Ina tirohia e koe he whakamātautau toto, tera pea ka aro nui koe ki te cholesterol, inā koa te cholesterol kino, te LDL. Nā te mea e mōhio ana tātou katoa ka piki ake ngā taumata LDL, ka piki ake te tūponotanga o te whakawhanake i ngā mate pēnei i te whakaeke ngakau me te whiu. Engari kāore te kōrero i mutu i reira. Kua kitea e ngā rangahau e 50% o te hunga kua pāngia e te whakaeke ngakau kāore i te teitei ngā taumata LDL. Nō reira, ka whakamahia e ngā tākuta tētahi atu whakamātautau hei aromatawai tika i te mōrearea. Koinei te mea e kiia nei e mātou ko te whakamātautau C-Reactive Protein, CRP rānei.
He aha rawa te CRP?
He whakarāpopototanga noa iho, ko te Pūmua C-Reactive (CRP) he pūmua e hangaia ana e tō tātou ate. Ina he mumura , arā, he pupuhi i puta mai i tētahi kino, i tētahi wāhi o tō tinana, ka piki ake te taumata CRP i roto i te toto.
Whakaarohia pēnei. Kāore te cholesterol kino (LDL) e piri noa ki ngā pakitara o ō tātou oko toto, engari ka pakaru anō hoki. Ko tēnei kino te mea e kiia nei e tātou ko te mumura. He rite ki tētahi patunga iti. Ina ngana te tinana ki te whakaora i tēnei kino, ka whakaputahia e ia he pūmua motuhake e mahi ana hei "rōpū āwhina." Ko te CRP tētahi o aua pūmua. Arā, ki te mea he mumura kei tētahi wāhi o te tinana, ka taea e tātou te kite mai i te taumata CRP. He rite ki te kitenga o te paoa, ka whakaaro tātou he ahi kei tētahi wāhi.
He aha te take e taunaki ai te tākuta i tētahi whakamātautau CRP?
Ka ine te whakamātautau CRP i te nui o te Pūmua C-Reactive i roto i tō toto. Mā tēnei ka taea e tō tākuta te mōhio ki te taumata o te mumura i roto i tō tinana.
E ai ki ētahi rangahau he pai ake te tohu a te CRP mō te mōrearea o te mate ngakau (CVD) i te cholesterol LDL. Heoi, ehara i te whakamātautau motuhake mō te mate ngakau. E tohu ana mēnā he mumura kei roto i te tinana. Tērā pea nā te mate ngakau, nā tētahi atu mea rānei i puta ai te mumura.
Tērā atu anō ngā wā e whakamahia ai tēnei whakamātautau:
- Ngā Mate Pūnaha Ārai Mate: Ka mahia hoki tēnei whakamātautau mō te hunga whai mate pēnei i te Lupus, te Rheumatoid Arthritis rānei. Nā te mea ka puta hoki te mumura i roto i te tinana i ēnei mate. Ka āwhina hoki tēnei whakamātautau ki te kite mēnā ka whakaitihia taua mumura e te rongoā i hoatu. Heoi, kāore e taea e tēnei whakamātautau te kī kei hea te mumura i roto i te tinana.
- Ngā Mate Pukupuku: Ka mahia tēnei whakamātautau mēnā kei te whakapaetia he mate pūmua pērā i te sepsis, te mate harore, te mate wheua rānei.
- Te mōrearea tuarua o te whakaeke ngakau: Ka whakamahia hoki hei tirotiro i te mōrearea o te pāngia anō e te whakaeke ngakau mō te tangata kua pāngia kē e te whakaeke ngakau.
- Ētahi atu mate:Ka āwhina hoki tēnei ki te tautuhi i ngā mate pēnei i te mate puku mumura me te mate pūkahukahu.
Me pēhea te mārama ki ngā uara o te pūrongo CRP?
Tērā pea ka tonoa e tō tākuta tēnei whakamātautau CRP mēnā kei a koe ngā tohu o te mate, pērā i te kirika, te makariri, te tere o te ngakau, te tere o te manawa, te whakapairuaki, me te ruaki.
He whakamātautau toto tino māmā tēnei. I te nuinga o te wā, ka tangohia he toto iti mai i te uaua i roto i tō ringaringa. Kāore e hiahiatia he whakaritenga motuhake (pēnei i te nohopuku). Kāore he mamae i tua atu i te wāhi iti e werohia ana te ngira. Heoi, ko ētahi rongoā e tangohia ana e koe ka pā ki ngā hua o tēnei whakamātautau. Nō reira, kia mōhio koe ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
Kia tae mai ō hua, mā te ripanga i raro nei koe e āwhina ki te mārama ki ngā uara. Engari kia maumahara, tera pea ka rerekē ēnei uara i ia taiwhanga, i ia taiwhanga. Nō reira , kia tino whakaatu koe i tō pūrongo ki tō tākuta, kia whiwhi tohutohu ai koe.
| Taumata mumura | Uara CRP (mg/dL) | Te tikanga/ngā take pea |
|---|---|---|
| Teiteitanga Taurite | 1.0 - 10.0 mg/dL | Ngā mate pūnaha ārai mate pērā i te mate rumatiki, te lupus, te mate ngakau, te pancreatitis, te bronchitis. |
| Teiteitanga kua tohua | 10.0 - 50.0 mg/dL | Ngā mate urutā huakita, huaketo rānei, te mumura o ngā oko toto (Systemic Vasculitis), ngā aituā kino, ngā whara rānei. |
| Teitei rawa | Neke atu i te 50.0 mg/dL | I te nuinga o te wā (90%) ka puta mai i te mate huakita whakapeka. Ka taea hoki e ngā mate pēnei i te dengue, te malaria, me te hepatitis C te take. |
Ko te taumata CRP i runga ake i te 10 mg/dL e kiia ana he tohu mō te mumura nui. Heoi, kāore e taea e tēnei whakamātautau anake te whakaatu he aha te take. Me mahi e tō tākuta ētahi atu whakamātautau hei whakatau i te take.
He whakamātautau CRP motuhake (hs-CRP) e tirotiro ana i te mōrearea o te mate ngakau
Tērā tētahi whakamātautau he tairongo ake i te whakamātautau CRP paerewa, e whakamahia ana hei aromatawai i te mōrearea o te mate ngakau (CVD). Ko te CRP te ingoa o tēnei he High-Sensitivity CRP (hs-CRP) .
He tino whai hua tēnei whakamātautau mō te hunga he 10%-20% te mōrearea ki te pāngia e te mate ngakau i roto i ngā tau 10 e whai ake nei. Ka taea e ngā taumata CRP, pērā i ngā taumata cholesterol, te āwhina i te matapae i te mōrearea o te mate ngakau. I kitea i roto i tētahi rangahau, ko te nui o ngā taumata CRP ka toru ake te mōrearea o te mate ngakau.
Anei te whakamārama i ngā hua o te whakamātautau hs-CRP:
| Uara hs-CRP (mg/L) | Te mōrearea o te mate manawa (CVD) |
|---|---|
| Iti iho i te 1.0 mg/L | iti te mōrearea |
| 1.0 mg/L ki te 3.0 mg/L | mōrearea āhua |
| Neke atu i te 3.0 mg/L | Te mōrearea nui |
Nā te mea ka rerekē pea ngā taumata CRP i ia rā, i ia rā, he pai ake kia rua ngā wā e mahia ai tēnei whakamātautau, kia rua wiki te wehe, kia tika ai te aromatawai i tō mōrearea ki te mate manawa. Waihoki, kāore te taumata hs-CRP teitei e tohu ana he mate manawa tōu. Nō reira, he mea nui kia whakatauritea ki tō taumata cholesterol LDL kia whiwhi ai i te pikitia katoa.
Me aha koe mēnā he tiketike tō taumata CRP?
Mena he teitei tō taumata CRP, ka whakawhirinaki te maimoatanga ki te take. Mena he teitei tō taumata CRP nā te mea he take mōrearea mō te mate ngakau, he maha ngā mea ka taea e koe te mahi hei whakaiti i taua mōrearea:
- Whakamahia he kai hauora mō te ngākau: Kai i ngā kai he iti te hinu, te tote, me te huka, ā, kai i ngā kai he nui ngā hua me ngā huawhenua.
- Whakahaerehia te cholesterol.
- Kia mau tonu te taumaha tinana tika.
- Whakakorikori tinana i ia wā, i ia wā.
- Mena he mate huka, he toto toto tiketike rānei tōu, me whakahaere pai aua āhuatanga.
- Ki te kai paipa koe, kati tonu.
- Whakawhāitihia te inu waipiro.
Ka taea e ngā statin, he momo rongoā whakaheke cholesterol, te āwhina i te whakaiti i te mōrearea o te mate ngakau i roto i te hunga he nui ngā taumata CRP. Heoi, ki te mea he noa ō taumata cholesterol, kāore pea ngā statin i te otinga tika mō ngā taumata CRP teitei. He pai ake te kōrero ki tō tākuta mō te kōwhiringa maimoatanga pai rawa atu māu.
Karere Tangohia ki te Kāinga
- Ka ine te whakamātautau CRP i te mumura i roto i te tinana, ehara i te mate motuhake.
- He tino whai hua tēnei mō te aromatawai i ngā āhuatanga pēnei i te mōrearea o te mate ngakau, ngā mate urutā, me ngā mate pūnaha ārai mate.
- Mena he tiketike tō taumata CRP, me mahi pea e tō tākuta ētahi atu whakamātautau hei kimi i te take.
- Ka whakamahia he whakamātautau tairongo ake e kīia nei ko te hs-CRP hei aromatawai motuhake i te mōrearea o te mate ngakau.
- He mea nui ngā huringa āhua noho hei whakahaere i ngā taumata CRP tiketike, engari me kōrero ki tō tākuta mō tētahi maimoatanga.
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