Ikizamini cya CRP (Ikizamini cya C-Reactive Poroteyine) - Reka tuvuge kuri ibi!

Ushobora kuba warumvise ikizamini cya CRP. Wenda muganga wawe yakubwiye kugikora. Cyangwa se wenda wumvise ko inshuti cyangwa umuvandimwe wakoze iki kizamini. None se, iki kizamini cya CRP ni iki? Kuki ari ingenzi cyane? Reka tuvuge kuri ibi byose mu buryo bworoshye uyu munsi, mu buryo ushobora kumva, sibyo?

CRP ni iki? Kuki ari ingenzi ku mubiri wacu?

Reka tubanze turebe icyo CRP ari cyo. CRP ni incamake ya Poroteyine C-Reactive . Ubu ni ubwoko bwihariye bwa poroteyine bukorwa n'umwijima wacu. Noneho ushobora kwibaza uti, ni iki kibaho kuri ibi? Iyo hari ububyimbirwe ahantu runaka mu mubiri wacu, umwijima usubiza iyi poroteyine yitwa CRP hanyuma ukayishyira mu maraso.

Noneho ushobora kuba wibaza uti 'Ububyimbirwe ni iki?' Mu magambo make, ububyimbirwe ni igisubizo cy'uburinzi bw'umubiri wacu. Tekereza ko virusi cyangwa bagiteri byinjiye mu mubiri wawe, cyangwa ukabona imvune, nko gukomereka cyangwa gukomereka. Hanyuma ubudahangarwa bwacu bw'umubiri bugatangira gukora. Ni nk'ingabo zirinda igihugu cyacu. Ubu bubyimbirwe bw'umubiri burekura uturemangingo twihariye, twitwa uturemangingo twibasira umubiri na cytokines , kugira ngo turwanye mikorobe cyangwa tuvure agace kakomeretse. Icyo gihe ni bwo kubyimba, gutukura, ububabare, ndetse rimwe na rimwe n'ubushyuhe bibaho. Ibi nibyo twita ububyimbirwe. Hari igihe ubu bwimbirwe bushobora kubaho atari ahantu dushobora kubona gusa, ahubwo no mu bice biri mu mubiri tudashobora kubona, nko mu ngingo.

Rero, iyo hari ububyimbirwe, ingano ya CRP mu maraso iriyongera. Ubusanzwe, amaraso yacu agira urugero ruto cyane rwa CRP. Ariko, iyo ububyimbirwe bwiyongera, uru rugero rwa CRP narwo ruriyongera. Ni ukuvuga ko, iyo barebye urugero rwa CRP mu maraso, abaganga bashobora kubona niba hari ububyimbirwe mu mubiri wacu n'uburemere bwabwo.

Ikizamini cya CRP gikorwa ryari?

None se, ni ryari abaganga basaba gukora iki kizamini cya CRP? Ni iki cyakwitezwe kuri ibi?

Ikizamini cya CRP gikoreshwa cyane cyane mu gufasha gusuzuma cyangwa kwemeza ko hari indwara zimwe na zimwe. Dore ingero nke:

• Indwara zimwe na zimwe zikomeye za bagiteri, nka sepsis, zishobora gushyira ubuzima mu kaga.
• Indwara z'ibihumyo.
• Indwara ziterwa n'udukoko twinjira mu magufwa zitwa osteomyelitis . Iyi nayo ni indwara ikomeye.
• Indwara zo kubyimba zibaho mu mara, ni ukuvuga indwara yo kubyimba amara (IBD) .
• Amwe mu moko ya rubagimpande, nka rubagimpande.
• Indwara zimwe na zimwe ni indwara ziterwa n’ubwiyongere bw’umubiri aho ubudahangarwa bw’umubiri bwacu buturwanya, urugero , rubagimpande cyangwa lupus (Systemic Lupus Erythematosus - SLE) .
• Indwara yo kubyimba mu kibuno (PID) ni indwara yo kubyimba mu kibuno cy'abagore.

Tekereza umwana wawe afite umuriro mwinshi mu gihe cy'iminsi mike, ntarye, kandi akaba afite agahinda kenshi. Muganga ashobora gusaba ko hakorwa ikizamini cya CRP kugira ngo amenye vuba niba hari ubwandu bukomeye, wenda ubwandu bwa bagiteri, mu mubiri. Ibisubizo by'ibi bizagena uburyo bukurikira bwo kuvura.

Si ibyo gusa, iki kizamini cya CRP kinafasha gusuzuma ubwandu bwa bagiteri mu gihe cyo gukira, haba nyuma yo kubagwa bikomeye cyangwa kubagwa mu buryo butunguranye.

Ariko ikintu kimwe ugomba kwibuka ni uko ikizamini cya CRP cyonyine kidashobora kukubwira neza, 'Iyi ni indwara iri hano' cyangwa 'Iyi ni ububyimbirwe muri iki gice cy'umubiri.' Kubwibyo, niba agaciro ka CRP kari hejuru, muganga azakora ibindi bipimo bike kugira ngo amenye impamvu nyayo.

Ni ryari nkeneye ikizamini cya CRP?

Ubu ushobora kuba wibaza uti 'None se ni ryari ngomba gukora iki kizamini cya CRP?' Muganga asanzwe ategeka iki kizamini iyo ugaragaje ibimenyetso by'ubwandu bukomeye bwa bagiteri. Ibi bimenyetso birimo:

• Ndimo kurwara umuriro mwinshi.
• Umubiri wumva ubukonje kandi ugahinda umushyitsi (ubukonje).
• Ukwiyongera k'umuvuduko wo guhumeka (tachypnea).
• Umutima utera cyane (tachycardia).
• Isesemi no kuruka biragenda.

Byongeye kandi, niba usanzwe uvurwa indwara yandurira cyangwa niba uvurwa indwara idakira yo kubyimba, abaganga bakoresha iki kizamini cya CRP kugira ngo barebe niba uburyo bwo kuvura bukora kandi niba ubwo kubyimba bwaragabanutse. Ibi biterwa nuko iyo ubwo kubyimba mu mubiri bigabanutse, urugero rwa CRP narwo ruragabanuka. Ibi bivuze ko uburyo bwo kuvura bukora.

Ni nde ukora ikizamini cya CRP? Bikorwa bite?

Iki kizamini cya CRP gikunze gukorwa n'umuntu wahuguwe byihariye, witwa phlebotomist, ufata amaraso. Ariko, umukozi wese w'ubuzima wahuguwe gukurura amaraso arashobora kubikora. Icyitegererezo cy'amaraso cyoherezwa muri laboratwari. Umuhanga mu bya laboratwari y'ubuvuzi ni we utegura icyitegererezo kugira ngo gipimwe kandi agakoresha imashini zidasanzwe, zitwa analyzers, kugira ngo arebe urwego rwa CRP.

Hari ikintu kidasanzwe cyo kwitegura mbere y'iki kizamini?

Akenshi, oya. Nubwo ibizamini bimwe na bimwe by'amaraso bisaba kwiyiriza ubusa, ikizamini cya CRP ubusanzwe ntigisaba ingamba zidasanzwe zo kwirinda. Ariko, niba muganga wawe aguhaye amabwiriza yihariye, ugomba kuyakurikiza rwose, sibyo?

Bigenda bite iyo utanze amaraso?

Noneho reka turebe uko bigenda iyo utanze amaraso. Ibi nibyo uzahura nabyo:

• Uzicara ku ntebe. Umukozi w’ubuzima azareba amaboko yawe hanyuma ahitemo umutsi woroshye wo gukuramo amaraso. Ibi akenshi biba biri imbere mu kuboko kwawe, inyuma gato y’inkokora yawe.
• Iyo umutsi umaze kuboneka, aho hantu hasukurwa neza hanyuma hagashyirwa umuti wica udukoko.
• Hanyuma, urushinge ruto rushyirwa mu mutsi hanyuma amaraso agafatwa. Muri iki gihe, ushobora kumva urimo kuruma gato, nko kurumwa n'ikimonyo .
• Nyuma yo gushyiramo urushinge, amaraso make akusanywa mu muyoboro w'igerageza.
• Nyuma yo gukusanya amaraso, urushinge rurakurwaho hanyuma agace k'ipamba cyangwa gaze gashyirwa hejuru y'aho amaraso yafatiwe kugira ngo amaraso ahagarike kandi kagafatirwa mu mwanya wabyo igihe gito.
• Amaherezo, igitambaro gishyirwa aho hantu. Nguko uko akazi karangiye.

Igikorwa cyose kimara iminota itarenze itanu, bityo nta kintu na kimwe cyo guhangayika.

Ni iki kibaho nyuma yo gupimwa CRP? Ese hari ingaruka zishobora guterwa?

Nyuma yo gufata amaraso yawe, yoherezwa muri laboratwari kugira ngo apimwe. Iyo raporo igarutse, akenshi mu munsi umwe cyangwa ibiri, bishobora gufata igihe kirekire, maze muganga wawe akakubwira ibisubizo.

Noneho reka turebe niba hari ingaruka zishobora guterwa no gupimwa amaraso. Mu by’ukuri, gupimwa amaraso ni ikintu gisanzwe kandi gikenewe mu buvuzi. Nta ngaruka zikomeye zibaho na gato. Aho amaraso akurwa hashobora kubabara gato, cyangwa hakaba hari udusebe duto. Ariko ibyo bizahita bikira mu minsi mike.

Ni iki kiri muri raporo ya CRP? Ni izihe ndangagaciro zisanzwe?

Raporo ya CRP uhabwa akenshi iba irimo ibisobanuro nk'ibi:

• Izina ry'ikizamini cy'amaraso risobanura icyo gipimwa mu maraso (urugero: Poroteyine ya C-Reactive).
• Ibisubizo by'isuzuma ry'amaraso yawe, ni ukuvuga agaciro kabyo.
• Ingano isanzwe yo gupima kuri icyo kizamini.
• Imbonerahamwe igaragaza niba ibisubizo byawe ari ibisanzwe, bidasanzwe, biri hejuru, cyangwa biri hasi.

Noneho reka turebe agaciro gasanzwe ka CRP. Utu duce tw’ingero dushobora gutandukana gato bitewe na laboratwari. Iyo wakiriye raporo, izagaragaza agaciro gasanzwe ka CRP kuri iyo laboratwari.

Ariko muri rusange, urugero rusanzwe rwa CRP ruri munsi ya 0.9 mg/dL (miligarama kuri desilita imwe). Hari laboratwari zivuga ko ruri munsi ya 1.0 mg/dL.

Hari impamvu nyinshi zishobora gutuma urugero rwa CRP ruhinduka. Rimwe na rimwe, urugero rwa CRP rushobora kwiyongera gato , harimo:

• Kunywa itabi.
• Ibicurane bisanzwe.
• Indwara zo mu mutwe nko kwiheba.
• Diyabete.
• Ibibazo byo gusinzira (Kubura ibitotsi).
• Indwara yo mu nda.
• Umubyibuho ukabije bivuze kubyibuha birenze urugero.
• Indwara zo kubyimba zijyanye n'imizi y'amenyo (Periodontitis).
• Gutwita.
• Imvune iherutse kubaho, nko gukomereka bitewe no kugwa.

Urugero, niba unywa itabi buri munsi, urugero rwa CRP yawe rushobora kuba ruri hejuru gato ugereranije n'izindi, ndetse nta ndwara ikomeye ifite. Nanone, niba uri munini cyane (ubyibushye cyane), ibyo bishobora gutuma urugero rwa CRP rwawe ruzamuka gato. Ibi ni byo twita 'ingaruka z'ubuzima'.

Nanone, abagore n'abageze mu zabukuru bashobora kugira CRP iri hejuru gato. Niba ufite ikibazo ku bijyanye na raporo yawe, banza ubaze muganga wawe ibisobanuro.

Igipimo cyo hejuru cya CRP bivuze iki? Bisobanura iki?

Noneho reka turebe icyo bivuze niba CRP yawe iri hejuru kuri raporo yawe. Niba CRP yawe yazamutse cyane ugereranyije n'urugero rusanzwe , birashoboka ko bivuze ko hari ububyimbirwe ahantu runaka mu mubiri wawe. Ariko nkuko nabivuze mbere, ikizamini cya CRP cyonyine ntikishobora kukubwira neza icyateye ububyimbirwe cyangwa aho buri mu mubiri wawe. Rero, niba CRP yawe iri hejuru, muganga wawe ashobora gukora ibindi bizamini bike.

Bitewe n'uko agaciro ka CRP kari hejuru, ibyo ivuga bishobora gutandukana.

Iyo agaciro ka CRP kazamutse gato (Uburebure buri hagati)

Niba agaciro ka CRP kari hagati ya 1.0 mg/dL na 10.0 mg/dL , tubona ko kari hejuru ku rugero ruciriritse. Ibisubizo nk'ibi bishobora kugaragaza indwara nka:

• Ububyimbirwe bw'umubiri, nka rubagimpande (RA) , lupus erythematosus (SLE) , cyangwa izindi ndwara zifata ubudahangarwa bw'umubiri, bishobora kugira ingaruka ku mubiri wose.
• Indwara y'umutima / indwara y'umutima.
• Pancreatite .
• Indwara ya bronchitis .

Iyo agaciro ka CRP kazamutse cyane (Izamuka ry’ikimenyetso)

Igipimo cya CRP kirenze 10 mg/dL gifatwa nk'aho kiri hejuru cyane. Ibisubizo nk'ibi bishobora kugaragaza indwara zikurikira:

• Indwara za bagiteri zikomeye.
• Kwandura virusi.
• Kubyimba kw'imitsi y'amaraso mu buryo bw'umubiri (systemic vasculitis ).
• Imvune ikomeye / ihungabana rikomeye.

Iyo agaciro ka CRP kari hejuru cyane (Uburemere bukabije)

Iyo agaciro ka CRP karenze 50 mg/dL , bifatwa nk'ubwiyongere bukabije cyane.Igipimo cya CRP kiri hejuru cyane, cyane cyane iyo kirenze 50 mg/dL, gifitanye isano n’ubwandu bw’udukoko twa bagiteri mu bantu bagera kuri 90%. Ibi bivuze ko niba habonetse igiciro kinini nk’icyo, muganga azakeka ko hari ubwandu bwa bagiteri kandi atangire ibizamini n’imiti bikenewe.

Igiciro gito cya CRP bivuze iki?

None se CRP iri hasi bivuze iki? Twabonye ko urugero rusanzwe rwa CRP ruri munsi ya 0.9 mg/dL. Rero, nta kintu na kimwe kivugwa nk'urwego ruri hasi. Ibyo bivuze ko niba agaciro ka CRP kawe kagaragaye ko kari hafi 0.5 mg/dL, ibyo ni byiza cyane, bisanzwe.

Ariko, niba urugero rwa CRP rwawe rwari rwariyongereye mbere kandi rukagabanuka mu isuzuma ririho ubu, icyo ni ikimenyetso cyiza cyane! Bivuze ko ubushyuhe mu mubiri wawe buri kugabanuka, cyangwa ko ubuvuzi bwo kubyimba bwagenze neza. Muganga wawe na we azabyishimira.

Ese nkwiye guhangayikishwa niba urugero rwanjye rwa CRP rudasanzwe?

Ushobora kugira impungenge gato iyo ubonye CRP iri hejuru kuri raporo yawe. Ushobora gutekereza uti "Ese mfite ikintu gikomeye?" Ariko, CRP iri hejuru ntibivuze ko ufite indwara ikomeye ikeneye kuvurwa , cyane cyane niba umubare wayo uri hejuru gato.

Wibuke ko navuze mbere ko kunywa itabi, imvune nto, hamwe n’izindi ndwara zisanzwe (nk’inda) na byo bishobora gutuma urugero rwa CRP rwiyongera. Hari igihe ibisubizo bishobora kugira ingaruka ku makosa mato mu gukusanya amaraso, gupima muri laboratwari, cyangwa ndetse no gupima.

Kubwibyo rero, ntugahite ufata umwanzuro wenyine iyo ubonye igisubizo kidasanzwe. Ntugatinye. Muganga wawe azasuzuma raporo yawe, ayigereranye n'ibimenyetso byawe, ayigereranye n'amateka y'ubuzima bwawe, hanyuma akore ibindi bipimo nibiba ngombwa kugira ngo amenye neza ikibazo kirimo.

Hari igihe umuntu umwe kuri 20 muzima ashobora kugira ibisubizo birenze urugero. Rero, ntutinye kuvugana na muganga wawe. Baza ibibazo byose ufite. Azagufasha kandi aguhe ubuyobozi bukenewe.

Ibintu tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka dusubiremo ingingo z'ingenzi twavuzeho muri iki kizamini cya CRP:

• CRP ni poroteyine ikorwa n'umwijima. Yiyongera mu maraso iyo hari ububyimbirwe mu mubiri.
• Iki kizamini gishobora gufasha mu kumenya indwara zandura n'indwara zo kubyimba nka rubagimpande , ndetse gishobora no gufasha mu kumenya niba uburyo bwo kuvura bukora.
• Nubwo urugero rwa CRP rwaba ruri hejuru, rwonyine ntirushobora kumenya indwara iyo ari yo cyangwa aho iherereye. Hashobora gukenerwa ibindi bipimo.
• Igipimo gisanzwe cya CRP kiri munsi ya 0.9 mg/dL (cyangwa 1.0 mg/dL).
• Igipimo cya CRP gishobora kandi kwiyongera gato bitewe n'ibintu nko kunywa itabi, gutwita, imvune nto, n'umubyibuho ukabije.
• Ntugatinye iyo ubonye agaciro ka CRP kari hejuru.Vugana na muganga wawe kandi umugire inama. Uwo ni we uzaba umuntu mwiza wo kugufasha.

Rero, ndizera ko ubu wasubije ibibazo byinshi wari ufite ku isuzuma rya CRP. Ndizera ko aya makuru azagufasha. Buri gihe wite ku buzima bwawe, kuko ubuzima ari bwo butunzi bukomeye!

Ikizamini cya CRP , Poroteyine ya C-Reactive, Ububyimbirwe, Ubwandu, Ibizamini by'Amaraso, Ubuzima, Ibimenyetso, Umwijima, Ubudahangarwa bw'Ubudahangarwa