Nkhani ya mtima wanu: Tiyeni tiphunzire za ma enzyme a mtima!

Kodi mwadzidzidzi munamvapo kupsinjika pachifuwa panu, zomwe zimakupangitsani kuvutika kupuma? Palibe mawu ofotokozera mantha ndi mantha omwe amabwera m'maganizo mwanu panthawi yotereyi, sichoncho? Mwina mukuganiza kuti, "Mulungu wanga, kodi iyi ndi matenda a mtima?" Panthawi ngati iyi, lero tikambirana za mayeso ofunikira kwambiri omwe dokotala angachite kuti adziwe ngati pali vuto ndi mtima wanu. Izi zimatchedwa mayeso a ma enzyme a mtima.

Kodi ma enzyme a mtima awa ndi chiyani? Mwachidule...

Chabwino, choyamba tiyeni tiwone zomwe ma enzyme a mtima awa, kapena ma biomarker a mtima, ali. Tangoganizani mtima wanu ndi makina abwino kwambiri omwe amagwira ntchito mosalekeza. Ngati mtima uwu wawonongeka mwanjira iliyonse, mwachitsanzo, ngati palibe mpweya wokwanira, kapena ngati pali kupanikizika kwambiri, zinthu zapadera kuchokera ku maselo a mtima zimatulutsidwa m'magazi. Zinthu zimenezo ndi zomwe timatcha ma enzyme a mtima.

Ma enzyme ndi mapuloteni apadera m'thupi lathu. Awa ndi omwe amathandiza kuwongolera njira zambiri zamankhwala m'thupi, monga kugaya chakudya chomwe timadya, kupanga mphamvu, komanso kuchotsa zinyalala m'thupi. Chifukwa chake, ngati ma enzymes apadera a mtima awa alipo ochulukirapo m'magazi, ndi chizindikiro chakuti pali vuto ndi mtima.

N’chifukwa chiyani ma enzyme a mtima amenewa amawonekera mwadzidzidzi m’magazi?

Kawirikawiri, magazi a munthu wathanzi amakhala ndi ma enzyme a mtima ochepa kwambiri. Koma ngati minofu ya mtima, kapena minofu ya mtima, yawonongeka mwanjira iliyonse, maselo a mtima awa amasweka ndipo ma enzyme omwe ali mkati mwake amatulutsidwa m'magazi. Zimakhala ngati botolo la madzi likuphulika ndipo madzi amatuluka.

Chifukwa chachikulu cha izi ndi matenda a mtima . Pa matenda a mtima, mtsempha wopereka magazi kumtima umatsekedwa mwadzidzidzi, zomwe zimachotsa mpweya mumtima. Kenako maselo a mtima omwe alibe mpweya amayamba kufa, ndipo enzyme iyi imatulutsidwa m'magazi.

Si zokhazo, komanso kuchuluka kwa enzyme iyi m'magazi kungawonjezerenso m'matenda monga kuthamanga kwa magazi ndi kutupa kwa mtima.

Ndiye, kodi mayeso a Cardiac Enzyme Marker ndi chiyani?

Uku ndi kuyesa magazi kosavuta kwambiri. Dokotala amatenga magazi anu pang'ono ndikuyesa mu labu kuti aone kuchuluka kwa ma enzymes enieni a mtima, kapena ma biomarker a mtima, omwe ali m'magazi amenewo. Ngati kuchuluka kwa ma enzymes awa kuli kwakukulu kuposa kwachibadwa, dokotalayo angaganize kuti pali vuto ndi mtima wanu kapena kuti mtima wanu ukugwira ntchito pansi pa kupsinjika kwakukulu.

Kodi mayesowa amachitidwa bwanji? Kodi amachitikira kuti?

Kuyezetsa magazi kumeneku si nkhani yaikulu. Kumangotengera chitsanzo cha magazi ochepa kuchokera mumtsempha womwe uli m'dzanja lanu. Kumangotenga mphindi zochepa chabe.

Pakagwa mwadzidzidzi, ndiye kuti, ngati mwadzidzidzi mukumva kupweteka pachifuwa ndikupita kuchipatala, pitani ku Dipatimenti Yothandiza Padzidzidzi.Kuyezetsa kumeneku kumachitika. Kupanda kutero, ngati mukufuna kuchita izi panthawi yoyendera dokotala nthawi zonse, mutha kuchita izi ku ofesi ya dokotala kapena ku labu yosiyana yoyezetsa magazi.

Kodi madokotala amagwiritsa ntchito bwanji zizindikiro za mtima izi?

Mlingo wa ma enzyme a mtima uwu ndi wofunikira kwambiri kwa dokotala. Angathe:

• Fufuzani ngati pali vuto lililonse la mtima kapena mavuto ena.
• Dziwani chomwe chimayambitsa zizindikiro zanu, monga kupweteka pachifuwa ndi kupuma movutikira. Mwachitsanzo, izi zingathandize kuzindikira vuto la mtima lomwe limatchedwa Acute Coronary Syndrome (ACS) , kapena Myocardial Ischemia (kuchepa kwa magazi kupita kumtima).
• Fufuzani ngati mankhwala operekedwa a matenda a mtima akugwira ntchito bwino kapena ngati opaleshoni yapambana.
• Loserani za matenda osiyanasiyana a mtima.

Tangoganizirani, bwenzi lanu, tiyeni tinene kuti Kamala. Mwadzidzidzi Kamala akumva kupsinjika pachifuwa pake, akutuluka thukuta, ndipo akuvutika kupuma. Akafika kuchipatala, madokotala mwachangu amachita mayeso a michere ya mtima motere. Ndicho chimene chimawathandiza kudziwa ngati pali vuto ndi mtima wa Kamala, kapena ngati ndi matenda a mtima. Kupeza matenda olondola ndikofunikira kwambiri, chifukwa pamenepo ndi pomwe mungamupatse chithandizo choyenera.

Kodi mitundu iyi ya ma enzyme a mtima ndi iti? (Mitundu ya ma Enzymes a Mtima)

Pali mitundu ingapo ya ma enzyme a mtima. Onsewa ndi ma enzyme kapena mapuloteni. Kukhala ndi ma enzyme ambiri m'magazi mwanu kumatanthauza kuti mutha kukhala ndi matenda a mtima kapena vuto lina la mtima.

Kodi Troponin ndi chiyani? Ichi ndiye chofunika kwambiri!

Mwa izi, enzyme yotchedwa troponin ndi yomwe madokotala amagwiritsa ntchito kwambiri pozindikira matenda a mtima kapena kuwonongeka kwa mtima. Ndi chizindikiro chodziwika bwino. Izi zikutanthauza kuti ngakhale kuwonongeka pang'ono kwa mtima kungayambitse kuchuluka kwa magazi m'magazi.

Taganizirani izi, pambuyo pa matenda a mtima, kuchuluka kwa troponin m'magazi kumatha kuyamba kukwera mkati mwa maola 3-4, ndipo kumatha kufika pa maola 12. Kenako kumatha kukhala kokwera kwa masiku angapo, mwina milungu ingapo. Ndicho chifukwa chake nthawi zina madokotala amabwereza mayesowa maola angapo kapena masiku angapo aliwonse. Mwanjira imeneyi amatha kuwona kuchuluka kwa kuwonongeka komwe kukuchitika pamtima, komanso ngati ukuwonjezeka kapena kuchepa.

Tiyeni tiphunzirenso za Natriuretic Peptides (NPs)

Mtundu wina wapadera wa puloteni umatchedwa Natriuretic Peptides (NPs) . Izi zimatha kuchuluka m'magazi.Mu matenda monga Kulephera kwa Mtima. Kulephera kwa mtima ndi vuto lomwe mtima sungathe kupompa magazi okwanira kupita m'thupi. Kenako pamakhala kupanikizika kwambiri pamtima. Nthawi ngati zimenezi, kuchuluka kwa ma NP amenewa kumawonjezeka.

Madokotala amafufuza mitundu ingapo ya ma NP amenewa, koma omwe amagwiritsa ntchito kwambiri amatchedwa N-terminal proBNP (NT-proBNP) . Izi zingagwiritsidwe ntchito poyesa kuchuluka kwa nkhawa yomwe ikuyikidwa pamtima chifukwa cha kulephera kwa mtima.

Ndani akufunika mayeso a enzyme ya mtima? Kodi muli ndi zizindikiro izi?

Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, dokotala wanu akhoza kulamula mayeso a enzyme ya mtima awa:

• Kupweteka pachifuwa kapena kusapeza bwino ndiye chizindikiro chachikulu.
• Chizungulire, kumva ngati mutu ukuzungulira.
• Kusanza, kumva ngati kuti ukusanza.
• Kutuluka thukuta kwambiri mwadzidzidzi.
• Kuvuta kupuma, kumva ngati ukupuma movutikira (kupuma movutikira).
• Kuwonjezeka mwadzidzidzi kwa zizindikiro za kulephera kwa mtima (kuwonjezeka kwa kulephera kwa mtima), monga kutupa kwa miyendo ndi kuvutika kupuma.

Musatenge zizindikiro zonsezi mopepuka. Ngati muli nazo, ndi bwino kupita kuchipatala mwamsanga.

Ndi mayeso ena ati a magazi omwe amachitidwa kuti adziwe ngati pali vuto la mtima?

Kuwonjezera pa mayeso a ma enzyme a mtima, dokotala angafunenso mayeso ena angapo a magazi kuti adziwe bwino momwe mtima wanu ulili komanso thanzi lanu lonse.

Nazi zina mwa izo:

• Kuwerengera Magazi Konse (CBC): Izi zimayang'ana kuchuluka kwa zinthu monga maselo ofiira, maselo oyera, ndi ma platelet m'magazi anu.
• Gawo Loyambira la Kagayidwe ka Metabolic (BMP) kapena Gawo Lophatikizana la Kagayidwe ka Metabolic (CMP): Izi zitha kuyang'ana zinthu zambiri monga ma electrolyte m'magazi anu, monga sodium ndi potaziyamu, ntchito ya impso, ndi kuchuluka kwa shuga.
• Kuyesa Mpweya wa Magazi (ABG): Izi zimayang'ana momwe mpweya, carbon dioxide, ndi acid zilili m'magazi.

Dokotala amafika pa mfundo yokhudza vuto lanu mwa kuphatikiza mfundo zochokera mu mayeso onsewa.

Ndi mayeso ena ati omwe amachitidwa kuti adziwe matenda a mtima?

Kuwonjezera pa kuyezetsa magazi, palinso mayeso ena angapo omwe angachitike kuti atsimikizire ngati muli ndi vuto la mtima kapena vuto lina la mtima. Dokotala wanu angakupatseni chimodzi kapena zingapo mwa izi, kutengera matenda anu.

• X-ray ya pachifuwa: Izi zitha kuwona kukula ndi mawonekedwe a mtima ndi momwe mapapo alili.
• Echocardiogram:Izi zili ngati ultrasound scan ya mtima. Imatha kuwona momwe zipinda ndi ma valve a mtima akugwirira ntchito, komanso momwe minofu ya mtima ikukokera. Nthawi zina mayeso apadera a echo otchedwa Transesophageal Echocardiogram (TEE) angachitikenso.
• Electrocardiogram (ECG kapena EKG): Iyi imayesa momwe magetsi a mtima wanu amagwirira ntchito. Izi zingathandize kwambiri kuzindikira zolakwika pamtima wanu, monga zizindikiro za matenda a mtima.
• Mayeso Olimbitsa Thupi Kapena Mayeso Olimbitsa Thupi a Mtima: Izi zikutanthauza kuti muyende pa treadmill kapena kukwera njinga ndikuwona momwe mtima wanu umayankhira pa masewera olimbitsa thupi.
• Angiogram: Mu mayesowa, madzi apadera amalowetsedwa mu mitsempha ya mtima yomwe imanyamula magazi kupita kumtima, ndipo X-ray imatengedwa kuti ione ngati pali kutsekeka kulikonse m'mitsempha imeneyo.
• Kujambula kwa Positron Emission Tomography (PET): Uku ndi kujambula kwapadera komwe kumayang'ana momwe mtima ndi magazi zimagwirira ntchito.

Mayeso onsewa amachitika kuti adziwe vuto lomwe muli nalo ndikupereka chithandizo choyenera.

Chofunika kwambiri kukumbukira: samalirani mtima wanu!

"Kodi ndili ndi vuto la mtima?" Funso ili lingakhale lovutitsa kwambiri komanso loopsa kuliganizira. Chifukwa chake, ngati mukumva zizindikiro zilizonse, chinthu chabwino kuchita ndikupempha upangiri wa dokotala nthawi yomweyo, osaganizira mopitirira muyeso.

Monga mukumvetsetsa, mayeso a enzyme ya mtima ndi ofunikira kwambiri pozindikira matenda a mtima, makamaka zochitika zadzidzidzi za mtima. Kukhala ndi kuchuluka kwa ma enzyme awa m'magazi anu ndi chizindikiro champhamvu chakuti pali kuwonongeka, kupsinjika, kapena kutupa mumtima mwanu.

Choncho, ngati dokotala wanu akupemphani kuti muchite mayesowa, musachite mantha. Zidzakuthandizani kudziwa bwino momwe mulili ndikuyamba chithandizo chofunikira mwachangu. Kuzindikira matenda msanga ndi chithandizo kungapulumutse moyo wanu ndikupewa mavuto akuluakulu. Mtima wanu ndiye chuma chanu chamtengo wapatali kwambiri. Ndi udindo wanu kuusamalira. Lankhulani ndi dokotala wanu ndipo mumvetse tanthauzo la zotsatira za mayesowa.

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