Yu dɔn ɛva fil wantɛm wantɛm se yu de fil ebi ebi ɛn tayt na yu chɛst, we mek i nɔ izi fɔ blo? No wɔd nɔ de fɔ tɔk bɔt di fred ɛn panik we kin kam na yu maynd da kayn tɛm de, nɔto so? Yu kin de tink se, "O mi Gɔd, dis na at atak?" Na dis kayn tɛm, tide wi go tɔk bɔt wan rili impɔtant tɛst we dɔktɔ go du fɔ no if sɔntin rili rɔng wit yu at. Dɛn kɔl dis kadyak ɛnzaym tɛst.
Wetin na dɛn ɛnzaym dɛn ya we de na di at? Fɔ tɔk am simpul wan...
Okay, fכs mek wi luk wetin na dεn kadyak εnzym dεm, כ kadyak bayomak dεm. Imajin se yu at na fayn mashin we de wok nɔ stɔp. If dis at pwɛl ɛni we, fɔ ɛgzampul, if ɔksijɛn nɔ gɛt bɛtɛ ɔksijɛn, ɔ if prɛshɔn tumɔs, spɛshal tin dɛn we de kɔmɔt na di at sɛl dɛn kin kɔmɔt na di blɔd. Dɛn tin dɛn de na di tin dɛn we wi kin kɔl di ɛnzaym dɛn we de na di at.
di εnzym dεm na jכs spεshal protin dεm na wi bכdi. Dɛn wan ya kin ɛp fɔ kɔntrol bɔku pan di bɔdi in kemikal dɛn lɛk fɔ digest di it we wi de it, fɔ mek ɛnaji, ɛn fɔ pul dɔti na di bɔdi. So, if dɛn at-spɛsifi k ɛnzaym ya de pasmak na di blɔd, dat na sayn fɔ sho se sɔntin nɔ de apin to di at.
Wetin mek dɛn kadyak ɛnzaym ya kin apia wantɛm wantɛm na di blɔd?
Nɔmal wan, pɔsin we gɛt wɛlbɔdi in blɔd kin gɛt smɔl smɔl tin dɛn we de na di at. Bɔt if di at mɔsul ɔ di at mɔsul pwɛl ɛni we, dɛn at sɛl dɛn ya kin brok ɛn di ɛnzaym dɛn we de insay dɛn kin kɔmɔt na di blɔd. I tan lɛk se wata bɔtul bɔs ɛn wata kɔmɔt.
Di men rizin fɔ dis na we pɔsin gɛt at atak . We pɔsin gɛt at atak, wan at we de gi blɔd to di at kin blok wantɛm wantɛm, ɛn dis kin mek wan pat pan di at nɔ gɛt ɔksijɛn. Dɔn di at sɛl dɛn we nɔ gɛt ɔksijɛn kin bigin fɔ day, ɛn dis ɛnzaym kin kɔmɔt na di blɔd.
nכto dat nכmכ, bכt di lεvεl fכ dis εnzym na di bכdi kin inkrεs bak pan kכndishכn dεm lεk hכy bכdi prεshכn εn inflameshn na di at.
So, wetin na Kadyak Enzyme Marker Test?
Dis na rili simpul blɔd tɛst. Di dɔktɔ kin tek smɔl pan yu blɔd ɛn tɛst am na lab fɔ si ɔmɔs pan dɛn patikyula kadyak ɛnzaym dɛn ya, ɔ kadyak bayomak dɛn, de insay da blɔd de. If di lɛvɛl fɔ dɛn ɛnzaym ya bɔku pas aw i fɔ bi, di dɔktɔ kin tink se sɔntin de we nɔ rayt na yu at ɔ yu at de wok ɔnda bɔku strɛs.
Aw dɛn kin du dis tɛst? Usay dɛn kin du am?
Dis blɔd tɛst nɔto big tin. I jɔs de tek smɔl blɔd frɔm wan vein na yu an. Na jɔs sɔm minit dɛn nɔmɔ i kin tek.
Insay imejensi, dat min se if yu gɛt pen na yu chɛst wantɛm wantɛm ɛn go na ɔspitul, go na di Imejɛnsi Dipatmɛnt.Dɛn kin du dis tɛst. If nɔto dat, if yu nid fɔ du dis we yu de go to dɔktɔ ɔltɛm, yu kin du am na di dɔktɔ in ɔfis ɔ na wan sɛpret blɔd tɛst.
Aw dɔktɔ dɛn kin yuz dɛn kadyak bayomak ya?
Dɛn kadyak ɛnzaym lɛvɛl ya rili impɔtant to dɔktɔ. Dɛn kin:
- Fɛn ɔda tin dɛn we dɔn pwɛl di at ɔ ɔda prɔblɛm dɛn de.
- No di rayt tin we mek yu gɛt di sik, lɛk we yu de fil pen na yu chɛst ɛn we yu nɔ de blo fayn. Fɔ ɛgzampul, dis kin ɛp fɔ no wan sik we de kam wantɛm wantɛm na di at we dɛn kɔl Acute Coronary Syndrome (ACS) , ɔ Myocardial Ischemia (we blɔd nɔ de go na di at).
- Chek if di mɛrɛsin we dɛn gi fɔ wan at sik de wok fayn ɔ if di ɔpreshɔn bin wok fayn.
- Prɛdikt di prɔgnosis fɔ difrɛn at kɔndishɔn dɛm.
Imajin, yu padi, lɛ wi se Kamala. Wantɛm wantɛm, Kamala fil tayt na in chɛst, i de swet, ɛn i gɛt prɔblɛm fɔ blo. We i rich na ɔspitul, di dɔktɔ dɛn kin du wan tɛst fɔ di ɛnzaym dɛn we de na di at kwik kwik wan lɛk dis. Na dat de alaw dɛn fɔ no if sɔntin de we nɔ rayt na Kamala in at, ɔ if na at atak. Fɔ gɛt kɔrɛkt diagnosis rili impɔtant, bikɔs na da tɛm de nɔmɔ yu go ebul fɔ gi am di rayt tritmɛnt.
Wetin na dɛn kayn ɛnzaym ya na di at? (Tayp dɛn fɔ di Kadyak Ɛnzaym dɛn) .
difrεn kayn at εnzym dεm de. Dɛn ɔl na ɛnzaym ɔ prɔtin. If yu gɛt bɔku pan dɛn tin ya na yu blɔd, dat min se yu kin gɛt sik we de ambɔg yu at ɛn yu blɔd ɔ ɔda at prɔblɛm.
Wetin na Troponin? Dis na di wan we impɔtant pas ɔl!
Pan dɛn tin ya, wan ɛnzaym we dɛn kɔl troponin na di wan we dɔktɔ dɛn kin yuz mɔ fɔ no if pɔsin gɛt at atak ɔ at pwɛl. Na mak we rili sɛnsitiv. Dis min se ivin smɔl damej pan di at kin mek in lɛvɛl go ɔp na di blɔd.
Tink bɔt am, afta hat atak, di lɛvɛl fɔ dis troponin na di blɔd kin bigin fɔ go ɔp insay 3-4 awa, ɛn i kin rich lɛk 12 awa so. Ɛn afta dat , i kin de ay fɔ sɔm dez, sɔntɛm ivin fɔ tu wiks. Na dat mek sɔntɛnde dɔktɔ dɛn kin ripit dis tɛst ɛvri sɔm awa ɔ ɛvri sɔm dez. Da we de dɛn kin si aw bɔku damej de apin to di at, ɛn if i de bɔku ɔ i de go dɔŋ.
Lɛ wi lan bak bɔt Natriuretic Peptides (NPs) .
wan ɔda spɛshal kayn prɔtin we dɛn kɔl Natriuretic Peptides (NPs) . Dɛn tin ya kin bɔku na di blɔd.Insay kɔndishɔn dɛn lɛk At Failure. Hat fεil na wan kכndyushכn wae di hat nכ kin ebul fכ pכmp inof bכdi to di bכdi. Dɔn, bɔku prɛshɔn kin de pan di at. na dεn tεm ya, di lεvεl fכ dεn NP dεm ya de inkrεs.
dכkta dεm de luk pan sεvεra tכp dεm fכ dεn NP dεm ya, bכt di wan we dεn de yuz bכku tεm dεn kכl am N-tεrminal proBNP (NT-proBNP) . Dis kin yuse fɔ asɛs aw bɔku strɛs de put pan di at bikɔs ɔf di at we nɔ de wok fayn.
Udat nid dis kadyak ɛnzaym tɛst? Yu gɛt dɛn sayn ya?
If yu gɛt wan ɔ mɔ pan dɛn sayn ya, yu dɔktɔ kin ɔda fɔ du dɛn kayn tɛst ya fɔ di kadyak ɛnzaym:
- Chest pen ɔ diskɔmfɔt na di men sayn.
- Diziz, na filin fɔ spin na yu ed.
- Nɔs, fil lɛk se yu go vɔmit.
- Wantɛm wantɛm, i kin swet bɔku bɔku wan.
- I nɔ izi fɔ yu fɔ blo, fil lɛk se yu de swɛla (shɔt fɔ blo).
- Wan sayn dɛm wae de sho se yu at nɔr de woke fayn (at de pwɛl hat pasmak), lɛk wae yu de swel na yu leg ɛn yu nɔr kin ebul fɔ blo fayn.
Nɔ tek ɛni wan pan dɛn sayn ya layt. If yu gɛt ɛni wan pan dɛn, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan.
Us ɔda blɔd tɛst dɛn kin du fɔ no if at atak de apin?
Apat frɔm di tɛst fɔ di kadyak ɛnzaym dɛn, dɔktɔ kin ɔda fɔ mek dɛn du sɔm ɔda blɔd tɛst dɛn bak fɔ no mɔ bɔt aw yu at de ɛn aw yu gɛt wɛlbɔdi.
Na sɔm pan dɛn:
- Kɔmplit Blɔd Kɔnt (CBC): Dis kin chɛk di lɛvɛl we tin dɛn lɛk rɛd sɛl, wayt sɛl, ɛn pletlɛt dɛn de na yu blɔd.
- Basic Metabolic Panel (BMP) ɔ Comprehensive Metabolic Panel (CMP): Dis kin chɛk bɔku tin dɛn lɛk di ilɛktrɔlayt dɛn we de na yu blɔd, lɛk sɔdiɔm ɛn potashɔm, di kidni we de wok, ɛn di shuga lɛvɛl.
- Blɔd Gas Tɛst (ABG): Dis de chɛk di ɔksijɛn, kabɔn dayɔgzayd, ɛn asid-bɛs balans na di blɔd.
Di dɔktɔ kin kam fɔ no bɔt yu sik bay we i kin jɔyn di tin dɛn we dɛn dɔn lan frɔm ɔl dɛn tɛst ya.
Us ɔda tɛst dɛn kin du fɔ no if pɔsin gɛt at atak?
Apat frɔm di blɔd tɛst, bɔku ɔda tɛst dɛn de we dɛn kin du fɔ no if yu gɛt at atak ɔ ɔda at pwɛl. Yu dɔktɔ kin ɔda wan ɔ mɔ pan dɛn tin ya, i go dipen pan yu kɔndishɔn.
- Chɛst X-ray: Dis kin chɛk di sayz ɛn shep fɔ di at ɛn di kɔndishɔn na di lɔng dɛn.
- Ikokadiogram: .Dis tan lɛk we dɛn de du ɔltra saund skan fɔ di at. i kin luk aw di at in chεmba dεm εn di valv dεm de wok, εn aw di at mכsul de kכntrakt. Sɔntɛnde, dɛn kin du spɛshal ɛko tɛst we dɛn kɔl Transesophageal Echocardiogram (TEE) bak.
- Ilɛktrokardiogram (ECG ɔ EKG): Dis de sho aw yu at de wok wit ilɛktrik. Dis kin rili ɛp fɔ no if yu at bit nɔr de bi, lɛk sayn dɛm fɔ hat atak.
- Ɛksesaiz Strɛs Tɛst ɔ Nyuklia Kadyak Strɛs Tɛst: Dis min se yu fɔ waka pan tredmil ɔ rayd baysikul ɛn si aw yu at de du di ɛksesaiz.
- Angiogram: Insay dis tɛst, dɛn kin put spɛshal wata na di korona at we kin kɛr blɔd go na di at, ɛn dɛn kin tek ɛkstrem rayt fɔ si if ɛnitin dɔn blok na dɛn at.
- Positron Emission Tomography (PET) Scan: Dis na spɛshal skan bak we de luk aw di at ɛn di blɔd de wok.
Dɛn kin du ɔl dɛn tɛst ya fɔ no ustɛm yu gɛt ɛn fɔ gi yu di rayt tritmɛnt fɔ am.
Di tin we impɔtant pas ɔl we yu fɔ mɛmba: tek kia ɔf yu at!
"A de gɛt at atak?" Dis kwɛstyɔn kin rili strɛs ɛn mek yu fred fɔ tink gud wan. So, if yu gɛt ɛni sayn, di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm, ɛn yu nɔ fɔ tink tumɔs bɔt am.
As yu go dɔn ɔndastand, dis kadyak ɛnzaym tɛst rili, rili impɔtant fɔ no bɔt at sik, mɔ di wan dɛn we kin apin na di at wantɛm wantɛm. If yu gɛt dɛn ɛnzaym ya we bɔku na yu blɔd, dat kin sho se sɔm tin dɛn dɔn pwɛl, strɛs, ɔ inflamɛns de na yu at.
So, if yu dɔktɔ tɛl yu fɔ du dis tɛst, nɔ fred. E go ɛp yu fɔ no gud gud wan wetin na yu sik ɛn bigin di tritmɛnt we yu nid kwik kwik wan. If yu no di sik kwik kwik wan ɛn trit yu, dat kin sev yu layf ɛn mek yu nɔ gɛt big big prɔblɛm dɛn. Yu at na yu prɔpati we gɛt valyu pas ɔl. Na yu fɔ tek kia ɔf am. Tɔk to yu dɔktɔ ɛn ɔndastand wetin dɛn tɛst rizɔlt ya min.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na di Kadyak Enzym (Cardiac Enzymes / Troponin) test?
We yu gɛt at atak ɛn go na ɔspitul, dis na di blɔd tɛst we dɛn fɔ du ɛn we impɔtant pas ɔl we dɔktɔ dɛn kin du, apat frɔm di ECG! we wi at mכsul dεn dכn dכn/dכn, wan kayn protin (Troponin εn כda εnzym dεm) we de insay da mכsul de de kכmכt insay di bכdi insay di bכdi we wi nכ go ebul fכ bia. Dat na di sayn we dis tɛst de luk fɔ.
💬 Dis ripɔt go no se pɔsin gɛt at atak jɔs lɛk aw i apin?
Dɛn kin no am wantɛm wantɛm bay we dɛn de yuz ECG. Di valyu fɔ Troponin na dat ivin ‘saylent’ at atak we nɔ de sho pan ɛni ECG, dis ripɔt kin no insay 2 to 4 awa. We dɔktɔ dɛn tek blɔd ɛn luk pan dɛn valyu ya (Troponin lɛvɛl), if i sho se ‘ay’, i min se bɔku pan yu at mɔsul dɔn ɔlrɛdi day.
💬 If di enzym dεm na dis ripot dεn εlevεt, a go nid fכ du כpεrayshכn?
we di troponin lεvεl dεm go εlevεt min se bכku damej de pan di at (klin hat atak). As soon as dis apin, dɔktɔ dɛn go gi yu wan blɔd tin ɔ wan blɔd tina. if di εnzym lεvεl bכku bכku wan, dεn go du angiogram wantεm wantεm fכ no if dεn nid fכ du stent כ baypas כpεrayshכn.
` Kadyak enzym dεm, hat atak, kadyak enzym dεm, troponin, chεst pen, hat atak, bכdi tεst, kadyak bayomak dεm
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