Masifunde ngovavanyo lwe-BNP? Ibali lentliziyo yakho (Uvavanyo lwe-B-Type Natriuretic Peptide)

Ngaba ngamanye amaxesha ukufumanisa kunzima ukuphefumla nokuba uhamba umgama omfutshane? Okanye imilenze yakho iyadumba uze uzive udiniwe? Ukuba uneempawu ezinje, ugqirha wakho unokucebisa uvavanyo lwegazi olubizwa ngokuba yi-BNP. Abantu abaninzi bayoyika kancinci xa besiva eli gama, kuba abazi ukuba liyintoni kanye kanye. Kodwa yintoni ngokwenene? ​​Libona ntoni? Masithethe ngayo yonke le nto ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye i-BNP?

Ngamafutshane, i-BNP yiproteni eveliswa yintliziyo yakho. I-BNP imele i-B-type Natriuretic Peptide. Kodwa abanye abantu bayibiza ngokuba yi-"Brain" Natriuretic Peptide. Kungenxa yokuba izazinzulu zaqala ukufumanisa le proteni kwizicubu zobuchopho. Kodwa kamva kwafunyaniswa ukuba iveliswa kakhulu yintliziyo yethu, ngakumbi i-ventricle yasekhohlo.

Cinga ngale ndlela. Intliziyo yakho ifana nepompo esebenza ngokungayekiyo. Ngamanye amaxesha le pompo kufuneka isebenze nzima. Oko kuthetha ukuba izihlunu zentliziyo ziqala ukufinyela. Ngamaxesha anje, intliziyo ikhupha le protein ebizwa ngokuba yi-BNP egazini.

Ezi BNPs zinokwenza izinto ezimangalisayo:

• Baxelela izintso ukuba, "Kukho ityuwa namanzi amaninzi emzimbeni, ngoko ke zisuse ngomchamo."
• Ikwaxelela imithambo yegazi ukuba "ivuleke kancinci (ivuleke), ivumele igazi ukuba lihambe lula."

Zombini ezi nkqubo zibangela ukwehla koxinzelelo lwegazi kunye nokwehla kobungakanani begazi ekufuneka liphampe intliziyo. Oku kunciphisa umthwalo womsebenzi entliziyweni, oko kuthetha ukuba kufuneka isebenze nzima. Ngoko ke i-BNP ifana nomhlobo onceda intliziyo.

Nangona kunjalo, ukuba inqanaba le-BNP egazini lakho liphezulu kakhulu kunesiqhelo , oko kunika ugqirha wakho uphawu olubalulekileyo. Oko kukuthi, "Intliziyo yakho iphantsi koxinzelelo olukhulu." Le meko idla ngokubonakala kwisifo sentliziyo.

Ezinye iilabhoratri zenza uvavanyo olufanayo olubizwa ngokuba yi -NT-proBNP . Zombini zibonelela ngolwazi olufanayo, kodwa uluhlu oluqhelekileyo lwahlukile.

Kutheni ugqirha angacebisa olu vavanyo lwe-BNP?

Kusenokuba nezizathu ezininzi zokuba ugqirha wakho angacebisa olu vavanyo.

• Ukuba uneempawu zokusilela kwentliziyo: Ukuba uneempawu ezifana nokuphefumla kancinci, ukudinwa okungapheliyo, ukudumba kwemilenze namaqatha, olu vavanyo lubaluleke kakhulu ukuze kuqinisekiswe ukuba imbangela yingxaki yentliziyo okanye yimiphunga.
• Ukuba sele unesifo sentliziyo: Ukuba sele ufunyenwe unesifo sentliziyo, olu vavanyo lunceda ekuvavanyeni ubukhali baso.
• Jonga ukuba unyango luphumelele na:Eli nqanaba le-BNP likwajongwa ukuze kubonwe ukuba amayeza owanikwayo anciphise uxinzelelo entliziyweni yakho na nokuba isicwangciso sonyango siyasebenza na.
• Ukuba usemngciphekweni: Ukuba usemngciphekweni omkhulu wesifo sentliziyo (umzekelo, xa uneemeko ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu), olu vavanyo lungenziwa ukuze kufunyanwe umbono wempilo yentliziyo yakho.

Olu vavanyo lwegazi lwenziwa njani? Ngaba yinto ekufuneka uyoyike?

Oku kulula kakhulu. Awunasizathu sokoyika. Oku kwenziwa njengokutsalwa kwegazi okuqhelekileyo.

Umongikazi okanye ugqirha uza kucoca umthambo ongalweni yakho, afake inaliti encinci, aze athathe igazi elincinci. Usenokuziva urhawuzelelwa kancinci xa inaliti ifakwa, kodwa iya kuhlala imizuzwana embalwa kuphela.

Emva kokuba igazi lithathiwe, kufakwa iplasta encinci okanye ibhandishi kuloo ndawo. Indawo ingabonakala ikruqukile kancinci kwaye iluhlaza okwesibhakabhaka, kodwa oku kuya kunyamalala ngokupheleleyo emva kosuku olunye okanye ezimbini. Isampuli yegazi lakho iya kuthunyelwa kwilebhu ukulinganisa amanqanaba akho e-BNP okanye e-NT-proBNP.

Kuthatha ixesha elingakanani ukufumana iziphumo?

Le yenye yezona nzuzo zinkulu zolu vavanyo. Iziphumo zingafumaneka ngokukhawuleza kakhulu.

Ukuba ungeniswe kwiSebe leNgxakeko (i-ETU) ngenxa yengxakeko, njengobunzima bokuphefumla, ungafumana esi siphumo ngemizuzu eli-15 kuphela . Olu luncedo olukhulu koogqirha ekwenzeni izigqibo ngokukhawuleza xa kukho ingxaki.

Nangona kunjalo, ukuba sele unesifo sentliziyo kwaye uvavanywa rhoqo, njengokujonga inkqubela yonyango lwakho, kungathatha usuku okanye ezimbini ukuba iziphumo zibuye.

Ungayitolika njani isiphumo se-BNP? Ithini inqanaba 'eliqhelekileyo'?

Lo ngumbuzo abantu abaninzi abanawo. Makhe sijonge amaxabiso aphakathi kwezi mvavanyo zimbini kwitheyibhile efana nale.

Kodwa khumbula oku. La maxabiso asisikhokelo nje esiqhelekileyo. La maxabiso 'aqhelekileyo' anokwahluka kancinci ngokuxhomekeke kwiminyaka yakho, ezinye iimeko zempilo, kwaye ngamanye amaxesha ubunzima bomzimba (ukutyeba kakhulu). Ke ngoko, ngugqirha wakho kuphela onokutolika ngokuchanekileyo iziphumo zakho. Musa ukuthembela kwi-intanethi ukuze wenze izigqibo zakho.

Kuthetha ukuthini ukuba inqanaba le-BNP liphezulu kune-'Normal'?

Amanqanaba aphezulu e-BNP adla ngokubonisa ukuba kukho uxinzelelo oluthile entliziyweni. Ukuba ixabiso le-BNP lingaphezulu kwe-100 pg/mL, oko kusenokuba luphawu lokusilela kwentliziyo.

Nangona kunjalo, isizathu sokuba nenqanaba eliphezulu le-BNP asikokuba intliziyo ayisebenzi kakuhle. Eli nqanaba linokunyuka ngenxa yezinye iingxaki zempilo. Ngoko ke, musa ukwenza izigqibo ezinkulu ngokusekelwe kolu vavanyo lodwa.

Ezinye izizathu ezinokubangela amanqanaba aphezulu e-BNP ziquka:

• Isifo Sezintso Esingapheliyo: Xa izintso zingasebenzi kakuhle, amanqanaba e-BNP egazini anokunyuka kuba umzimba awukwazi ukuyisusa ngokufanelekileyo.
• Ezinye izifo zentliziyo: Ukongeza ekusileleni kwentliziyo, i-BNP inokunyuka nakwezinye iimeko zentliziyo.
• Iingxaki zemiphunga: Amanqanaba e-BNP anokunyuswa ngenxa yeemeko ezifana nokuqhekeka kwegazi emiphungeni (pulmonary embolism) okanye uxinzelelo lwegazi oluphezulu emiphungeni (pulmonary hypertension).

Ukuba isiphumo 'siyinto engaqhelekanga', kuza kwenzeka ntoni emva koko?

Ukuba inqanaba lakho le-BNP liphezulu, ugqirha wakho uza kulijonga njengeqhekeza nje lephazili. Kuya kufuneka enze iimvavanyo ezingaphezulu ukuze afumane umfanekiso opheleleyo.

Umzekelo, ugqirha wakho unokucebisa iimvavanyo ezifana nezi:

• I-Electrocardiogram (EKG): Ijonga umsebenzi wombane wentliziyo.
• I-Echocardiogram: Iskeni yentliziyo. Oku kunokujonga izinto ezininzi, ezinje ngokukwazi kwentliziyo ukupompa kunye nemeko yeevalvu zayo.
• I-X-ray yesifuba: Uvavanyo lwe-X-ray yesifuba.

Ugqirha wakho uza kuthatha zonke ezi ziphumo zovavanyo, iimpawu zakho, kunye nembali yakho yezonyango ukuze afikelele kwisigqibo sokugqibela. Emva koko uza kuphuhlisa isicwangciso sonyango esikulungeleyo.

Ukuba unemibuzo malunga neziphumo, ungoyiki ukubuza ugqirha wakho. "Gqirha, ndixelelwe ukuba inqanaba lam le-BNP liphezulu, kuthetha ukuthini oko ngokwenene?" lilungelo lakho ukubuza.