Patinonzwa kamwe kamwe kurwadziwa kwakanyanya pakati pechipfuva chedu, kunzwa kwekusungwa, kana kuoma kufema, tese tinotya, handiti? Chinhu chekutanga chinouya mupfungwa ndechekuti, "Uku kurwara kwemoyo here?" Panguva yakaita seiyi, kana wangomhanyiswa kuchipatara, kunyanya Emergency Department (ETU), vanachiremba vachaita bvunzo dzinoverengeka kuti vaone mamiriro ako chaiwo. Pakati padzo, bvunzo yeropa yakakosha uye huru ndeyeTroponin test. Kunyangwe vanhu vazhinji vakanzwa nezvazvo, havazivi chaizvo kuti zvinoitei uye nei zvichikosha kudaro. Saka nhasi, ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi bvunzo iyi yeTroponin?
Zvakanaka, ngatinzwisise izvi nenzira iyi. Troponin ipuroteni yakakosha inowanikwa mukati memasero edu emhasuru dzemwoyo. Funga nezvemasero edu emhasuru dzemwoyo sedzimba diki. Troponin yakafanana nezvinhu zviri mukati medzimba idzodzo. Mumunhu ane hutano hwakanaka, zvinhu izvi, zvinonzi troponin, zviri mukati medzimba. Hazvipindi muropa. Uye kunyangwe zvikaitika, zvinouya muhuwandu hushoma zvekuti hazvigone kuonekwa.
Zvisinei, mumamiriro ezvinhu akaita sekurwadziwa kwemoyo, tsinga yeropa inopa mwoyo inovharika, uye masero emhasuru dzemwoyo haawani okisijeni yaanoda, uye masero iwayo anotanga kufa. Zvakafanana nedzimba padzinokuvara. Chii chinoitika kana madziro emba akatyoka? Zviri mukati zvinorasirwa kunze, handiti? Nenzira imwecheteyo, kana masero emhasuru dzemwoyo akakuvara, puroteni yetroponin iri mukati mawo inoburitswa muropa.
Kuongororwa kwetroponin kunosanganisira kutora sampuro yeropa rako uye kuyera kana troponin irimo kana kuti kwete, uye kana zvakadaro, yakawanda sei. Kana troponin yakawanda muropa rako, tsandanyama dzemwoyo dzinokuvadzwa zvakanyanya. Izvi zvinogona kubatsira vanachiremba kunzwisisa kuoma kwechirwere chemwoyo.
Miedzo mitsva yetroponin (High-sensitivity troponin tests) inonzwisisika zvikuru. Izvi zvinoreva kuti miedzo iyi inogona kuona kunyangwe huwandu hushoma hwetroponin muropa. Izvi zvakaderedza zvakanyanya nguva inotora kuongorora chirwere chemwoyo. Zvakare, dzimwe nguva kunyangwe zviratidzo zvisiri pachena, uye pasina shanduko yakakosha muECG, bvunzo iyi inogona kusimbisa kana paine chirwere chemwoyo kana kwete.
Kune mhando mbiri dzetroponin here?
Ehe, kune mhando mbiri huru dzetroponins dzinoburitswa muropa kana mwoyo wedu wakuvara. Vanachiremba vanodana idzi nemavara ekuti 'I' na 'T'.
- Troponin I (Troponin I kana cTnI): Izvi zvakakosha zvikuru nekuti rudzi urwu rwetroponin runowanikwa mutsandanyama yemwoyo chete.Izvi hazviwanikwe mune imwe tsandanyama mumuviri wedu. Saka kana huwandu hwetroponin I muropa hwakwira, chiratidzo chakajeka chekuti tsandanyama yemwoyo yakakuvara. Zvakafanana nekadhi rekuzivikanwa rinowanikwa pamoyo chete.
- Troponin T (Troponin T kana cTnT): Rudzi urwu rwetroponin T runowanikwa muzvikamu zvidiki mune dzimwe tsandanyama mumuviri wedu (semuenzaniso, tsandanyama dzakabatana nemapfupa). Asi musazvidya mwoyo. Maumbirwo etroponin T mumoyo akasiyana zvishoma neanowanikwa kune dzimwe nzvimbo. Miedzo yanhasi inongogona kusarudza nekuyera troponin T chaiyo yemwoyo.
Mushure mekurwara nemoyo, huwandu hwe troponin uhu hunowanzotanga kukwira nekukurumidza pakati pemaawa matatu negumi nemaviri . Hunonyanya kusvika pamaawa makumi maviri nemana . Hunoramba hwakakwira muropa kwemazuva akati wandei mushure meizvozvo. Saka, kunyangwe ukava nekurwadziwa pachipfuva uye ukaenda kuchipatara mushure mezuva rimwe kana maviri, bvunzo iyi inogona kuona kana wakamborwara nemoyo.
Kuongororwa uku kunoitirwa chirwere chemwoyo chete here?
Kwete. Kuongororwa kwetroponin kunowanzo shandiswa kuona chirwere chemwoyo, asi huwandu hwetroponin hunogonawo kukwidziridzwa mune chero chimwe chirwere chinogona kukuvadza tsandanyama dzemwoyo. Izvi zvinoreva kuti huwandu hwakakwira hwetroponin hazvirevi kuti une chirwere chemwoyo nguva dzose. Chiremba wako achaita kuongororwa kwakarurama zvichibva pazviratidzo zvako nezvimwe zvese zvabuda muongororo yako.
Heano zvimwe zvikonzero nei mazinga e troponin angakwidziridzwa:
- Chirwere cheitsvo chisingaperi: Kana itsvo dzisiri kushanda zvakanaka, zvinhu zvakaita setroponin mumuviri hazvisefeki zvakanaka uye hazvibviswi. Nokudaro, huwandu hwetroponin muropa hunogona kunge hwakakwira.
- Kuvharika kwemapapu: Izvi zvinokonzeresa emergency. Izvi zvinoisa kumanikidzwa kwakanyanya pamoyo, zvichikonzera kukuvara kwetsandanyama yemoyo uye kuburitswa kwetroponin.
- Kukundikana kwemoyo kwakavharika: Kana moyo ukaneta uye usingakwanise kupomba ropa rakakwana mumuviri, tsandanyama yemoyo inogona kuramba ichikuvara.
- Kuvhiyiwa kwemoyo: Zvinowanzoitika kuti tsandanyama dzemwoyo dziwande panguva yekuvhiyiwa kwemoyo, saka huwandu hwetroponin hunowedzera mushure mekuvhiyiwa.
- Zvirwere zvevharuvhu yemoyo: Kana mavharuvhu emoyo asingashande zvakanaka, moyo unofanirwa kushanda nesimba. Izvi zvinogona kukuvadza tsandanyama yemoyo nekufamba kwenguva.
- Arrhythmias: Kana mwoyo uchirova nekukurumidza zvisingaite, zvinogona kukuvadza tsandanyama dzemwoyo.
- Utachiona hwakanyanya hwakapararira mumuviri wese (Sepsis): Muchiitiko ichi, maitiro emuviri anogona kukuvadza nhengo dzemuviri kusanganisira moyo.
- Kurovedza muviri zvakanyanya: Kunyangwe kurovedza muviri kwakaoma uye kusingatsungiririki dzimwe nguva kunogona kuwedzera huwandu hwe troponin kwenguva pfupi.
- Kushungurudzika zvakanyanya kana kukuvara: Kushanda kwemahormone kunoitika kana uchinzwa kusuruvara kusingatsungiririki, kukuvara, kana kushushikana kunogonawo kukuvadza tsandanyama dzemwoyo.
Saka yeuka, huwandu hwakawanda hwe troponin hunoreva chete kuti pane kukuvara kwetsandanyama yemwoyo. Chiremba wako achaona kana kukuvara kwacho kuri kukonzerwa nechirwere chemwoyo kana chimwe chirwere mushure mekunyatsoongorora zviratidzo zvako, bvunzo yeECG, nezvimwe zvinhu.
Bvunzo iyi inoitwa sei? Chii chaunofanira kuziva?
Iyi bvunzo iri nyore kwazvo. Inosanganisira kutora ropa diki kubva mutsinga iri muruoko rwako. Kana watova nemutsara weIV, unogona kutora ropa kubva ipapo. Saka haufanirwe kuwana tsono.
Sezvo bvunzo iyi ichiwanzoitwa kana paine dambudziko rekukurumidza, hapana chikonzero chekugadzirira pachine nguva. Asi pane chinhu chimwe chete chakakosha chaunofanira kuziva.
Kana uri kutora mavhitamini kana zvimwe zvinovaka muviri zvine vhitamini B7, kana biotin, unofanira kuudza chiremba wako nezvazvo. Zvimwe zvigadzirwa zvekunaka, kunyanya mavhitamini ebvudzi, ganda, uye hutano hwenzara, zvine biotin yakawanda. Biotin iyi inogona kukanganisa mhedzisiro yekuongororwa kwetroponin. Izvi zvinoreva kuti kunyangwe huwandu hwetroponin yako hwakakwira, hunogona kuoneka hwakaderera pane mushumo nekuda kwebiotin. Hazvina njodzi here izvozvo? Saka ibasa rako kuzivisa chiremba wako nezveizvi.
Kazhinji, vanachiremba havamiriri kuti mushumo we troponin uuye kana paine chifungidziro chekuti pane chirwere chemwoyo. Vanotarisa zviratidzo uye ECG, uye vanotanga mushonga wechirwere chemwoyo nekukasika. Nekuti sekondi yega yega inokosha panguva yakaita seiyi. Zvadaro, kana mushumo we troponin wasvika, vanochinja kurapwa zvinoenderana, kana zvichidikanwa.
Ndinonzwisisa sei mushumo webvunzo?
Mushumo wekuongororwa kwetroponin unowanzo kuwanikwa mukati meawa imwe chete kana maviri. Kana zvabuda, chiremba achakutsanangurira.
Kazhinji, huwandu hwetroponin muropa remunhu ane hutano hwakaderera zvikuru, kana kuti hautombooneki. Hunhu uhwu hunogona kusiyana zvishoma kubva murabhoritari kuenda kune imwe uye zvichienderana nemuchina washandiswa. Zvisinei, uhwu hunhu hunogamuchirwa.
| Rudzi rweTroponin | Hutano hwakanaka (Reference Range) |
|---|---|
| Troponin I | 0 - 0.04 ng/mL |
| Troponin T | 0 - 0.01 ng/mL |
`ng/mL` mumushumo uyu inomiririra nanograms pa milliliter. Funga nezvazvo, nanogram ibhiriyoni imwe yegiramu. Iyoyo idiki zvikuru. Izvi zvinofanira kukupa pfungwa yekuti huwandu hwetroponin muropa remunhu ane hutano hudiki zvakadii.
Kana mhedzisiro yako ye troponin yakakwira kupfuura iyi yakajairika, inonzi "troponin yakakwira." Zvinoreva kuti tsandanyama dzemwoyo dzakakuvara uye troponin yaungana muropa.
Sei uchidzokorora bvunzo?
Ungave wakaona chiremba wako achikuitira bvunzo yetroponin kamwe chete paunopinda muchipatara, wobva waita bvunzo zvakare mushure memaawa mashoma (semuenzaniso maawa matatu, maawa matanhatu). Vanozviita nechikonzero.
- Ona kana huwandu huri kukwira: Kana huwandu hwetroponin hwakakwira mumushumo wechipiri pane hwekutanga ("pattern inowedzera"), izvi zvinopa humbowo hwakasimba hwekuti chirwere chemwoyo chiri kuitika.
- Nzwisisa kukura kwekukuvara: Kuti troponin inokwira zvakadii uye kuti inoramba yakakwira kwenguva yakareba sei zvinogona kupa pfungwa yekuoma kwekukuvara kwacho.
Mazinga eTroponin I anoramba akakwira kwemazuva angangoita mashanu kusvika manomwe mushure mekurwara nemoyo. Mazinga eTroponin T anogona kuramba akakwira kwemavhiki matatu.
Mharidzo Yekuenda Nayo Kumba
- Troponin ipuroteni inokosha inoburitswa muropa kana masero emhasuru dzemwoyo akakuvara.
- Kuongororwa kweropa re troponin inzira yakakosha uye yakavimbika yekuongorora chirwere chemwoyo.
- Kuwanda kwetroponin muropa kunoratidza kukuvara kwetsandanyama yemwoyo. Zvisinei, hazvirevi kuti munhu anowanzo kurwara nemoyo. Troponin inogonawo kuwedzerwa nekuda kwezvimwe zvikonzero, zvakaita sechirwere cheitsvo.
- Iyi iongororo yeropa iri nyore kwazvo, isina njodzi. Migumisiro yakaipa haina kunyanya kuipa.
- Iva nechokwadi chekuudza chiremba wako kana uri kutora chero mishonga yekuwedzera kana mavhitamini ane vhitamini B7 (Biotin), sezvo izvi zvingakanganisa kururama kwemhedzisiro.
- Usazvidya mwoyo nezvemigumisiro ye troponin yako chete. Chiremba wako achadudzira mushumo wacho nemazvo uye achakupa mushonga waunoda.
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