Koj puas tau muaj ib zaug uas koj lub hauv siab hnyav thiab nruj heev ua rau koj ua tsis taus pa? Tsis muaj lus piav qhia txog qhov kev ntshai thiab kev ntxhov siab uas los rau hauv koj lub siab thaum lub sijhawm zoo li no, puas yog? Tej zaum koj yuav xav tias, "Au kuv tus Vajtswv, qhov no puas yog mob plawv nres?" Thaum lub sijhawm zoo li no, hnub no peb yuav tham txog kev kuaj mob tseem ceeb heev uas tus kws kho mob yuav ua kom paub tseeb tias puas muaj qee yam tsis zoo rau koj lub plawv. Qhov no hu ua kev kuaj mob plawv.
Cov enzymes hauv lub plawv no yog dab tsi? Hais yooj yim xwb...
Zoo, ua ntej cia peb saib seb cov enzymes hauv lub plawv no, lossis cov cim qhia txog lub plawv, yog dab tsi. Xav txog koj lub plawv yog lub tshuab zoo kawg nkaus uas ua haujlwm tsis tu ncua. Yog tias lub plawv no raug puas tsuaj rau txhua txoj kev, piv txwv li, yog tias tsis muaj oxygen txaus, lossis yog tias muaj kev nyuaj siab ntau dhau, cov tshuaj tshwj xeeb los ntawm cov hlwb plawv raug tso tawm rau hauv cov ntshav. Cov tshuaj ntawd yog qhov peb hu ua enzymes hauv lub plawv.
Cov enzymes tsuas yog cov protein tshwj xeeb hauv peb lub cev. Cov no yog cov uas pab tswj ntau yam txheej txheem tshuaj lom neeg hauv lub cev, xws li zom cov khoom noj uas peb noj, tsim lub zog, thiab tshem tawm cov khib nyiab ntawm lub cev. Yog li, yog tias cov enzymes tshwj xeeb rau lub plawv no muaj ntau dhau hauv cov ntshav, nws yog ib qho cim qhia tias muaj qee yam tsis raug nrog lub plawv.
Vim li cas cov enzymes hauv lub plawv no thiaj li tshwm sim hauv cov ntshav?
Feem ntau, cov ntshav ntawm ib tug neeg noj qab nyob zoo muaj cov enzymes plawv me me xwb. Tab sis yog tias cov leeg plawv, lossis cov leeg plawv, raug puas tsuaj rau txhua txoj kev, cov hlwb plawv no yuav tawg thiab cov enzymes hauv lawv yuav raug tso tawm mus rau hauv cov ntshav. Nws zoo li lub raj mis dej tawg thiab dej tawm los.
Qhov laj thawj tseem ceeb rau qhov no yog mob plawv nres . Thaum mob plawv nres, cov hlab ntsha uas muab ntshav mus rau lub plawv tam sim ntawd raug thaiv, ua rau ib feem ntawm lub plawv tsis muaj pa oxygen. Tom qab ntawd cov hlwb plawv uas tsis muaj pa oxygen pib tuag, thiab cov enzyme no raug tso tawm rau hauv cov ntshav.
Tsis yog li ntawd xwb, tab sis qib ntawm cov enzyme no hauv cov ntshav kuj tseem tuaj yeem nce ntxiv rau cov mob xws li ntshav siab thiab o ntawm lub plawv.
Yog li, qhov kev kuaj mob Cardiac Enzyme Marker yog dab tsi?
Qhov no yog ib qho kev kuaj ntshav yooj yim heev. Tus kws kho mob yuav muab me ntsis ntawm koj cov ntshav thiab kuaj hauv chav kuaj mob kom pom tias muaj pes tsawg cov enzymes hauv lub plawv, lossis cov cim qhia txog lub plawv, nyob hauv cov ntshav ntawd. Yog tias cov enzymes no siab dua li qub, tus kws kho mob tuaj yeem xav tias muaj qee yam tsis raug nrog koj lub plawv lossis koj lub plawv ua haujlwm thaum muaj kev ntxhov siab ntau.
Qhov kev xeem no ua li cas? Ua qhov twg?
Qhov kev kuaj ntshav no tsis yog ib qho teeb meem loj. Nws tsuas yog siv ib qho me me ntawm cov ntshav los ntawm cov leeg ntawm koj txhais caj npab xwb. Nws tsuas siv sijhawm ob peb feeb xwb.
Thaum muaj xwm txheej ceev, uas yog, yog tias koj mob hauv siab tam sim ntawd thiab mus rau tsev kho mob, mus rau Chav Kho Mob Ceev.Qhov kev kuaj no ua tiav lawm. Txwv tsis pub, yog tias koj xav tau ua qhov no thaum mus ntsib kws kho mob tas li, koj tuaj yeem ua nws ntawm chaw ua haujlwm ntawm kws kho mob lossis ntawm chav kuaj ntshav sib cais.
Cov kws kho mob siv cov cim qhia txog lub plawv no li cas?
Cov theem enzyme hauv lub plawv no tseem ceeb heev rau tus kws kho mob. Lawv tuaj yeem:
- Nrhiav seb puas muaj kev puas tsuaj rau lub plawv lossis lwm yam teeb meem.
- Tshawb nrhiav qhov ua rau koj muaj cov tsos mob, xws li mob hauv siab thiab ua tsis taus pa. Piv txwv li, qhov no tuaj yeem pab txheeb xyuas tus mob plawv tam sim ntawd hu ua Acute Coronary Syndrome (ACS) , lossis Myocardial Ischemia (ntshav ntws mus rau lub plawv tsawg).
- Xyuas seb cov tshuaj uas muab rau tus mob plawv puas ua haujlwm zoo lossis puas phais tau zoo.
- Kwv yees qhov kev kwv yees ntawm ntau yam mob plawv.
Xav txog koj tus phooj ywg, piv txwv li Kamala. Kamala cia li hnov qhov nruj hauv nws lub hauv siab, nws tawm hws, thiab nws ua tsis taus pa. Thaum nws mus txog tsev kho mob, cov kws kho mob ua qhov kev kuaj mob plawv sai sai li no. Qhov ntawd yog qhov uas ua rau lawv paub yog tias muaj qee yam tsis raug nrog Kamala lub plawv, lossis yog tias nws yog mob plawv nres. Kev kuaj mob kom raug yog qhov tseem ceeb heev, vim tias tsuas yog thaum ntawd koj thiaj li muab kev kho mob zoo rau nws.
Cov hom enzymes hauv lub plawv no yog dab tsi? (Hom Enzymes hauv lub plawv)
Muaj ntau hom enzymes hauv lub plawv. Tag nrho lawv yog cov enzymes lossis cov protein. Yog tias muaj ntau dhau ntawm cov no hauv koj cov ntshav txhais tau tias koj yuav muaj kab mob plawv lossis lwm yam teeb meem plawv.
Troponin yog dab tsi? Qhov no yog qhov tseem ceeb tshaj plaws!
Ntawm cov no, ib qho enzyme hu ua troponin yog qhov uas cov kws kho mob feem ntau siv los kuaj mob plawv nres lossis mob plawv. Nws yog ib qho cim qhia uas rhiab heev. Qhov no txhais tau tias txawm tias me me ntawm kev puas tsuaj rau lub plawv tuaj yeem ua rau nws cov qib nce siab hauv cov ntshav.
Xav txog nws, tom qab muaj mob plawv nres, qib ntawm cov troponin no hauv cov ntshav tuaj yeem pib nce ntxiv hauv 3-4 teev, thiab nws tuaj yeem nce siab tshaj plaws thaum txog 12 teev. Thiab tom qab ntawd nws tuaj yeem nyob siab rau ob peb hnub, tej zaum txawm tias ob peb lub lis piam. Yog vim li cas qee zaum cov kws kho mob rov ua qhov kev xeem no txhua ob peb teev lossis txhua ob peb hnub. Txoj kev ntawd lawv tuaj yeem pom tias lub plawv puas tsuaj ntau npaum li cas, thiab seb nws puas nce lossis txo qis.
Cia peb kawm txog Natriuretic Peptides (NPs)
Lwm hom protein tshwj xeeb hu ua Natriuretic Peptides (NPs) . Cov no tuaj yeem nce ntxiv hauv cov ntshav.Hauv cov mob zoo li Lub Plawv Tsis Ua Haujlwm. Lub plawv tsis ua haujlwm yog ib qho mob uas lub plawv tsis tuaj yeem tso ntshav txaus rau lub cev. Tom qab ntawd muaj kev nyuaj siab ntau rau lub plawv. Thaum lub sijhawm zoo li no, qib ntawm cov NPs no nce ntxiv.
Cov kws kho mob saib ntau hom NPs no, tab sis qhov lawv siv feem ntau hu ua N-terminal proBNP (NT-proBNP) . Qhov no siv tau los ntsuas seb muaj kev ntxhov siab ntau npaum li cas rau lub plawv vim yog lub plawv tsis ua haujlwm.
Leej twg xav tau kev kuaj enzyme hauv lub plawv no? Koj puas muaj cov tsos mob no?
Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, koj tus kws kho mob yuav xaj cov kev kuaj mob enzyme hauv lub plawv no:
- Mob hauv siab lossis tsis xis nyob yog cov tsos mob tseem ceeb.
- Kiv taub hau, zoo li tig ib ncig hauv lub taub hau.
- Xeev siab, zoo li koj yuav ntuav.
- Sudden tawm hws ntau dhau.
- Ua pa nyuaj, zoo li koj ua tsis taus pa (ua pa luv).
- Cov tsos mob ntawm lub plawv tsis ua haujlwm sai sai (lub plawv tsis ua haujlwm hnyav zuj zus), xws li o ntawm ob txhais ceg thiab ua pa nyuaj.
Tsis txhob xav tias cov tsos mob no yooj yim xwb. Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob sai li sai tau.
Yuav ua li cas ntxiv cov kev kuaj ntshav kom paub seb puas muaj mob plawv nres?
Ntxiv rau qhov kev kuaj mob enzymes hauv lub plawv, tus kws kho mob kuj tseem yuav xaj ntau qhov kev kuaj ntshav ntxiv kom tau txais lub tswv yim zoo dua ntawm qhov xwm txheej ntawm koj lub plawv thiab kev noj qab haus huv tag nrho.
Nov yog qee yam ntawm lawv:
- Kev suav cov ntshav tag nrho (CBC): Qhov no xyuas cov qib ntawm cov khoom xws li cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv koj cov ntshav.
- Kev Ntsuam Xyuas Metabolic Panel (BMP) lossis Comprehensive Metabolic Panel (CMP): Qhov no tuaj yeem kuaj xyuas ntau yam xws li cov electrolytes hauv koj cov ntshav, xws li sodium thiab potassium, kev ua haujlwm ntawm lub raum, thiab cov qib qab zib.
- Kev Kuaj Roj Ntshav (ABG): Qhov no kuaj xyuas qhov sib npaug ntawm cov pa oxygen, carbon dioxide, thiab acid-base hauv cov ntshav.
Tus kws kho mob xaus lus txog koj tus mob los ntawm kev muab cov ntaub ntawv los ntawm tag nrho cov kev kuaj no ua ke.
Muaj lwm yam kev kuaj mob dab tsi ntxiv uas ua los kuaj mob plawv?
Ntxiv rau kev kuaj ntshav, muaj ntau lwm yam kev kuaj uas tuaj yeem ua tau los xyuas kom meej tias koj puas muaj mob plawv nres lossis lwm yam kev puas tsuaj rau lub plawv. Koj tus kws kho mob yuav xaj ib lossis ntau yam ntawm cov no, nyob ntawm koj tus mob.
- X-ray hauv siab: Qhov no tuaj yeem xyuas qhov loj thiab cov duab ntawm lub plawv thiab qhov mob ntawm lub ntsws.
- Kev kuaj lub plawv Echocardiography:Qhov no zoo li kev kuaj lub plawv los ntawm lub tshuab ultrasound. Nws tuaj yeem saib seb lub plawv cov chav thiab cov qhov valve ua haujlwm li cas, thiab cov leeg plawv qaug zog li cas. Qee zaum kev kuaj echo tshwj xeeb hu ua Transesophageal Echocardiogram (TEE) kuj tseem yuav ua tau.
- Kev kuaj hluav taws xob ntawm lub plawv (Electrocardiogram - ECG lossis EKG): Qhov no ntsuas qhov ua haujlwm hluav taws xob ntawm koj lub plawv. Qhov no tuaj yeem pab tau zoo heev rau kev kuaj pom qhov tsis zoo ntawm koj lub plawv dhia, xws li cov cim qhia tias koj lub plawv nres.
- Kev Ntsuas Kev Nyuaj Siab Thaum Tawm Dag Zog lossis Kev Ntsuas Kev Nyuaj Siab Thaum Lub Plawv Nuclear: Qhov no suav nrog kev kom koj taug kev saum lub treadmill lossis caij tsheb kauj vab thiab saib seb koj lub plawv teb li cas rau kev tawm dag zog.
- Angiogram: Hauv qhov kev kuaj no, ib qho kua tshwj xeeb raug txhaj rau hauv cov hlab ntsha hauv lub plawv uas nqa cov ntshav mus rau lub plawv, thiab ib daim duab X-ray raug coj los saib seb puas muaj kev thaiv hauv cov hlab ntsha ntawd.
- Positron Emission Tomography (PET) Scan: Qhov no kuj yog ib qho kev scan tshwj xeeb uas saib xyuas kev ua haujlwm ntawm lub plawv thiab cov ntshav ntws.
Tag nrho cov kev kuaj no yog ua los txheeb xyuas qhov teeb meem uas koj muaj thiab muab kev kho mob zoo rau nws.
Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov: saib xyuas koj lub siab!
"Kuv puas muaj mob plawv nres?" Lo lus nug no yuav ua rau koj ntxhov siab thiab ntshai heev thaum xav txog. Yog li ntawd, yog tias koj muaj tej yam tsos mob, qhov zoo tshaj plaws yog nrhiav kev kho mob tam sim ntawd, tsis txhob xav ntau dhau.
Raws li koj tej zaum nkag siab lawm, qhov kev kuaj mob plawv no tseem ceeb heev rau kev kuaj mob plawv, tshwj xeeb tshaj yog cov teeb meem plawv tam sim ntawd. Kev muaj cov enzymes no ntau hauv koj cov ntshav yog qhov qhia tau tias muaj qee qhov kev puas tsuaj, kev ntxhov siab, lossis kev o hauv koj lub plawv.
Yog li ntawd, yog tias koj tus kws kho mob hais kom koj ua qhov kev kuaj no, tsis txhob ntshai. Nws yuav pab koj paub meej tias koj tus mob yog dab tsi thiab pib kho mob sai sai. Kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem cawm koj txoj sia thiab tiv thaiv cov teeb meem loj. Koj lub siab yog koj cov khoom muaj nqis tshaj plaws. Nws yog nyob ntawm koj los saib xyuas nws. Tham nrog koj tus kws kho mob thiab nkag siab txog cov txiaj ntsig ntawm kev kuaj no.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Kev kuaj mob Cardiac Enzymes (Cardiac Enzymes / Troponin) yog dab tsi?
Thaum koj muaj mob plawv nres thiab mus rau tsev kho mob, qhov no yog qhov yuav tsum tau kuaj ntshav thiab tseem ceeb tshaj plaws uas cov kws kho mob ua, ntxiv rau ECG! Thaum peb cov leeg plawv raug rhuav tshem/ lwj, ib hom protein (Troponin thiab lwm yam enzymes) hauv cov leeg ntawd raug tso tawm mus rau hauv cov ntshav ntau heev. Qhov ntawd yog lub cim qhia tias qhov kev kuaj no nrhiav.
💬 Daim ntawv tshaj tawm no puas yuav kuaj pom tias muaj mob plawv nres sai li sai tau thaum nws tshwm sim?
Nws raug kuaj pom tam sim ntawd los ntawm ECG. Tus nqi ntawm Troponin yog tias txawm tias 'ntsiag to' lub plawv nres uas tsis tshwm sim ntawm ECG tuaj yeem kuaj pom los ntawm daim ntawv tshaj tawm no hauv 2 txog 4 teev. Thaum cov kws kho mob coj cov ntshav thiab saib cov nqi no (Troponin theem), yog tias nws qhia 'siab', nws txhais tau tias ntau ntawm koj cov leeg nqaij plawv twb tuag lawm.
💬 Yog tias cov enzymes hauv daim ntawv tshaj tawm no siab dhau, kuv puas yuav tsum tau phais?
Yog tias cov troponin ntau ntxiv txhais tau tias lub plawv raug puas tsuaj loj heev (ua rau lub plawv nres). Thaum qhov no tshwm sim, cov kws kho mob yuav muab tshuaj thinner rau koj lossis tshuaj thinner rau koj. Yog tias cov enzyme ntau ntxiv ntau heev, yuav ua angiogram tam sim ntawd los txiav txim siab seb puas xav tau stent lossis phais bypass.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus