Troponin Test tih hi eng nge ni? Engtin nge heart attack hriatchhuahna kawngah a pawimawh?

Kan rilru lai takah natna nasa tak kan neih thut a, kan rilru hah lutuk emaw, thawk harsa kan tih hian kan hlau vek a ni lawm ni? Kan rilrua lo lang hmasa ber chu, "Hei hi heart attack a ni em?" Hetiang hunah hian damdawi inah, a bik takin Emergency Department (ETU)-ah hruai nghal i nih veleh doctor-te chuan i dinhmun dik tak hriat theih nan test eng emaw zat an nei ang. Chung zingah chuan thisen test pawimawh leh pawimawh tak chu Troponin test hi a ni. He thu hi mi tam takin hre tawh mah se, eng nge a tih leh engvangin nge a pawimawh em em tih chiang takin an hre lo. Chuvangin vawiinah hian he thu hi awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.

A awlsam zawngin, he Troponin test hi eng nge ni?

Awle, hei hi hetiang hian i hrethiam ang u. Troponin hi kan heart muscle cell chhunga protein chi khat bik a ni. Kan thinlung ruh cell te hi in te tak te angin han ngaihtuah teh. Troponin hi chu in chhunga thil awm ang mai a ni. Mi hrisel pangngaiah chuan heng thil, troponin an tih hi in chhungah a awm a. Thisenah an lut lo. Tin, an tih pawh nise, an lo kal tlem lutuk a, an lo lang thei lo.

Mahse, heart attack ang dinhmunah chuan heart supply tu thisen kalna kawng chu a block a, heart muscle cell te chuan an mamawh oxygen an hmu lo va, chu cell te chu an thi tan ta a ni. In a chhiat lai ang mai a ni. In bang a chhiat chuan eng nge thleng thin? A chhunga thil awmte chu paih chhuak a ni lawm ni? Chutiang bawkin heart muscle cells te a chhiat chuan an chhunga troponin protein chu thisenah a chhuak thin.

Troponin test-ah chuan i thisen sample lak a, a chhungah troponin a awm leh awm loh teh a, a awm a nih chuan engzat nge a awm tih teh a ni. I thisena troponin level a san chuan heart muscle a tichhia nasa zawk. Hei hian doctor-te chu heart attack nasatzia hrethiam turin a pui thei a ni.

Troponin test thar (High-sensitivity troponin test) te hi a sensitive hle. Chumi awmzia chu heng test te hian thisenah troponin tlemte chauh pawh a hmuchhuak thei tihna a ni. Hei hian heart attack hriat theihna hun chhung chu nasa takin a tihtlem phah a ni. Tin, a chang chuan symptoms a langsar lo a, ECG-ah pawh danglamna lian tham a awm loh lai pawhin he test hian heart attack a awm leh awm loh a nemnghet thei bawk.

Troponin hi chi hnih a awm em?

Ni e, kan thinlung a chhiat chuan thisena chhuak troponin chi hnih lian tak a awm a. Doctor-te chuan hengte hi ‘I’ leh ‘T’ tih hawrawp hmangin an ko thin.

• Troponin I (Troponin I or cTnI): Hei hi a danglam bik hle a, a chhan chu he troponin chi hi thinlung ruh chhungah chauh hmuh tur a awm a ni.Hei hi kan taksa ruh dangah hmuh tur a awm lo. Chuvangin thisena troponin I level a san chuan heart muscle a chhiat thu a tilang chiang hle. Thinlung tana thil danglam bik identification card ang a ni.

• Troponin T (Troponin T or cTnT): He troponin T chi hi kan taksa peng dang (entir nan, ruh nena inzawm taksa peng)-ah te hian a awm tak tak a ni. Mahse, lungngai suh. Thinlung chhunga troponin T awm dan hi hmun danga hmuh theih nen a danglam deuh hlek a ni. Tunlai test-ah hian cardiac-specific troponin T chauh thlan leh teh theih a ni.

Heart attack hnuah chuan heng troponin level hi darkar 3 leh 12 inkarah a sang chho nghal vat thin . Darkar 24 vel ah an peak thin . Chumi hnuah ni engemaw zat chu thisenah an sang reng a ni. Chuvangin, i rilru na a, ni khat emaw, ni hnih emaw hnuah damdawi inah i kal a nih pawhin, he test hian heart attack i nei tawh em tih a hre thei a ni.

He test hi thinlung natna tan chauh tih a ni em?

No. Troponin test hi heart attack hriat nan hman a ni ber a, mahse heart muscle tichhe thei dinhmun dang eng pawhah troponin level hi a sang thei bawk. Hei hian troponin level sang lutuk hian heart attack i nei tihna a ni ngai lo tihna a ni. I doctor chuan i symptoms leh i test result dang zawng zawng a zirin dik takin a diagnosis ang.

Troponin level a san theih chhan dang thenkhat chu hetiang hi a ni:

• Chronic kidney disease: Kal hnathawh that loh chuan taksa chhunga troponin ang chi thil te chu uluk taka filter leh paih chhuah a ni lo. Chuvangin thisena troponin level hi a sang mai thei.
• Pulmonary embolism: Hei hi emergency a ni. Hei hian thinlungah pressure nasa tak a siam a, heart muscle a tichhia a, troponin a chhuak bawk.
• Congestive heart failure: Lung a chak lo a, taksaah thisen a pump tling thei lo a nih chuan heart muscle chu a chhe chhunzawm zel thei a ni.
• Heart surgery: Heart surgery neih laiin heart muscle eng emaw zat a chhiat fo thin avangin operation hnuah troponin level a sang chho thin.
• Heart valve natna: Heart valve te hian hna a thawk tha lo a nih chuan thinlungin hna a thawh nasat a ngai thin. Hei hian hun kal zelah heart muscle a tichhe thei a ni.
• Arrhythmias: Thinlung a nat dan pangngai lo taka a thawk chuan heart muscle a tichhe thei a ni.
• Infection na tak taksa pum puia darh tawh (Sepsis): Hetiang a nih chuan taksa thiltih dan hian thinlung telin taksa peng hrang hrang a tichhe thei a ni.
• Exercise tam lutuk: Exercise hahthlak tak tak, tuar theih loh pawhin a chang chuan troponin level chu rei lo te chhung atan a tisang thei a ni.
• Stress emaw trauma lutuk: Tuar theih loh lungngaihna, trauma emaw, stress emaw i tawh huna hormone activity lo awm hian thinlung ruh a tichhe thei bawk.

Engtin nge he test hi tih a nih? Eng nge i hriat ngai?

Hei hi test awlsam tak a ni. I kut chhunga vein pakhat atanga thisen sample tlemte lak a ni. IV line i neih tawh chuan chuta tang chuan thisen tlem i la thei ang. Chuvangin needle lak a ngai lo.

He test hi emergency-a tih a nih tlangpui avangin inbuatsaih lawk a ngai tawh lo. Mahse thil pawimawh tak pakhat i hriat tur a awm.

Vitamin B7, emaw biotin awmna vitamin emaw supplement emaw i ei a nih chuan i doctor hnenah i hrilh ngei ang. Beauty product thenkhat, a bik takin sam, vun leh nail hriselna atana vitamin te hian biotin a pai tam hle. He biotin hian troponin test result a nghawng thei a ni. Hei hian a awmzia chu i troponin level sang tak tak pawh nise, biotin avang hian report-ah a hniam angin a lang thei tihna a ni. Chu chu a hlauhawm lo em ni? Chuvangin he thil hi i doctor hriattir hi i mawhphurhna a ni.

A tlangpuiin doctor-te chuan heart attack nia rinhlelh a nih chuan troponin report a rawn lut tur chu an nghak ngai lo. A natna lan chhuah dan leh ECG an en a, heart attack damdawi chu an tan nghal a ni. A chhan chu hetiang hun lai hian second tin hi a hlu a ni. Tichuan, troponin report a lo luh chuan a tul chuan enkawlna chu an thlak danglam thin.

Test report hi engtin nge ka hriatthiam ang?

Troponin test atana report hi darkar khat emaw darkar hnih emaw chhungin a awm tlangpui. Result a hmuh veleh Doctor in a hrilhfiah ang che.

A tlangpuiin mi hrisel thisena troponin level hi a hniam hle a, a nih loh leh hriat theih loh pawh a ni. Heng value te hi laboratory hrang hrangah leh machine hman dan azirin a danglam deuh thei a ni. Mahse, hengte hi hlutna pawm tlangpui a ni.

He report-a `ng/mL` hi milliliter khata nanogram tihna a ni. Ngaihtuah teh, nanogram chu gram tluklehdingawn khat a ni. Chu chu rin loh takin a tlem hle. Hei hian mi hrisel thisenah troponin a tlem zia hriat theihna a pe tur che a ni.

I troponin result hi he normal range aia sang a nih chuan "elevated troponin" an ti. Chu chu heart muscle a chhiat avangin thisenah troponin a awm khawm tihna a ni.

Engvangin nge test hi tih nawn leh tur?

Damdawi inah i dah lai khan i doctor-in troponin test vawi khat a tihsak i hmu tawh mai thei a, darkar tlemte hnuah (e.g. darkar 3, darkar 6) test leh i hmu leh mai thei. Chutiang chu chhan neiin an ti thin.

• Level a sang em tih en rawh: Report hmasa aiin report pahnihnaah troponin level a sang zawk a nih chuan ("rising pattern"), hei hian heart attack a awm tih finfiahna nghet tak a pe a ni.
• A chhiatna zau zawng hrethiam rawh: Troponin level a san dan leh eng chen nge a sang reng tih hian chhiatna nasat dan tur a hriat theih.

Heart attack hnuah pawh ni 5-7 vel troponin I level hi a sang reng a ni. Troponin T level hi kar 3 thleng a sang thei a ni.