Natriuretic Peptide Tests (BNP, NT-proBNP)

Zoo Siab

• Dab tsi yog natriuretic peptide kuaj (BNP, NT-proBNP)?
• Lawv siv rau dab tsi?
• Vim li cas kuv thiaj li xav tau ib tus natriuretic peptide kuaj?
• Yuav ua li cas thaum lub sijhawm kuaj natriuretic peptide?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog natriuretic peptide kuaj?
• Ua tim khawv

Dab tsi yog natriuretic peptide kuaj (BNP, NT-proBNP)?

Natriuretic peptides yog cov tshuaj tsim los ntawm lub plawv. Ob qhov tseem ceeb ntawm cov khoom no yog lub hlwb natriuretic peptide (BNP) thiab N-terminal pro b-type natriuretic peptide (NT-proBNP). Feem ntau, tsuas yog muaj ntau theem tsawg ntawm BNP thiab NT-proBNP pom nyob rau hauv cov hlab ntshav. Theem siab ntau txhais tau tias koj lub siab tsis nqus ntshav ntau npaum li koj lub cev xav tau. Thaum qhov no tshwm sim, nws tau paub tias lub plawv tsis ua haujlwm, qee zaum hu ua kev mob plawv tsis ua haujlwm.

Cov kev sim tshuaj Natriuretic peptide ntsuas cov theem ntawm BNP lossis NT-proBNP hauv koj cov ntshav. Koj tus kws kho mob yuav yuam kom kuaj BNP lossis kuaj NT-proBNP, tab sis tsis yog ob qho tib si. Lawv ob leeg tau siv nyob rau hauv kev txheeb xyuas lub plawv tsis ua haujlwm, tab sis cia siab rau ntau hom kev ntsuas. Kev xaiv yuav nyob ntawm cov khoom siv hauv qhov chaw kuaj mob pom zoo ntawm koj.

Lwm lub npe: lub hlwb natriuretic peptide, NT-proB-type natriuretic peptide test, B-hom natriuretic peptide

Lawv siv rau dab tsi?

Kev kuaj BNP lossis kev kuaj NT-proBNP feem ntau yog siv los kuaj lossis txiav txim siab tsis ua haujlwm. Yog tias koj twb tau kuaj pom tias muaj lub plawv tsis ua haujlwm, qhov kev ntsuas no yuav raug siv los:

• Tshawb nrhiav qhov mob hnyav ntawm tus mob
• Npaj khomob
• Tshawb nrhiav kev kho mob puas ua haujlwm

Qhov kev sim no kuj tseem yuav siv los tshawb xyuas seb puas muaj los yog tsis muaj koj cov tsos mob vim yog lub plawv tsis ua haujlwm.

Vim li cas kuv thiaj li xav tau ib tus natriuretic peptide kuaj?

Tej zaum koj yuav xav tau qhov kev ntsuas BNP lossis qhov ntsuas NT-proBNP yog tias koj muaj cov tsos mob ntawm lub plawv nres. Cov no suav nrog:

• Ua pa nyuaj
• Kev hnoos lossis hawb pob
• Nkees
• O hauv plab, ceg, thiab / lossis taw
• Tsis qab los noj mov los yog xeev ntuav

Yog tias koj raug kho rau lub plawv tsis ua haujlwm, koj tus kws kho mob yuav xaj ib qho ntawm cov ntawv no kom pom tias koj txoj kev kho mob ua haujlwm tau zoo npaum li cas.

Yuav ua li cas thaum lub sijhawm kuaj natriuretic peptide?

Txog kev kuaj BNP lossis kuaj NT-proBNP, tus kws saib xyuas kev noj qab haus huv yuav nqa ntshav los ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav muaj kev npaj tshwj xeeb rau BNP qhov kev ntsuas lossis ntsuas NT-proBNP.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Yog tias koj li BNP lossis NT-proBNP ntau dua li ib txwm, nws yuav txhais tau tias koj lub plawv tsis ua haujlwm. Feem ntau, qib siab dua, koj qhov mob hnyav dua.

Yog tias koj cov txiaj ntsig BNP lossis NT-proBNP tsis zoo, nws yuav txhais tau tias koj cov tsos mob tsis ua los ntawm lub plawv tsis ua haujlwm. Koj tus kws khomob yuav xaj kuaj ntau ntxiv los pab ntsuas qhov mob.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog natriuretic peptide kuaj?

Koj tus kws kho mob yuav yuam kom ib los sis ntau tshaj cov hauv qab no ntxiv rau lossis tom qab koj muaj BNP lossis NT-proBNP kev xeem:

• Electrocardiogram, uas saib ntawm lub siab ua hluav taws xob
• Kev nyuaj siab xeem, uas qhia pom tias koj lub siab tuav haujlwm lub dag zog npaum li cas
• Kev ntsuas hluav taws xob xoo txhawm rau saib seb koj lub siab loj dua li ib txwm lossis koj muaj dej nyob hauv koj lub ntsws

Koj tuaj yeem kuaj tau ib lossis ntau dua cov kev Ntsuas hauv qab no:

• ANP xeem. ANP sawv cev rau atrial natriuretic peptide. ANP zoo ib yam li BNP tab sis nws yog tsim nyob rau hauv qhov sib txawv hauv plawv.
• Metabolic vaj huam sib luag txhawm rau tshuaj xyuas lub raum mob, uas muaj cov tsos mob zoo ib yam li lub plawv tsis ua haujlwm
• Ua kom tiav cov ntshav suav kuaj xyuas ntshav liab lossis lwm yam ntshav tsis txaus

Ua tim khawv

1. American Heart Association [Internet]. Dallas (TX): Asmeskas Lub Koom Haum Koom Siab Inc .; c2019. Kev kuaj pom lub plawv tsis ua haujlwm; [hais tawm 2019 Jul 24]; [txog 3 ntxaij]. Muaj los ntawm: 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: ib qho kev kuaj mob soj ntsuam tshiab kom pom qhov txawv ntawm cov neeg mob uas ib txwm muaj thiab txo sab laug ventricular systolic muaj nuj nqi Cov. Plawv. [Is Taws Nem]. 2003 Feb [hais tawm 2019 Jul 24]; 89 (2): 150–154. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1767525
3. Doust J, Lehman R, Glasziou P. Lub Luag Hauj Lwm ntawm BNP Kev Tshuaj Ntsuam Hauv Lub Plawv tsis ua haujlwm. Am Nkaub Tus Kws Kho Mob [Internet]. 2006 Dec 1 [hais tawm 2019 Jul 24]; 74 (11): 1893–1900. Muaj los ntawm: https://www.aafp.org/afp/2006/1201/p1893.html
4. Cleveland Clinic [Hauv Is Taws Nem]. Cleveland (OH): Cleveland Clinic; c2019. NT-proB-type Natriuretic Peptide (BNP); [hais tawm 2019 Jul 24]; [txog 3 ntxaij]. Muaj los ntawm: https://my.clevelandclinic.org/health/diagnostics/16814-nt-prob-type-natriuretic-peptide-bnp
5. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2019. BNP thiab NT-proBNP; [kho tshiab 2019 Jul 12; raug nplua 2019 Jul 24]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/bnp-and-nt-probnp
6. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2019. Congestive Lub plawv tsis ua hauj lwm; [kho tshiab 2017 Oct 10; raug nplua 2019 Jul 31]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/congestive- siab-zoo
7. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Kuaj ntshav rau kab mob plawv; 2019 Jan 9 [qhia tawm 2019 Jul 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20049357
8. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav; [hais tawm 2019 Jul 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
9. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2019. Kuaj natriuretic peptide ntsuam xyuas: Txheej txheem cej luam; [kho tshiab 2019 Jul 24; raug nplua 2019 Jul 24]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/brain-natriuretic-peptide-test
10. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2019. Kev ntsuas kev ntxhov siab rau lub cev: Txheej txheem cej luam; [kho tshiab 2019 Jul 31; raug nplua 2019 Jul 31]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/exercise-stress-test
11. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Kev Noj Qab Haus Huv Phau Ntawv Teev Npe: BNP (Ntshav); [hais tawm 2019 Jul 24]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=bnp_blood
12. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Kev Kuaj Hlwb Hlwb (BNP): Cov Lus Nug; [kho tshiab 2018 Jul 22; raug nplua 2019 Jul 24]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/brain-natriuretic-peptide-bnp/ux1072.html#ux1079
13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Kev Kuaj Hlwb Hlwb (BNP): Kev Ntsuam Xyuas Tag Nrho; [kho tshiab 2018 Jul 22; raug nplua 2019 Jul 24]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/brain-natriuretic-peptide-bnp/ux1072.html
14. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv: Tshuaj Ntsuam Hlwb Hlwb (BNP): Vim Li Cas Nws Ua; [kho tshiab 2018 Jul 22; raug nplua 2019 Jul 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/brain-natriuretic-peptide-bnp/ux1072.html#ux1074

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.