Tijaabooyinka loo yaqaan 'Natriuretic Peptide Tests' (BNP, NT-proBNP)

Qanacsan

• Maxay yihiin baaritaanka peptide-ka dabiiciga ah (BNP, NT-proBNP)?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka peptide-ka dabiiciga ah?
• Maxaa dhacaya inta lagu gudajiro baaritaanka peptide-ka dabiiciga ah?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka peptide-ka dabiiciga ah?
• Tixraacyo

Maxay yihiin baaritaanka peptide-ka dabiiciga ah (BNP, NT-proBNP)?

Peptides dabiici ah waa walxo uu sameeyo wadnaha. Laba nooc oo muhiim ah oo ka mid ah walxahaani waa peptide maskaxda ka dhalata (BNP) iyo N-terminal pro b-type natriuretic peptide (NT-proBNP) Caadi ahaan, kaliya heerar yar oo ah BNP iyo NT-proBNP ayaa laga helaa qulqulka dhiigga. Heerarka sare waxay noqon karaan in wadnahaagu uusan u shubin dhiig sida jidhkaagu u baahan yahay. Markay tani dhacdo, waxaa loo yaqaan wadnaha oo shaqa-gaabiya, mararka qaarkoodna loo yaqaan wadnaha oo isku-dhafan.

Tijaabooyinka 'Natriuretic peptide' waxay cabiraan heerarka BNP ama NT-proBNP ee dhiigaaga. Bixiyaha xanaanada caafimaadkaaga ayaa dalban kara baaritaanka BNP ama tijaabada NT-proBNP, laakiin labadaba ma ahan. Labaduba waxtar ayey u leeyihiin baaritaanka wadnaha oo shaqeynaya, laakiin waxay ku tiirsan yihiin noocyo cabbir ah. Xulashada waxay ku xirnaan doontaa qalabka laga heli karo sheybaarka lagula taliyay ee bixiyahaaga.

Magacyada kale: peptide-ka naas-nuujinta maskaxda, NT-proB-nooca baaritaanka naas-nuujinta, B-nooca natriuretic peptide

Maxaa loo adeegsadaa?

Imtixaanka BNP ama baaritaanka NT-proBNP ayaa inta badan loo isticmaalaa in lagu ogaado ama looga saaro wadnaha oo shaqeyn waaya. Haddii mar hore lagaa helay wadno xanuun, baaritaanka waxaa loo isticmaali karaa:

• Ogow darnaanta xaaladda
• Qorshee daaweynta
• Ogow haddii daaweyntu shaqeyneyso

Baaritaanka waxaa sidoo kale loo isticmaali karaa in lagu ogaado in calaamadahaaga ay sabab u yihiin wadnaha oo shaqeynaya iyo in kale.

Maxaan ugu baahanahay baaritaanka peptide-ka dabiiciga ah?

Waxaad u baahan kartaa baaritaanka BNP ama baaritaanka NT-proBNP haddii aad leedahay astaamaha wadnaha oo istaaga. Kuwaas waxaa ka mid ah:

• Neefsashada oo ku adkaata
• Qufac ama xiiq
• Daal
• Barar caloosha, lugaha, iyo / ama cagaha
• Cunto xumo ama lallabbo

Haddii lagaa daweynayo wadnaha oo istaaga, daryeel caafimaad bixiyahaagu wuxuu amri karaa mid ka mid ah baaritaannadan si loo arko sida ugu wanaagsan ee ay daaweyntaadu u shaqeyso.

Maxaa dhacaya inta lagu gudajiro baaritaanka peptide-ka dabiiciga ah?

Imtixaanka BNP ama baaritaanka NT-proBNP, xirfadle daryeel caafimaad ayaa dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka BNP ama baaritaanka NT-proBNP.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Haddii heerarkaaga BNP ama NT-proBNP ay ka sarreeyeen sidii caadiga ahayd, waxay u badan tahay inay ka dhigan tahay inaad wadnaha istaagtay. Caadi ahaan, heerka sarreeya, ayaa ka sii daran khatartaada.

Haddii natiijooyinkaaga BNP ama NT-proBNP ay caadi ahaayeen, waxay u badan tahay inay ka dhigan tahay in astaamahaaga uusan ka imaan wadnaha oo istaaga. Bixiyahaaga ayaa laga yaabaa inuu dalbado baaritaano dheeri ah si looga caawiyo sameynta cudurka.

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka peptide-ka dabiiciga ah?

Bixiyaha xanaanada caafimaadkaaga ayaa dalban kara mid ama in kabadan oo kamid ah baaritaanada soosocda marka lagu daro ama kadib markii lagaa qaaday BNP ama NT-proBNP:

• Qalabka korantada, kaas oo eegaya dhaqdhaqaaqa korantada wadnaha
• Tijaabada culeyska, taasoo muujineysa sida wanaagsan ee wadnahaagu u maareeyo dhaqdhaqaaqa jirka
• Raajo xabadka ah si loo arko haddii wadnahaagu ka ballaaran yahay kan caadiga ah ama haddii dheecaan ku jiro sambabbadaada

Waxaad sidoo kale heli kartaa mid ama in kabadan oo kamid ah baaritaanka dhiiga ee soosocda:

• Imtixaanka ANP. ANP waxay u taagan tahay atpturetic atriuretic peptide. ANP waxay la mid tahay BNP laakiin waxaa lagu sameeyaa qayb ka duwan wadnaha.
• Guddi dheef-shiid kiimikaad si loo hubiyo cudurka kelyaha, oo leh astaamo la mid ah wadnaha oo istaaga
• Tirinta dhiigga oo dhammaystiran si loo hubiyo dhiig yari ama xanuuno kale oo dhiig ah

Tixraacyo

1. Ururka Wadnaha Mareykanka [Internet]. Dallas (TX): American Heart Association Inc.; c2019. Cilad-garaacista Wadnaha; [xigasho 2019 Jul 24]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.heart.org/en/health-topics/heart-failure/diagnosing-heart-failure
2. Bay M, Kirk V, Parner J, Hassager C, Neilsen H, Krogsgaard, K, Trawinski J, Boesgaard S, Aldershvile, J. NT-proBNP: waa qalab baaris cusub oo lagu ogaanayo bukaanka qaba shaqada systolic bidix ee caadiga ah iyo dhimista . Qalbi. [Internetka]. 2003 Feb [xigatay 2019 Jul 24]; 89 (2): 150-154. Waxaa laga heli karaa: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1767525
3. Doust J, Lehman R, Glasziou P. Doorka BNP Tijaabinta Qalbi Jabka. Am Fam Dhakhtarka [Internet]. 2006 Dec 1 [daliishaday 2019 Jul 24]; 74 (11): 1893–1900. Waxaa laga heli karaa: https://www.aafp.org/afp/2006/1201/p1893.html
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8. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Tijaabooyinka Dhiigga; [xigasho 2019 Jul 24]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health-topics/blood-tests
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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.