Ingabe ngezinye izikhathi ukuthola kunzima ukuphefumula ngisho noma uhamba ibanga elifushane? Noma ingabe imilenze yakho iyavuvukala bese uzizwa ukhathele? Uma unezimpawu ezinjengalezi, udokotela wakho angase akuncome ukuhlolwa kwegazi okubizwa ngokuthi i-BNP. Abantu abaningi bayesaba kancane lapho bezwa leli gama, ngoba abazi kahle ukuthi liyini. Kodwa liyini ngempela? Litholani? Ake sixoxe ngakho konke lokhu kalula, ngendlela ongayiqonda.
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Iyini ngempela i-BNP?
Kalula nje, i-BNP iyiprotheni ekhiqizwa yinhliziyo yakho. I-BNP imele i-B-type Natriuretic Peptide. Kodwa abanye abantu bayibiza nangokuthi "Brain" Natriuretic Peptide. Lokho kungenxa yokuthi ososayensi bathola le phrotheni okokuqala ezicutshini zobuchopho. Kodwa kamuva kwaqashelwa ukuthi ikhiqizwa kakhulu yinhliziyo yethu, ikakhulukazi i-ventricle yesobunxele.
Cabanga ngale ndlela. Inhliziyo yakho ifana nephampu esebenza ngokungayeki. Ngezinye izikhathi lephampu kufanele isebenze kanzima. Lokho kusho ukuthi imisipha yenhliziyo iqala ukufinyela. Ngezikhathi ezinjengalezi, inhliziyo ikhipha le phrotheni ebizwa ngokuthi i-BNP egazini.
Lawa ma-BNP angenza izinto ezimangalisayo:
- Zitshela izinso ukuthi, "Kunosawoti namanzi amaningi emzimbeni, ngakho-ke zisuse ngomchamo."
- Iphinde itshele imithambo yegazi ukuthi "ivuleke kancane (ivuleke), ivumele igazi ligeleze kalula."
Zombili lezi zinqubo ziholela ekwehleni komfutho wegazi kanye nokwehla kwenani legazi inhliziyo okufanele ilipompe. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni, okusho ukuthi kufanele isebenze kanzima. Ngakho-ke i-BNP ifana nomngane osiza inhliziyo.
Kodwa-ke, uma izinga le-BNP egazini lakho liphakeme kakhulu kunokujwayelekile , linikeza udokotela wakho isignali ebalulekile. Okusho ukuthi, "Inhliziyo yakho ingaphansi kokucindezeleka okukhulu." Lesi simo sivame ukubonakala ekuhlulekeni kwenhliziyo.
Amanye amalabhorethri enza ukuhlolwa okufanayo okubizwa ngokuthi i-NT-proBNP . Womabili anikeza ulwazi olufanayo, kodwa ububanzi obujwayelekile buhlukile.
Kungani udokotela angancoma lokhu kuhlolwa kwe-BNP?
Kungase kube nezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa.
- Uma unezimpawu zokwehluleka kwenhliziyo: Uma unezimpawu ezifana nokuphelelwa umoya, ukukhathala okuqhubekayo, ukuvuvukala kwemilenze namaqakala, lokhu kuhlolwa kubaluleke kakhulu ukuthola ukuthi imbangela iyinkinga yenhliziyo noma yamaphaphu.
- Uma usuvele unesifo senhliziyo: Uma usuvele utholakale unesifo senhliziyo, lokhu kuhlolwa kusiza ekuhloleni ubukhali baso.
- Bheka ukuthi ukwelashwa kuphumelele yini:Leli zinga le-BNP liyahlolwa futhi ukuze kubonakale ukuthi imithi oyinikwayo inciphise yini ingcindezi enhliziyweni yakho nokuthi uhlelo lokwelashwa luyasebenza yini.
- Uma usengozini: Uma usengozini enkulu yesifo senhliziyo (isibonelo, ngezimo ezifana nesifo sikashukela noma umfutho wegazi ophakeme), lokhu kuhlolwa kungenziwa futhi ukuze uthole umbono wempilo yenhliziyo yakho.
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Lokhu kulula kakhulu. Awunaso isizathu sokwesaba. Lokhu kwenziwa njengokukhipha igazi okuvamile.
Umhlengikazi noma udokotela uzohlanza umthambo ongalweni yakho, afake inaliti encane, bese ethatha igazi elincane. Ungase uzizwe umuzwa omncane wokuhlaba lapho inaliti ifakwa, kodwa uzohlala imizuzwana embalwa kuphela.
Ngemva kokuthathwa kwegazi, kufakwa iplasta encane noma ibhandishi endaweni. Indawo ingase ibonakale iphukile kancane futhi iluhlaza okwesibhakabhaka, kodwa lokhu kuzonyamalala ngokuphelele ngosuku olulodwa noma ezimbili. Isampula yegazi lakho lizothunyelwa elabhorethri ukuze kulinganiswe amazinga akho e-BNP noma e-NT-proBNP.
Lolu luvivinyo olulula kakhulu, olusheshayo, noluphephile, ngakho ungesabi.
Kuthatha isikhathi esingakanani ukuthola imiphumela?
Lokhu kungenye yezinzuzo ezinkulu zalolu vivinyo. Imiphumela ingatholakala ngokushesha okukhulu.
Uma ungeniswa eMnyangweni Wezimo Eziphuthumayo (i-ETU) ngenxa yesimo esiphuthumayo, njengobunzima bokuphefumula, ngokuvamile ungathola lo mphumela ngemizuzu eyi-15 kuphela . Lokhu kuwusizo olukhulu kodokotela ukwenza izinqumo ezisheshayo esimweni esiphuthumayo.
Kodwa-ke, uma usuvele unesifo senhliziyo futhi kwenziwa lokhu kuhlolwa njalo, njengokuqapha inqubekela phambili yokwelashwa kwakho, kungathatha usuku noma ezimbili ukuthi imiphumela ibuye.
Ungawuchaza kanjani umphumela we-BNP? Iyini izinga 'elijwayelekile'?
Lona umbuzo abantu abaningi abanawo. Ake sibheke amanani ajwayelekile alezi zivivinyo ezimbili etafuleni elifana naleli.
| Igama lokuhlolwa | Iqembu lobudala | Izinga elijwayelekile |
|---|---|---|
| I-BNP | Kuwo wonke umuntu | Ngaphansi kuka-100 pg/mL |
| I-NT-proBNP | Ngaphansi kweminyaka engama-75 ubudala | Ngaphansi kuka-125 pg/mL |
| Uneminyaka engaphezu kwengu-75 ubudala | Ngaphansi kuka-450 pg/mL |
Kodwa khumbula lokhu. Lezi zindinganiso ziwumhlahlandlela ojwayelekile nje. Lezi zindinganiso 'ezivamile' zingase zihluke kancane kuye ngeminyaka yakho, ezinye izimo zezokwelapha, kanye nesisindo somzimba ngezinye izikhathi (ukukhuluphala). Ngakho-ke, udokotela wakho kuphela ongachaza imiphumela yakho ngokunembile. Ungathembeli ku-inthanethi ukuze wenze izinqumo zakho.
Kusho ukuthini uma izinga le-BNP liphakeme kune-'Normal'?
Amazinga aphezulu e-BNP avame ukukhombisa ukuthi kukhona ukucindezeleka enhliziyweni. Uma inani le-BNP lingaphezu kuka-100 pg/mL, kungaba uphawu lokwehluleka kwenhliziyo.
Ngokuvamile, uma inani le-BNP liphakeme, kuba nzima kakhulu ngenhliziyo ukuthi isebenze.
Kodwa-ke, isizathu sezinga le-BNP eliphakeme akusikho njalo ukwehluleka kwenhliziyo. Leli zinga lingakhuphuka ngenxa yezinye izinkinga zempilo. Ngakho-ke, ungenzi izinqumo ezinkulu ngokusekelwe kulolu vivinyo kuphela.
Ezinye izizathu ezingabangela amazinga aphezulu e-BNP zifaka:
- Isifo Sezinso Esingapheli: Uma izinso zingasebenzi kahle, amazinga e-BNP egazini anganda ngoba umzimba awukwazi ukuyisusa kahle.
- Ezinye izifo zenhliziyo: Ngaphezu kokwehluleka kwenhliziyo, i-BNP ingakhuphuka nakwezinye izimo zenhliziyo.
- Izinkinga zamaphaphu: Amazinga e-BNP angakhuphuka ngenxa yezimo ezifana nokuqhekeka kwegazi emaphashini (pulmonary embolism) noma umfutho wegazi ophezulu emaphashini (pulmonary hypertension).
Uma umphumela 'uyi-Abnormal', kuzokwenzekani ngokulandelayo?
Uma izinga lakho le-BNP liphezulu, udokotela wakho uzolibheka njengengcezu eyodwa nje yephazili. Kuzodingeka enze izivivinyo ezengeziwe ukuze athole isithombe esiphelele.
Isibonelo, udokotela wakho angase ancome ukuhlolwa okufana nalokhu:
- I-Electrocardiogram (EKG): Ihlola ukusebenza kukagesi kwenhliziyo.
- I-Echocardiogram: Ukuskena kwenhliziyo. Lokhu kungahlola izinto eziningi, njengekhono lokushaya kwenhliziyo kanye nesimo sama-valve ayo.
- I-X-ray yesifuba: Ukuhlolwa kwe-X-ray yesifuba.
Udokotela wakho uzocabangela yonke le miphumela yokuhlolwa, izimpawu zakho, kanye nomlando wakho wezokwelapha ukuze afinyelele esiphethweni sokugcina. Uzobe esesungula uhlelo lokwelashwa olukulungele kangcono.
Uma unemibuzo mayelana nemiphumela, ungesabi ukubuza udokotela wakho. "Dokotela, ngitshelwe ukuthi izinga lami le-BNP liphezulu, kusho ukuthini ngempela lokho?" kuyilungelo lakho ukubuza.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-BNP ukuhlolwa kwegazi okulula okunikeza ulwazi olubalulekile mayelana nempilo yenhliziyo yakho, ikakhulukazi ukwehluleka kwenhliziyo.
- Asikho isizathu sokwesaba ukwenza lokhu. Kufana nje nokuhlolwa kwegazi okuvamile.
- Izinga le-BNP eliphakeme akusho ngaso sonke isikhathi ukwehluleka kwenhliziyo. Ezinye izimbangela, njengesifo sezinso, nazo zingaba khona.
- Ungasheshi ufinyelele eziphethweni ngokusekelwe emiphumeleni yokuhlolwa kwakho. Khuluma nodokotela wakho ngaso sonke isikhathi ngakho.
- Lokhu kuhlolwa kuwusizo olukhulu kudokotela wakho ukukuxilonga ngokunembile futhi akunikeze ukwelashwa okungcono kakhulu.
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