Ukuhlolwa kweTroponin

-Delile

• Kuyini ukuhlolwa kwe-troponin?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-troponin?
• Kwenzekani ngesikhathi sokuhlolwa kwe-troponin?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-troponin?
• Izinkomba

Kuyini ukuhlolwa kwe-troponin?

Ukuhlolwa kwe-troponin kukala izinga le-troponin egazini lakho. I-Troponin uhlobo lwamaprotheni atholakala emisipheni yenhliziyo yakho. I-Troponin ngokuvamile ayitholakali egazini. Lapho imisipha yenhliziyo ilimala, i-troponin ithunyelwa egazini. Njengoba ukulimala kwenhliziyo kukhuphuka, inani elikhulu le-troponin likhishwa egazini.

Amazinga aphezulu we-troponin egazini angasho ukuthi unenkinga yenhliziyo noma usanda kuba nayo. Ukuhlaselwa yinhliziyo kwenzeka lapho ukugeleza kwegazi kuya enhliziyweni kuvinjelwe. Lokhu kuvinjelwa kungaba yingozi. Kodwa ukuxilongwa ngokushesha nokwelashwa kungasindisa impilo yakho.

Amanye amagama: inhliziyo troponin I (cTnI), inhliziyo troponin T (cTnT), inhliziyo troponin (cTN), troponin eqondene nenhliziyo I troponin T

Kusetshenziselwa ini?

Ukuhlolwa kuvame ukusetshenziselwa ukuxilonga isifo senhliziyo. Kwesinye isikhathi kusetshenziselwa ukuqapha i-angina, isimo esivimbela ukugeleza kwegazi kuye enhliziyweni futhi kubangele ubuhlungu besifuba. U-Angina kwesinye isikhathi uholela ekuhlaselweni yinhliziyo.

Kungani ngidinga ukuhlolwa kwe-troponin?

Ungasidinga lesi sivivinyo uma ungeniswe egumbini lezimo eziphuthumayo unezimpawu zokuhlaselwa yisifo senhliziyo. Lezi zimpawu zifaka:

• Ubuhlungu besifuba noma ukungaphatheki kahle
• Ubuhlungu kwezinye izingxenye zomzimba, kufaka phakathi ingalo, iqolo, umhlathi, noma intamo
• Ukuphefumula kanzima
• Isicanucanu nokuhlanza
• Ukukhathala
• Isiyezi
• Ukujuluka

Ngemuva kokuthi uvivinywe okokuqala, uzophinde uphinde uhlolwe kabili noma ngaphezulu kwamahora angama-24 alandelayo. Lokhu kwenzelwa ukubona ukuthi ngabe kukhona yini ushintsho emazingeni akho etroponin ngokuhamba kwesikhathi.

Kwenzekani ngesikhathi sokuhlolwa kwe-troponin?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile wokuhlolwa kwe-troponin.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Amazinga ajwayelekile we-troponin egazini ngokuvamile aphansi kakhulu, awatholakali ekuhlolweni okuningi kwegazi. Uma imiphumela yakho ikhombisa amazinga ajwayelekile e-troponin amahora angu-12 ngemuva kokuqala kobuhlungu besifuba, akunakwenzeka ukuthi izimpawu zakho zibangelwe yisifo senhliziyo.

Uma kutholakala nezinga elincane le-troponin egazini lakho, kungasho ukuthi kukhona ukulimala enhliziyweni yakho. Uma amazinga aphezulu we-troponin atholakala ekuhlolweni okukodwa noma ngaphezulu ngokuhamba kwesikhathi, kungenzeka ukuthi kusho ukuthi uhlaselwe yisifo senhliziyo. Ezinye izizathu zamazinga aphezulu we-troponin afaka:

• Ukwehluleka kwenhliziyo yokubopha
• Isifo sezinso
• Ukuqina kwegazi emaphashini akho

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-troponin?

Uma unezimpawu zokuhlaselwa yisifo senhliziyo ekhaya noma kwenye indawo, shayela u-911 ngokushesha. Ukwelashwa okusheshayo kungasindisa impilo yakho.

Izinkomba

1. UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. ITroponin; k. 492-3.
2. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2019. I-Troponin [ibuyekezwe ngo-2019 Jan 10; icashunwe ngo-2019 Jun 19]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/troponin
3. IMaynard SJ, iMenown IB, i-Adgey AA. I-Troponin T noma i-troponin I njengezimpawu zenhliziyo ku-ischemic heart disease. Inhliziyo [i-Intanethi] 2000 Apr [icashunwe ngo-2019 Jun 19]; 83 (4): 371-373. Kutholakala kusuka: https://heart.bmj.com/content/83/4/371
4. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi [kucashunwe ngo-2019 Juni 19]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
5. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlaselwa Yinhliziyo: Yazi izimpawu. Thatha isenzo .; I-2011 Dec [icashunwe ngo-2019 Jun 19]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.nhlbi.nih.gov/files/docs/public/heart/heart_attack_fs_en.pdf
6. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Izimpawu, Izimpawu, Nezinkinga - Ukuhlaselwa Yinhliziyo - Ziyini Izimpawu Zokuhlaselwa Yinhliziyo? [kucashunwe ngo-2019 Juni 19]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/node/4280
7. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2019. Ukuhlolwa kweTroponin: Ukubuka konke [kubuyekezwe ngo-2019 Juni 19; icashunwe ngo-2019 Jun 19]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/troponin-test
8. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. I-Health Encyclopedia: iTroponin [icashunwe ngo-2019 Juni 19]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=troponin
9. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Imininingwane Yezempilo: Ukuhlaselwa Yinhliziyo ne-Angina Engazinzile: Ukubuka konke kwesihloko [kubuyekezwe ngo-2018 Jul 22; icashunwe ngo-2019 Jun 19]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/special/heart-attack-and-unstable-angina/tx2300.html

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.