A châng chuan doctor i pan chuan mi pakhatin, ‘Thisenah enzyme ṭhenkhat kan enfiah a ngai’ tih i hre mai thei. Tichuan, ‘Heng enzyme te hi eng nge ni? Engvangin nge an check a nih?' Lungngai suh, hei hi test hman tlanglawn tak a ni a, tih tam ber a ni. Vawiin hian heng enzyme marker te hi eng nge an nih leh engvangin nge kan hriselna chungchanga thil pawimawh tak tak min hrilh tih hi han sawi ila.
A awlsam zawngin, he enzyme hi eng nge ni?
Kan taksa hi factory lian tak niin han ngaihtuah teh. He factory-ah hian second tin hna sang tam tak a thleng zel a ni. Enzyme te hi he factory-a hnathawk tenau te ang hi an ni. Hengte hi a takah chuan protein chi khat an ni. Heng hnathawkte hi taksaa chemical inthlak danglamna thlentu leh an tlan chakna tipungtu an ni.
Enzyme marker test hi thisen test a ni a, heng hnathawkte, a nih loh leh enzyme engzat nge i thisenah a awm tih tehna a ni.
Kan taksa chhunga taksa peng hrang hrangte hi he factory-a pindan hrang hrang angin ngaihtuah rawh. A tlangpuiin heng hnathawk enzyme tia koh te hi anmahni room (cell) chhungah an awm thin. Mahse taksa peng pakhat a chhiat emaw, a damlo emaw, a hliam emaw a nih chuan chu pindan chhunga bang chu a chhe tawh ang mai a ni a, a chhunga enzyme awmte chu a chhuak chhuak a, chu chu thisenah a lut tihna a ni. Doctor-te chuan thisena enzyme awm zat an en a, taksa chhungah thil dik lo a awm leh awm loh an hre chhuak thin. Hengte hi biomarker an ti \hin . Chu chu natna a awm tih hriattirna chhinchhiahna a ni.
Kan taksaa enzyme te hian hna pawimawh tak tak an thawk a. Entir nan:
- In the circulatory system: Thisen zam a pui thin.
- Digestive system: Kan eitur ei tur digestive turin a pui thin.
- Muscular system: Muscle hnathawh leh che vel a pui thin.
- Nervous system: Thluak leh nerve hnathawhna atana pawimawh tak a ni.
- Respiratory system: Thâwk lakna kawngah a pui.
- Urinary system: Taksa atanga bawlhhlawh paih chhuah nan a pui thin.
Eng dinhmunah nge enzyme test hi tih a nih?
Doctor-in hetiang test hi tihsak tura a tih chhan lian tak tak a awm thei.
- Screenings: A chang chuan kum tin i taksa enfiahna pangngaiah hian he test hi taksa peng pakhat chhunga chhiatna emaw, pressure emaw awm leh awm loh enfiah nan tih thin a ni a, chu chu symptoms awm lo mahse .
- Diagnosis: Symptom thenkhat, entirnan, rilru natna i neih chuan he test hi natna bik, heart attack a nih leh nih loh hriat nan hman a ni.
- Enkawlna enkawl dan:Natna enkawlna i dawng tawh a nih chuan he test hmang hian enkawlna a hlawk em tih emaw, damdawi i ei lai hian taksa peng dang a tichhe em tih emaw hriat theih a ni bawk.
Enzyme test chi hrang hrangte chu engte nge ni?
Natna chi hrang hrang hriat theihna atana hman thin enzyme test chi hrang hrang a awm a. Eng nge an nih i han thlir teh ang.
| Test Hming | Eng nge check ber? |
|---|---|
| Cardiac Enzyme Test hmanga enfiah a ni | Heart muscle hi heart attack vang emaw thil dang vang emaw a chhiat em tih enfiah thin ang che. |
| CPK Isoenzymes hmanga enfiah a ni | Tissue hrang hrang , taksa ruh (thinlung ruh te pawh tel), thluak, leh lung te a chhiat leh chhiat loh enfiah rawh . |
| Liver Enzyme Test a ni | Natna emaw chhiatna emaw eng emaw chuan liver function a nghawng em tih enfiah rawh . |
1. Lung lam Enzyme Test
Heart attack ang chi emergency-a heart muscle a chhiat chuan, chu cell atang chuan thisenah protein bik pahnih a chhuak a, chungte chu Troponin (cTn) leh Creatinine Phosphokinase (CPK) te an ni .
Hetiang hian han ngaihtuah teh: Troponin hi thinlungah chauh awm spy bik ang a ni. Thinlung lama harsatna a awm chuan thisenah a lut chauh a ni. Chuvangin hei hi heart attack hriat theihna tur test dik tak a ni.
Heart attack hnua thisena troponin level a san theih nan darkar 12 vel a ngai thei. Chuvangin, doctor-te chuan darkar tlemte danah he test hi an ti leh \hin. Troponin level negative a nih chuan heart attack a awm lo tihna a ni tlangpui.
Doctor chuan heng symptoms te hi i neih chuan he test hi a ti thei ang:
- A rilru a na
- Luak chhuak thei
- Luhai
- Thaw hah lutuk
- Thâwk harsa (dyspnea) .
2. CPK Isoenzymes Test, taksa ruh leh taksa peng hrang hrang chungchang a sawi
Enzyme pakhat CPK tih hi kan taksa ruh, thluak leh lung ang hmunah te a awm a. Heng tissue te hi a chhiat chuan thisenah CPK a awm khawm thin. Mahse he thilah hian thil danglam bik a awm. CPK hi chi hrang hrang (isoenzyme) a awm a.
- CK-MB: Hei hi thinlung thauah a awm ber .
- CK-MM: Hei hi taksa peng dang (kut leh ke ang chi) ah a awm a.
Police-te chuan tu nge thil sual ti tih hriat nan fingerprint an hmang ang bawkin, doctor-te chuan CK-MB leh CK-MM ang chi enzyme te chu an en a, chu chu thinlungah emaw, taksa ruh dang emaw-ah a thleng em tih an hre thei a ni.
He test hian a hnuaia dinhmunte hi a hriat theih nan a pui a ni:
- Lung natna
- Thai
- Thluak cancer a ni
- Muscular dystrophy a awm thin
- Taksa nena inzawm natna dang (Dermatomyositis, Polymyositis) .
3. Liver Enzyme Test hmanga Liver hriselna endik
Thin a chhiat emaw, a kai emaw, a natna emaw a awm chuan thisenah enzyme engemaw zat a chhuah tir thin. Enzyme pawimawh ber pahnih chu ALT (Alanine aminotransferase) leh AST (Aspartate aminotransferase) te an ni.
Enzyme ALT hi liver atanga siam a ni ber. Chuvangin thisenah ALT level sang hi liver-ah chhiatna engemaw zat a awm tih a tilang chiang hle. Liver bakah hian enzyme AST hi thinlung, kal, thluak, leh taksa peng hrang hrangah te pawh a awm bawk.
A hnuaia thilte hian liver enzymes a tisang thei a ni:
- Fatty liver natna a ni
- Viral infection, hepatitis A, B, leh C te pawh a awm thei
- Cirrhosis natna (liver) a awm
- Zu in avanga thin (liver) a chhia
- Liver cancer a ni
Thisen test hmain engtin nge i inbuatsaih ang?
Hei hi thisen test dan pangngai a nih avangin inbuatsaihna tam tak a ngai lo. Mahse heng thilte hi i rilrua vawn reng chuan nang leh thisen latu tan a awlsam phah ang.
- Tui tam tak in rawh: Test hmaa tui tam tak in hian i thisen zam a ti lang chiang a, thisen lak pawh a awlsam phah bawk.
- Meizial zuk loh: Meizial i zuk hian nicotine hian thisen kalna kawng a tikhawlo a, thisen sample lak a harsat phah hle.
- I hlauh chuan min hrilh teh: Mi thenkhat chuan needle hlauhna (trypanophobia) an nei a. A pangngai a ni. Chutiang hlauhna i neih chuan i thisen latu hnenah hrilh hmasa phawt ang che. Tichuan i tana nuam tur zawngin an ti ang.
Heng enzyme test-ah hian chaw nghei a ngai lo tlangpui a, a bik takin heart attack ang chi emergency situation-ah chuan chaw nghei a ngai lo. Amaherawhchu, test hi chhan dang avanga tih a nih chuan i doctor thupek chu a awm ang chiahin zawm tur a ni.
Test zawhah eng nge thleng? Risk a awm em?
Thisen sample lak hi a tlangpuiin a awlsam hle a, minute tlemte chauh a ni. Chumi hnuah chuan thisen lakna hmunah chuan bandage te tak te an hnawih a. Hei hi hri kai loh nan darkar hnih atanga darkar thum chhung a hmunah dah tur a ni. A châng chuan needle dahna hmun chu a sen deuh a, a hring deuh thei bawk. Hei hi ni engemaw zat hnuah a mah chauhin a bo mai thin.
Thisen lak hnua a hmun a na a nih chuan ice pack i hnawih thei bawk. Tin, chu kut chungah chuan rit phurh emaw, ni khat vel exercise hahthlak tak tih emaw pawh pumpelh bawk ang che.
Thisen test hi a low-risk procedure a ni. Mahse, mi thenkhat chuan thisen emaw, zung emaw an hmuh chuan an hlauthawng deuh mai thei. Harsatna i neih chuan doctor emaw nurse emaw hnenah hrilh nghal rawh.
Report a lo thlen theih nan eng chen nge a la ngai ang? Chumi hnuah eng nge i tih?
Emergency-ah chuan heart attack ang maiin report chu a dawng nghal vat thin. Mahse routine test result hmuh nan ni engemaw zat a ngai thei.
Report a dawn hnuah i doctor chuan a chhunga thil awm chu a hrilhfiah ang che.
Thil pakhat hre reng ang che. Test pakhat result atanga thutlukna lian tak tak i siam thei lo. Natna pakhat chauh a ni. Diagnosis chiang tak siam nan test tam zawk neih a ngai mai thei.
Chuvangin, report-a hlutna awmte chu ngaihtuah buai suh, doctor-in a sawi chu ngun takin ngaithla rawh. Zawhna i neih apiang zawt rawh.
Take-Home Thuchah a ni
- Enzyme marker hi thisen test a ni a, kan taksa peng hrang hrang, a bik takin thinlung, thin leh thau te chhiatna a hriat theih.
- Thisena enzyme level sang lutuk hian a sawi tum organ cell atanga enzyme te chu thisenah a luang lut tihna a ni. Hei hi natna emaw, chhiatna emaw chhinchhiahna a ni.
- He test hi natna hriat chian nan te, enkawlna hlawhtlinna enfiah nan te, hriselna endikna tlangpui atan te hman a ni.
- I test report result kimchang taka hriatthiam theih nan i doctor nen inbiakna neihpui ngei ang che. Internet-a thu hriat tur zawngin mahni inhriatthiamna nei suh.
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