Vuto la mtima? Tiyeni tiphunzire za mayeso a BNP (B-type Natriuretic Peptide).

Kodi munamvapo za mayeso a BNP? Mwina dokotala wanu anakuuzani kuti muchite zimenezo, kapena mwakhala mukuyang'ana pamene muli ndi mavuto a mtima. Lero, tikambirana za mayeso a magazi a BNP awa, zomwe angakuuzeni, nthawi yomwe achitika, komanso momwe mungatanthauzire zotsatira zake.

Kodi mayeso a BNP awa ndi otani?

Mwachidule, mayeso a BNP awa amayesa kuchuluka kwa mahomoni apadera m'magazi anu. Homoni iyi imatchedwa B-type natriuretic peptide , kapena `(BNP)` mwachidule. Izi zingapatse dokotala wanu lingaliro labwino la momwe mtima wanu ukugwira ntchito.

Ngati mulingo wa `(BNP)` m'magazi mwanu ndi wokwera kuposa wabwinobwino, zingatanthauze kuti mtima wanu sukugwira ntchito bwino, kutanthauza kuti sukugwira ntchito bwino m'thupi lanu lonse. Nthawi zina, `(BNP)` iyi imachotsedwa m'thupi ndi impso, kotero ngakhale patakhala vuto ndi impso, mulingo wa `(BNP)` ukhoza kukhala wokwera.

Chinthu china, ma lab ena amachita mayeso ofanana otchedwa 'aminoterminal pro B-type natriuretic peptide'. Amafupikitsidwa ngati `(NT-proBNP)`. Mayeso onse a `(BNP)` ndi `(NT-proBNP)` amapereka chidziwitso chomwecho. Komabe, ma values ​​a `(NT-proBNP)` akhoza kukhala okwera kasanu mpaka khumi kuposa `(BNP)`.

Madokotala amagwiritsa ntchito mayesowa kuti adziwe ngati muli ndi vuto lotchedwa kulephera kwa mtima . Ngati muli nalo kale, dokotala wanu adzagwiritsa ntchito mayesowa kuti aone momwe lilili loopsa komanso ngati chithandizo chanu chikugwira ntchito. Nthawi zina, ngati mukuganiza kuti muli pachiwopsezo chachikulu cha mavuto a mtima, angachitenso mayesowa.

Ndiye kodi BNP iyi ndi chiyani?

BNP ndi imodzi mwa mapuloteni angapo omwe amathandiza kuyendetsa bwino kayendedwe ka magazi m'thupi lathu. Ngakhale kuti imapangidwa ndi mtima, nthawi zina imatchedwa 'ubongo' natriuretic peptide chifukwa idapezeka koyamba mu minofu ya ubongo. Taganizirani izi, ndizodabwitsa kwambiri, eti?

Mukudziwa, mtima wathu ndi mitsempha yamagazi zimagwirira ntchito limodzi popopera magazi okhala ndi mpweya wambiri m'thupi lonse. Ventilaki yakumanzere, imodzi mwa zipinda zinayi mumtima, ndiyo imapopera magazi ambiri kudzera mumtima ndikutumiza ku thupi. Izi zili ngati chipinda chachikulu chopopera magazi cha mtima.

Chitseko cha kumanzere ichi ndi malo akuluakulu opangira `(BNP)`. Pamene katundu pamtima ukuwonjezeka, kapena pamene mtima uli pansi pa kupanikizika chifukwa cha vuto linalake, kuchuluka kwa `(BNP)` kumawonjezeka. Maselo a minofu ya mtima amayankha ku kupanikizika kumeneku potulutsa `(BNP).` Izi zimachepetsa katundu pamtima ndipo zimauza impso kuti zichotse mchere ndi madzi m'thupi. Ndicho chimene mawu akuti ``Natriuretic`` amatanthauza - amatanthauza chinthu chomwe chimafulumizitsa kuchotsa sodium (mchere) ndi madzi m'thupi.

Kodi mayeso a BNP awa amachitika nthawi yanji?

Dokotala wanu angakupatseni mayesowa kuti aone ngati muli ndi BNP yambiri m'magazi mwanu, zomwe zingasonyeze matenda a mtima .Ngati pali zizindikiro za kulephera kwa mtima, mayeso a BNP kapena NT-proBNP adzachitikadi.

Tiyeni tiwone zizindikiro za kulephera kwa mtima.

• Zili ngati chifuwa chouma chomwe chimakula kwambiri mukagona. Nthawi zina mungaganize kuti ndi chimfine wamba, koma ndi zosiyana.
• Kuvuta kupuma, kupuma movutikira (Dyspnea), kapena kupuma movutikira. Muyenera kuda nkhawa ngati mukumva kupuma movutikira ngakhale mutachita ntchito yaying'ono.
• Kusokonezeka maganizo, kusokonezeka maganizo komanso kutaya chidziwitso. Izi zitha kuchitika makamaka kwa okalamba.
• Chizungulire, kukomoka (Syncope). Samalani izi ngati mukumva kukomoka, monga pamene muyimirira mwadzidzidzi.
• Kutopa kwambiri, kumva ngati wopanda moyo. Ngati kutopa kumeneku sikutha ngakhale mutagona bwino, ndiye kuti vuto ndi limenelo.
• Kugunda kwa mtima ndi kugunda kwa mtima kofulumira kwambiri. Ngati mtima wanu ukugunda mofulumira kapena ngati ukudumphadumpha pang'ono.
• Kusanza, kusanza, kusowa chilakolako.
• Kutupa kwa mimba, miyendo, akakolo, ndi mapazi (edema). Ngati kutupa kumeneku kuli ndi ziphuphu mukakuyang'ana, chimenecho ndi chizindikiro chapadera.
• Kufunika kukodza pafupipafupi usiku (Nocturia).

Chofunika: Ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo. Kulephera kwa mtima ndi vuto lomwe limayambitsa imfa lomwe limafuna chithandizo chadzidzidzi. Chonde musanyalanyaze zizindikiro izi.

Kulephera kwa mtima kumatanthauza kuti mtima wanu sukuyenda bwino, osati kuti mtima wanu waima kotheratu. Kumbukirani kuti ngati dokotala wakuuzani kale kuti muli ndi vuto la mtima, dokotala wanu adzagwiritsabe ntchito mayesowa kuti awone momwe chithandizo chanu chikugwirira ntchito.

Kodi mayeso a BNP (kapena NT-proBNP) awa amazindikira bwanji mavuto a mtima?

Mayeso a `(BNP)` kapena `(NT-proBNP)` awa amayesa kuchuluka kwa hormone ya `(BNP)` (kapena `(NT-proBNP)`) m'magazi mwanu. Kuchuluka kwa hormone iyi m'magazi kumatanthauza kuti mtima uyenera kugwira ntchito molimbika kuti upompe magazi. Mwachidule, mtima uyenera kugwira ntchito molimbika. Izi zikutanthauza kuti minofu ya mtima yatambasulidwa ndipo ili pansi pa kupanikizika.

Kodi muyenera kuyembekezera chiyani mukamachita mayeso?

Palibe chapadera chomwe muyenera kuchita kuti mukonzekere mayeso awa a `(BNP)` kapena `(NT-proBNP)`. Simukuyenera kusala kudya, ndipo mutha kumwa madzi. Dokotala wanu kapena namwino adzayeretsa malo oyenera m'dzanja lanu ndikuyika singano. Chifukwa chake, magazi pang'ono adzatengedwa kuchokera mumtsempha. Mutha kumva kupweteka pang'ono, ngati kuluma, singano ikalowetsedwa. Koma siipweteka kwambiri.

Kenako, labu idzayesa magazi anu kuti ione kuchuluka kwa `(BNP)` (kapena `(NT-proBNP)`) kwanu kuli bwanji. Dokotala wanu adzakuuzani za izi zotsatira zake zikabweranso.

Pambuyo poyesa?

Pambuyo pochotsa magazi, dokotala kapena namwino adzakuikani bandeji yaying'ono pa mkono wanu. Mungamve kupweteka pang'ono pamene singano inalowetsedwa. Mungamve kuvulala pang'ono, zomwe sizachilendo. Zotsatira zake zikabwera, dokotala wanu adzakambirana nanu za izo ndikukambirana zomwe mungachite kenako.

Kodi ubwino wochita mayesowa ndi wotani?

Taonani, mayeso awa, omwe amatenga magazi ochepa okha, angauze dokotala wanu zambiri zofunika zokhudza thanzi la mtima wanu. Mayeso otchedwa `(BNP)` kapena `(NT-proBNP)` angathandize dokotala wanu kudziwa ngati muli ndi vuto la mtima . Angathandizenso kuchotsa matenda ena omwe ali ndi zizindikiro zofanana. Mwachitsanzo, kupuma movutikira kungakhale chifukwa cha vuto la m'mapapo. Mayesowa angakuthandizeni kusiyanitsa pakati pa matenda awiriwa. Zotsatira za mayesowa zithandiza dokotala wanu kukonzekera chithandizo chanu ndikuwona momwe chithandizocho chilili chothandiza.

Kodi pali zoopsa zilizonse ndi mayeso a BNP awa?

Kuyezetsa magazi n'kofala kwambiri ndipo n'kotetezeka. Dokotala amafunikira magazi ochepa okha kuti ayezedwe. Pambuyo pa kuyezetsa, thupi lanu lidzayambanso kutulutsa magazi. Anthu ena angamve chizungulire pang'ono kapena kusokonezeka mutu atatha kumwa magazi. Izi ndi zachilendo. Nthawi zambiri, kumva kumeneku kumatha pakatha mphindi zochepa.

Kodi zimatenga nthawi yayitali bwanji kuti mupeze zotsatira za mayeso a BNP?

Madokotala nthawi zambiri amachita mayesowa mukakhala ndi zizindikiro za kulephera kwa mtima, kaya m'chipinda chodzidzimutsa kapena kuchipatala. Ndikofunikira kuzindikira kulephera kwa mtima (ndipo kuchotsa matenda ena) ndikuyamba kulandira chithandizo mwachangu momwe mungathere.

Izi zikutanthauza kuti mwina mudzapeza zotsatira za mayeso nthawi yomweyo, nthawi zambiri mkati mwa mphindi 15. Iyi ndi mayeso achangu kwambiri. Dokotala wanu adzakuuzani nthawi yomwe zotsatira zake zidzapezeka komanso zomwe zidzatanthauze.

Kodi kuchuluka kwa BNP kosazolowereka kumatanthauza chiyani?

Mulingo wabwinobwino wa `(BNP)` mwa munthu wopanda vuto la mtima ndi wochepera 100 picograms pa milliliter (`pg/mL`). Ngati mulingo wa `(BNP)` uli wokwera kuposa 100 `pg/mL`, ukhoza kukhala chizindikiro cha kulephera kwa mtima.

Mulingo wabwinobwino wa NT-proBNP ndi wochepera 125 pg/mL mwa anthu osakwana zaka 75 ndipo wochepera 450 pg/mL mwa anthu opitirira zaka 75. Ngati mulingo wa NT-proBNP ndi woposa 900 pg/mL, ukhozanso kukhala chizindikiro cha kulephera kwa mtima.

Koma kumbukirani kuti kuchuluka kwa BNP kapena NT-proBNP kumatha kusiyana malinga ndi munthu. Ndi bwino kulankhula ndi dokotala wanu za kuchuluka kwa mayeso anu, chifukwa dokotala wanu adzaganiziranso zinthu monga zaka zanu ndi matenda ena.

Mukumwa mankhwala oletsa matenda a mtima (beta blockers), ACE inhibitors, ndi diuretics (mankhwala omwe amakupangitsani kukodza kwambiri) ngati mankhwala ochizira matenda a mtima.Ngati mumwa zinthu ngati izi, kuchuluka kwa BNP kapena NT-proBNP kwanu kungakhale kotsika poyerekeza ndi kwa munthu amene sakumwa mankhwala amenewo. Komanso, ngati muli ndi kunenepa kwambiri (mafuta ambiri m'thupi) kapena muli ndi vuto la impso, kuchuluka kumeneku kungakhale kotsika poyerekeza ndi kwachibadwa.

Kutengera ndi zotsatira za mayeso a BNP, dokotala wanu angakupatseni mayeso ena, monga electrocardiogram (EKG kapena ECG) . Izi zimaphatikizapo kuyika masensa pakhungu lanu kuti aziyang'anira momwe magetsi a mtima wanu amagwirira ntchito, otchedwa kugunda kwa mtima kwanu. Izi zingathandize dokotala wanu kuzindikira kapena kuwunika kulephera kwa mtima kapena matenda ena a mtima.

Kodi ndiyenera kulankhula ndi dokotala wanga liti za mayeso a BNP (kapena NT-proBNP)?

Ngati muli ndi mafunso okhudza zotsatira za magazi anu a BNP, onetsetsani kuti mwalankhula ndi dokotala wanu. Musaope kufunsa kuti, "Dokotala, kodi phindu ili pa lipoti langa la BNP limatanthauza chiyani?" Dokotala wanu adzakufotokozerani zotsatira zake. Adzakulangizaninso mayeso ena kapena chithandizo chomwe chingafunike.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera m'nkhaniyi?

Mayeso a B-type natriuretic peptide (BNP), omwe amadziwikanso kuti mayeso a aminoterminal pro B-type natriuretic peptide (NT-proBNP), ndi mayeso omwe amapatsa dokotala wanu chidziwitso chofunikira kwambiri chokhudza thanzi la mtima wanu. Angathandize kuzindikira matenda monga kulephera kwa mtima , kukonzekera chithandizo moyenera, ndikuwona momwe mankhwalawo alili othandiza.

Ngati muli ndi mafunso okhudza zotsatira za mayeso anu, musazengereze kulankhula ndi dokotala wanu. Ngati mwapezeka ndi vuto la mtima, pali zinthu zomwe mungachite kuti mukhale ndi vutoli. Izi zikuphatikizapo kusintha moyo wanu, kusintha zakudya (monga kuchepetsa kumwa mchere ndi madzi), kuchita masewera olimbitsa thupi, komanso kumwa mankhwala anu monga momwe mwalangizidwira .

Choncho, ndikofunikira kwambiri kusamalira mtima wanu. Kudziwa mayeso otere kudzakuthandizaninso kwambiri. Mupeze mphamvu zosungira mtima wanu wathanzi!

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