Ka moʻolelo o kou puʻuwai: E aʻo kākou e pili ana i nā enzymes cardiac!

Ua manaʻo koke anei ʻoe i kahi manaʻo kaumaha a paʻa i loko o kou umauma, e paʻakikī ai ka hanu ʻana? ʻAʻohe huaʻōlelo e wehewehe i ka makaʻu a me ka hopohopo e hiki mai ana i kou manaʻo i ia manawa, ʻeā? Ke noʻonoʻo nei paha ʻoe, "Auē kuʻu Akua, he hōʻeha puʻuwai anei kēia?" I kahi manawa e like me kēia, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua koʻikoʻi loa a ke kauka e hana ai e ʻike pono inā he hewa maoli kekahi mea me kou puʻuwai. Ua kapa ʻia kēia he hoʻokolohua enzymes cardiac.

He aha kēia mau enzymes cardiac? I ka ʻōlelo maʻalahi...

ʻAe, e nānā mua kākou i ke ʻano o kēia mau enzymes cardiac, a i ʻole nā ​​biomarkers cardiac . E noʻonoʻo he mīkini kupaianaha kou puʻuwai e hana mau ana. Inā ua hōʻino ʻia kēia puʻuwai ma kekahi ʻano, no ka laʻana, inā ʻaʻole lawa ka oxygen, a inā he nui loa ke kaomi, e hoʻokuʻu ʻia nā mea kūikawā mai nā hunaola puʻuwai i loko o ke koko. ʻO kēlā mau mea a mākou e kapa nei he enzymes cardiac.

He mau protein kūikawā wale nō nā enzymes i loko o ko kākou kino. ʻO kēia nā mea e kōkua ai i ka hoʻomalu ʻana i nā kaʻina hana kemika he nui o ke kino, e like me ka ʻeli ʻana i ka meaʻai a kākou e ʻai ai, ka hana ʻana i ka ikehu, a me ka wehe ʻana i nā ʻōpala mai ke kino. No laila, inā loaʻa nui kēia mau enzymes kikoʻī no ka puʻuwai i loko o ke koko, he hōʻailona ia ua hewa kekahi mea me ka puʻuwai.

No ke aha i ʻike koke ʻia ai kēia mau enzymes cardiac i loko o ke koko?

ʻO ka maʻamau, loaʻa i ke koko o ke kanaka olakino nā ʻāpana liʻiliʻi loa o kēia mau enzymes puʻuwai. Akā inā ua hōʻino ʻia ka ʻiʻo puʻuwai, a i ʻole ka ʻiʻo puʻuwai, ma kekahi ʻano, e haki kēia mau hunaola puʻuwai a hoʻokuʻu ʻia nā enzymes i loko o lākou i loko o ke koko. Ua like ia me kahi ʻōmole wai e pohā ana a puka mai ka wai.

ʻO ke kumu nui o kēia, he hōʻeha puʻuwai . I ka hōʻeha puʻuwai, ua ālai koke ʻia kahi aʻa e hoʻolako ana i ke koko i ka puʻuwai, e hoʻonele ana i kahi hapa o ka puʻuwai i ka oxygen. A laila hoʻomaka nā hunaola puʻuwai i nele i ka oxygen e make, a hoʻokuʻu ʻia kēia enzyme i loko o ke koko.

ʻAʻole wale kēlā, akā hiki ke piʻi aʻe ka pae o kēia enzyme i loko o ke koko i nā kūlana e like me ke koko kiʻekiʻe a me ka mumū o ka puʻuwai.

No laila, he aha ka hoʻāʻo Cardiac Enzyme Marker?

He hoʻāʻo koko maʻalahi loa kēia. Lawe ke kauka i kahi liʻiliʻi o kou koko a hoʻāʻo iā ia i loko o kahi keʻena hoʻokolohua e ʻike i ka nui o kēia mau enzyme cardiac kikoʻī, a i ʻole nā ​​biomarkers cardiac, i loko o kēlā koko. Inā ʻoi aku ke kiʻekiʻe o nā pae o kēia mau enzymes ma mua o ka maʻamau, hiki i ke kauka ke manaʻo he hewa kekahi mea me kou puʻuwai a i ʻole e hana ana kou puʻuwai ma lalo o ke kaumaha nui.

Pehea e hana ʻia ai kēia hoʻāʻo? Ma hea e hana ʻia ai?

ʻAʻole he mea nui kēia hoʻāʻo koko. Lawe wale ia i kahi hāpana koko liʻiliʻi mai kahi aa koko ma kou lima. He mau minuke wale nō ia.

I kahi pilikia, ʻo ia hoʻi, inā loaʻa koke iā ʻoe ka ʻeha o ka umauma a hele i ka haukapila, e hele i ka ʻOihana Pilikia.Hana ʻia kēia hoʻāʻo. A i ʻole, inā pono ʻoe e hana i kēia i ka wā o ke kipa ʻana o ke kauka maʻamau, hiki iā ʻoe ke hana ma ke keʻena o ke kauka a i ʻole ma kahi keʻena hoʻāʻo koko ʻokoʻa.

Pehea e hoʻohana ai nā kauka i kēia mau biomarkers cardiac?

He mea nui loa kēia mau pae enzyme cardiac i ke kauka. Hiki iā lākou ke:

• E ʻike inā he pōʻino i ka puʻuwai a i ʻole nā ​​​​pilikia ʻē aʻe.
• E ʻike i ke kumu kikoʻī o kāu mau hōʻailona, ​​e like me ka ʻeha o ka umauma a me ka pōkole o ka hanu. No ka laʻana, hiki i kēia ke kōkua i ka ʻike ʻana i kahi maʻi puʻuwai koke i kapa ʻia ʻo Acute Coronary Syndrome (ACS) , a i ʻole Myocardial Ischemia (ka emi ʻana o ke kahe koko i ka puʻuwai).
• E nānā inā e hana pono ana ka lāʻau lapaʻau i hāʻawi ʻia no ka maʻi puʻuwai a inā paha ua holomua ke ʻoki kino.
• E wānana i ka wānana o nā ʻano maʻi puʻuwai like ʻole.

E noʻonoʻo, kou hoaaloha, e ʻōlelo kākou ʻo Kamala. Ua manaʻo koke ʻo Kamala i ka ʻūlū ʻana o kona umauma, ke hou nei ʻo ia, a ke pilikia nei ʻo ia i ka hanu ʻana. I kona hiki ʻana i ka haukapila, hana koke nā kauka i kahi hoʻāʻo enzyme cardiac e like me kēia. ʻO ia ka mea e hiki ai iā lākou ke haʻi inā he hewa kekahi mea me ka puʻuwai o Kamala, a inā he hōʻeha puʻuwai. He mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei , no ka mea, a laila wale nō hiki iā ʻoe ke hāʻawi iā ia i ka lāʻau kūpono.

He aha kēia mau ʻano enzyme cardiac? (Nā ʻano enzymes cardiac)

Aia kekahi mau ʻano enzymes o ka puʻuwai. He mau enzymes a protein paha lākou a pau. ʻO ka nui o kēia mau mea i loko o kou koko, ʻo ia hoʻi, he maʻi cardiovascular a he pilikia puʻuwai ʻē aʻe paha kou.

He aha ʻo Troponin? ʻO kēia ka mea nui loa!

ʻO kēia mau mea, ʻo kahi enzyme i kapa ʻia ʻo troponin ka mea a nā kauka e hoʻohana nui ai e ʻike i ka hōʻeha puʻuwai a i ʻole ka hōʻino ʻana o ka puʻuwai. He māka koʻikoʻi loa ia. ʻO ke ʻano kēia, ʻoiai kahi liʻiliʻi o ka hōʻino ʻana i ka puʻuwai hiki ke hoʻonui i kona pae i loko o ke koko.

E noʻonoʻo e pili ana i ia mea, ma hope o ka hāʻule ʻana o ka puʻuwai, hiki i ka pae o kēia troponin i loko o ke koko ke hoʻomaka e piʻi i loko o 3-4 mau hola, a hiki ke piʻi i luna ma kahi o 12 mau hola. A laila hiki ke noho kiʻekiʻe no kekahi mau lā, malia paha he mau pule. ʻO ia ke kumu i kekahi manawa e hana hou ai nā kauka i kēia hoʻāʻo i kēlā me kēia mau hola a i ʻole kēlā me kēia mau lā. Ma kēlā ala hiki iā lākou ke ʻike i ka nui o ka pōʻino e hana ʻia ana i ka puʻuwai, a inā paha e piʻi ana a emi ana paha.

E aʻo pū kākou e pili ana i nā Natriuretic Peptides (NPs)

ʻO kekahi ʻano protein kūikawā i kapa ʻia ʻo Natriuretic Peptides (NPs) . Hiki i kēia ke hoʻonui i loko o ke koko.I nā kūlana e like me ka Puʻuwai Holoʻole. ʻO ka puʻuwai holoʻokoʻa kahi kūlana kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko kūpono i ke kino. A laila nui ke kaomi ma ka puʻuwai. I kēlā mau manawa, piʻi ka pae o kēia mau NP.

Nānā nā kauka i kekahi mau ʻano o kēia mau NP, akā ʻo ka mea a lākou e hoʻohana pinepine ai ua kapa ʻia ʻo N-terminal proBNP (NT-proBNP) . Hiki ke hoʻohana ʻia kēia e loiloi i ka nui o ke kaumaha e kau ʻia ana ma ka puʻuwai ma muli o ka hāʻule ʻana o ka puʻuwai.

ʻO wai ka mea e pono ai kēia hoʻāʻo enzyme puʻuwai? Loaʻa iā ʻoe kēia mau hōʻailona?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, hiki i kāu kauka ke kauoha i kēia mau hoʻāʻo enzyme cardiac:

• ʻO ka ʻeha a i ʻole ka ʻoluʻolu ʻole o ka umauma ka hōʻailona nui.
• ʻĀʻī, he manaʻo e milo ana i loko o ke poʻo.
• Ka luaʻi, ka manaʻo e like me ʻoe e luaʻi ana.
• Ka hou nui koke ʻana.
• Paʻakikī ka hanu ʻana, me he mea lā e ʻūlū ana ʻoe (pōkole ka hanu).
• ʻO ka piʻi koke ʻana o nā hōʻailona o ka hāʻule ʻana o ka puʻuwai (heart failure exacerbation), e like me ka pehu ʻana o nā wāwae a me ka paʻakikī o ka hanu ʻana.

Mai hoʻomāmā i kekahi o kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o lākou, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau i ka wā hikiwawe loa.

He aha nā hoʻokolohua koko ʻē aʻe i hana ʻia e hoʻoholo ai inā he hōʻeha puʻuwai?

Ma waho aʻe o ka hoʻāʻo ʻana i nā enzyme cardiac, hiki i ke kauka ke kauoha i kekahi mau hoʻāʻo koko ʻē aʻe e loaʻa ai kahi manaʻo maikaʻi aʻe o ke kūlana o kou puʻuwai a me ke olakino holoʻokoʻa.

Eia kekahi o lākou:

• Helu Koko Piha (CBC): Nānā kēia i nā pae o nā mea e like me nā ʻulaʻula, nā keʻokeʻo, a me nā platelets i loko o kou koko.
• ʻO ka Basic Metabolic Panel (BMP) a i ʻole Comprehensive Metabolic Panel (CMP): Hiki i kēia ke nānā i nā mea he nui e like me nā electrolytes i loko o kou koko, e like me ka sodium a me ka potassium, ka hana o nā puʻupaʻa, a me nā pae kō.
• Hoʻāʻo Kinoea Koko (ABG): Nānā kēia i ka oxygen, kalapona ʻokikene, a me ke kaulike waikawa-kumu i loko o ke koko.

Hoʻoholo ke kauka e pili ana i kou kūlana ma ka hoʻohui ʻana i ka ʻike mai kēia mau hoʻokolohua a pau.

He aha nā hoʻokolohua ʻē aʻe i hana ʻia e ʻike ai i ka hōʻeha puʻuwai?

Ma waho aʻe o nā hoʻokolohua koko, aia kekahi mau hoʻokolohua ʻē aʻe e hiki ke hana ʻia e hōʻoia inā loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole nā ​​​​pōʻino puʻuwai ʻē aʻe. Hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi aku paha o kēia mau mea, ma muli o kou kūlana.

• X-ray o ka umauma: Hiki i kēia ke nānā i ka nui a me ke ʻano o ka puʻuwai a me ke kūlana o nā māmā.
• Ka helu ʻikepili o ke kaʻa:Ua like kēia me ke kiʻi ultrasound o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano o ka hana ʻana o nā keʻena a me nā valve o ka puʻuwai, a pehea hoʻi e ʻūlū ai ka ʻiʻo o ka puʻuwai. I kekahi manawa hiki ke hana ʻia kahi hoʻāʻo echo kūikawā i kapa ʻia ʻo Transesophageal Echocardiogram (TEE) .
• Electrocardiogram (ECG a i ʻole EKG): Ke ana kēia i ka hana uila o kou puʻuwai. Hiki i kēia ke kōkua nui i ka ʻike ʻana i nā ʻano ʻē i loko o kou puʻuwai, e like me nā hōʻailona o ka hōʻeha puʻuwai.
• Hoʻāʻo Koʻikoʻi Hoʻoikaika Kino a i ʻole ka Hoʻāʻo Koʻikoʻi Puʻuwai Nuklea: Pili kēia i kou hele ʻana ma luna o ka treadmill a holo paikikala paha a ʻike i ke ʻano o ka pane ʻana o kou puʻuwai i ka hoʻoikaika kino.
• Angiogram: Ma kēia hoʻokolohua, hoʻokomo ʻia kahi wai kūikawā i loko o nā aʻa coronary e lawe ana i ke koko i ka puʻuwai, a lawe ʻia kahi X-ray e ʻike inā he poloka i loko o kēlā mau aʻa.
• ʻO Positron Emission Tomography (PET) Scan: He scan kūikawā kēia e nānā ana i ka hana o ka puʻuwai a me ke kahe ʻana o ke koko.

Hana ʻia kēia mau hoʻokolohua a pau e ʻike pono i ke ʻano o ka pilikia āu e loaʻa nei a hāʻawi i ka lāʻau kūpono no ia.

ʻO ka mea nui e hoʻomanaʻo: e mālama i kou puʻuwai!

"Ke loaʻa nei iaʻu kahi hāʻule puʻuwai?" Hiki i kēia nīnau ke lilo i mea kaumaha loa a weliweli hoʻi ke noʻonoʻo. No laila, inā ʻike ʻoe i kekahi mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau, me ka noʻonoʻo nui ʻole.

E like me kāu e maopopo ai, he mea nui loa kēia hoʻāʻo enzyme cardiac i ka ʻike ʻana i nā maʻi puʻuwai, ʻoiai nā hanana puʻuwai koke. ʻO ka loaʻa ʻana o nā pae kiʻekiʻe o kēia mau enzymes i loko o kou koko he hōʻailona ikaika ia e loaʻa ana kekahi pōʻino, kaumaha, a mumū paha i loko o kou puʻuwai.

No laila, inā noi kāu kauka iā ʻoe e hana i kēia hoʻokolohua, mai makaʻu. E kōkua ia iā ʻoe e ʻike pono i kou kūlana a hoʻomaka koke i ka lāʻau lapaʻau e pono ai. Hiki i ka ʻike mua a me ka lāʻau lapaʻau ke hoʻopakele i kou ola a pale i nā pilikia nui. ʻO kou puʻuwai kāu waiwai nui loa. Na ʻoe e mālama. E kamaʻilio me kāu kauka a e hoʻomaopopo i ke ʻano o kēia mau hopena hoʻokolohua.

ʻEnemika puʻuwai, hōʻeha puʻuwai, nā ʻenemika puʻuwai, troponin, ʻeha umauma, hōʻeha puʻuwai, nā hoʻāʻo koko, nā biomarkers puʻuwai