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Malangizo Owunika ndi Kuzindikira Ululu Wachifuwa

Mu Novembala 2021, American Heart Association (AHA) ndi American College of Cardiology (ACC) mogwirizana adapereka malangizo owunikira komanso kuzindikira kupweteka pachifuwa.Malangizowo amafotokoza za kuyezetsa koyenera kwa chiwopsezo, njira zamankhwala, ndi zida zodziwira ululu wa pachifuwa, zomwe zimapereka malingaliro ndi njira zomwe madokotala amawunika ndikuwunika kupweteka pachifuwa kwa odwala akuluakulu.

Chitsogozochi chimapereka mauthenga ofunikira 10 pazovuta ndi malingaliro amasiku ano owunika momwe akumvera kupweteka pachifuwa, zofotokozedwa bwino m'malembo khumi "kuwawa pachifuwa", motere:

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Cardiac troponin ndi chizindikiro chodziwika bwino cha kuvulala kwa myocardial cell ndipo ndi biomarker yomwe imakonda kwambiri pakuzindikira, kuyika chiopsezo, kuchiza komanso kuzindikira kwa matenda oopsa a coronary.Malangizo ophatikizidwa ndi kugwiritsa ntchito troponin yapamwamba kwambiri, kwa odwala omwe ali ndi ululu pachifuwa chachikulu komanso omwe amaganiziridwa kuti ndi ACS (kupatula STEMI), perekani malangizo awa pokhazikitsa njira zachipatala:
1. Odwala omwe ali ndi ululu wopweteka pachifuwa ndi omwe amakayikira ACS, njira zachipatala (CDPs) ziyenera kugawa odwala m'magulu otsika, apakati, komanso omwe ali pachiopsezo chachikulu kuti athe kuwongolera maganizo ndi kufufuza kotsatira.
2. Pakuwunika kwa odwala omwe akuwonetsa kupweteka pachifuwa chachikulu komanso omwe amaganiziridwa kuti ndi ACS omwe ma troponins ambiri amasonyezedwa kuti asavulaze myocardial, nthawi zovomerezeka pambuyo pa kusonkhanitsa zitsanzo za troponin (nthawi zero) zobwerezabwereza ndi: 1 kwa maola 3 kwapamwamba. -sensitivity troponin ndi 3 kwa 6 maola ochiritsira troponin mayesero.
3.Kuti awonetsetse kuzindikira ndi kusiyanitsa kwa kuvulala kwa myocardial kwa odwala omwe ali ndi ululu waukulu pachifuwa ndi ACS omwe akuwakayikira, mabungwe ayenera kugwiritsa ntchito CDP yomwe imaphatikizapo ndondomeko ya troponin sampling malinga ndi kuyesa kwawo.
4.Odwala omwe ali ndi ululu wopweteka pachifuwa ndi omwe amakayikira ACS, kuyesa koyambirira pamene kulipo kuyenera kuganiziridwa ndikuphatikizidwa mu CDPs.
5.Kwa odwala omwe ali ndi ululu wopweteka pachifuwa, ECG yodziwika bwino, ndi zizindikiro zosonyeza ACS zomwe zinayamba osachepera maola 3 ED isanafike, ndondomeko imodzi ya hs-cTn yomwe ili pansi pa malire a kudziwika pa kuyeza koyamba (nthawi zero) ndi yomveka. kuchotsa kuvulala kwa myocardial.

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cTnI ndi cTnT nthawi zambiri amagwiritsidwa ntchito pozindikira matenda a myocardial infarction, MYO nthawi zambiri amagwiritsidwa ntchito pozindikira matenda a myocardial infarction, ndipo CK-MB imagwiritsidwa ntchito nthawi zambiri pozindikira matenda a myocardial infarction pambuyo pa infarction ya myocardial.cTnI pakali pano ndi chidziwitso chachipatala komanso chodziwikiratu cha kuvulala kwa myocardial, ndipo yakhala maziko ofunikira kwambiri owunikira kuvulala kwa minofu ya myocardial (monga myocardial infarction) . wodalirika wothandiza matenda maziko a matenda ndi pachifuwa odwala, ndi mwachangu kuthandiza pomanga malo ululu pachifuwa.


Nthawi yotumiza: Apr-02-2022
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