Kev kuaj mob Troponin

Ib qho kev ntsuam xyuas troponin ntsuas cov theem ntawm troponin T lossis troponin I cov protein ntau hauv cov ntshav. Cov protein no tau tso tawm thaum lub plawv lub plawv tau raug puas ntsoog, xws li tshwm sim nrog lub plawv nres. Kev puas tsuaj ntau muaj rau lub siab, qhov ntau dua cov nyiaj ntawm Troponin T thiab Kuv yuav muaj nyob hauv cov ntshav.

Xav tau cov ntshav ntxiv.

Tsis muaj cov kauj ruam tshwj xeeb yog xav tau los npaj, feem ntau.

Tej zaum koj yuav hnov ​​mob me ntsis lossis plev thaum koob tau ntxig. Koj tuaj yeem hnov ​​zoo ib yam li mob ncus ntawm qhov chaw tom qab kos cov ntshav.

Cov laj thawj feem ntau ua qhov ntsuas no yog los saib seb puas muaj lub plawv nres. Koj tus kws kho mob yuav xaj kuaj mob no yog tias koj muaj mob hauv siab thiab lwm yam cim ntawm lub plawv nres. Qhov kev sim no ib txwm ua ob zaug ntxiv nyob rau tom qab 6 txog 24 teev.

Koj tus kws kho mob tseem yuav xaj kuaj mob no yog tias koj muaj mob angina zuj zus, tab sis tsis muaj lwm yam cim ntawm lub plawv nres. (Angina yog mob hauv siab uas xav los ntawm ib feem ntawm koj lub siab tsis tau txais ntshav txaus.)

Kev sim tshuaj troponin kuj tseem yuav ua kom pab ntes thiab soj ntsuam lwm qhov ua rau lub siab puas.

Qhov sim no yuav ua nrog rau lwm cov kev ntsuam xyuas mob caj dab, xws li CPK isoenzymes lossis myoglobin.

Qeb ntshav troponin qib qis dua qub yog li lawv tsis tuaj yeem kuaj pom nrog feem ntau cov kev kuaj ntshav.

Muaj troponin qib 12 teev tom qab mob hauv siab tau pib txhais tau hais tias mob plawv yuav tsis zoo li.

Cov lej ib txwm muaj txawv yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kev sim pom siv cov kev ntsuas sib txawv (piv txwv li "ntsuas rroponin siab") lossis ntsuas cov qauv sib txawv. Tsis tas li, qee qhov kev sim (lab) muaj cov ntsiab lus txiav sib txawv rau "li qub" thiab "tej zaum myocardial infarction." Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Txawm hais tias nce me ntsis hauv qib troponin feem ntau yuav txhais tau hais tias muaj qee qhov kev puas tsuaj rau lub siab. Cov qib troponin ntau heev yog qhov qhia tias lub plawv tau tshwm sim.

Feem ntau cov neeg mob uas tau mob plawv mob siab tau nce troponin ntau npaum li ntawm 6 teev. Tom qab 12 teev, yuav luag txhua tus neeg uas muaj lub plawv nres yuav nce qib ntau.

Cov qib Troponin yuav nyob siab rau 1 mus rau 2 lub lis piam tom qab lub plawv nres.

Nce qib troponin ntau ntau kuj yuav yog vim:

• Lub plawv dhia ceev ceev
• Ntshav siab hauv cov hlab ntsws (mob ntsws)
• Kev txhaws ntawm lub ntsws cov hlab ntsha los ntawm cov ntshav txhaws, rog, lossis cov qog ntshav (ua pa ntsws ntsws)
• Congestive lub plawv tsis ua haujlwm
• Txoj hlab ntshav hlab ntaws
• Kev mob lub plawv mob feem ntau yog kis los ntawm tus kab mob (myocarditis)
• Lub sijhawm ua haujlwm ntev (piv txwv li, vim marathons lossis triathlons)
• Kev raug mob uas ua rau lub siab mob, xws li tsheb sib tsoo
• Peb lub plawv tsis muaj zog (cardiomyopathy)
• Mob raum ntev

Nce qib troponin ntau ntau tuaj yeem tshwm sim los ntawm qee cov txheej txheem kho mob xws li:

• Mob angioplasty / stenting
• Kev kho mob lub plawv lossis lub plawv hluav taws xob (plawv ua rau lub siab ceeb ntawm lub plawv los ntawm cov neeg kho mob los kho qhov txawv txav ntawm lub plawv)
• Qhib lub plawv phais
• Radiofrequency ablation hauv plawv

TroponinI; TnI; TroponinT; TnT; Troponin Qhia Txog Qib Piv Txwv Kuv; Troponin tshwj xeeb daim ntawv T; cTnl; cTnT

Bohula EA, MAY DA. ST-Nce myocardial infarction: kev tswj hwm. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 59.

Bonaca, MP, Sabatine MS. Mus rau tus neeg mob uas mob hauv siab. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 56.

Levine GN, Bates ER, Blankenship JC, li al. 2015 ACC / AHA / SCAI Ua kom pom tseeb txog kev kho mob txhawm rau tiv thaiv tus mob rau cov neeg mob nrog ST-Elevation myocardial infarction: kev hloov kho xyoo 2011 ACCF / AHA / SCAI cov lus qhia txog kev tiv thaiv kabmob sib luag thiab cov lus qhia xyoo 2013 ACCF / AHA rau kev tswj hwm ntawm ST- Qhov siab myocardial infarction: ib daim ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology / American Lub Koom Haum Ua Haujlwm Koom Tes Ua Haujlwm ntawm cov koom hauv kev soj ntsuam cov lus qhia thiab lub Koom Haum rau Mob plawv Angiography thiab Kev Tiv Thaiv. Kev ncigCov. 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, Dawb HD; Cov Thawj Coj Pab Pawg sawv cev rau Kev Sib Koom Tes Sib Koom Tes ntawm European Cardiology (ESC) / American College of Cardiology (ACC) / American Heart Association (AHA) / World Heart Federation (WHF) Pab Pawg Ua Haujlwm rau Lub Cim Tseem Ceeb ntawm Myocardial infarction. Plaub Cov Lus Txhais Tseem Ceeb Ntawm Myocardial Infarction (2018). Kev ncigCov. 2018; 138 (20): e618-e651 PMID: 30571511 www.ncbi.nlm.nih.gov/pubmed/30571511.