Gwajin Troponin

Gwajin troponin yana auna matakan troponin T ko troponin I sunadarai a cikin jini. Ana fitar da waɗannan sunadaran lokacin da tsokar zuciya ta lalace, kamar wanda ya faru tare da ciwon zuciya. Damagearin lalacewa ga zuciya, mafi girman adadin troponin T kuma ni zai kasance a cikin jini.

Ana bukatar samfurin jini.

Ba a buƙatar matakai na musamman don shirya, mafi yawan lokuta.

Kuna iya jin ɗan zafi ko harbi idan aka saka allurar. Hakanan zaka iya jin bugun jini a wurin bayan jinin ya ɗiba.

Mafi yawan dalilin da yasa ake yin wannan gwajin shine a ga ko ciwon zuciya ya faru. Mai ba ku kiwon lafiya zai ba da umarnin wannan gwajin idan kuna da ciwon kirji da sauran alamun bugun zuciya. Ana yawan maimaita gwajin sau biyu akan 6 zuwa 24 na gaba.

Mai ba ku sabis na iya yin odan wannan gwajin idan kuna da angina wanda ke ƙara muni, amma ba sauran alamun bugun zuciya. (Angina shine ciwon kirji da ake tsammani daga wani sashi na zuciyar ku ne ba samun cikakken jini ba.)

Hakanan za'a iya yin gwajin troponin don taimakawa gano da kimanta wasu dalilan raunin zuciya.

Ana iya yin gwajin tare da sauran gwajin alamun alamar, kamar su CPK isoenzymes ko myoglobin.

Matakan cututtukan zuciya na Cardiac suna da ƙasa sosai ba za a iya gano su da yawancin gwajin jini ba.

Samun matakan matakan yau da kullun sa'o'i 12 bayan ciwon kirji ya fara yana nufin bugun zuciya da wuya.

Matsakaicin darajar al'ada na iya bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Wasu leburori suna amfani da ma'aunai daban-daban (misali, "babban ƙwarewar gwajin troponin") ko gwada samfuran daban. Hakanan, wasu leburori suna da maɓallin yanke abubuwa daban-daban don "al'ada" da "yiwuwar yuwuwar cutar ta myocardial." Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka.

Ko da ƙarami kaɗan a cikin matakin troponin sau da yawa yana nufin akwai ɗan lalacewar zuciya. Matakai masu yawa na troponin wata alama ce cewa bugun zuciya ya auku.

Yawancin marasa lafiya waɗanda suka kamu da bugun zuciya sun ƙaru da matakan troponin cikin awanni 6. Bayan awanni 12, kusan duk wanda ya kamu da ciwon zuciya zai ɗaga matakan.

Matakan Troponin na iya kasancewa a sama tsawon makonni 1 zuwa 2 bayan ciwon zuciya.

Levelsara yawan matakan troponin na iya zama saboda:

• Rashin saurin bugun zuciya
• Hawan jini a jijiyoyin jini (hauhawar jini na huhu)
• Toshewar jijiyar huhu ta hanyar daskarewar jini, kitse, ko kuma kwayoyin ƙari (huhu na huhu)
• Ciwon zuciya mai narkewa
• Jijiyoyin jijiyoyin jiki spasm
• Kumburin ƙwayar tsoka yawanci saboda kwayar cuta (myocarditis)
• Motsa jiki na dogon lokaci (misali, saboda marathons ko triathlons)
• Cutar da ke cutar da zuciya, kamar haɗarin mota
• Rashin rauni na ƙwayar zuciya (cututtukan zuciya)
• Ciwon koda na dogon lokaci

Levelsara matakan matakan yanayi na iya haifar da wasu hanyoyin likita kamar:

• Cutar zuciya ta zuciya / stenting
• Ibarfafa zuciya ko jujjuyawar lantarki (ma'anar girgiza zuciya ga likitocin likita don gyara ƙararrawar zuciya mara kyau)
• Budewar tiyata
• Rushewar yanayin radiyo na zuciya

TroponinI; TnI; TroponinT; TnT; Kwayar-takamaiman troponin I; Diacarancin takamaiman cututtukan zuciya T; cTnl; cTnT

Bohula EA, Morrow DA. ST-Hawan infarction na ƙwayar cuta: gudanarwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2018: babi na 59.

Bonaca, MP, Sabatine MS. Kusanci ga mai haƙuri tare da ciwon kirji. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 56.

Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC / AHA / SCAI An mayar da hankali kan sabuntawa na farko don magance marasa lafiya tare da cututtukan cututtukan zuciya na ST-hawan jini: sabuntawa na 2011 ACCF / AHA / SCAI don jagorantar cututtukan zuciya da kuma jagorancin 2013 ACCF / AHA don gudanar da ST- Addamar da cututtukan zuciya: rahoto na Collegeungiyar Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan jagororin aikin asibiti da kuma forungiyar Kula da iowararrun Angwararrun iowararru da Ayyuka. Kewaya. 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, Farin HD; Executiveungiyar Zartarwa a madadin intungiyar Hadin gwiwar Turai ta Ciwon Zuciya (ESC) / Kwalejin Koyarwar Zuciya ta Amurka (ACC) / Heartungiyar Zuciya ta Amurka (AHA) / Heartungiyar Heartungiyar Zuciya ta Duniya (WHF) don Deaddamar da Myocardial Infarction ta Duniya. Ma'anar Duniya ta Hudu game da Infarction Myocardial (2018). Kewaya. 2018; 138 (20): e618-e651 PMID: 30571511 www.ncbi.nlm.nih.gov/pubmed/30571511.