maʻi nui, e like me sepsis
• lāʻau lapaʻau
• myocarditis, kahi hoʻāhu o ka mākala puʻuwai
• pericarditis, kahi hoʻāhu a puni ka ʻeke o ka puʻuwai
• endocarditis, he maʻi maʻi o nā puʻuwai puʻuwai
• cardiomyopathy, puʻuwai nāwaliwali
• puʻuwai puʻuwai
• maʻi maʻi ʻōpū
• pulmonary embolism, he kōkuʻu koko i loko o kou māmā
• diabetes
• hypothyroidism, kahi thyroid underactive
• hahau
• kahe ʻana o ka ʻōpū

He aha ka mea e kali ai i ka wā o ka hoʻāʻo

Ana ʻia nā pae Troponin me kahi hōʻike koko maʻamau. E lawe kahi mea mālama ola i kahi laʻana o kou koko mai kahi aa i kou lima a lima paha. Hiki iā ʻoe ke kali i ka ʻeha mehana a malia paha ka kahe ʻana o ka māmā.

E paipai kāu kauka i kēia hōʻike inā loaʻa ʻoe i ka ʻeha o ka umauma a i ʻole nā ​​ʻōuli puʻuwai puʻuwai e pili pū ana:

• ʻeha ma ka ʻāʻī, kua, lima, a i ʻole ka ʻāʻā
• sweating ikaika
• ʻālohilohi
• ʻūpā
• nausea
• pokole o ka hanu
• luhi

Ma hope o ka lawe ʻana i kahi laʻana koko, e loiloi kāu mea mālama ola i kāu pae troponin e kuhikuhi i ka hōʻeha puʻuwai. E nānā pū lākou i nā loli ma ka electrocardiogram (EKG), kahi uila uila o kou puʻuwai. E hana hou paha kēia mau hoʻokolohua i mau manawa ma kahi o 24 mau hola e nānā ai i nā loli. ʻO ka hoʻohana ʻana i ka hoʻokolohua troponin hiki ke hana i kahi manawa hewa ʻole. Hiki ke hoʻonui i nā pae o troponin i mau hola ma mua o ka hiki ke ʻike ʻia.

Inā haʻahaʻa a maʻamau paha kāu mau pae troponin ma hope o ka ʻike ʻana i ka ʻeha o ka umauma, ʻaʻole paha ʻoe i ʻike i kahi puʻuwai puʻuwai. Inā ʻike ʻia a kiʻekiʻe paha kāu mau pae, kiʻekiʻe ka likelihood o ka hōʻino puʻuwai a i ʻole ka puʻuwai puʻuwai.

Ma waho o ke ana ʻana i kāu pae troponin a me ka nānā ʻana i kāu EKG, makemake paha kāu mea mālama ola e hana i nā hoʻokolohua ʻē aʻe e nānā i kou olakino, e like me:

• nā ho'āʻo koko hou e ana i nā pae o ka enzyme cardiac
• nā ho'āʻo koko no nā ʻano olakino ʻē aʻe
• he echocardiogram, kahi ultrasound o ka puʻuwai
• kahi pahu kukui X
• he scanner tomography i helu ʻia (CT)

Outlook

ʻO Troponin kahi protein i hoʻokuʻu ʻia i loko o kou koko ma hope o kou ʻike ʻana i kahi puʻuwai puʻuwai. Hiki i nā pae troponin kiʻekiʻe ke lilo i hōʻailona no nā ʻano naʻau a i ʻole nā ​​maʻi pū kekahi. ʻAʻole pono e kuhikuhi pono iā ʻoe iho. Pono e loiloi i ka ʻeha o ka umauma i kahi lumi pilikia.

Inā hoʻomaka ʻoe e ʻike i ka ʻeha o ka umauma a i ʻole manaʻo ʻoe he maʻi puʻuwai kou, e kāhea iā 911. Hiki i nā puʻuwai puʻuwai a me nā ʻano puʻuwai ʻē aʻe ke make. Hiki ke hoʻololi i ka nohona a me ka mālama ʻana i ke olakino puʻuwai a hāʻawi iā ʻoe i ke ola kiʻekiʻe. E nānā i kā mākou ʻōlelo aʻoaʻo no ka mālama pono ʻana i kou puʻuwai.