Yala dɔgɔtɔrɔ kumana anzimu minnu bɛ i joli la wa? (Enzyme Markers) An ka nin ko in dɔn nɔgɔya la!

Tuma dɔw la, n’i taara dɔgɔtɔrɔso la, i bɛ se ka mɔgɔ dɔ mɛn a b’a fɔ ko: ‘An ka kan ka joli kɔnɔ anzimu dɔw lajɛ.’ O kɔ, i bɛ se k’a miiri ko: ‘O anzimuw ye mun ye? Mun na u bɛ ka u sɛgɛsɛgɛ?’ Aw kana aw hakili ɲagami, nin ye sɛgɛsɛgɛli ye min ka teli ka kɛ, a ka teli ka kɛ. Bi, an ka kuma nin anzimu taamasiɲɛw ye mun ye ani mun na u bɛ fɛn nafamaw fɔ an ye an ka kɛnɛyako la.

N’an y’a fɔ cogo nɔgɔman na, o anzimu ye mun ye?

Miiri k’a filɛ ko an farikolo ye izini belebeleba ye. Baara ba caman bɛ ka kɛ o izini in kɔnɔ segin o segin. Enzymes bɛ i n’a fɔ baarakɛla fitinin minnu bɛ nin izini in kɔnɔ. Tiɲɛ na, ninnu ye farikolojɔli dumuni suguya dɔ ye. O baarakɛlaw de bɛ dɛmɛ don kemikoro caman yeli la minnu bɛ kɛ farikolo la ani ka dɔ fara u teliya kan.

Enzyme marker test ye joli sɛgɛsɛgɛli ye min bɛ o baarakɛlaw, walima enzymes hakɛ jateminɛ i joli la.

An farikolo yɔrɔw miiri i n’a fɔ so danfaralenw nin izini in kɔnɔ. A ka c’a la, o baarakɛlaw minnu bɛ wele ko enzymes, olu bɛ u ka so (seliw) kɔnɔ. Nka ni farikolo yɔrɔ dɔ tiɲɛna, ni a banana, walima ni a joginna, a bɛ kɛ i n’a fɔ o so kɔnɔ kogo dɔ karilen don, ani a kɔnɔfɛnw bɛ bɔn ka bɔ, o kɔrɔ ye ka don joli la. Dɔgɔtɔrɔw bɛ anzimu hakɛ lajɛ joli la walasa ka a dɔn ni fɛn dɔ man ɲi farikolo kɔnɔ. olu bɛ wele tuma dɔw la ko biyomarkɛriw . O kɔrɔ ye ko taamasiɲɛ min b’a jira ko bana dɔ bɛ yen.

Enzymes minnu bɛ an farikolo la, olu bɛ baara nafama caman kɛ. I n'a fo:

• Joli-sira-funu na: A bɛ joli-sira-funu dɛmɛ.
• Dumunikɛcogo: An bɛ dumuni minnu dun, an bɛ olu dɛmɛ ka u sɔgɔ.
• Farikoloɲɛnajɛ: A bɛ dɛmɛ don farikolo baara ni a lamagacogo la.
• Farikoloɲɛnajɛ : A nafa ka bon hakili ni farikolojidɛsɛ baara la.
• Ninakiliyɔrɔ : A bɛ dɛmɛ don ninakilidege la.
• Sugunɛ sira : A bɛ dɛmɛ ka nɔgɔ bɔ farikolo la.

Anzimu sɛgɛsɛgɛli bɛ kɛ cogo jumɛnw na?

Kunba caman bɛ yen minnu b’a to dɔgɔtɔrɔ bɛ se k’a ɲini aw fɛ aw ka nin sɛgɛsɛgɛli suguya in kɛ.

• Sɛgɛsɛgɛliw : Tuma dɔw la, aw ka san o san farikoloɲɛnajɛ kɛcogo kɔrɔ la, nin sɛgɛsɛgɛli in bɛ kɛ walasa ka a dɔn ni tiɲɛni walima degun dɔ bɛ farikolo yɔrɔ dɔ kɔnɔ, hali ni taamasiɲɛ si tɛ a la .
• Sɛgɛsɛgɛli : Ni taamasiɲɛ dɔw bɛ aw la, misali la, disidimi, nin sɛgɛsɛgɛli in bɛ kɛ ka bana kɛrɛnkɛrɛnnen dɔ sɛgɛsɛgɛ, i n’a fɔ ni dusukun tantanni don.
• Furakɛli kɔlɔsili:Ni aw bɛ bana dɔ furakɛ kaban, nin sɛgɛsɛgɛli in bɛ kɛ fana walasa ka a dɔn ni furakɛli bɛ se ka kɛ walima ni aw bɛ fura min ta, o bɛ ka farikolo yɔrɔ wɛrɛw tiɲɛ.

Enzyme sɛgɛsɛgɛli suguya jɔnjɔnw ye jumɛnw ye?

Anzimu sɛgɛsɛgɛli suguya caman bɛ yen minnu bɛ kɛ ka bana suguya caman sɛgɛsɛgɛ. An k’a lajɛ u ye min ye.

1. Dusukun tantanni sɛgɛsɛgɛli

Ni dusukun fasa tiɲɛna kɔrɔtɔko la, i n’a fɔ dusukun tantanni, farikolojɔlifɛn kɛrɛnkɛrɛnnen fila bɛ bɔ joli la ka bɔ o farikolokisɛw la: Troponin (cTn) ani Creatinine Phosphokinase (CPK) .

A bɛ se ka lɛri 12 kɛ walasa troponine hakɛ ka caya joli la dusukun tantanni kɔfɛ. O la, dɔgɔtɔrɔw bɛ segin nin sɛgɛsɛgɛli in kan tuma dɔw la lɛri damadɔ o lɛri damadɔ. Ni troponin hakɛ ma ɲɛ, a ka ca a la o kɔrɔ ye ko dusukun tantanni tɛ kɛ.

Dɔgɔtɔrɔ bɛ se ka nin sɛgɛsɛgɛli in kɛ ni nin taamasiɲɛ ninnu bɛ aw la:

• Disi dimi
• Dimi bɛ mɔgɔ la
• Fɔɔnɔnege
• Sumaya kojugu
• Ninakilidegun (ninakilidegun) .

2. CPK Isoenzymes Test, o bɛ farikolo ni farikolo yɔrɔw kofɔ

Anzimu min bɛ wele ko CPK, o bɛ sɔrɔ yɔrɔw la i n’a fɔ an farikolo, an kunkolo ani an fogonfogon. Ni o farikolo yɔrɔw tiɲɛna, CPK bɛ dalajɛ joli la. Nka fɛn kɛrɛnkɛrɛnnen dɔ bɛ o ko la. CPK suguya (isoenzymes) tɛ kelen ye.

• CK-MB: Nin bɛ sɔrɔ dusukun fasaw de la kosɛbɛ .
• CK-MM : O bɛ sɔrɔ farikolo yɔrɔ wɛrɛw la (i n’a fɔ bolokɔniw ni senw).

Nin sɛgɛsɛgɛli in bɛ dɛmɛ ka nin bana ninnu sɛgɛsɛgɛ:

• Dusukun tantanni
• Kuru bɔ
• Sugunɛ kansɛri
• Farikoloɲɛnajɛ (distrophie musculaire).
• Bana wɛrɛ minnu bɛ sɔrɔ farikolo la (Dermatomyositis, Polymyositis) .

3. Sugunɛbilenni sɛgɛsɛgɛli walasa ka sugunɛ kɛnɛya lajɛ

Ni sugunɛ tiɲɛna, ni banakisɛ donna a la, walima ni bana donna a la, a bɛ anzimu caman bɔ joli la. O farikolojɔlifɛn fila minnu nafa ka bon kosɛbɛ olu ye ALT (Alanine aminotransferase) ani AST (Aspartate aminotransferase) ye .

Anzimu ALT bɛ sɔrɔ sugunɛ de fɛ kosɛbɛ. O la, ALT hakɛ cayalenba joli la, o ye taamasiɲɛ barikama ye min b’a jira ko tiɲɛni dɔw bɛ sugunɛ na. Ka fara sugunɛ kan, anzimu AST bɛ sɔrɔ dusukun, sugunɛ, kunsɛmɛ ani farikolo yɔrɔw fana na.

Ninnu bɛ se ka kɛ sababu ye ka sugunɛbilenni caman wuli:

• Sugunɛbana tuluma
• Banakisɛfagalanw i n’a fɔ sugunɛbilenni A, B, ani C
• Sugunɛbilenni (cirrhose) bɛ sɔrɔ sugunɛ na
• Sugunɛ tiɲɛni dɔlɔmin fɛ
• Sugunɛ kansɛri

Aw ka kan ka aw labɛn cogo di sani aw ka joli sɛgɛsɛgɛli kɛ?

Nin ye joli sɛgɛsɛgɛli ye min bɛ kɛ tuma bɛɛ, o la, mago tɛ labɛn caman na. Nka ni aw ye o kow to aw hakili la, o bɛna nɔgɔya aw ni joli tabaga ma.

• Aw bɛ ji caman min : Ni aw bɛ ji caman min sani aw ka sɛgɛsɛgɛli kɛ, o bɛ aw jolisiraw ye ka ɲɛ ani ka joli bɔli nɔgɔya.
• Aw kana sigarɛti min: Ni aw bɛ sigarɛti min, nikotini bɛ aw joli siraw gɛlɛya, o bɛ a to a ka gɛlɛn ka joli ta.
• Aw bɛ a fɔ n ye ni aw bɛ siran: Mɔgɔ dɔw bɛ siran furakisɛw ɲɛ (trypanophobie). A ye normal ye. Ni o siran sugu bɛ aw la, aw ka kɔn ka o fɔ mɔgɔ ye min bɛ aw joli sama. O kɔ, u bɛna o kɛ cogo la min bɛ i lafiya.

A ka ca a la nin anzimu sɛgɛsɛgɛli ninnu tɛ sunɔgɔ wajibiya, kɛrɛnkɛrɛnnenya la kɔrɔtɔko la i n’a fɔ dusukun tantanni. Nka, ni sɛgɛsɛgɛli bɛ kɛ kun wɛrɛ la, aw bɛ dɔgɔtɔrɔ ka laadilikanw labato i n’a fɔ u bɛ cogo min na tigitigi.

Mun bɛ kɛ kɔrɔbɔli kɔfɛ? Yala farati dɔw bɛ yen wa?

A ka ca a la joli tacogo ka nɔgɔn kosɛbɛ, wa a bɛ miniti damadɔ dɔrɔn de ta. O kɔ, bandi fitini dɔ bɛ kɛ joli bɔyɔrɔ la. O ka kan ka to a nɔ na fo lɛri fila fo lɛri saba walasa ka banakisɛw bali. Tuma dɔw la, pikirijikɛlan donna yɔrɔ min na, o bɛ se ka kɛ bulama ye dɔɔni ka funu dɔɔni. A ka ca a la, o bɛna ban a yɛrɛ ma tile damadɔ kɔnɔ.

Ni dimi bɛ a yɔrɔ la joli bɔlen kɔfɛ, aw bɛ se ka jisumamugu kɛ a la. Ani fana, aw kana girinya kɔrɔta walima ka farikoloɲɛnajɛ gɛlɛn kɛ o bolokɔni kan tile kelen ɲɔgɔn kɔnɔ.

Joli sɛgɛsɛgɛli ye fɛɛrɛ ye min farati ka dɔgɔn kosɛbɛ. Nka, mɔgɔ dɔw bɛ se ka siran dɔɔni ni u ye joli walima pikirijikɛlan ye. Ni aw ye dusukasi dɔ ye, aw bɛ o fɔ dɔgɔtɔrɔ walima dɔgɔtɔrɔso baarakɛla ye joona.

A bɛna waati joli ta ka sɔrɔ o rapɔɔri ka se? I bɛ mun kɛ o kɔfɛ?

Kɔrɔtɔko la, i n’a fɔ dusukun tantanni, o kunnafoni bɛ sɔrɔ joona. Nka a bɛ se ka tile damadɔ kɛ walasa ka sɛgɛsɛgɛli kɛcogo kɔrɔ sɔrɔ.

Raporo sɔrɔlen kɔfɛ, aw ka dɔgɔtɔrɔ bɛna fɛn min bɛ a kɔnɔ, a bɛna o ɲɛfɔ aw ye.

O la, aw kana aw hakili ɲagami nafaw la minnu bɛ kunnafonisɛbɛn kɔnɔ, aw bɛ dɔgɔtɔrɔ ka kuma lamɛn kosɛbɛ. Ɲininkali fɛn o fɛn bɛ i bolo, i k’o ɲininka.