Kuyeza CRP Kungakhale Kofunika Kwambiri pa Moyo Wanu wa Mtima
Kuyeza miyeso ya CR-reactive (CRP) ingakhale yopindulitsa poyesa chiopsezo cha matenda a mitsempha ya m'mimba (CAD) mwa anthu ena. CRP ndi mapuloteni omwe amamasulidwa m'magazi nthawi ya kutupa. Popeza kutupa kwadzidzidzi kumakhala mbali yaikulu pa chitukuko cha matenda a atherosclerosis (njira yomwe imapangidwira mitsempha), zimakhala zomveka kuti ziwerengero za CRP zikhoza kukwezedwa panthawi yopanga mapangidwe apangidwe komanso kuti ma CRP angagwirizane ndi zochitika za mtima.
Kafukufuku wasonyeza kuti CRP yakwezeka ikugwirizana ndi chiopsezo chowonjezeka cha zochitika za mtima, monga matenda a mtima ndi kupwetekedwa mtima . Kaya CRP imayambitsa chiopsezo chowonjezeka kapena ingokhala chizindikiro cha pangozi imakambiranebe, ngakhale kutengeka kwa umboni kumasonyeza kuti si chifukwa chokhalitsa. Komabe, tsopano akudziwika kuti kuchiza anthu omwe ali ndi miyeso yapamwamba ya CRP akhoza kuchepetsa ngozi. Mfundo iyi yokha imapangitsa CRP kuchuluka yomwe ingakhale yopindulitsa kwa anthu ena.
Kodi CRP Imayesedwa Bwanji?
CRP imayesedwa pogwiritsa ntchito mayeso otchuka kwambiri (otchedwa hs-CRP test test). Kawirikawiri, kukwera kwa hs-CRP mlingo, kumakhala koopsa. MaseĊµera a hs-CRP pansipa 1 akuwonedwa ngati otsika; MaseĊµera a 1 - 3 amaonedwa ngati ofunika kwambiri; Mipingo ikuluikulu yoposa 3 imatengedwa ngati yapamwamba. Mipiringu yoposa 10 nthawi zambiri imangowoneka ndi yogwira ntchito, zooneka ngati zotupa, monga matenda aakulu, matenda aakulu, kapena matenda opweteka kwambiri - izi zowonjezereka sizingagwiritsidwe ntchito kutanthauzira kuopsa kwa mtima .
Chifukwa chakuti magulu a CRP angasinthe pakapita nthawi, akatswiri ambiri tsopano amalimbikitsa kuchulukitsa ma CRP masabata angapo pokhapokha ndikufotokozera mfundo ziwiri.
Kusankha ngati kuyesa CRP iyenera kukhala mbali ya ndondomeko yowunika kachitidwe kawiri kawiri kakhala kovuta pa zifukwa ziwiri. Choyamba, kutanthauzira kufunikira kwa chiwerengero cha CRP chokwanira nthawi zambiri sizolunjika, ndipo kungachititse kuti chisokonezo chiwonjezeke m'malo mochepera.
Chachiwiri, mpaka posachedwapa sichidziwika ngati mankhwala ayenera kusinthidwa kwa wina aliyense malinga ndi zotsatira za ma CRP.
Kodi Ndi Ziti Zothandiza Kuyeza CRP?
Mipingo yambiri ya CRP nthawi zambiri imagwirizanitsidwa ndi kukhalapo kwa zifukwa zina zoopsa za matenda a mtima monga kusuta, kunenepa kwambiri, kukhala moyo wathanzi , kuwonjezeka kwa cholesterol, matenda oopsa kwambiri komanso matenda a kagayidwe kake . Mipingo yapamwamba kwambiri ya CRP imakhala ikuwoneka kwa odwala omwe ali ndi zifukwa zambiri zoonjezera. Pazochitika izi, kupeza malo apamwamba a CRP kumatsimikizira zomwe zili kale kale - wodwala ali ndi chiopsezo chachikulu cha matenda a mtima , ndipo amafunikanso kusintha zoopsa zapadera (makamaka kuphatikizapo statins) zilizonse za CRP.
Kumbali ina, chiwerengero cha CRP chokwanira mwa munthu yemwe ali ndi zifukwa chimodzi kapena ziwiri zomwe zimayambitsa chiopsezo zimapangitsanso zidziwitso zofunika. Kwa anthu awa, chiwerengero chachikulu cha CRP chikuwoneka kuti chikusonyeza kuti chiwopsezo chawo n'chokwanira kusiyana ndi chomwe chikuwonekera. Zimatanthawuza kuti pang'ono pang'onopang'ono, kapena zochepa zolemera, ndithudi zimagwirizanitsidwa ndi zotheka kutupa m'mitsempha ya mitsempha komanso kuti chiopsezo cha zochitika za mtima zingakwezeke.
Choncho, ngakhale pang'ono, kukhala ndi CRP yapamwamba muyenera kukupangitsani inu ndi dokotala wanu mozama kwambiri za kuchepetsa chiopsezo. Kuwonjezera pamenepo, deta yochokera ku JUPITER yaposachedwapa imatiuza kuti kupereka zilembo kwa odwala omwe ali ndi thanzi lapamwamba la CRP akhoza kuchepetsa kwambiri chiopsezo cha matenda a mtima.
Mfundo yaikulu
Mipingo ya CRP ndithudi safunikira kuwerengedwa mwa aliyense. Musanayambe kuwona CRP, inu ndi dokotala muyenera kufufuza chiwopsezo chanu choyamba cha matenda a mtima, pogwiritsa ntchito zoopsa zoonekeratu. Kuwunika kumeneku kudzakuuzani ngati muli pamalo apamwamba, apakati, kapena otsika.
Ngati mutakhala kale pachiopsezo chachikulu, kuyesa CRP sikungakuthandizeni kwambiri. Mwinanso mumakhala ndi matenda a mtima kapena kupwetekedwa pokhapokha ngati mutachepetsa kwambiri chiopsezo chanu, ziribe kanthu zomwe CRP yanu ingakhale. Koma ngati inu kapena dokotala wanu mukukayikira kugwiritsa ntchito statins , ndipo simukudziwa bwino phindu limene angakupatseni, ndiye kuti kuyesa makanema anu a CRP angakupatseni chifukwa chimodzi chokha cholingalira mankhwalawa ochepetsera chiopsezo.
Ndizomveka kuyeza chiwerengero cha CRP ngati muli m'gulu loopsya. Mtsinje waukulu wa CRP pano uyenera kutumiza mbendera zofiira kuti chiopsezo chanu chikhale chachikulu kuposa momwe mukuganizira. Komanso ngati cholesterol chanu chiri chachilendo kapena chokwera pang'ono, podziwa kuti CRP yanu ili pamwamba idzakupatseni inu ndi dokotala chifukwa chodziwikiratu kuti mugwiritse ntchito mankhwala omwe ali ndi statins.
Malinga ndi chidziwitso cha lero, phindu loyesa kuchuluka kwa CRP kwa anthu omwe ali pachiopsezo chochepa ndilosawonekeratu. Ngati CRP ikukwera ndipo mulibe zifukwa zinanso zoopsa, kugwiritsa ntchito statins kungalingalire koma kulimbikitsana kwambiri. Madokotala ambiri amavomereza kuti palibe chifukwa chochepa choyesa miyezo ya CRP mwa anthu omwe ali pachigawo chochepa.
Ngati muli ndi CRP yanu yoyezera ndipo ikubweranso mmwamba, mungafune kuwerenga nkhaniyi: Zomwe Mungachite Pamene CRP Yanu Yakwera.
Zotsatira:
Cook NR, Buring JE, ndi Ridker PM. Zotsatirapo za kuphatikizapo mapuloteni okhudzidwa kwambiri a C mu miyoyo ya anthu okhudzidwa ndi matenda a mtima. Ann Intern Med 2006; 145: 21-29.
Lloyd-Jones DM, Liu K, Tian L, ndi Greenland P. Ndemanga yolemba: Kufufuza kwa mapuloteni a C-othandizira omwe ali ndi chiopsezo cha matenda a mtima. Ann Intern Med 2006; 145: 35-42.
Davey Smith G, Timpson N ndi Lawlor D. C-mapuloteni othandizira ndi matenda a mtima: Koma osadziwa zambiri? Ann Intern Med 2006; 145: 70-72.
Ridker PM, Danielson E, Fonseca FA et al. Rosuvastatin kuteteza zochitika zam'mimba mwa abambo ndi amai ndi mapuloteni apamwamba kwambiri a C-reactive. New Engl J Med 2008; DOI: 10.1056 / NEJMoa0807646. Ipezeka pa: http://www.nejm.org.