Imtixaanka Troponin

Tijaabinta troonin waxay cabbiraysaa heerarka troonin T ama troponin I borotiinka dhiiga ku jira. Borotiinadan waxaa la siidaayaa marka muruqa wadnaha dhaawacan yahay, sida ku dhacda wadno qabad. Waxyeellada intaa ka sii badan ee jirta ayaa wadnaha ka sii weynaysa, inta xaddiga troonin T iyo anigu dhiigga ayaan ku jiri doonaa.

Sambal dhiig ayaa loo baahan yahay.

Looma baahna tillaabooyin gaar ah oo la isku diyaariyo, inta badan.

Waxaa laga yaabaa inaad dareento xanuun yar ama qaniinyo markii cirbadda la gelinayo. Waxa kale oo laga yaabaa inaad dareento xoogaa jug ah goobta ka dib markii dhiigga lagaa qaado.

Sababta ugu badan ee loo sameeyo baaritaankaan waa in la arko haddii wadno xanuun uu dhacay. Bixiyaha xanaanada caafimaadkaaga ayaa amri doona baaritaankaan haddii aad isku aragto xabad xanuun iyo astaamo kale oo wadno qabad ah. Baaritaanka badanaa waxaa lagu celiyaa laba jeer oo kale 6 ilaa 24 saac ee soo socda.

Adeeg bixiyahaagu sidoo kale wuu dalban karaa baadhitaankan haddii aad qabtid angina oo kasii daraysa, laakiin aan lahayn calaamado kale oo wadno qabad ah. (Angina waa xanuun laabta ah oo loo maleynayo inuu ka yimid qeyb ka mid ah wadnahaaga oo aan helin socodka dhiigga oo ku filan.)

Tijaabada 'troonin' ayaa sidoo kale loo samayn karaa si looga caawiyo ogaanshaha iyo qiimeynta sababaha kale ee dhaawaca wadnaha.

Tijaabada waxaa lagu sameyn karaa iyadoo la raacayo baaritaanada kale ee calaamadaha wadnaha, sida CPK isoenzymes ama myoglobin.

Heerarka troponin-ka wadnaha ayaa caadi ahaan aad u hooseeya laguma ogaan karo inta badan dhiig-baarista.

Haysashada heerarka caadiga ah ee 'troonin' 12 saacadood ka dib markii xabadka uu xanuunku ka billowday macnaheedu waa wadno qabad uma badna.

Heerka qiimaha caadiga ahi wuu ku kala duwanaan karaa shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan (tusaale ahaan, "tijaabinta dareenka dareenka sare ee troponin") ama waxay tijaabiyaan shaybaarro kala duwan Sidoo kale, shaybaarada qaarkood waxay leeyihiin dhibco gooyn oo kala duwan oo loogu talagalay "caadiga ah" iyo "infarction myocardial suuragal ah." Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Xitaa wax yar oo ku soo kordha heerka troonin badanaa waxay la micno noqon doontaa in xoogaa dhaawac uu soo gaaray wadnaha. Heerarka aadka u sarreeya ee troponin waa calaamad muujinaysa in wadne qabad uu dhacay.

Bukaannada badankood ee ku dhacay wadne qabadku waxay kordhiyeen heerarka troonin 6 saac gudahood. 12 saacadood ka dib, ku dhowaad qof kasta oo uu ku dhacay wadne qabad ayaa kori doona heerarkiisa.

Heerarka Troponin-ka ayaa laga yaabaa inay sii ahaadaan kuwo sare illaa 1 illaa 2 toddobaad kadib wadno qabad ka dib.

Kordhinta heerarka troponin sidoo kale waxaa laga yaabaa inay sabab u tahay:

• Wadno garaac aan caadi ahayn
• Cadaadis dhiig oo sareeya ee xididada sambabaha (sambabada dhiig karka)
• Xannibaadda halbowlaha sambabka oo xinjirowga dhiigga, dufanka, ama unugyada burooyinka (sambabka sanbabada)
• Wadnaha oo hawl gab ah
• Wadnaha oo kala baxa
• Caabuq ku dhaca muruqa wadnaha badanaa waxaa sababa fayras (myocarditis)
• Jimicsi dheer (tusaale ahaan, marathons ama triathlons)
• Naxdinta dhaawaca wadnaha, sida shil baabuur
• Tabar-darrida murqaha wadnaha (cardiomyopathy)
• Cudurka kelyaha ee muddada dheer

Heerarka troponin ee kordhay waxay sidoo kale ka dhalan karaan habab caafimaad qaarkood sida:

• Wadne xanuunka 'angioplasty / stenting'
• Qalib-furid wadnaha ama qalbi-jebinta korantada (ujeedo ula kac ah oo ay shaqaalaha caafimaadku uga nixiyaan wadnaha si loo saxo wadnaha oo aan caadi ahayn
• Qalitaanka furan
• Ka jarista shucaaca wadnaha

TroponinI; TnI; TroponinT; TnT; Troponin u gaar ah Wadnaha I; Troponin gaar ah oo wadnaha ku takhasusay; cTnl; cTnT

Bohula EA, Morrow DA. Cudurka wadnaha ee 'ST-height' infarction infarction: management. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2018: cutubka 59.

Bonaca, MP, Sabatine MS. U dhowaanshaha bukaanka oo leh laab xanuun. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 56.

Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC / AHA / SCAI Cusboonaysiinta diirada saarey ee wax ka qabashada wadnaha ee aasaasiga ah ee loogu talagalay bukaanada qaba xanuunka 'ST-height myocardial infarction': waa cusbooneysiin ku saabsan tilmaamaha 2011 ACCF / AHA / SCAI ee wax ka qabashada wadnaha iyo halista 2013 ACCF / AHA ee maareynta ST- Cudurka 'myocardial infarction': warbixin ka socota Kuliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Mareykanka ee ku takhasusay tilmaamaha tababarka kiliinikada iyo Bulshada Wadnaha iyo Waxqabadyada Wadnaha. Wareegga. 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; Kooxda Fulinta oo ka wakiil ah Joint European Society of Cardiology (ESC) / American College of Cardiology (ACC) / American Heart Association (AHA) / World Heart Federation (WHF) Task Force ee Qeexitaanka Caalamiga ee Qalitaanka Myocardial. Qeexitaanka Afraad ee Caalamiga ee Qalitaanka Myocardial (2018). Wareegga. 2018; 138 (20): e618-e651 PMID: 30571511 www.ncbi.nlm.nih.gov/pubmed/30571511.