Sɔntin de rɔng wit di at? Lɛ wi lan bɔt di Troponin Tɛst.

Yu don eva yehri boht ' Troponin test'? Sɔntɛm yu dɔn go na ɔspitul wit chɛst pen wantɛm wantɛm ɛn yu dɔktɔ dɔn du dis tɛst. Ɔ sɔntɛm yu dɔn mek dɛn du am pan yu padi. Wetin rili na troponin tɛst? Lɛ wi tɔk bɔt am smɔl.

Wetin na Troponin? Wetin mek i impɔtant?

Okay, fos mek wi luk wetin dis troponin bi. Troponin na wan kayn prɔtin. Fɔ tɔk di kɔrɛkt tin, na spɛshal prɔtin we de insay wi at mɔsul sɛl dɛn. nכmal wan, dis troponin de stכk insay di at mכsul sεl dεm. Na smɔl smɔl tin dɛn de na wi blɔd, sɔntɛnde i kin so smɔl dat i kin lɛf smɔl fɔ lɛ wi nɔ no am.

Bɔt, imajin if sɔntin apin to di at, fɔ ɛgzampul , if sɔntin lɛk at atak apin, di at mɔsul sɛl dɛn kin pwɛl. Dɔn di troponin we bin dɔn trɔp insay dɛn sɛl dɛn de bigin fɔ lik insay di blɔd. I tan lɛk se we Band-Aid kɔmɔt, di tin dɛn we de insay de kɔmɔt. So, we di lεvεl fכ troponin na di bכdi inkrεs na gud tin we de sho se sכm damej de pan di at. dipכnt pan aw di troponin lεvεl hכy, dכkta dεm kin gεt aidia fכ di kayn we aw di at dεn dכn pwεl.

Tu kayn troponin de, nɔto so?

Yes, yu rait. Tu kayn troponin de we wi kin fɛn na di blɔd, mɔ we di at dɔn pwɛl. Dɛn na:

• Troponin I (Troponin I ɔ cTnI): Dis na rili spɛshal bikɔs dis kayn troponin de na di at mɔsul nɔmɔ . So, i rili impɔtant fɔ no if pɔsin gɛt at prɔblɛm.
• Troponin T (Troponin T ɔ cTnT): dis kayn troponin kin de bak insay rili smɔl smɔl tin dɛn na ɔda mɔsul dɛn. כltu, di strכkchכ fכ troponin T na di at difrεnt sכmtεm. Da difrɛns de na di at nɔmɔ.

di nyu troponin tεst na bכku mכr sεnsitiv pas di tεst dεm we bin de bifo . Dis min se i kin no ivin smɔl smɔl troponin na di blɔd. Dis tɛst kin ɛp fɔ no sɔmtin lɛk at atak kwik kwik wan, ivin we di sayn dɛm nɔr rili klia ɔr ɔda tɛst nɔr kin no fɔ tru.

Ustɛm dɛn kin du dis troponin tɛst?

Bɔku tɛm, dɛn kin du dis troponin tɛst fɔ no if at atak dɔn apin ɔ nɔ apin . Bɔt dis troponin kin kɔmɔt na di blɔd we ɛnitin dɔn pwɛl di at mɔsul. So, dɔktɔ dɛn kin du dis tɛst bak fɔ ɔda rizin dɛn.

Na sɔm ɔda kayn kes dɛn ya:

• Kidni sik we nɔ de mɛn`) Fɔ di wan dɛn we gɛt.
• Wan blɔd we de klɔt na di lɔng dɛn (pulmonary embolism).
• Fɔ di wan dɛn we gɛt `Congestive heart failure` , we na wan bad bad kayn at sik.
• Afta dɛn dɔn ɔpreshɔn di at.
• Fɔ di wan dɛn we gɛt at valv sik.
• Fɔ di wan dɛn we gɛt at bit we nɔ de bit (`Arrhythmias`).
• Insay ‘Sepsis’, na wan bad bad infekshɔn we dɔn skata ɔlsay na di bɔdi.
• Sɔntɛnde, if yu de du ɛksasaiz pasmak, ɔ if yu gɛt strɛs ɔ sɔri we yu nɔ go ebul fɔ bia.

Mɛmba se, ivin if di troponin lɛvɛl go ɔp pan dis tɛst, i nɔ kin min ɔltɛm se yu gɛt at atak. Dɔktɔ dɛn go du mɔ tɛst fɔ no di tin we mek i apin.

Aw a go tek dis tɛst? Usay?

Dis troponin test kin bi na ɔspitul imejensi rum . If yu gɛt sɔm sayn dɛn we de sho se yu gɛt at atak, lɛk we yu de fil pen na yu chɛst ɔ yu nɔ de blo fayn, dɔktɔ dɛn go chɛk if yu gɛt am kwik kwik wan. Dɔn bak, if yu dɔn ɔlrɛdi de na ɔspitul, yu kin yuz dis tɛst fɔ chɛk fɔ ɔda tin dɛn we dɔn pwɛl yu at.

Dis na tin we dɛn kin du rili simpul wan. Dɛn kin tek blɔd sɛmpul frɔm yu. Bɔku tɛm, dɛn kin pul smɔl blɔd frɔm wan vein we de na yu an. Dɔn dɛn kin sɛn da blɔd sɛmpul de to lab ɛn dɛn kin chɛk di troponin lɛvɛl.

if di troponin lεvεl hכy pas nכmal, i de sho se di at mכsul dεn dכn pwεl. Dis tɛst, wit ɔda tɛst dɛn (lɛk ECG), na wetin dɔktɔ dɛn kin yuz fɔ no if at atak de apin.

Sɔntɛnde, dɛn kin ripit dis tɛst ɛvri sɔm awa. Di rizin na dat we yu luk aw di troponin lɛvɛl de chenj as tɛm de go, i kin gi mɔ infɔmeshɔn bɔt di kayn we aw di sik dɔn pwɛl ɛn aw di sik tan. fכ egzampl, di troponin lεvεl kin bigin fכ go כp kwik kwik wan bitwin 3 εn 12 awa afta i gεt at atak. Dɛn kin rich lɛk 24 awa so afta dat. di troponin I (cTnI) lεvεl dεm kin de εlevεt fכ sεvεra de afta dat (bכt 5-7 de dεm). di troponin T (cTnT) lεvεl dεm kin de εlevεt ivin lכng, te to tri wik. Bikɔs nyu tɛst dɛn we gɛt ay sɛnsitiviti kin no troponin T, we dɛn kin si na di blɔd, dɔktɔ dɛn kin ripit di tɛst fɔ si if di troponin lɛvɛl dɔn go ɔp. If dɛn du dat, i de sho se di at mɔsul dɔn pwɛl.

A nid fɔ rɛdi fɔ dis tɛst? Wetin a fɔ ɛkspɛkt?

Wi nɔ kin rili no ɛn rɛdi fɔ at atak bifo tɛm. So nid nɔ de fɔ rɛdi fɔ dis tɛst. Bɔt, sɔntin de we rili impɔtant we yu nid fɔ tɛl yu dɔktɔ.

If yu de tek vaytamɛn B7, we dɛn kin kɔl bak biotin, yu fɔ rili tɛl yu dɔktɔ bɔt am ɛn di doz we yu de tek. dis na biכs bayotin kin afekt di risכlt fכ di troponin tεst. Dipen pan di amount of biotin we yu tek, i kin tek sɔm awa fɔ mek di ifɛkt west.

Bɔku tɛm, we dɛn tink se yu gɛt at atak, dɔktɔ dɛn kin bigin fɔ gi yu di mɛrɛsin we yu nid bay di sayn dɛn we yu gɛt ɛn ɔda tɛst dɛn (lɛk ECG ) pas fɔ wet fɔ di troponin tɛst ripɔt. Bikɔs ɛvri sɛkɔn kin kɔnt we pɔsin gɛt at atak. If yu troponin lɛvɛl nɔr dɔn go ɔp insay 12 awa afta yu troponin rizɔlt, yu dɔktɔ dɛn go ajɔst yu tritmɛnt akɔdin to dat.

Aw yu kin fil we dɛn de du di tɛst?

Dis min se yu fɔ tek smɔl blɔd. So, pɔsin we dɛn tren (we na pɔsin we sabi bɔt blɔd ɔ nɔs) go put smɔl nidul insay wan vein na yu an ɛn pul smɔl blɔd insay wan ɔ mɔ tɛst tyub dɛn. If yu dɔn gɛt IV layn na yu vein, yu kin tek di blɔd sɛmpul bak frɔm dat. Yu go fil smɔl smɔl we yu put di nidul insay. Apat frɔm dat, natin nɔ de fɔ wɔri bɔt.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

Bɔku tɛm, di tɛst ripɔt kin kam bak insay lɛk wan ɔ tu awa so. We i dɔn rich, yu dɔktɔ go kɔl yu fɔ tɔk bɔt di rizɔlt ɛn wetin dɛn min. Sɔm pipul dɛn kin nid fɔ du mɔ tɛst ɔr kin kɔntinyu fɔ gɛt tritmɛnt na ɔspitul. Ɔda wan dɛn kin wɛl fɔ go na os. Wetin kin apin nɛks kin difrɛn frɔm wan pɔsin to ɔda pɔsin, so yu dɔktɔ go ɛksplen dis to yu.

Ɛni sayd ɛfɛkt de we dis tɛst kin du?

Bɔrku tɛm, nɔr big sayd ɛfɛkt nɔr de frɔm dis tɛst. Di say we dɛn pul di blɔd kin at smɔl, na dat nɔmɔ. Sɔm pipul dɛn, mɔ di wan dɛn we kin brus izi wan, kin gɛt smɔl brus. Bɔt dis go dɔn fɔ insɛf afta sɔm dez.

Wetin na di rizulyt dɛn we a kin gɛt? Wetin dɛn min?

if yu troponin rizulεt de insay di ‘rεfrεns rεnj’, i min se yu yon de insay di rεnj we hεlty pכsin fכ de. Bɔt dis nɔmal rɛnj kin difrɛn smɔl dipen pan usay yu gɛt di tɛst ɛn di kayn tɛst we dɛn yuz.

Nɔmal valyu dɛn fɔ di troponin tɛst

Di troponin lɛvɛl na di blɔd fɔ big pɔsin we gɛt wɛlbɔdi kin rili smɔl, sɔntɛnde dɛn nɔ kin no am. we di troponin lεvεl dεm go כp pas dis nכmal rεnj, i min se troponin de lik insay di bכdi frכm di at mכsul sεl dεm we dεn dכn pwεl.

di mכsul we dכkta dεn de yuz na nanogram pan wan mililita (`ng/mL`). Fɔ fala dis, di nɔmal valyu dɛn na dɛn wan ya:

• Troponin I: 0 - 0,04 ng/mL
• Troponin T: 0 - 0,01 ng/mL

Imajin, wan nanogram na wan bilyɔn pat pan wan gram!Na wan rili smɔl mɔni. Wan mililita na wan tawzin pat pan wan lita. sכm lab dεm de yuz yunit dεm bak we dεn kכl maykrogram (`mcg` כ `mcg` - wan miliכn pan wan gram) כ pikogram (`pg` - wan trilyכn pan wan gram). If yu gɛt ɛni kwɛstyɔn bɔt di rizɔlt ɔ di yunit dɛn, nɔ shek fɔ aks yu dɔktɔ fɔ mek i klarify.

pan mεdikal tεm, dεn kin kכnsidr di troponin lεvεl "high" if i pas 99% pan wetin dεn de εkspεkt fכ big man we gεt hεlty (pan כl we dis kin difrεn sכmtεm dipכnt pan di akכda we di tεst de du). If yu rizɔlt pas di 99% limit, i de sho se di at mɔsul dɔn pwɛl. Dɔktɔ kin no if yu gɛt at atak bay we i luk yu sayn dɛm, ɔda tɛst rizɔlt dɛm, ɛn yu mɛdikal histri.

Sɔm ɔda tin dɛn we kin mek troponin go ɔp na:

• Ɔpreshɔn fɔ di at.
• Infεkshכn כ inflammatory kכndishכn dεm na di at.
• Cardioversion (dis involv fɔ gi ilɛktrik shɔk fɔ mek yu at bit we nɔ de bit ɔltɛm).

Ustɛm a fɔ kɔl di dɔktɔ?

Bikɔs dɛn kin du dis tɛst na ɔspitul, yu nɔ go gɛt ɛnitin fɔ tɔk bɔt wit yu dɔktɔ bɔt am. Bɔt yu kin aks dɛn fɔ sheb di ditel ɛn di rizɔlt fɔ yu troponin tɛst wit di dɔktɔ dɛn we yu kin si. Dis impɔtant mɔ if yu de travul ɔ yu de gɛt tritmɛnt na ples usay dɛn nɔ kin kip yu ditil dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Di troponin test na wan impɔtant tin fɔ no if pɔsin gɛt at atak. Pan ɔl we dis tɛst dɔn de fɔ lɔng lɔng tɛm, i dɔn rili impɔtant wit di teknɔlɔji we de tide. Dis min se dɛn kin gɛt di rizɔlt dɛn kɔrɛkt wan ɛn kwik pas aw dɛn bin de du trade. Bikɔs ɔf ɔl dɛn impɔtant tin ya, dis tɛst kin ɛp yu fɔ gi yu di rayt tritmɛnt fɔ wan sik lɛk at atak.

So, if yu ɔ pɔsin we yu sabi ɛva nid fɔ gɛt dis tɛst, nɔ fred fɔ du am. Dis kin bi test wae de sev yu layf wae de gi yu valyu infɔmeshɔn bɔt yu at wɛl bɔdi. If yu gɛt sɔm kayn sik lɛk yu chɛst pen ɔr yu nɔr de blo fayn, nɔr de delay ɛn go to dɔktɔ wantɛm wantɛm.

` Troponin test, hat atak, hat sik, blɔd tɛst, at mɔsul, troponin I, troponin T