Uma wena noma othile emndenini wakho enomkhuhlane noma ubuhlungu bomzimba, udokotela uzoyala ukuhlolwa kwegazi, akunjalo? Cishe uke wabona izinhlamvu ezintathu ezithi 'CRP' kulowo mbiko. Abantu abaningi bayakhathazeka kancane uma bebona lokhu. Bacabanga ukuthi, "O, lokhu kuphezulu, angazi ukuthi ngabe ukugula okungathí sina." Iyini ngempela i-CRP? Ingabe lokhu kubonisa ngempela ukugula okungathí sina emzimbeni wethu? Ake sixoxe ngalokhu namuhla ukuze siphendule yonke imibuzo esezingqondweni zethu.
Kalula nje, iyini i-CRP?
I-CRP igama elifushane le -C-Reactive Protein . Lolu uhlobo lweprotheyini olukhona emizimbeni yethu. Ngubani owaziyo ukuthi yini eyenzayo? Isibindi sethu siyayenza. Kodwa asiyenzi njalo. Uma kukhona ukuvuvukala endaweni ethile emzimbeni wethu, okungukuthi, kalula nje, ukuvuvukala noma ukutheleleka , isibindi sethu senza le phrotheni ebizwa ngokuthi i-CRP bese siyikhipha egazini.
Cabanga ngale ndlela. Umzimba wethu ufana nenqaba. Uma isitha esinjengegciwane noma amagciwane singena kule nqaba, noma uma kukhona ukulimala endaweni ethile emzimbeni, amasosha ethu omzimba, amabutho okuzivikela, aya empini. Kuphakathi nale mpi lapho izinto ezifana nokuvuvukala, ukubomvu, nobuhlungu zenzeka khona. Lapho nje le mpi iqala, kuthunyelwa isignali esibindini ethi, "Kulungile, manje impi isiqalile, yenza i-CRP bese uyibeka egazini."
Lokho kusho ukuthi, i-CRP imane nje 'iwuphawu' olusitshela ukuthi kukhona ukuvuvukala, okungukuthi, ukutheleleka noma ukuvuvukala, endaweni ethile emzimbeni wethu. Ayisitsheli ngokuqondile ukuthi siyini lesi sifo noma ukuthi sikuphi.
Odokotela banikeza nini ukuhlolwa kwe-CRP?
Udokotela uzoyala ukuhlolwa kwe-CRP uma esola ukutheleleka noma ukuvuvukala emzimbeni wakho ngemva kokubheka izimpawu zakho. Lokhu kungasiza ekuxilongeni isifo esithile, kanye nokuqinisekisa ukuthi awunazo izifo ezithile.
Lolu vivinyo luvame ukusetshenziswa uma:
- Hlola izifo ezibangelwa amagciwane ezinzima njenge -sepsis .
- Uma usola ukuthi kukhona izifo zesikhunta emzimbeni.
- Bheka izimo ezifana nokutheleleka kwamathambo (i-osteomyelitis) .
- Uma usola isifo samathumbu esivuvukalayo (IBD) .
- Thola imbangela yobuhlungu bamalunga, njenge -arthritis .
- Bheka izifo ezithinta amasosha omzimba njenge- rheumatoid arthritis noma i-lupus .
- Funda ngesifo sokuvuvukala kwe-pelvic (PID) kwabesifazane.
Ngaphezu kwalokho, odokotela basebenzisa lolu vivinyo lwe-CRP ukuhlola ukutheleleka kwangaphakathi ngemva kokuhlinzwa okukhulu.
Yiziphi izimpawu ezingase zisho ukuthi udinga ukuhlolwa kwe-CRP?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezingezansi, udokotela wakho angase asole ukuthi unesifo futhi acele ukuhlolwa kwe-CRP.
| Isibonakaliso | Incazelo elula |
|---|---|
| Imfiva | Ukwanda okuzumayo kwezinga lokushisa lomzimba. |
| Ukugodola | Ukugodola okukhulu nokuthuthumela okwandulela noma okuhambisana nomkhuhlane. |
| Ukuphefumula okusheshayo (i-Tachypnea) | Ukuphefumula ngokushesha kunokujwayelekile, uzizwa sengathi uphelelwa umoya. |
| Inhliziyo esheshayo (i-Tachycardia) | Isilinganiso senhliziyo sikhuphuka kakhulu ngisho noma umi nje unganyakazi. |
| Isicanucanu nokuhlanza | Ukuhlanza okubangela ubuhlungu esiswini. |
Ingabe uyayihlola i-CRP ngesikhathi sokwelashwa?
Yebo. Uma usuvele welashwa ngenxa yokutheleleka noma isimo sokuvuvukala, odokotela basebenzisa nokuhlolwa kwe-CRP ukuze babone ukuthi ukwelashwa kuyasebenza yini. Isibonelo, uma i-CRP yakho yayiku-100, futhi ngemva kokuqala imithi, yehla yaya ku-20, lokho kusho ukuthi imithi iyasebenza futhi ukutheleleka kuyalawulwa . Lokho kuyisibonakaliso esihle.
Ungayihlola kanjani i-CRP test nokuthi ungayilungiselela kanjani?
Lokhu ukuhlolwa kwegazi okulula kakhulu. Akukho ukulungiselela okukhethekile okudingekayo kulokhu. Akudingeki uzile ukudla noma uphuze amanzi.
Yilokhu okwenzekayo lapho kudonswa igazi:
1. Uzohlaliswa esihlalweni, bese umhlengikazi noma umuntu oqeqeshiwe uzothola umthambo engalweni yakho. Ngokuvamile, igazi lithathwa ngaphakathi kwendololwane yakho.
2. Hlanza indawo ngengcezu encane yoboya bekotini bese ufaka isibulala-magciwane.
3. Bese kufakwa inaliti encane kakhulu emthanjeni bese kukhishwa igazi elincane. Kuleli qophelo, ungase uzizwe ulunywa yintuthwane . Ungakhathazeki, kuthatha imizuzwana embalwa kuphela.
4. Ngemva kokuba inani legazi elidingekayo selifakwe epayipini lokuhlola, inaliti iyasuswa bese kufakwa ucezu lwekotini kuleyo ndawo bese lucindezelwa.
5. Bese kufakwa iplasta encane. Yilokho kuphela! Umsebenzi wonke awuthathi imizuzu engaphezu kwemihlanu.
Indawo lapho igazi likhishwe khona ingase ibe nemihuzuko emincane futhi ibe luhlaza okwesibhakabhaka. Lokhu kuzophola ngokwako ngosuku olulodwa noma ezimbili.
Ungawaqonda kanjani amanani embikweni we-CRP?
Ngokuvamile uzothola umbiko wakho we-CRP zingakapheli usuku olulodwa noma ezimbili. Ukhombisa inani lakho le-CRP ngama-milligram nge-deciliter ngayinye (mg/dL).
Ngokuvamile, izinga le-CRP lomuntu ophilile lingaphansi kuka-0.9 mg/dL . Kodwa-ke, ngezinye izikhathi amazinga e-CRP angakhuphuka kancane. Lokhu okulandelayo kungaba imbangela:
- Ukubhema ugwayi
- Umkhuhlane ovamile
- Isifo sikashukela
- Ukungalali noma ukungalali
- Isifo sezinsini (i-Gingivitis)
- Ukukhuluphala ngokweqile
- Ukukhulelwa
- Ukulimala okuncane kwamuva nje
Futhi, amazinga e-CRP angase abe phezulu kancane ngokwemvelo kwabesifazane nakubantu asebekhulile.
Kuthiwani uma inani le-CRP liphezulu?
Uma izinga lakho le-CRP liphakeme kakhulu, kusho ukuthi kukhona ukuvuvukala emzimbeni. Udokotela angenza umbono ngokusekelwe ezingeni lokuvuvukala.
| Izinga le-CRP (mg/dL) | Lokhu kungasho ukuthini |
|---|---|
| Ukwanda okumaphakathi (1.0 - 10.0) | Izifo ezizenzakalelayo ezifana ne-rheumatoid arthritis (RA), i-lupus (SLE), i-myocardial infarction, i-pancreatitis , kanye ne-bronchitis zingase zibe khona. |
| Ukwanda okuphawulekayo (> 10.0) | Kungabangelwa ukutheleleka okubangelwa yibhaktheriya noma igciwane, i-systemic vasculitis , noma ukulimala okukhulu. |
| Ukuphakama okukhulu kakhulu (> 50.0) | Ngokuvamile (cishe ama-90%) amazinga e-CRP akhuphuka afike kuleli zinga ngenxa yokutheleleka okukhulu kwebhaktheriya. Ezimweni ezinjalo, kudingeka ukwelashwa okusheshayo. |
Ingabe kufanele ngikhathazeke uma izinga lami le-CRP liphakeme?
Lutho neze. Ungesabi uma ubona inani eliphakeme kancane embikweni wakho we-CRP. Njengoba sixoxile ngaphambili, i-CRP ingakhuphuka kancane ngezizathu eziningi, okuhlanganisa ukutheleleka okuncane, ukubhema, kanye nokukhuluphala ngokweqile.
Into ebalulekile ukuthi i-CRP iyingcezu eyodwa nje yephazili. Udokotela wakho uzohlanganisa izimpawu zakho, eminye imiphumela yokuhlolwa kwegazi, kanye nokuhlolwa kwakho ngokomzimba ukuze kufinyelelwe esiphethweni.
Ngakho-ke, ungazami ukuzixilonga ngokusekelwe ezingeni lakho le-CRP. Shiya kudokotela wakho. Uma edinga, uzocela ukuhlolwa okwengeziwe ukuze athole imbangela.
Umlayezo Wokuya Nawe Ekhaya
- I-CRP ukuhlolwa kwegazi okulula okubonisa ukuthi kukhona ukuvuvukala noma ukutheleleka endaweni ethile emzimbeni wakho.
- Lokhu kukodwa akukwazi ukusho ngqo ukuthi isifo siyini noma ukuthi sikuphi. Kumane nje 'kuyisibonakaliso' esingasiza udokotela.
- Kungaba nezizathu eziningi zokuthi inani le-CRP likhuphuke kancane. Ngakho-ke ungesabi ngemva kokubona umbiko.
- Izinga le-CRP eliphezulu kakhulu (elingaphezu kuka-50 mg/dL) livame ukukhombisa ukutheleleka okukhulu futhi kungadinga ukunakekelwa kwezokwelapha okuphuthumayo.
- Khuluma njalo nodokotela wakho futhi ufune iseluleko, kunokuba ufinyelele eziphethweni ngokushesha mayelana nezindinganiso ezisembikweni wakho we-CRP.
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