Amaprotheni asebenza ngoku-C (CRP): kuyini nokuthi kungani kungenzeka abe phezulu

-Delile

• Inani elijwayelekile le-PCR
• Luthini uhlolo lwe-PCR olubucayi kakhulu
• Yini engaba yi-PCR ephezulu
• Okufanele ukwenze lapho i-CRP yakho iphezulu

Iprotheyini esebenza ngoku-C, eyaziwa nangokuthi i-CRP, yiprotheni ekhiqizwa yisibindi esivame ukwanda uma kukhona uhlobo oluthile lwenqubo yokuvuvukala noma yokutheleleka eyenzeka emzimbeni, ingesinye sezinkomba zokuqala ezishintshiwe ekuhlolweni kwegazi, kulezi zimo.

Le phrotheni isetshenziselwa kabanzi ukuhlola ukuthi kungenzeka yini ukutheleleka noma inqubo yokuvuvukala engabonakali, njenge-appendicitis, isifo sokuqina kwemithambo yegazi noma izifo ezisolwayo ezibangelwa amagciwane kanye namagciwane, ngokwesibonelo. Kodwa-ke, i-CRP nayo ingasetshenziselwa ukuhlola ubungozi bomuntu bokuhlaselwa yisifo senhliziyo nemithambo yegazi, njengoba kuphakama, inkulu ingozi yalolu hlobo lwesifo.

Lokhu kuhlolwa akubonisi kahle ukuthi ukugula noma ukutheleleka komuntu kunjani, kepha ukwanda kwamanani akhombisa ukuthi umzimba ulwa nomenzeli onolaka, ongabonakala futhi ekwandeni kwama-leukocyte. Ngakho-ke, inani le-CRP kufanele lihlale lihlaziywa ngudokotela owayalele ukuhlolwa, ngoba uzokwazi uku-oda ezinye izivivinyo futhi ahlole umlando wezempilo womuntu, ukuze afinyelele ekutholeni okulungile kakhulu.

Inani elijwayelekile le-PCR

Inani lesethenjwa le-CRP, kwabesilisa nabesifazane, lifinyelela ku-3.0 mg / L noma ku-0.3 mg / dL. Ngokuphathelene nobungozi benhliziyo, amanani akhombisa amathuba okuba nesifo senhliziyo yilawa:

• Ingcuphe enkulu: ngenhla kuka-3.0 mg / L;
• Ingozi emaphakathi: phakathi kuka-1.0 no-3.0 mg / L;
• Ubungozi obuphansi: ngaphansi kuka-1.0 mg / L.

Ngakho-ke, kubalulekile ukuthi amanani we-CRP aphakathi kuka-1 no-3 mg / L. Amanani aphansi wamaprotheni asebenza ngo-C angabonakala nakwezinye izimo, njengabantu abake bancipha kakhulu emzimbeni, ukuzivocavoca umzimba, ukuphuza iziphuzo ezidakayo kanye nokusetshenziswa kwemithi ethile, kubalulekile ukuthi udokotela abone imbangela .

Ukuhunyushwa komphumela kufanele kwenziwe ngudokotela, ngoba ukuze kufinyelelwe esiphethweni sokuxilongwa, kubalulekile ukuthi ezinye izivivinyo zihlaziywe ndawonye, ​​ngaleyo ndlela zenze ukuthi kutholakale kangcono imbangela yokwanda noma ukwehla kweCRP.

[ukuhlolwa-ukubuyekeza-i-pcr]

Luthini uhlolo lwe-PCR olubucayi kakhulu

Ukuhlolwa kwe-CRP ebucayi kakhulu kucelwa ngudokotela lapho efuna ukuhlola ubungozi bomuntu wezinkinga zenhliziyo, njengokuhlaselwa yinhliziyo noma isifo sohlangothi. Kulokhu, ukuhlolwa kuyacelwa lapho umuntu enempilo, ngaphandle kwezimpawu ezibonakalayo noma ukutheleleka. Lokhu kuhlolwa kucaciswe kakhulu futhi kungathola inani elincane le-CRP egazini.

Uma lo muntu ngokusobala ephile kahle futhi enamanani aphezulu e-CRP azwela kakhulu, kusho ukuthi usengozini yokuhlaselwa yisifo semithambo yegazi, noma ahlaselwe yisifo senhliziyo noma sohlangothi, ngakho-ke kufanele badle kahle futhi bazivocavoce njalo. Bona ezinye izeluleko eziyi-7 zokunciphisa ubungozi besifo senhliziyo.

Yini engaba yi-PCR ephezulu

Amaprotheni aphezulu asebenza ngo-C avela ezinqubweni eziningi zokuvuvukala nezithelelanayo zomzimba womuntu, futhi angahlobene nezimo eziningana njengokutholakala kwamagciwane, izifo zenhliziyo nemithambo yegazi, i-rheumatism futhi, ngisho nokwenqatshwa kokufakelwa komzimba, ngokwesibonelo.

Kwezinye izimo, amanani we-CRP angakhombisa ukuqina kokuvuvukala noma ukutheleleka:

• Phakathi kuka-3.0 kuye ku-10.0 mg / L: imvamisa ikhombisa ukuvuvukala okuncane noma ukutheleleka okuncane njenge-gingivitis, umkhuhlane noma ukubanda;
• Phakathi kuka-10.0 kuye ku-40.0 mg / L: kungaba luphawu lokutheleleka okungathi sína kakhulu nokutheleleka okulingene, okufana nengxibongo yenkukhu noma isifo sokuphefumula;
• Ngaphezu kuka-40 mg / L: imvamisa ikhombisa ukutheleleka ngamagciwane;
• Ngaphezu kuka-200 mg / L: ingakhombisa ukuthi septicemia, isimo esibi esibeka impilo yomuntu engcupheni.

Ukwanda kweprotheni nakho kungakhombisa izifo ezingalapheki ngakho-ke udokotela kufanele a-oda ezinye izivivinyo ukuzama ukuthola ukuthi yini eholele ekwandeni kwayo egazini, ngoba i-CRP ayikwazi, iyodwa, ukuthola isifo. Bheka izimpawu eziyinhloko zokuvuvukala.

Okufanele ukwenze lapho i-CRP yakho iphezulu

Ngemuva kokuqinisekisa amanani aphezulu e-CRP, udokotela kufanele ahlole umphumela wokunye ukuhlolwa oku-odiwe, kanye nokuhlola isiguli, ecabangela izimpawu eziveziwe. Ngakho-ke, kusukela lapho kutholakala imbangela, ukwelashwa kungaqalwa ngendlela ebhekiswe kakhulu futhi ethize.

Lapho isiguli siveza kuphela ukugula ngaphandle kwezinye izimpawu noma izici ezithile zobungozi, udokotela anga-oda ezinye izivivinyo, njengokukalwa kwezimpawu zesimila noma i-computed tomography, ngokwesibonelo, ukuze ithuba lokunyuka kweCRP liqinisekiswe lihlobene kumdlavuza.

Lapho amanani we-CRP engaphezulu kwama-200 mg / L futhi kutholakala ukungenwa kokutheleleka, kuvame ukukhonjiswa ukuthi umuntu ulaliswe esibhedlela ukuthola ama-antibiotic ngomthambo. Amanani e-CRP aqala ukukhuphuka emahoreni ayisithupha ngemuva kokuqala kokutheleleka futhi ajwayele ukwehla lapho ama-antibiotics eqalwa. Uma izinsuku ezimbili ngemuva kokusetshenziswa kwama-antibiotic amanani we-CRP awehli, kubalulekile ukuthi udokotela asungule elinye isu lokwelashwa.