Ngatidzidzei nezvezviratidzo zvema enzyme muropa renyu.

Kana chiremba akakuudza kuti utarise "Enzyme Markers" yako, pamwe une mibvunzo mishoma mupfungwa, handiti? "Ndeapi ma enzyme aya?", "Sei ari kuongororwa?" Mibvunzo yakaita seiyi. Usazvidya moyo, zviri nyore kwazvo. Ngatidzidzei zvakawanda nezvazvo nhasi, sekutaura neshamwari.

Saka chii chinonzi zviratidzo zve enzyme izvi?

Zvichitaurwa zviri nyore, Enzyme Markers iongororo yeropa inoyera huwandu hwemamwe ma enzymes muropa rako. Ma enzymes aya anowanzo kuwanikwa mukati memasero emuviri wedu. Zvisinei, kana nhengo mumuviri wedu, yakaita sechiropa, moyo, kana tsandanyama, ikakuvara, ikabatwa nechirwere, kana kukuvara, mamwe ema enzymes aya anobuda mumasero iwayo akakuvara achipinda muropa. Zvakafanana nemvura inobuda mubhodhoro rakatyoka.

Zvadaro, nekuongororwa kweropa uku, chiremba anogona kuona kana huwandu hweenzyme iyi muropa rako hwakakwira kana kuti hwakaderera pane zvakajairwa. Dzimwe nguva vanachiremba vanoti izvi "biomarkers." Kureva kuti, chiratidzo chechirwere chakati. Izvi zvinogona kupa chiremba ruzivo rwekuti pane chimwe chinhu chisina kumira zvakanaka mumuviri wako here.

Zvakanaka, saka chii chinonzi "enzymes" idzi?

Tangotaura nezve "zviratidzo zvema enzyme." Saka chii chinonzi "ma enzyme" aya? Funga nezvema enzyme semapuroteni anoita seanoshanda mumiviri yedu. Anobatsira nemamwe maitiro emakemikari mumiviri yedu, uye anokurumidzisa metabolism yedu. Zvakafanana nemunhu anotibatsira kugaya chikafu nekukurumidza.

Kune zviuru zvema enzyme akasiyana mumiviri yedu, rimwe nerimwe richiita basa raro. Heano mienzaniso mishoma:

• Muhurongwa hweropa: Inobatsira pakugwamba kweropa.
• Sisitimu yekugaya chikafu: Inobatsira kugaya chikafu chatinodya.
• Sisitimu yetsandanyama: Tsandanyama dzinobatsira pakushanda nekufamba.
• Sisitimu yetsinga: Inobatsira kushanda kweuropi, musana, uye tsinga.
• Masisitimu ekufema: Anobatsira pakufema.
• Weti: Inobatsira kubvisa tsvina mumuviri.

Unoona, ma enzymes anoita basa guru mumiviri yedu!

Ndiani anoda bvunzo iyi ye enzyme marker?

Pane zvikonzero zvakawanda nei chiremba angaraira bvunzo iyi. Zvikuru ndeizvi:

• Kuongororwa: Dzimwe nguva, kana uchienda kunoongororwa muviri nguva dzose, bvunzo iyi inogona kuitwa kuti utarise matambudziko emukati, kukuvara kwenhengo, kana kuneta kwetsandanyama, kunyangwe kana usina zviratidzo.
• Kuongororwa kwechirwere (Kuongororwa):Kana uine zviratidzo, bvunzo iyi inogona kubatsira kuona kana chikonzero chacho chiri chirwere chaicho kana dambudziko remwoyo.
• Kutarisa kubudirira kwekurapwa: Kana uri kutora mushonga wechirwere chakati, bvunzo idzi dzema enzyme dzinoitwawo kuti uone kana mushonga wacho uchishanda nemazvo kana kuti uri kukonzera kukuvara kune imwe nhengo yemuviri.

Ndedzipi mhando dzekuongorora enzyme marker dziripo?

Vanachiremba vanoshandisa nzira dzakasiyana-siyana dzekuongorora zvirwere zvakasiyana-siyana uye mamiriro azvo. Heano mamwe emhando huru:

• Kuongororwa kwema enzyme emwoyo: Izvi zvinoongorora kukuvara kwetsandanyama yemwoyo.
• Kuongororwa kweCreatinine phosphokinase (CPK) isoenzymes: Izvi zvinoedza maenzymes akaita se `(CK-MB)` uye `(CK-MM)`. Izvi zvinogonawo kuona kukuvara kwetsandanyama, kunyanya moyo nedzimwe tsandanyama.
• Kuongororwa kwechiropa: Kuongororwa uku kunoyera ma enzymes akadai se `(ALT)`, `(AST)`, `(Alkaline phosphatase)`, `(GGT)`, uye `(5'-NT)` kuti tinzwisise mamiriro echiropa.

Ngatitarisei rumwe norumwe rwemhando idzi zvakadzama.

Chii chinonzi Kuedzwa kweEnzyme yeMwoyo?

Izvi zvinowanzoitwa kana paine fungidziro yekuti pane chirwere chemwoyo, kana kuti kutarisa kana tsandanyama yemwoyo yakakuvadzwa nechimwe chirwere chemwoyo. Zvinoitwawo kutarisa kuti mwoyo uri kushanda sei mushure mekuvhiyiwa kwemoyo, kwakadai se coronary artery bypass grafting (CABG) kana angioplasty.

Kana chimwe chinhu chakakuvara mumoyo, moyo unoburitsa puroteni inonzi troponin (cTn) uye enzyme inonzi creatine phosphokinase (CPK) muropa. Kare, huwandu hwe creatine phosphokinase (CPK) ndiyo yaive bvunzo huru yaishandiswa kuona chirwere chemwoyo. Asi ikozvino, kana uchifungidzira kuti ungave nechirwere chemwoyo, vanachiremba vanowanzoita bvunzo ye troponin kuti vasimbise chirwere chacho. Izvi zvinodaro nekuti enzyme ye troponin inowanikwa mumoyo chete. Ndosaka iri chaiyo.

Mazinga eTroponin muropa anogona kutanga kukwira mukati memaawa gumi nemaviri mushure mekurwara nemoyo. Mazinga eCPK akakwira anogonawo kuratidza chirwere chinonzi chirwere chemwoyo, chinova kuvharika kwetsinga dzinoendesa ropa kumoyo.

Kazhinji, huwandu hwe troponin muropa hunenge hwakaderera zvikuru - hunosvika 0.02 nanograms pa milliliter (0.02 ng/mL). Kuwanda kweiyi enzyme yemwoyo muropa kunoreva kuti chirwere chemwoyo chinogoneka. Kana kukosha kwacho kwakakwira, kukuvara kwakawanda kunoitika pamoyo.

Nekuti huwandu hwema enzyme hunochinja panguva yekurwara kwemoyo, chiremba wako anogona kuraira bvunzo dzinoverengeka kuti aone huwandu hweCPK netroponin mumaawa mashoma ega ega.

Chiremba wako anogona kuraira kuongororwa kwe cardiac enzyme kana uine chimwe chezviratidzo izvi:

• Kurwadziwa kwechipfuva
• Dzungu
• Kusvotwa
• Kudikitira zvakanyanya (Kudikitira zvakanyanya / Hyperhidrosis)
• Kushaya mweya / Kushaya simba rekufema

Chii chinonzi bvunzo yeCPK Isoenzymes?

Bvunzo iyi inotsvaga huwandu hwakakwira hwe `(CPK)`. Izvi zvinoratidza kuti kwave nekukuvara kwenyama. Kana tsandanyama dzedu (kusanganisira tsandanyama yemwoyo), uropi, nemapapu zvakuvadzwa nechirwere kana kukuvara, aya ma isoenzymes e `(CPK)` anoburitswa muropa. Ma isoenzymes marudzi ema enzymes akagadzirirwa nhengo kana tishu dzakasiyana.

Semuyenzaniso:

• Chiratidzo chemoyo chinonzi `(CK)` ndi `CK-MB` .
• Chinonyanya kukosha che `(CK)` chetsandanyama dzemapfupa (dzakadai setsandanyama dzemaoko) ndi `CK-MM` .
• Kungoti `(CK)` ndiyo huwandu hwese hwe`(CK)` hunobva kunzvimbo dzese idzi.

Zvichienderana nezviratidzo zvako, chirwere chako, kana zvinhu zvine njodzi, chiremba wako anogona kuraira bvunzo iyi (CPK) isoenzyme kuti aongorore mamiriro akadai se:

• Kumira kurova kwemoyo
• Kurohwa
• Bundu reuropi
• Kushaya simba kwetsandanyama (chirwere chinopedza simba tsandanyama)
• Dermatomyositis (chirwere cheganda netsandanyama)
• Kubatanidzwa kwemuviri myositis (chirwere chinokonzera kushaya simba kwetsandanyama)
• Polymyositis (chirwere chetsandanyama)
• Kupisa kwakanyanya kwemuviri (chirwere chekuti munhu anotanga kupisa muviri zvakanyanya mushure mekuvhiyiwa mushure mekunzwa kuneta)

Chii chinonzi Kuedzwa kweEnzyme yeChiropa?

Kana chiropa chedu chikakuvadzwa nechirwere kana kukuvara, chiropa chinoburitsa ma enzyme akasiyana-siyana muropa. Maviri ema enzyme aya anozivikanwa zvikuru ndeaya alanine aminotransferase (ALT) uye aspartate aminotransferase (AST). Ma enzyme aya ALT anonyanya kugadzirwa muchiropa. Aspartate aminotransferase (AST) inogadzirwa muchiropa, mwoyo, itsvo, uropi, uye tsandanyama.

Kuongororwa kwechiropa kunotsvaga huwandu hwakakwira hwema enzyme aya. Kana akakwira, zvinogona kunge zvichikonzerwa nemamiriro ezvinhu akadai se:

• Mugero wenyongo wakavharika
• Chirwere cheCeliac (kukanganisa kwegluten)
• Kurwara kwechiropa
• Chirwere chechiropa chine mafuta akawanda kana chirwere chechiropa chine chekuita nedoro
• Hemochromatosis (kuwanda kwesimbi muropa)
• Hepatitis A, hepatitis B uye hepatitis C
• Kenza yechiropa
• Mononucleosis (chirwere chinokonzera kuzvimba kwemasero emudumbu)
• Chirwere cheWilson (kuiswa kwemhangura yakawanda mumapfupa)

Yeuka kuti kuwanda kwema enzymes mumuviri wako chete hazvirevi kuti une chirwere. Chiremba wako achaenzanisa izvi nezviratidzo zvako nezvimwe zvakabuda muongororo kuti awane mhedziso.

Ndinofanira kugadzirira sei bvunzo ye enzyme marker?

Kana uchizoongororwa ropa, kurangarira zvinhu zvishoma izvi kunogona kuita kuti maitiro acho ave nyore:

• Inwa mvura yakawanda: Inwa mvura yakawanda usati wapa ropa. Izvi zvinobatsira kuti ropa rifambe zvakanaka mutsinga, zvichiita kuti zvive nyore kuunganidza ropa.
• Dzivisa nicotine: Kana uchisvuta (kusanganisira kuputa fodya), dzivisa usati wapa ropa. Nicotine inoita kuti tsinga dzeropa dziome, zvichiita kuti zviome kuburitsa ropa kubva mutsinga yakamanikana.
• Tiudzei kana muchitya: Kana muchitya tsono (Trypanophobia) kana kuti muchitya kuona ropa (Hemophobia), taurirai chiremba wenyu kana munhu ari kukudhonzai ropa renyu nguva isati yasvika. Vanogona kukubatsirai kuti kudhonza ropa kuve nyore.

Ndinofanira kutsanya ndisati ndaongororwa enzyme marker here?

Chiremba wako achakuudza kana uchifanira kutsanya (kunze kwemvura). Kazhinji, haufanirwe kudaro. Kunyanya sezvo bvunzo dzema enzyme emwoyo dzichiitwa panguva yekukurumidzira, senge kurwara nemoyo, hauzotarisirwi kutsanya panguva iyoyo.

Chii chinoitika kana bvunzo ye enzyme marker yaitwa?

Uku kungori kuongororwa kweropa kuri nyore. Zvichienderana nemamiriro ako ezvinhu, bvunzo iyi inogona kuitwa muhofisi yachiremba, murabhoritari yekuongorora ropa, kana kuchipatara. Chiremba wephlebotomist (munhu akadzidziswa kudhonza ropa) kana mumwe nyanzvi yehutano achadhonza ropa rako. Maitiro aya anongotora maminetsi mashoma chete.

Chii chandinofanira kutarisira mushure mekuongororwa kwe enzyme marker?

Zvakanakisisa kuchengetedza plaster panzvimbo yakatorwa ropa kwemaawa maviri kusvika mana kuderedza njodzi yehutachiona. Nzvimbo yakapinzwa tsono inogona kunge yakazvimba zvishoma uye yakakuvara. Izvi zvinopera mumazuva mashoma.

Unogona kuderedza mavanga kana kusagadzikana nekuita zvinhu izvi:

• Putira jira rechando woriisa pamusoro pepurasita.
• Tora mushonga wekuderedza marwadzo usingabhadhariswi nechiremba.
• Usasimudza zvinorema kana kuita maekisesaizi anorema kwemaawa makumi maviri nemana mushure mekupa ropa.

Ndeipi njodzi dzekuongorora enzyme marker?

Kuongororwa kweropa inzira dzisina njodzi yakawanda. Vamwe vanhu vanogona kuwana BP yakaderera (hypotension) kana vakatorwa ropa. Izvi zvinogona kuita kuti unzwe dzungu kana kuda kurutsa. Kana uchinzwa kusanzwa zvakanaka kana kupera simba, udza chiremba wako kana munhu anotora ropa nekukasika. Vanogona kukubatsira nekukurara pasi kana kuita zvimwe zvinhu.

Ndichawana rini mhinduro dzebvunzo?

Semuenzaniso, kana paine chishuwo chekurwara nemoyo, mhinduro dzinowanikwa nekukurumidza. Kana zvisina kudaro, zvinogona kutora mazuva akati wandei kuti chiremba agamuchire mhinduro kubva murabhoritari.

Chiremba wako achakurukura newe zvabuda. Ungangoda kuongororwa kakawanda kuti uone dambudziko rakati kana kuti uve nechokwadi chekuti hapana dambudziko. Zvichienderana nerudzi rwedambudziko, unogona kuongororwa kakawanda kwema enzyme marker kwenguva yakati rebei kana mazuva.

Chii chandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Sei ndichifanira kuita bvunzo iyi ye enzyme marker?
• Ndinofanira kutsanya, kurega kusvuta, kana kurega kutora mishonga ndisati ndaongororwa here?
• Ndichawana rini mhinduro dzebvunzo?
• Ndinofanira kunetseka nezvemhedzisiro yebvunzo here?
• Ndichafanira kuita mimwe miedzo here?
• Kangani pandinofanira kuita bvunzo iyi ye enzyme marker?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Kuongororwa kwe enzyme marker bvunzo inopa ruzivo rwakakosha nezve mashandiro enhengo dzedu, mamiriro ezvirwere, uye kurapwa. Kana uine zviratidzo zvakati, chiremba anogona kuraira bvunzo iyi kuti aongorore chirwere kana kusimbisa kuti hapana chirwere chakadaro.

Kuongororwa kwe enzyme yemwoyo kunoongorora kukuvara kwemoyo mushure mekurwara nemoyo. Kuongororwa kwe phosphokinase (CPK) kunotsvaga zvirwere zvine chekuita netsandanyama. Kuongororwa kwe enzyme yechiropa kunoongorora mashandiro echiropa. Bvunza chiremba wako chero mibvunzo kana zvinokunetsa nezvebvunzo iyi kana zvabuda. Usazvidya moyo, chiremba wako aripo kuti akubatsire.

MaEnzayimu , bvunzo dzemaEnzayimu, bvunzo dzeropa, chirwere chemwoyo, chirwere chechiropa, chirwere chetsandanyama, kuongororwa kweropa