Mukayang'ana mayeso a magazi, mwina mumaganizira kwambiri za cholesterol, makamaka cholesterol yoyipa, LDL. Chifukwa tonse tikudziwa kuti LDL ikachuluka, mwayi wopeza matenda monga matenda a mtima ndi sitiroko umawonjezeka. Koma nkhaniyi siimathera pamenepo. Kafukufuku wapeza kuti 50% ya anthu omwe adadwala matenda a mtima sanali ndi LDL yambiri. Chifukwa chake, madokotala amagwiritsa ntchito mayeso ena kuti aone bwino chiopsezocho. Ndicho chomwe timachitcha C-Reactive Protein, kapena mayeso a CRP.
Kodi CRP ndi chiyani kwenikweni?
Mwachidule, C-Reactive Protein (CRP) ndi puloteni yopangidwa ndi chiwindi chathu. Pakakhala kutupa , ndiko kuti, kutupa komwe kumachitika chifukwa cha kuwonongeka kwinakwake, kwinakwake m'thupi lanu, kuchuluka kwa CRP kumeneku kumawonjezeka m'magazi.
Taganizirani izi motere. Cholesterol yoipa (LDL) siimamatirira kokha m'makoma a mitsempha yathu yamagazi, imaiwononganso. Kuwonongeka kumeneku ndi komwe timatcha kutupa. Kuli ngati bala laling'ono. Thupi likamayesa kuchiritsa kuwonongeka kumeneku, limapanga mapuloteni apadera omwe amagwira ntchito ngati "gulu lothandizira." CRP ndi imodzi mwa mapuloteni otere. Izi zikutanthauza kuti, ngati pali kutupa kwinakwake m'thupi, timatha kukuwona kuchokera pamlingo wa CRP. Zili ngati tikawona utsi, timaganiza kuti pali moto kwinakwake.
Nchifukwa chiyani dokotala angalimbikitse mayeso a CRP?
Kuyezetsa kwa CRP kumayesa kuchuluka kwa mapuloteni a C-Reactive m'magazi mwanu. Izi zingapatse dokotala wanu lingaliro labwino la kuchuluka kwa kutupa m'thupi lanu.
Kafukufuku wina akusonyeza kuti CRP ndi chizindikiro chabwino cha matenda a mtima (CVD) kuposa cholesterol ya LDL. Komabe, si mayeso enieni a matenda a mtima. Amangosonyeza ngati pali kutupa m'thupi. Kutupako kungayambitsidwe ndi matenda a mtima kapena china chake.
Palinso zochitika zina pomwe mayesowa amagwiritsidwa ntchito:
- Matenda Odziteteza Kuthupi: Kuyezetsa kumeneku kumachitikanso kwa anthu omwe ali ndi matenda monga Lupus kapena Rheumatoid Arthritis. Chifukwa matendawa amayambitsanso kutupa m'thupi. Kuyezetsa kumeneku kumathandizanso kuona ngati mankhwala omwe aperekedwa amachepetsa kutupako. Komabe, mayesowa sangadziwe komwe kutupako kuli m'thupi.
- Matenda: Kuyezetsa kumeneku kumachitika ngati pali kukayikira kuti pali matenda opatsirana m'thupi monga sepsis, matenda a bowa, kapena matenda a mafupa.
- Chiwopsezo chachiwiri cha matenda a mtima: Chimagwiritsidwanso ntchito kuona chiopsezo chokhala ndi matenda ena a mtima kwa munthu amene kale anali ndi matenda a mtima.
- Matenda ena:Izi zimathandizanso kuzindikira matenda monga matenda otupa m'matumbo ndi matenda a m'mapapo.
Kodi mungamvetse bwanji mfundo zomwe zili mu lipoti la CRP?
Dokotala wanu angakulamulireni mayeso a CRP ngati muli ndi zizindikiro za matenda monga malungo, kuzizira, kugunda kwa mtima mofulumira, kupuma movutikira, nseru, ndi kusanza.
Kuyeza magazi kumeneku ndi kosavuta. Nthawi zambiri, magazi ochepa amatengedwa kuchokera mumtsempha womwe uli m'dzanja lanu. Sikufuna kukonzekera kwapadera (monga kusala kudya). Palibe ululu kupatula malo opweteka pang'ono pomwe singano imayikidwa. Komabe, mankhwala ena omwe mukumwa angakhudze zotsatira za mayesowa. Chifukwa chake onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa.
Mukalandira zotsatira zanu, tebulo ili m'munsimu lidzakuthandizani kumvetsetsa zomwe zili mu labu. Koma kumbukirani kuti zomwe zili mu labu zingasiyane pang'ono. Choncho onetsetsani kuti mwawonetsa lipoti lanu kwa dokotala wanu ndikupeza upangiri.
| Mulingo Wotupa | Mtengo wa CRP (mg/dL) | Tanthauzo/zifukwa zomwe zingatheke |
|---|---|---|
| Kukwera Kwapakati | 1.0 - 10.0 mg/dL | Matenda a autoimmune monga nyamakazi, lupus, matenda a mtima, kapamba, bronchitis. |
| Kukwezedwa Kodziwika | 10.0 - 50.0 mg/dL | Matenda opatsirana kwambiri a bakiteriya kapena mavairasi, kutupa kwa mitsempha yamagazi (Systemic Vasculitis), ngozi yaikulu kapena kuvulala. |
| Kukwera Kwambiri | Zoposa 50.0 mg/dL | Kawirikawiri (90%) imayamba chifukwa cha matenda opatsirana kwambiri a bakiteriya. Matenda monga dengue, malungo, ndi hepatitis C angayambitsenso matendawa. |
Mlingo wa CRP woposa 10 mg/dL nthawi zambiri umaonedwa ngati chizindikiro cha kutupa kwakukulu. Komabe, mayeso okhawo sangadziwe chomwe chikuyambitsa. Dokotala wanu adzafunika kuchita mayeso ambiri kuti adziwe chomwe chikuyambitsa.
Kuyesa kwapadera kwa CRP (hs-CRP) komwe kumayang'ana chiopsezo cha matenda a mtima
Pali mayeso omwe ndi osavuta kuwazindikira kuposa mayeso wamba a CRP, omwe amagwiritsidwa ntchito poyesa chiopsezo cha matenda a mtima (CVD). Amatchedwa High-Sensitivity CRP (hs-CRP) .
Kuyesa kumeneku n'kothandiza kwambiri kwa anthu omwe ali ndi chiopsezo cha 10%-20% chodwala matenda a mtima m'zaka 10 zikubwerazi. Kuchuluka kwa CRP, monga kuchuluka kwa cholesterol, kungathandize kuneneratu chiopsezo cha matenda a mtima. Kafukufuku wina adapeza kuti kukhala ndi CRP yambiri kumawonjezera katatu chiopsezo cha matenda a mtima.
Umu ndi momwe mungatanthauzire zotsatira za hs-CRP:
| hs-CRP (mg/L) | Chiwopsezo cha matenda a mtima (CVD) |
|---|---|
| Zochepera 1.0 mg/L | Chiwopsezo chochepa |
| 1.0 mg/L mpaka 3.0 mg/L | Chiwopsezo chapakati |
| Kuposa 3.0 mg/L | Chiwopsezo chachikulu |
Popeza kuchuluka kwa CRP kumatha kusiyanasiyana pang'ono tsiku ndi tsiku, ndi bwino kuyesa kawiri, milungu iwiri, kuti muwone bwino chiopsezo chanu cha matenda a mtima. Komanso, kukhala ndi kuchuluka kwa hs-CRP sikutanthauza kuti muli ndi matenda a mtima. Chifukwa chake ndikofunikira kuyerekeza ndi kuchuluka kwa cholesterol ya LDL yanu kuti mupeze chithunzi chonse.
Kodi muyenera kuchita chiyani ngati mulingo wanu wa CRP uli wapamwamba?
Ngati mulingo wa CRP wanu uli wokwera, chithandizo chidzadalira chomwe chimayambitsa. Ngati mulingo wa CRP wanu wakwera chifukwa cha chiopsezo cha matenda a mtima, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezocho:
- Khalani ndi zakudya zabwino pa mtima: Idyani zakudya zokhala ndi mafuta ochepa, mchere, ndi shuga, komanso zipatso ndi ndiwo zamasamba zambiri.
- Lamulirani cholesterol.
- Sungani kulemera koyenera kwa thupi.
- Kuchita masewera olimbitsa thupi nthawi zonse.
- Ngati muli ndi matenda a shuga kapena kuthamanga kwa magazi, samalani bwino.
- Ngati mukusuta, siyani nthawi yomweyo.
- Chepetsani kumwa mowa.
Ma Statins, mtundu wa mankhwala ochepetsa cholesterol, angathandize kuchepetsa chiopsezo cha matenda a mtima mwa anthu omwe ali ndi CRP yambiri. Komabe, ngati cholesterol yanu ili bwino, ma statins sangakhale yankho lolondola la CRP yambiri. Ndi bwino kulankhula ndi dokotala wanu za njira yothandizira yomwe ili yoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- Kuyesa kwa CRP kumayesa kutupa m'thupi, osati matenda enaake.
- Izi ndizothandiza kwambiri poyesa matenda monga chiopsezo cha matenda a mtima, matenda opatsirana, ndi matenda odziteteza ku matenda a autoimmune.
- Ngati mulingo wanu wa CRP uli wokwera, dokotala wanu angafunike kuchita mayeso ambiri kuti apeze chomwe chikuyambitsa.
- Mayeso osavuta otchedwa hs-CRP amagwiritsidwa ntchito poyesa makamaka chiopsezo cha matenda a mtima.
- Kusintha kwa moyo ndikofunikira kwambiri pochiza CRP yambiri, koma onetsetsani kuti mwafunsa dokotala wanu za chithandizo chilichonse.











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