Mayeso a CRP (Mayeso a C-Reactive Protein) - Tiyeni tikambirane izi!

Mwina mwamvapo za mayeso a CRP. Mwina dokotala wanu wakuuzani kuti muchite zimenezo. Kapena mwina mwamvapo kuti mnzanu kapena wachibale wanu wachita mayesowa. Ndiye, mayeso a CRP awa ndi otani? N’chifukwa chiyani ndi ofunikira kwambiri? Tiyeni tikambirane zonsezi m’njira yosavuta lero, m’njira yomwe mungamvetse, chabwino?

Kodi CRP ndi chiyani? Nchifukwa chiyani ndi yofunika kwambiri m'thupi lathu?

Chabwino, choyamba tiyeni tiwone kuti CRP ndi chiyani. CRP ndi chidule cha C-Reactive Protein . Uwu ndi mtundu wapadera wa mapuloteni omwe amapangidwa ndi chiwindi chathu. Tsopano mwina mukudabwa, chimachitika ndi chiyani pa izi? Pakakhala kutupa kwinakwake m'thupi lathu, chiwindi chimayankha popanga puloteni iyi yotchedwa CRP ndikuiwonjezera m'magazi.

Tsopano mwina mukudzifunsa kuti, 'Kutupa n'chiyani?' Mwachidule, kutupa ndi momwe chitetezo cha thupi lathu chimayankhira. Tangoganizani kuti kachilombo kapena mabakiteriya alowa m'thupi lanu, kapena muvulala, monga kudula kapena kudula. Kenako chitetezo chathu cha mthupi chimayatsidwa. Zili ngati gulu lankhondo lomwe limateteza dziko lathu. Chitetezo cha mthupi ichi chimatulutsa maselo apadera, otchedwa maselo otupa ndi ma cytokines , kuti amenyane ndi majeremusi kapena kuchiritsa malo ovulala. Pamenepo ndi pamene kutupa, kufiira, kupweteka, komanso nthawi zina kutentha kumachitika. Izi ndi zomwe timatcha kutupa. Nthawi zina kutupa kumeneku kungachitike osati m'malo omwe tingawone okha, komanso m'malo omwe sitingathe kuwona, monga mafupa.

Choncho, pakakhala kutupa, kuchuluka kwa CRP m'magazi kumawonjezeka. Kawirikawiri, magazi athu amakhala ndi CRP yochepa kwambiri. Komabe, kutupa kukawonjezeka, kuchuluka kwa CRP kumeneku kumawonjezekanso. Izi zikutanthauza kuti, poyang'ana kuchuluka kwa CRP m'magazi, madokotala amatha kudziwa ngati pali kutupa m'thupi lathu komanso momwe kulili koopsa.

Kodi mayeso a CRP amachitidwa liti?

Ndiye, madokotala amalangiza liti kuchita mayeso a CRP awa? Kodi tingayembekezere chiyani kuchokera pamenepa?

Mayeso a CRP amagwiritsidwa ntchito makamaka pothandiza kuzindikira kapena kutsimikizira kukhalapo kwa matenda enaake. Nazi zitsanzo zingapo:

• Matenda ena oopsa a bakiteriya, monga sepsis, akhoza kukhala pachiwopsezo.
• Matenda a bowa.
• Matenda omwe amapezeka majeremusi akalowa m'mafupa amatchedwa osteomyelitis . Ichinso ndi matenda oopsa.
• Matenda otupa omwe amapezeka m'matumbo, kutanthauza matenda otupa m'matumbo (IBD) .
• Mitundu ina ya nyamakazi, monga nyamakazi ya rheumatoid.
• Matenda ena ndi matenda a autoimmune omwe chitetezo chathu chamthupi chimatiukira, mwachitsanzo , nyamakazi ya rheumatoid kapena lupus (Systemic Lupus Erythematosus - SLE) .
• Matenda Otupa a Pelvic (PID) ndi matenda otupa m'chiuno mwa akazi.

Tangoganizani kuti mwana wanu ali ndi malungo aakulu kwa masiku angapo, sakudya, ndipo wakhumudwa kwambiri. Dokotala angalamule kuti ayesedwe CRP kuti adziwe mwachangu ngati pali matenda oopsa, mwina matenda a bakiteriya, m'thupi. Zotsatira zake zidzatsimikizira njira yotsatira ya chithandizo.

Sikuti kokha, mayeso a CRP awa amathandizanso kuwona ngati pali matenda a bakiteriya panthawi yochira, kaya pambuyo pa opaleshoni yayikulu kapena opaleshoni yolowerera.

Koma chinthu chimodzi choyenera kukumbukira ndichakuti mayeso a CRP okha sangakuuzeni motsimikiza kuti, ‘Uwu ndi matenda apa’ kapena ‘Uwu ndi kutupa m’thupi lino.’ Choncho, ngati CRP ili pamwamba, dokotala nthawi zambiri amachita mayeso ena angapo kuti apeze chomwe chimayambitsa matendawa.

Kodi ndi liti pamene ndikufunika mayeso a CRP?

Tsopano mwina mukudzifunsa kuti, 'Ndiye ndiyenera liti kuyezetsa CRP?' Dokotala nthawi zambiri amalamula kuyezetsa kumeneku mukawonetsa zizindikiro za matenda oopsa a bakiteriya. Zizindikiro izi zikuphatikizapo:

• Ndikumva malungo kwambiri.
• Thupi limamva kuzizira komanso kunjenjemera (Chills).
• Kuwonjezeka kwa mpweya wopuma (tachypnea).
• Kuwonjezeka kwa kugunda kwa mtima (tachycardia).
• Kusanza ndi kusanza zikutha.

Kuphatikiza apo, ngati mukulandira kale chithandizo cha matenda kapena ngati mukulandira chithandizo cha matenda otupa osatha, madokotala amagwiritsanso ntchito mayeso a CRP awa kuti awone ngati chithandizocho chikugwira ntchito komanso ngati kutupa kwachepa. Izi zili choncho chifukwa kutupa kukachepa m'thupi, kuchuluka kwa CRP kumachepanso. Izi zikutanthauza kuti chithandizocho chikugwira ntchito.

Ndani amachita mayeso a CRP? Kodi amachitika bwanji?

Kuyesa kwa CRP kumeneku nthawi zambiri kumachitika ndi munthu wophunzitsidwa bwino, wotchedwa phlebotomist, amene amakoka magazi. Komabe, wogwira ntchito zachipatala aliyense wophunzitsidwa kukoka magazi akhoza kuchita izi. Kenako chitsanzo cha magazi chimatumizidwa ku labotale. Katswiri wa zasayansi wa labotale yachipatala kumeneko amakonza chitsanzocho kuti chiyesedwe ndipo amagwiritsa ntchito makina apadera, otchedwa analyzers, kuti aone kuchuluka kwa CRP.

Kodi pali chilichonse chapadera choti mukonzekere musanayese mayesowa?

Nthawi zambiri, ayi. Ngakhale kuti mayeso ena a magazi amafuna kusala kudya, mayeso a CRP nthawi zambiri safuna njira zina zodzitetezera. Komabe, ngati dokotala wanu akukupatsani malangizo apadera, muyenera kuwatsatira, chabwino?

Kodi chimachitika n’chiyani mukapereka magazi?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika mukapereka magazi. Izi ndi zomwe mudzakumane nazo:

• Mudzakhala pampando. Wogwira ntchito yazaumoyo adzayang'ana manja anu ndikusankha mtsempha wosavuta kutulutsa magazi. Izi nthawi zambiri zimakhala mkati mwa mkono wanu, kumbuyo kwa chigongono chanu.
• Mtsempha ukapezeka, malowo amatsukidwa bwino ndipo amaikidwa mankhwala opha tizilombo toyambitsa matenda.
• Kenako, singano yaying'ono imalowetsedwa mumtsempha ndipo magazi amatengedwa. Pa nthawiyi, mungamve kupweteka pang'ono, monga kulumidwa ndi nyerere .
• Pambuyo poika singano, magazi pang'ono amasonkhanitsidwa mu chubu choyesera.
• Pambuyo poti magazi atengedwa, singano imachotsedwa ndipo chidutswa cha thonje kapena gauze chimayikidwa pamalopo kuti magazi asiye kutuluka ndipo chimasungidwa pamalopo kwa kanthawi kochepa.
• Pomaliza, bandeji imayikidwa pamalopo. Ndipo zonse zatha, ntchito yatha.

Ntchito yonseyi imatenga mphindi zosakwana zisanu, kotero palibe chodetsa nkhawa.

Kodi chimachitika ndi chiyani pambuyo pa mayeso a CRP? Kodi pali zoopsa zilizonse?

Magazi anu akatengedwa, amatumizidwa ku labu kuti akayesedwe. Lipotilo likabweranso, nthawi zambiri mkati mwa tsiku limodzi kapena awiri, lingatenge nthawi yayitali, ndipo dokotala wanu adzakuuzani zotsatira zake.

Tsopano tiyeni tiwone ngati pali zoopsa zilizonse pakuyezetsa magazi kumeneku. Ndipotu, kuyezetsa magazi ndi chinthu chofala kwambiri komanso chofunikira kwambiri mu zamankhwala. Palibe chiopsezo chachikulu konse. Malo omwe magazi amatengedwa amatha kupweteka pang'ono, kapena pakhoza kukhala mabala pang'ono. Koma zimenezo zidzatha msanga patatha masiku ochepa.

Kodi mu lipoti la CRP muli chiyani? Kodi miyezo yachibadwa ndi iti?

Lipoti la CRP lomwe mumalandira nthawi zambiri limakhala ndi mfundo zina monga izi:

• Dzina la mayeso a magazi limatanthauza zomwe zimayesedwa m'magazi (monga C-Reactive Protein).
• Zotsatira za mayeso anu a magazi, ndiko kuti, mtengo woyenera.
• Mulingo woyenera wa mayeso amenewo.
• Tchati chosonyeza ngati zotsatira zanu ndi zabwinobwino, zachilendo, zapamwamba, kapena zochepa.

Tsopano tiyeni tiwone mtengo wabwinobwino wa CRP. Magawo ofotokozerawa amatha kusiyana pang'ono kuchokera ku labu kupita ku labu. Mukalandira lipotilo, lidzanena mtengo wabwinobwino wa CRP wa labu imeneyo.

Koma kawirikawiri, mulingo wabwinobwino wa CRP ndi wochepera 0.9 mg/dL (mamiligalamu pa decilita imodzi). Ma lab ena amanenanso kuti ndi wochepera 1.0 mg/dL.

Pali zifukwa zambiri zomwe kuchuluka kwa CRP kungasinthire. Nthawi zina, kuchuluka kwa CRP kumatha kukwera pang'ono , kuphatikizapo:

• Kusuta ndudu.
• Chimfine chofala.
• Matenda amisala monga kuvutika maganizo.
• Matenda a shuga.
• Mavuto a tulo (kusowa tulo).
• Matenda a m'mimba.
• Kunenepa kwambiri kumatanthauza kunenepa kwambiri.
• Matenda otupa okhudzana ndi mizu ya mano (Periodontitis).
• Mimba.
• Kuvulala kwaposachedwa, monga kuvulala chifukwa cha kugwa.

Mwachitsanzo, ngati mumasuta ndudu tsiku lililonse, kuchuluka kwa CRP yanu kungakhale kokwera pang'ono kuposa ena, ngakhale popanda matenda aakulu. Komanso, ngati muli ndi thupi lalikulu kwambiri (lonenepa kwambiri), zimenezo zingapangitsenso kuti kuchuluka kwa CRP yanu kukhale kokwera pang'ono. Izi ndi zomwe timazitcha 'zotsatira za moyo'.

Komanso, akazi ndi okalamba mwachibadwa amakhala ndi CRP yokwera pang'ono. Ngati muli ndi mafunso okhudza lipoti lanu, onetsetsani kuti mwafunsa dokotala wanu kuti akuthandizeni kumvetsetsa.

Kodi kuchuluka kwa CRP kumatanthauza chiyani? Kodi kumatanthauza chiyani?

Chabwino, tsopano tiyeni tiwone tanthauzo lake ngati CRP yanu ili pamwamba pa lipoti lanu. Ngati CRP yanu yakwera kwambiri kuchokera pa mulingo wabwinobwino , mwina zikutanthauza kuti pali kutupa kwinakwake m'thupi lanu. Koma monga ndanenera kale, mayeso a CRP okha sangakuuzeni chomwe chikuyambitsa kutupa kapena komwe kuli m'thupi lanu. Chifukwa chake, ngati CRP yanu ili pamwamba, dokotala wanu mwina adzachita mayeso ena angapo.

Kutengera ndi kuchuluka kwa CRP, zomwe akunena zimatha kusiyana.

Ngati mtengo wa CRP wakwezedwa pang'ono (kukwera pang'ono)

Ngati CRP ili pakati pa 1.0 mg/dL ndi 10.0 mg/dL , timaiona kuti yakwera pang'ono. Zotsatira zake ngati izi zitha kusonyeza matenda monga:

• Kutupa kwa thupi, monga nyamakazi ya m'thupi (RA) , lupus erythematosus (SLE) , kapena matenda ena odziteteza ku matenda a chitetezo chamthupi, kungakhudze thupi lonse.
• Matenda a mtima / matenda a mtima.
• Pancreatitis .
• Matenda a m'mphuno .

Ngati mtengo wa CRP wakwezedwa kwambiri (kukwezedwa kodziwika)

CRP yoposa 10 mg/dL imaonedwa kuti ndi yokwera kwambiri. Zotsatira ngati izi zitha kusonyeza matenda otsatirawa:

• Matenda opatsirana kwambiri a bakiteriya.
• Matenda opatsirana ndi mavairasi.
• Matenda a mitsempha yamagazi ( systemic vasculitis ).
• Kuvulala kwakukulu / kuvulala.

Ngati CRP ndi yapamwamba kwambiri (Severe elevation)

Ngati CRP ili pamwamba pa 50 mg/dL , imaonedwa kuti ndi kukwera kwakukulu kwambiri.Milingo yokwera kwambiri ya CRP, makamaka ikapitirira 50 mg/dL, imagwirizanitsidwa ndi matenda opatsirana kwambiri a bakiteriya pafupifupi 90%. Izi zikutanthauza kuti ngati mtengo wapamwamba woterewu upezeka, dokotala adzakayikira kuti pali kachilombo ka bakiteriya ndipo adzayamba mayeso ndi chithandizo chofunikira.

Kodi CRP yotsika imatanthauza chiyani?

Kodi CRP yotsika imatanthauza chiyani? Tinaona kuti mulingo wabwinobwino wa CRP ndi wochepera 0.9 mg/dL. Chifukwa chake, palibe chinthu chonga mulingo wotsika. Izi zikutanthauza kuti, ngati mtengo wanu wa CRP ukupezeka pafupifupi 0.5 mg/dL, ndi wabwino kwambiri, wabwinobwino.

Komabe, ngati mulingo wanu wa CRP unali wokwera kale ndipo watsika mu mayeso omwe alipo, chimenecho ndi chizindikiro chabwino kwambiri! Zimatanthauza kuti kutupa m'thupi lanu kukuchepa, kapena kuti chithandizo cha kutupacho chapambana. Dokotala wanu adzasangalalanso ndi zimenezo.

Kodi ndiyenera kuda nkhawa ngati mulingo wanga wa CRP ndi wosiyana?

Mungakhale ndi nkhawa pang'ono mukaona CRP yokwera pa lipoti lanu. Mungaganize kuti, "Kodi ndili ndi vuto lalikulu?" Koma, CRP yokwera sikutanthauza kuti nthawi zonse muli ndi matenda oopsa omwe amafunika chithandizo , makamaka ngati chiwerengerocho chakwera pang'ono.

Kumbukirani kuti ndinanena kale kuti kusuta fodya, kuvulala pang'ono, ndi matenda ena ofala (monga mimba) zingayambitsenso kuchuluka kwa CRP. Nthawi zina, zotsatira zake zimatha kukhudzidwa ndi zolakwika zazing'ono pakusonkhanitsa magazi, kuyesa labu, kapena ngakhale kuyesa.

Choncho, musafulumire kuganiza nokha mukaona zotsatira zachilendo. Musachite mantha. Dokotala wanu adzawunikanso lipoti lanu, kuliyerekeza ndi zizindikiro zanu, kuliyerekeza ndi mbiri yanu yachipatala, ndikuchita mayeso ena ngati pakufunika kutero kuti adziwe chomwe chikuvuta.

Nthawi zina, munthu m'modzi mwa anthu 20 athanzi akhoza kukhala ndi zotsatira zopitirira muyeso wa nthawi zonse. Choncho, musaope kulankhula ndi dokotala wanu. Funsani mafunso onse omwe muli nawo. Iye adzakuthandizani ndikukupatsani malangizo ofunikira.

Zinthu zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikambirane mfundo zofunika kwambiri zomwe takambirana mu mayeso a CRP awa:

• CRP ndi puloteni yopangidwa ndi chiwindi. Imawonjezeka m'magazi pamene pali kutupa m'thupi.
• Kuyesaku kungathandize kuzindikira matenda ndi matenda otupa monga nyamakazi , komanso kungathandize kudziwa ngati chithandizo chikugwira ntchito.
• Ngakhale CRP itakwera, yokhayo singathe kudziwa kuti matendawa ndi otani kapena kuti ali kuti. Mayeso ena angafunike.
• Mtengo wabwinobwino wa CRP ndi wochepera 0.9 mg/dL (kapena 1.0 mg/dL).
• Miyezo ya CRP imathanso kukwera pang'ono chifukwa cha zinthu monga kusuta fodya, mimba, kuvulala pang'ono, ndi kunenepa kwambiri.
• Musachite mantha mukaona CRP ikukwera.Lankhulani ndi dokotala wanu ndipo mupeze upangiri. Iye ndiye munthu wabwino kwambiri woti akutsogolereni.

Kotero, ndikukhulupirira kuti tsopano mwayankha mafunso anu ambiri okhudza mayeso a CRP. Ndikukhulupirira kuti izi zidzakuthandizani. Nthawi zonse samalirani thanzi lanu, chifukwa thanzi ndiye chuma chambiri!

Mayeso a CRP , Mapuloteni Ogwira Ntchito a C, Kutupa, Matenda, Mayeso a Magazi, Thanzi, Zizindikiro, Chiwindi, Chitetezo Chamthupi