Nnwale Troponin

Nnyocha troponin na-atụle ọkwa nke troponin T ma ọ bụ troponin I na-edozi ahụ n'ọbara. A na-ewepụta protein ndị a mgbe akwara obi mebiri emebi, dị ka nke mere na nkụchi obi. Ihe mmebi dị na obi, nke ka ukwuu nke troponin T na m ga-abụ n’ọbara.

Achọrọ nlebara ọbara.

Enweghị usoro pụrụ iche iji kwadebe, ọtụtụ oge.

May nwere ike ịnwe obere ihe mgbu ma ọ bụ gbaa mgbe etinyere agịga ahụ. May nwekwara ike na-eche ụfọdụ throbbing na saịtị ahụ mgbe ọbara amịrị.

Ihe kachasị mkpa iji mee nyocha a bụ iji hụ ma nkụchi obi ọ mere. Onye na-ahụ maka ahụike gị ga-enye ule a ma ọ bụrụ na ị nwere ihe mgbu obi na ihe ịrịba ama ndị ọzọ nke nkụchi obi. Ule a na-ejikarị ugboro abụọ ọzọ na-esote 6 ruo 24 awa.

Onye na-eweta gị nwekwara ike ịtụ ule a ma ọ bụrụ na ị nwere angina nke na-akawanye njọ, mana enweghị ihe ịrịba ama ndị ọzọ nke nkụchi obi. (Angina bụ ihe mgbu obi chere na ọ bụ akụkụ nke obi gị na-anaghị enweta ọbara zuru ezu.)

Enwere ike ịme ule troponin iji nyere aka chọpụta ma nyochaa ihe ndị ọzọ na-akpata mmerụ obi.

Enwere ike ime nnwale ahụ na nnwale akara akara obi ndị ọzọ, dịka CPK isoenzymes ma ọ bụ myoglobin.

Mmetụta cardiac troponin na-adịkarị ala nke ukwuu na enweghị ike ịchọpụta ya n'ọtụtụ nyocha ọbara.

Inwe usoro iheomume nke afọ 12 mgbe ihe mgbu malitere malitere apụ na nkụchi obi adịghị.

Normaldị ọnụahịa dị mma nwere ike ịdịtụ ntakịrị n'etiti ụlọ nyocha dị iche iche. Lafọdụ labs na-eji nha dị iche iche (dịka ọmụmaatụ, "nnukwu uche troponin test") ma ọ bụ nwalee ụdị dị iche iche. Ọzọkwa, ụfọdụ labs nwere dị iche iche cutoff ihe maka "nkịtị" na "puru omume myocardial infarction." Gwa onye na - enye gị ọrụ gbasara ihe nyocha gị pụtara.

Ọbụna ntakịrị mmụba na ọkwa nke troponin ga-apụtakarị na enwere ụfọdụ mmebi nke obi. Nnọọ nke troponin bụ ihe ịrịba ama na nkụchi obi emeela.

Imirikiti ndị ọrịa nwere nkụchi obi enweela okpomoku troponin n’ime awa isii. Mgbe awa 12 gachara, ihe fọrọ nke nta ka ọ bụrụ onye ọ bụla nwere nkụchi obi ga-ebuli ọkwa.

Ọnọdụ Troponin nwere ike ịdị elu karịa izu 1 ruo 2 mgbe nkụchi obi gasịrị.

Ubara troponin etoju nwekwara ike ịbụ n'ihi na:

• Obi mgbawa na-adịghị ngwa ngwa
• Ọbara mgbali elu na akwara ume (ọbara mgbali elu)
• Mgbochi nke akwara ume site na nkedo ọbara, abụba, ma ọ bụ mkpụrụ ndụ tumo (akpa ume)
• Ọrịa obi na-akụda mmụọ
• Ọkpụkpụ akwara obi
• Mbufụt nke akwara obi na-abụkarị n'ihi nje (myocarditis)
• Ime ogologo oge (dịka ọmụmaatụ, n'ihi marathons ma ọ bụ triathlons)
• Nsogbu nke na-emerụ obi, dịka ihe mberede ụgbọ ala
• Ọkpụkpụ nke ike obi (cardiomyopathy)
• Ọrịa akụrụ ogologo oge

Ubara troponin etoju nwekwara ike ịpụta site na usoro ọgwụgwọ ụfọdụ dị ka:

• Gbasara obi angioplasty / stenting
• Mkpụrụ obi defibrillation ma ọ bụ mgbagharị ọkụ eletriki (ihe na-awụ akpata oyi n'ahụ nke ndị ọrụ ahụike iji mezie ụda obi na-adịghị mma)
• Mepee ịwa ahụ obi
• Mmetụta rediofrequency nke obi

TroponinI; TnI; Ntughari TnT; Cardiac-kpọmkwem troponin m; Gbasara obi kpọmkwem troponin T; cTnl; Nkeji

Bohula EA, Morrow DA. ST-Elu myocardial infarction: njikwa. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2018: isi 59.

Bonaca, MP, Sabatine MS. Bịakwute onye ọrịa ahụ na-enwe obi mgbu. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 56.

Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC / AHA / SCAI lekwasịrị anya na ntinye aka na nkwonkwo akwara maka ndị ọrịa nwere infarction myocardial ST: mmelite nke usoro 2011 ACCF / AHA / SCAI maka ọgwụgwọ ọrịa na-adịghị mma na usoro 2013 ACCF / AHA maka njikwa nke ST- Ọdịdị myocardial dị elu: akụkọ nke American College of Cardiology / American Heart Association Task Force na usoro nlekọta ahụike na Society for Cardiovascular Angiography and Intercepts. Mgbaghari. 2016; 133 (11): 1135-1147. PMID: 26490017 www.ncbi.nlm.nih.gov/pubmed/26490017.

Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD; Executive Executive na nnọchite nke Joint European Society of Cardiology (ESC) / American College of Cardiology (ACC) / American Heart Association (AHA) / World Heart Federation (WHF) Task Force for the Universal Definition of Myocardial Infarction. Nkọwa nke anọ nke Myocardial Infarction (2018). Mgbaghari. 2018; 138 (20): e618-e651 PMID: 30571511 www.ncbi.nlm.nih.gov/pubmed/30571511.