Nyaya pamusoro pemwoyo wako: Ngatidzidzei nezve ma enzymes emwoyo kana kuti biomarkers emwoyo.

Dzimwe nguva tinonzwa kutya zvikuru patinongoerekana tava kurwadziwa pachipfuva kana kuoma kufema, handiti? Tinofunga kuti, "Uku kurwara kwemoyo here?" Dzimwe nguva dzakadai, pane bvunzo yeropa inoshandiswa navanachiremba kuti vaone kana paine chisina kumira zvakanaka pamoyo wako. Ndiko kunonzi bvunzo iyi ye cardiac enzyme .

Chii chinonzi ma enzymes emwoyo?

Zvichitaurwa zviri nyore, ma enzyme emwoyo mapuroteni akakosha anowanikwa mukati memasero emwoyo yedu. Ma enzyme makemikari anobatsira muviri wedu kuita maitiro emakemikari, akadai sekugaya , nemazvo. Funga nezvazvo nenzira iyi: moyo wako wakaita seimba. Kune zvinhu zvakawanda zvinokosha mukati meimba iyi. Kazhinji, zvinhu izvi zvinogara mumba uye hazvibude.

Zvisinei, kana chimwe chinhu chakakuvara mumba muno chinonzi moyo, semuenzaniso, kana moyo usingawani oxygen yakakwana (tinoti ischemia ), kana chirwere chakadai sechirwere chemwoyo chikaitika, masero emwoyo anokuvara. Zvakafanana kana rusvingo rweimba rwaputsika, zviri mukati zvinosvetuka. Zvadaro, ma enzyme emwoyo aive mukati memasero iwayo anotanga kuungana muropa. Saka, kuwedzera kwehuwandu hwema enzyme aya muropa chiratidzo chakakosha chekuti kwave nekumanikidzwa, kukuvara, kana kushushikana pamoyo . Izvi zvinonziwo cardiac biomarkers , nekuti zvinopa "chiratidzo" nezvehutano hwemoyo.

Saka, chii chinonzi Cardiac Enzyme Marker Test?

Kuongororwa kwechiratidzo che enzyme yemwoyoImwe bvunzo inotora sampuro yeropa rako uye inoyera huwandu hwema enzymes aya akakosha, kana kuti biomarkers. Iyi bvunzo yeropa iri nyore kwazvo. Ropa diki rinotorwa kubva mutsinga iri muruoko rwako.

Chiremba anoshandisa bvunzo iyi kuti aone kana huwandu hweenzyme iyi muropa hwakajairwa kana kuti hwakakwira. Kana huwandu hweenzyme iyi hwakakwira zvakanyanya kupfuura huwandu hunokurudzirwa , zvinoreva kuti chirwere chemwoyo chingave chakaitika, kana kuti pangave paine kushushikana pamoyo. Saka, iyi bvunzo yakakosha zvikuru.

Vanachiremba vanoshandisa sei zviratidzo zvemwoyo izvi?

Zvino ungave uchishamisika kuti, vanachiremba vanogona sei kuona chirwere nekungoongororwa ropa uku chete? Kutaura zvazviri, vanachiremba vanogona kunzwisisa zvakawanda nekutarisa mazinga ezviratidzo zvemwoyo. Zvakafanana nekuongorora kwemapurisa.

Semuyenzaniso:

• Acute Coronary Syndrome (ACS): Ichi chirwere chinokonzerwa nekuderera kamwe kamwe kweropa rinoyerera richienda kumoyo. Izvi zvinogona kuva chiratidzo chekurwara nemoyo kana kuti chirwere chemwoyo. Ma enzyme emwoyo anogona kukwira nekukurumidza panguva iyi.
• Myocardial Ischemia: Apa ndipo apo tsandanyama dzemwoyo dzisingawani okisijeni yakakwana. Kungofanana nemuti unosvava kana usina mvura. Kana masero emwoyo akashaikwa okisijeni, anosurukirwa uye anoburitsa ma enzyme aya.
• Kukuvadzwa kwetsandanyama yemwoyo: Zvimwe zvikonzero, zvakaita sehutachiona hwakasiyana uye kurwara kwemoyo zvakanyanya, zvinogonawo kukonzera kukuvara kwetsandanyama yemwoyo. Ma enzyme aya anounganawo muropa panguva iyoyo.

Dambudziko rega rega rine nzira yaro yekurapa yakasiyana. Saka, zvakakosha kuti uwane chirwere chakarurama , nekuti ndipo paunokwanisa kuwana kurapwa kwakakodzera uye nekukurumidza.

Ndezvipi zvinangwa zvebvunzo iyi yekuongorora zviratidzo zvemwoyo?

Vanachiremba vanoongorora huwandu hwezviratidzo zvemwoyo nekuda kwezvikonzero zvishoma zvikuru. Ngationei kuti ndezvipi:

• Kuongororwa kwekukuvara kwemoyo nezvimwe zvinetso: Dzimwe nguva tingasava nezviratidzo zvikuru, asi tingave nematambudziko madiki anotangira mumoyo medu. Kuongororwa uku kunogonawo kuona matambudziko akadaro akavanzika.
• Ongorora zvirwere zvemwoyo zvinokonzera zviratidzo zvakaita sekurwadziwa pachipfuva uye kushaya mweya : Iyi bvunzo inowanzoitwa panguva yekukurumidzira. Kana ukaenda kuchipatara uine kurwadziwa pachipfuva, iyi ndeimwe yeongororo dzekutanga dzichaitwa navanachiremba.
• Tarisa kuti mishonga yemwoyo nekuvhiyiwa kwemoyo zvinoshanda sei: Mushure mekunge watanga kurapwa kwechirwere chemwoyo, huwandu hwema enzymes aya hunofanira kudzikira zvishoma nezvishoma. Nekuona kana izvozvo zvikaitika, unogona kuyera kubudirira kwekurapa.
• Fanotaura zvichaitika pazvirwere zvakasiyana-siyana zvemwoyo: Kureva kuti, mazinga aya ema enzyme anobatsira kunzwisisa kuti chirwere ichi chichakura sei, chakakomba sei, uye mikana yekupora.

"Bvunzo iyi yakafanana nebhuku rinotaura nyaya yemoyo. Rinopa zviratidzo nezve zvakaitika kumoyo, mamiriro awo azvino, uye zvingangoitika mune ramangwana."

Kuongororwa kwe enzyme yemwoyo uku kunoitirwa kupi?

Kutorwa kweropa kuti uedzeswe enzyme yemwoyo kunogona kuitwa mumaminitsi mashoma chete.

• Kana paine dambudziko rekukurumidza: Kana muine dambudziko rekukurumidza, sekurwadziwa muchipfuva, moenda kuEmergency Treatment Unit (ETU) yechipatara, kuongororwa kweropa uku kuchaitwa ipapo ipapo.
• Kana pasina dambudziko: Dzimwe nguva chiremba wako anogona kuraira bvunzo iyi, kungave panguva yekuongororwa nguva dzose kana nekuda kwezvimwe zviratidzo. Kana zvakadaro, unogona kuenda kurabhoritari yekuongororwa ropa woipedza.

Ndeapi marudzi ema enzymes emwoyo (biomarkers) aripo?

Kune mhando dzakasiyana dzezviratidzo zvemwoyo zvinogona kukuudza nezvematambudziko emwoyo. Anenge ese aya ma enzymes kana mapuroteni. Kuwedzera kwehuwandu hwezvimwe zveizvi kunogona kuratidza kuti ungave uine chirwere chemwoyo kana chimwe chirwere chemwoyo.

• Troponin: Ichi ndicho chiratidzo chinonyanya kukosha uye chinoshandiswa zvakanyanya . Vanachiremba vanotanga vatarisa huwandu hwetroponin kuti vaone kana moyo wakakuvadzwa nechirwere chemwoyo kana ACS. Huwandu hwetroponin hunotanga kukwira muropa mukati memaawa mashoma (anenge maawa matatu kusvika mana) mushure mekurwara kwemoyo, uye hunogona kuramba hwakakwira kwemaawa gumi nemaviri. Zvakare, hunogona kuramba hwakakwira muropa kwevhiki imwe kana maviri. Nokudaro, vanachiremba dzimwe nguva vanodzokorora bvunzo iyi yetroponin maawa mashoma kana mazuva ega ega kuti vanzwisise kukura kwekukuvara uye kuti mamiriro acho ari kuchinja sei.

• Natriuretic Peptides (NPs): Aya mamwe marudzi emapuroteni. Anoburitswa muropa kana moyo wakanyanya kumanikidzwa, kunyanya mumamiriro ezvinhu akadai sekushaya simba kwemoyo . Kunyangwe vanachiremba vachigona kuyera mhando dzakasiyana dzemapeptide aya, anonyanya kuzivikanwa anonzi N-terminal proBNP (NT-proBNP) . Izvi zvinogona kushandiswa kuona kuti mwoyo uri kumanikidzwa zvakadii nekuda kwekushaya simba kwemoyo.

Ndiani anoda bvunzo iyi ye cardiac enzyme (biomarker)?

Chiremba wako anogona kukuraira bvunzo iyi ye cardiac enzyme kana uine zviratidzo zvinoratidza kuti une dambudziko remwoyo. Zviratidzo zvakadaro zvinosanganisira:

• Kurwadziwa pachipfuva kana kusagadzikana:Ichi ndicho chiratidzo chikuru chinotyiwa nevanhu vazhinji. Chinogona kuuya nenzira imwe kana imwe. Kune vamwe, chinonzwa sekumanikidzwa, kune vamwe, chinonzwa sekurema, kune vamwe chinonzwa sekutsva. Marwadzo aya anogonawo kupararira kusvika pashaya, mutsipa, pakati pemusana, pamafudzi, kana ruoko rweruboshwe.
• Dzungu: Kana moyo usingashande zvakanaka, huwandu hweropa rinoyerera kuenda kuuropi hunogona kudzikira, zvichikonzera dzungu.
• Kusvotwa kana Kurutsa: Kumwe kurwara nemoyo kunoratidzawo zviratidzo izvi, kunyanya kuvakadzi.
• Kudikitira zvakanyanya: Kana ukangoerekana wanzwa kutonhora uye kudikitira zvakanyanya pasina chikonzero, ichocho chiratidzo chekuteerera.
• Kushaya mweya: Kana zvichikuomera kufema kunyangwe uchiita basa diki, sekukwira masitepisi, kana kana uchinzwa kushaya mweya kunyangwe wakamira, izvi zvinofanirawo kufungwa nezvazvo.
• Kuwedzera kwekushaya simba kwemoyo: Kana munhu atova nekushaya simba kwemoyo, zviratidzo zvinongoerekana zvawedzera (semuenzaniso, kuzvimba kwemakumbo, kufema kushoma).

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti utsvage rubatsiro rwechiremba nekukasika.

Ndezvipi zvimwe zviedzo zveropa zvinoshandiswa navanachiremba kuongorora chirwere chemwoyo kana kukuvara kwemoyo?

Pamusoro pekuongororwa kwe enzyme yemwoyo, chiremba wako anogona kuraira kumwe kuongororwa kweropa kuti anzwisise zviri nani mamiriro ako ezvinhu:

• Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinoyera huwandu hwemasero matsvuku, masero machena, uye maplatelet muropa. Zvinobatsira kuona zvirwere zvakaita seanemia.
• Basic Metabolic Panel (BMP) : Izvi zvinoedza zvinhu zvakaita se electrolytes (senge sodium ne potassium), mashandiro eitsvo, uye huwandu hweshuga muropa.
• Kuongororwa kweGasi reRopa (ABG): Izvi zvinoyera oxygen, carbon dioxide, uye acid-base balance muropa. Izvi zvakakosha kuti uwane chikonzero chematambudziko ekufema.

Ndezvipi zvimwe zvishandiso nemiedzo zvinoshandiswa kuongorora chirwere chemwoyo kana kukuvara kwemoyo?

Pamusoro pekuongororwa kweropa, chiremba wako anogona kusarudza kuita mimwe miedzo yakati wandei kuti aone mamiriro chaiwo emwoyo wako:

• X-ray yechipfuva: Izvi zvinogona kushandiswa kuona zvinhu zvakaita sehukuru nechimiro chemapapu nemoyo.
• Echocardiogram: Izvi zvakafanana neultrasound scan yemoyo. Inogona kunyatsoongorora makamuri, mavharuvhu, uye kuti mwoyo uri kurova sei. Dzimwe nguva bvunzo yakakosha inonzi Transesophageal Echocardiogram (TEE) inogonawo kuitwa.
• Electrocardiogram (ECG kana EKG): Iyi inoongorora mashandiro emagetsi emwoyo. Inogona kuona matambudziko ane chekuita nemoyo uye zviratidzo zvechirwere chemwoyo.
• Kuongororwa kwekumanikidzwa kwekurovedza muviri kana bvunzo yekumanikidzwa kwemwoyo: Kuongororwa uku kunoitwa kuti uone kuti mwoyo wako unoita sei paunorovedza muviri.
• Angiogram: Kuongororwa uku kunoitwa kuti kuonekwe kuti pane pakavharwa tsinga dzemwoyo dzinopa ropa kumoyo.
• Positron Emission Tomography (PET) Scan: Iyi scan yemhando yepamusoro inoshandiswa kuona kuti masero emwoyo ane hutano hwakadii uye kuti ropa riri kufamba zvakanaka sei.

Mubvunzo wekuti, "Ndiri kurwara nemoyo here kana kuti kwete?" mukuru. Panguva dzakadai, unoda mhinduro dzakajeka kuti uenderere mberi. Ndosaka vanachiremba vachishandisa bvunzo dze biomarker dzemwoyo nedzimwe bvunzo. Kana huwandu hwema enzymes emwoyo muropa rako hwakakwira, zvinogona kuratidza kuti moyo wako wakakuvara, wakamanikidzwa, kana kuti wakazvimba. Ino ndiyo nguva yekubvunza chiremba wako mibvunzo nezve ma enzymes emwoyo wako uye zvinorehwa nemigumisiro yebvunzo yako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatipfupisei zvimwe zvezvinhu zvaunofanira kurangarira kubva pane zvatataura nezvazvo:

• Ma enzyme emwoyo mapuroteni anoburitswa mumasero emwoyo. Aya anoungana muropa kana moyo wakuvara.
• Kuongororwa kwema enzyme emwoyo kuongororwa kweropa kuri nyore kunoyera huwandu hwema enzyme aya.
• Kuongororwa uku kunogona kuona zvirwere zvakaita sekurwadziwa kwemoyo, kumwe kukuvara kwemoyo, uye kushushikana kwemoyo. Troponin ndiyo enzyme huru inoshandiswa pakuita izvi.
• Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva, kuoma kufema, kana dzungu, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.
• Usava nemubvunzo nezvemhedzisiro yebvunzo yako. Taura nachiremba uye tsanangura zvese.

Mwoyo wako ndiwo chinhu chako chinokosha kupfuura zvose. Ibasa rako kuutarisira. Kuziva miedzo yakaita seiyi kuchakubatsira kuzadzisa basa iroro!