Mayeso a Cholesterol Kunyumba

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.

M'masiku amakono, nthawi ikakhala yofunikira kuposa zinthu zonse, si munthu aliyense amene amatha kupeza ola limodzi kapena awiri kuti akwaniritse mayeso ofunika. Kuti athandizidwe ndi odwala komanso madokotala omwe amafunikira njira zodziwonera mwachangu, openda ma kanema okhala ndi zingwe zoyeserera cholesterol adapangidwa theka lachiwiri la zaka za zana la 20. Kuphweka kwa kusanthula, kuwonekera kwa zotsatira kumawalola kuti azigwiritsidwa ntchito ndi onse azachipatala komanso anthu opanda nzeru zapadera. Nthawi yoyesedwa magazi pogwiritsa ntchito mizera yoyesa kuyeza cholesterol ndi masekondi 60-180 - mphindi 1-3.

Mitundu ya Kafukufuku Wamanja

Pali mitundu ingapo ya ma cholesterol ndi ma lipid mbiri osanthula:

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

  • EasyTouch (yogwiritsidwa ntchito ndi mizere yoyesera ya cholesterol Easy)
  • Accutrend (yogwiritsidwa ntchito ndi Accutrend Cholesterol Test Strips)
  • MultiCareIn (wogwiritsidwa ntchito ndi Multicare In Cholesterol Test Strips).

Pansipa tikuwona mawonekedwe a ntchito yawo mwatsatanetsatane.

Pulogalamu ya EasyTouch, yopangidwa ndi Taiwanese Bioptik Corporation (Bioptik), imagwira ntchito molumikizana ndi zigamba zoyeserera za cholesterol za EasyTouch. Kusintha kwamitundu ingagwiritsidwe ntchito kuzindikira kuchuluka kwa shuga, hemoglobin, uric acid (gawo lililonse limakhala ndi mizere yake yoyesera, EasyTouch imawazindikira okha).

Kusanthula kosunthika ndikulimbikitsidwa kuti nyumba izitengera magawo amomwe ammagulu amwazi amwazi. Zida zofunikira ndizophatikiza:

  • malangizo osavuta omveka ogwiritsira ntchito,
  • cholembera chodzidzimutsa chosapweteka, cha mabatani 25,
  • Mabatire a 2 AA,
  • kujambula kwamomwemo
  • bag yabwino yosungirako, yosungirako,
  • chingwe choyesa
  • mayeso oyambira (2 kutsimikiza kwa cholesterol).

Kudziwitsa za kuchuluka kwa mafuta m'magazi a capillary pogwiritsa ntchito chida kumatenga masekondi 150 (mphindi 2,5). Kuti mayesowo awonetse zotsatira zoyenera, pafupifupi 15 μl ya magazi ndi yofunika. Mtengo wa chipangizo cha Izitach chimachokera ku 3400-4500 r.

Mitengo ya cholesterol ya EasyTouch imagulitsidwa payokha. Amawononga ndalama 1200-1300 p. (Zidutswa 10). Mzere uliwonse umagwiritsidwa ntchito kamodzi. Chipangizocho chimakhala ndi kukhudzika kwakukulu, zochitika zosiyanasiyana: kutsimikiza kwa cholesterol kumachitika mu 2.60-10.40 mmol / l.

  • mtengo wotsika wa chipangizocho, zothetsera,
  • kukula kwakukulu, kulemera kwenikweni (59 g popanda mabatire),
  • kuthekera kwa kuyeza magawo angapo amomwe am'magawo amodzi ndi chipangizo chimodzi nthawi imodzi,
  • njira yapamwamba yodziwira matenda (EasyTouch imagwiritsa ntchito mphamvu zamagetsi kuti zizindikire kuchuluka kwa cholesterol, chosinkhira sichikhudzidwa ndi kuchuluka kwa kuwunika kwa chipindacho, kulibe zida zowoneka bwino zomwe zimafunikira chisamaliro chapadera),
  • kuthekera kosunga mtengo wapadera wa cholesterol 50 pomaliziratu chipangizocho ndikulembetsa deti, nthawi yoyeserera,
  • chitsimikizo cha moyo wa opanga (atatha kulembetsa patsamba lovomerezeka),
  • kuthekera kowona kulondola kwa chipangizocho pogwiritsa ntchito maulalo oongolera (operekedwa kwaulere ndi ogwira ntchito pakati apa malo).

Zoyipa za chipangizocho zimaphatikizapo zolakwika zambiri - pafupifupi 20% (zovomerezeka kwa owunika a mkalasiyi). Chipangizocho sichigwiritsidwa ntchito kuti adziwike, kukonza chithandizo chamankhwala. Ngati kusinthaku kwakula pamlingo wa mowa wamafuta molingana ndi chipangizocho, onetsetsani kuti mwonana ndi dokotala.

Accutrend ndi Accutrend Plus ndi akatswiri odziwika pamanja omwe amapangidwa ku Germany kuti azindikire cholesterol ndi magawo oyambira a biochemical:

Itha kugwiritsidwa ntchito kunyumba ndi odwala omwe ali ndi vuto la mafuta, akatswiri azachipatala pochita kafukufuku wa labotale. Kutsimikiza kwa cholesterol kumachitika pogwiritsa ntchito njira ya Photometric (zotsatira zimatengera kuchuluka kwa momwe mzere woyezera umayambira ndi dontho la magazi lomwe limayikidwa pamenepo). Izi zimafunikira kusamala kwambiri kwa zida zomwe zili ndi zida zamagetsi. Kuyesedwa m'chipinda choyatsa bwino ndikonso koyenera.

Kuphatikiza pa chipangidwacho palokha, zida wamba zimaphatikizapo malangizo, khadi yotsimikizira, mabatire a 4 AAA, kesi yosungirako. Mtengo wa chipangizo chonyamula ndi 6400-6800 p.

Phindu la kafukufuku wa Accutrend ndi:

  • kulondola kwakukulu: kupatuka pakuwunika komwe kumachitika mu labotale ndi 5 peresenti yokha kapena pansi,
  • magwiridwe antchito: nthawi yoika chingwe choyesera mu chosakanizira mpaka zotsatira ziziwoneka pazenera sizidutsa masekondi 180,
  • kuthekera kosunga mayeso 100 omaliza omwe akuwonetsa tsiku ndi nthawi yosanthula,
  • kuphatikizika ndi kupepuka: kukula kotalika kwa Accutrend sikudutsa 15 cm, ndipo kulemera kopanda mabatire ndizoposa 70 g),
  • kugwiritsa ntchito mphamvu zochepa: mabatire a AAA anayi amtundu umodzi amakhala osapitilira 1000.

Maminiti a chipangizocho akuphatikizapo:

  • zida zosakwanira: zingwe zoyeserera, ngati cholembera, ziyenera kugulidwa padera,
  • mtengo wokwera kwambiri poyerekeza ndi omwe akupikisana nawo.

Mizere yakuyeza mulingo wa mowa wamafuta imakhala ndi 3,88 mpaka 7.70 mmol / L. Kupeza kwawo kumawononga pafupifupi 500 p. (za zidutswa 5).

Multicare

Kusanthula kosavuta komanso kotsika mtengo kogwiritsa ntchito Multicare (MulticareIn) kumapangidwa ku Italy komanso kumatchuka pakati pa anthu aku Russia. Chipangizocho ndichosavuta kugwiritsa ntchito, ngakhale wokalamba amatha kumvetsetsa zosintha. MultiCareIn imakupatsani mwayi wofufuza kunyumba kuti mudziwe:

Chipangizocho chimakhazikitsidwa pa tekinoloje ya Reflex ya kudziwa kuchuluka kwa cholesterol.

Zida zofunikira ndizophatikiza:

  • fotokozerani katswiri
  • Mikwingwirima isanu ya kudziwa magazi a cholesterol,
  • kuboola magalimoto,
  • 10 zonyansa (zotayikira),
  • Calibrator 1 yoyesa (kutsimikizira kulondola kwa chipangizocho),
  • Mabatire a 2 CR 2032,
  • mlandu wabwino
  • malangizo ogwiritsa ntchito.

Chipangizocho chikugwiritsidwa ntchito kunyumba kokha, sayenera kugwiritsidwa ntchito kuti adziwe zovuta, mayeso apadera okonzekereratu. Wopanga sanapereke zambiri paz zolakwika zomwe anakumana nazo poyesa. Mtengo wa chipangizochi ku pharmacies amachokera ku 4200 mpaka 4600 p.

Ubwino wa mtundu wa chosinira uyu ndi monga:

  • compactness, kulemera kopepuka - 65 g yokha,
  • kugwiritsa ntchito mosavuta
  • kuwonetsa kwakukulu ndi zochuluka,
  • kuthamanga: Cholesterol chamagazi chidzatsimikizika mu masekondi 30 okha,
  • ngati muyika chingwe choyesera, chipangizocho chimazindikira mtundu wa matenda (cholesterol, glucose, triglycerides),
  • kuchuluka kwa kukumbukira: Multicar amasunga mpaka 500 zotsatira zaposachedwa,
  • kuthekera kopatulira gawo lam'munsi la chipangizocho kuti mupeze mankhwala antiseptics,
  • kuchotsera pawotchi yoyesa pambuyo kukanikiza batani "Bwezerani".

Chowonjezera chachikulu cha chosinkhira chowonetsa ndikufunika kuthira magazi. Izi zimawonjezera chiwopsezo cha kuipitsidwa kwa nyumba ndi mkati mwa Multicar, kuphwanya miyezo yaukhondo. Chifukwa chake, chipangizocho chimafunikira chithandizo chamankhwala antiseptic nthawi zonse.

Miloza ya Multicare Mu cholesterol imawerengera kuchuluka kwa mowa wamafuta mu 3.3-10.3 mmol / L. Mtengo wapakati wazinthu 10 ndi 1100 p.

Migwirizano yamagwiritsidwe

Malangizo atsatanetsatane ogwiritsira ntchito biochemical analyzer amaperekedwa ndi chipangizocho. Ganizirani mfundo zazikuluzikulu zomwe zimachitika kunyumba:

  1. Konzani zomwe mukufuna: chosanthula kofotokozera, mizere yoyesera, cholembera malembedwe, malata.
  2. Yatsani zida. Lowetsani mzere mu dzenje lapadera mu chosakira.
  3. Chiritsani chala cha mphete ndi mowa, musiyeni.
  4. Ikani lancet mu chida cha punction, tsamira kumanja. Dinani batani.
  5. Chotsani dontho loyamba lamwazi ndi swab youma.
  6. Pa mayeso, gwiritsani ntchito dontho lachiwiri la magazi. Kuchepetsa chala chanu kuti muchotse bwino.
  7. Ikani magaziwo pachiwonetsero poyesa mwachindunji pachilondacho kapena kugwiritsa ntchito madzi akumwa ndi chubu cha capillary.
  8. Yembekezerani zotsatira zakuwunika. Zimatenga masekondi 30 mpaka 180.

Momwe mungakwaniritsire zotsatira zolondola kwambiri

Kuti muchepetse zolakwika zomwe zingachitike podziwitsa ena, akatswiri amalimbikitsa kulabadira zinthu zingapo:

  1. Mtundu wa chakudyacho chimakhudza kwambiri kuchuluka kwa cholesterol yamagazi. Zotsatira zoyesedwa magazi a cholesterol zidzakhala zosiyana kwambiri pambuyo pa phwando lochuluka komanso zakudya zamasamba.
  2. Kusuta kumathandizira kuphwanya mafuta kagayidwe. Zotsatira zodalirika, ndikofunika kuti musasute osachepera mphindi 30 mayeso asanachitike.
  3. Pambuyo pa opaleshoni, matenda owopsa, mavuto a coronary, kuchuluka kwa cholesterol kumakhalabe okwera kwa masabata awiri.
  4. Zotsatira zakuyesa zimakhudzidwanso ndimomwe thupi limakhalira. Ngati itagona kwa nthawi yayitali, kuchuluka kwa cholesterol kungakhale kutsika ndi 15-20% kuposa komwe kumachitika chifukwa cha kugawa kwina kwa plasma.
  5. Kudziwika kwa cholesterol makamaka kumachitika mu malo okhala. Musanapereke magazi, pumulani m'malo abwino kwa mphindi 10-15.

Gome: Nthawi ya cholesterol

Mlingo wambiri wamankhwala osokoneza bongo umawonjezera chiopsezo chotenga matenda a atherosulinosis ndi zovuta zake zowopsa m'moyo: kulowetsedwa kwa myocardial, stroke. Kutulutsa kwake kochepa kumawonetsa zovuta za metabolic. Kubwezeretsa zofunikira mu mawonekedwe a magazi a lipid ndi ntchito ya othandizira, mtima.

Elena, wazaka 28, Novosibirsk:

"Apongozi anga ali ndi cholesterol yayikulu, ndipo m'mbuyomu ankapita kuchipatala mwezi uliwonse kukayezetsa. Izi ndizosokoneza kwathunthu. Tidaganiza zomugulira chida chakuyezera nyumba. Pambuyo pakusankha kwakutali, tinakhazikika pa chipangizo cha Accutrend.

Wowunikirayo anakwaniritsa zoyembekezera zathu: opepuka, yaying'ono, yosavuta kugwiritsa ntchito (apongozi awo anazindikira momwe angagwiritsire ntchito chipangizocho nthawi yoyamba). Zotsatira zake adaziyerekeza ndi zasayansi - zimayenderana. Chokhacho chingakhale kugwiritsidwa ntchito mwachangu kwa mayeso. Sotsika mtengo. ”

Pavel, wazaka 49, Krasnodar:

"Sindikudziwa kuti onse opanga mawonedwe awa akuwonetsa zotsatira zolondola. Ngakhale chithunzithunzi chitha kuonedwa. Ndine wodwala matenda ashuga, ndakhala ndikugwiritsa ntchito njira yopima shuga kwa Izitach kwa zaka zingapo, ndipo posachedwa ndaganiza zokhazokha pamizeremizere kuti ndidziwe cholesterol. Chipangizocho chikuwonetsa kupyola muyeso, ndinayenera kukaonana ndi dokotala kuti andilangize. Zidapezeka kuti ndili ndi mavuto ang'onoang'ono amtima. Chifukwa chake chingwe chosavuta chodziwitsa cholesterol chinandipulumutsa ku matenda oopsa, omwe ndimawaganiziranso. "

Victor Mikhailovich, wazaka 67, Nizhny Novgorod:

"Kodi cholesterol yayikulu ndi chiani, ndimayenera kudziwa ndikangotengedwa ndi vuto la mtima mu ambulansi. Tsopano chipatalachi chakhala nyumba, ndipo mayeso amayenera kuchitidwa pafupipafupi. Katswiri wamtima adandiuza kuti cholesterol ndi mdani woipa kwambiri wamtima wathanzi. Kukula kocheperako kumakhala koopsa thanzi.

Kuwongolera kuchuluka kwa cholesterol kunali kosavuta, ndidagula chosakanizira chapadera: zotsatira zimatha kupezeka mumphindi zochepa nthawi iliyonse. Tsopano, ndikawona kuti zikuwoneka kuti zikuwonekera, ndimakhala pachakudya chokwanira ndikuwonetsetsa dokotala wanga kuti atero. ”

Kudziwona mulingo wa cholesterol nokha, pogwiritsa ntchito kufotokoza kwachangu ndi njira yofulumira yopezera zovuta za metabolism yamafuta. Zimathandizira odwala kuti azitha kuyang'anira momwe zinthu ziliri. Kusintha kwadzidzidzi kwa zofunikira za chipangizocho ndi nthawi yolumikizana ndi akatswiri azachipatala.

Kuyesedwa kwa Troponin pa kupezeka kwa kupindika kwa myocardial

Malinga ndi ziwerengero, matenda opatsirana pamtima ndi omwe ali ndi gawo lalikulu padziko lapansi. Pakati pawo, owopsa kwambiri ndi infration ya myocardial. Zimayambitsa zowonongeka zowoneka kwambiri kwa anthu. Oposa theka la odwala omwe ali ndi matendawa amakhala olumala, ndipo pafupifupi 13% sangathe kukhala ndi chithandizo chambiri. Choyambitsa kufa chachikulu komanso zovuta zambiri nthawi zambiri sichidziwika komanso mosazindikira. Kuyesedwa kwa troponin kwa myocardial infarction kumakupatsani mwayi wokhazikitsa molondola kupezeka kwa matenda a mtima ndikuyamba kuwathetsa. Kugwiritsidwanso ntchito kwake ndikothandiza pakuwunika matendawa.

Njira zodziwira kulowetsedwa kwa myocardial

Kuzindikira kwakanthawi kwa kulowetsedwa kwa myocardial kumakupatsani mwayi woti muchite zinthu mwachangu osati kumathandizira panjira ya matendawa, komanso nthawi zambiri kumakhala njira yopulumutsira wodwalayo. Masiku ano, matenda am'mimba amapezeka ndi:

  • kuyezetsa thupi. Njira yake yatengera kuunika kwa zizindikiro zakunja ndi zizindikiro za matendawa. Kukoka ndi kukakamiza kumayesedwanso,
  • electrocardiography. Zambiri zomwe zikuwonetsedwa pa electrocardiogram zimathandizira adokotala kuti azindikire molondola kwambiri zamatenda amtima,
  • echocardiography (ultrasound ya mtima). Kuyesa kwa wodwalayo kumachitika pogwiritsa ntchito sensor akupanga. Njira yake ndi yothandiza kwambiri kuti mupeze kulowetsedwa kwadzaoneni,
  • radiology. Kafukufuku amachitika muchipatala pogwiritsa ntchito makina a x-ray. Kuzindikira kumapereka chithunzi chonse cha ziwalo za wodwalayo, makamaka mtima. Njirayi imathandiza kupewa zovuta, zomwe nthawi zambiri zimatsatiridwa ndi kulowerera kwa mtima,
  • kafukufuku wa zasayansi. Zimakhazikitsidwa ndi kafukufuku wamagazi oyesa wodwalayo, omwe mkati mwa kulowetsedwa kwa myocardial amasintha kapangidwe kake ndi kapangidwe kake. Kuphatikiza pa kusintha kwa zomwe zimachitika mosalekeza m'magazi, ndi necrosis ya minofu ya mtima, mapuloteni apadera, zolemba, zimatulutsidwa m'thupi.

Udindo wa troponins mthupi

Troponins ndi zizindikiro zapadera za ntchito zamtima, zolola kuti ma pathologies adziwe ngakhale patapita nthawi. Komwe kuli mapuloteni awa ndi minofu ya mtima. Amayang'anira kutulutsa ndi kupumula kwa myocardium. Kubwera kwa chiwalo, komwe ndi kugunda kwa mtima, kumakhala chifukwa cha kuwonongeka kwa minofu, kumalimbikitsa kulowerera kwa troponins mthupi lozungulira, lomwe pambuyo pake limatilola kuweruza kukhalapo kwa matenda awa.

Mwa mitundu, ma troponins adagawika I, T, ndi C. Pulogalamu iliyonse mwa mapuloteni awa ali ndi udindo womwewo wogwira ntchito mwa myocardium. Komabe, popeza ali ndi miyeso yosiyanasiyana ya maselo, amagwira ntchito zawo. Dera la troponin limapereka minyewa yocheperako. Pankhani yazomwe zili mu zovuta, mapuloteni T amaposa kawiri kuposa enawo. Pazindikiritso wa myocardial infarction, chisamaliro chapadera chimaperekedwa kwa troponins T ndi ine. Iwo ndi omwe amadziwitsidwa za kusintha kwa matenda mu minofu ya mtima. Moyo wosasinthika wa mapuloteni umapangitsa kuchita kafukufuku pamagawo osiyanasiyana chitukuko cha matendawa.

Nthawi ya moyo wa troponin ndimafika sabata, pambuyo pake imatha kukhalako. Mu troponin T, nthawi imeneyi imafikira masiku 10-18. Kusiyanaku kumapangitsa kuti athe kudziwa tsiku lenileni la vuto la mtima, mosasamala kanthu za thanzi la wodwalayo panthawi yamavuto.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Troponin T, potengera kapangidwe kake komanso luso lake, zimapangitsa kudziwa malo ochepera a minofu ya mtima mwa odwala omwe ali ndi vuto la coronary. Ma pathologies oterewa amadziwika kuti ndi microinfarctions. Ngati kuchuluka kwa troponins T ndi ine kumaonekera mwa odwala omwe matenda a coronary ali pachimake, ndiye kuti kupatuka pang'ono mu electrocardiogram (mwachitsanzo, gawo lochepetsedwa la ST, cholowetsa T-wave) ndikutsimikiziridwa kuti mudziwe za kukhalapo kwa myocardial infarction.

Sichinadziwikebe kuti ndi iti mwa troponins, T kapena I, omwe amapereka zambiri zodalirika zokhudzana ndi myocardial infarction. Mapuloteni a mtima omwe ndikuwoneka kuti ndi wolemba bwino kwambiri myocardial, komabe, ndiwotsika kwa troponin T pakuyimira. Kuyesedwa kochokera kumapeto kwaumboni kwapangidwa ndi wopanga wina, mothandizidwa ndi maphunziro angapo ndi zotsatira zake. Pakupanga mayeso motengera troponin ndidakhudzana ndi makampani ambiri omwe amagwiritsa ntchito njira zosiyanasiyana ndi ma reagents, kugwiritsa ntchito komwe kumakhala kovuta kutsimikizira.

Nthawi zambiri za troponins m'magazi

Kukhalapo kwa troponins m'magazi sikutanthauza kuti myocardial infarction. Chifukwa chake, magazi a munthu wathanzi labwino atha kukhala ndi pafupifupi 0.1 ng / ml ya mapuloteni awa. Zonse zimatengera mawonekedwe amthupi ndi momwe zimakhalira panthawi yoyesedwa.

Maonekedwe ndi kuwonjezeka kwa troponin T m'magazi zitha kukhala zotsatirazi:

  • kumwa mowa
  • opaleshoni yaposachedwa
  • myocarditis
  • pericarditis
  • matenda endocarditis,
  • masinthidwe owopsa m'mafupa.

Komanso, kuphatikiza mapuloteni ambiriwa kumatha kukhala chifukwa cha sepsis (matenda opatsirana pachimake chifukwa cholozetsa tizilombo toyambitsa matenda m'magazi).

Chifukwa choyeserera kwa troponin

Zomwe zimayesa mayeso a troponin ndi zizindikiro zomwe zimayambitsa kupindika. Mchitidwewo umachitika pokhapokha ngati mayeso a labotale osakanika sangatheke. Kuyesedwa mwachangu kumapereka chidziwitso pompopompo ndipo kumakupatsani mwayi wopulumutsa nthawi yofunika yopulumutsa wodwala.

Kwambiri, kufufuza kwa troponins ndikofunikira kwa atherosulinotic, anthu onenepa kwambiri komanso omwe akuvutika ndi angina pectoris. Zomwe mayesowa ali:

  • Zowawa mwadzidzidzi mkati mwa chifuwa, mbali yakumanzere, yomwe imaperekedwa kumapewa akumanzere, kolala, khutu, komanso imadziwika mu khosi komanso pakati pamapewa.
  • Kusinthasintha kowopsa pamagazi.
  • Mawonekedwe a mtima amasintha.
  • Kuseketsa, wodwala wodwala, chizungulire. thukuta.
  • Zofooka, matenda amanjenje.

Kuyesa kwa Troponin pakugwira ntchito

Troponins okhala ndi myocardial infarction amadzipangitsa kuti azimva nthawi yomweyo izi zitachitika. Mphamvu zawo zimawonekera pakuphulika kwa mapuloteni omwe amapanga ma molekyulu ndi kulowa mkati mwa magazi. Zodabwitsazi zakhala zikugwiritsidwa ntchito ndi mankhwala kwazaka zopitilira zaka khumi ndipo zidayipeza bwino mu njira zamakono zodziwitsira matenda.

Ngati wodwala atayendera dipatimenti yamtima, ali ndi zizindikiro za infrction ya myocardial, koma kuwerenga kwa ECG sikupereka chidaliro mu izi, kuyesa kwa troponin kumayikidwa. Njirayi imaphatikizapo kutsimikiza kolondola kwa kuchuluka kwa troponins m'magazi a wodwala. Kuyeza kuli mu nanograms pa lita. Kufunika kwa kuyesa kochulukirapo pakuwunika kusintha kwa zomwe zili mumapuloteni amtima. Chifukwa chake, njirayi imalola kuzindikira kuyambiranso kwa matenda ndi kupatsa wodwala chithandizo chambiri. Zoyipa zamayeso ochulukitsa ndizovuta zake komanso kufunikira kwa zida zapadera. Kuphatikiza apo, kukhazikitsidwa kwake kumatenga nthawi yambiri.

Kuyesedwa kwa troponin mwachangu mukamayendetsa sikutanthauza katswiri wazachipatala wodziwa bwino kwambiri njira zina. Kunja, chinthucho chimafanana ndi mayeso apakhomo apakhomo. Imayimiridwa ndi Mzere wokhala ndi magawo osindikizidwa. Kuti mupeze zotsatira ndikufika pamawu omaliza a mtima, dontho limodzi lamwazi limayikidwa mu dipatimenti yapadera. Ndondomeko imatenga mphindi 15. Kuwonekera kwa mzere umodzi kumawonetsera momwe thupi limakhalira. Mikwingwirima iwiri imawonetsa kuti chizolowezi cha troponin T chimadutsa m'magazi ndipo wodwala amafunikira chithandizo chodzidzimutsa.

Ngati palibe mikwingwirima yomwe imawoneka nthawi ya kuyesedwa, izi zikutanthauza kuti chinthucho chatha ndipo akuyenera kubwereza pogwiritsa ntchito kuyesa kwatsopano.

Lero, kuyesa kwa troponin kumatha kupezeka pamafufuzidwe a mafakisi. Nthawi zonse imakhala gawo la ndalama zomwe zimakhala ma ambulansi. Ogwira ntchito oyenera amadziwa ntchito zake.

Kumbukirani kuti kuyesa mwachangu si chitsimikizo cha 100% cha kukhalapo kapena kusowa kwa myocardial infarction. Ngakhale ndi zotsatirapo zoyipa, koma kuwonetsa zizindikiro za matendawa, maphunziro owopsa mu labotale kapena kuyesedwa mobwerezabwereza amayenera kuchitika patatha maola 3-4 atatha koyamba, popeza kuchuluka kwambiri kwa troponins m'magazi kumawonedwa patangotha ​​maola 6-8 mutawonongeka minofu ya myocardial.

Bwino kuchenjeza kuposa kuchiritsa

Ziyeso zilizonse zogwira ntchito komanso zothandiza kwambiri kuchipatala chodziwika bwino sizofanana ndi thanzi lathunthu. Ziribe kanthu kuthekera kwapamwamba kwamankhwala amakono, kupindika kwa myocardial kumapitilizabe kuvulaza miyoyo ya anthu.

Chepetsani kwambiri kuonekera kwa matendawa kungathandize kupewa, zomwe sizovuta kwa aliyense:

  • Kuchulukitsa kwa magalimoto.
  • Kukana zizolowezi zoipa.
  • Zakudya zoyenera.
  • Kukhala ndi chiyembekezo.
  • Kupumula kwakanthawi komanso kugona mokwanira.
  • Kukambirana ndi dokotala wabanja.
  • Kupewa matenda ashuga komanso matenda oopsa.

Ngakhale ngati munthu sanakhalepo ndi vuto la mtima m'mbuyomu, kukayikira pang'ono kovutidwa ndi mtima, muyenera kuyimbira ambulansi nthawi yomweyo. Kudzichitira nokha mankhwala komanso kutaya nthawi kumakhala ndi zotsatira zoyipa.

Kapangidwe ndi kagwiritsidwe ka gawo loyesa

Mzere uliwonse wamayeso ndimapangidwe ovuta a electrodes okhala ndi magawo. Magazi akaloŵa m'mitseko kuti adziwe cholesterol, zimachitika zina. Ndipo motero, mulingo wa cholesterol m'mwazi umatsimikizika. Glucooxidase, wapadera wazachilengedwe, amatenga nawo mbali pazochitikazo. Imayamba kulumikizana ndi cholesterol, ndi kutulutsidwa kwa mphamvu yofananira ndi kuchuluka kwa ndende ya cholesterol, ndipo zizindikirocho zikuwonetsedwa pazenera.

Pa Mzere woyezera cholesterol, pali gawo lomwe lili ndi reagent, lomwe limaphatikizapo chromogen, peroxidase, cholesterol esterase, cholesterol oxidase. Ndi omwe amachita ndi magazi a wodwala.

Kuchita zoyesa

Kuti mupeze mayeso a cholesterol, muyenera kutsegula phukusi ndi mizere yoyesera ndikuchotsa chip code. Amayikidwa mu kagawo komwe kali pambali ya chosindikizira chosonyeza. Pambuyo pake, muyenera kutenga Mzere wa mayeso kuchokera phukusi. Ndikofunika kuti usasiye mtsuko utatseguka. Kenako chingwe choyesera chimayikidwa ndi mivi kulowera kwa chipangizocho kuti chikhale chomangira chake. Ngati zonse zachitika molondola, mawu ayenera kumveka.

Ndikofunikira kuyang'anitsitsa chophimba cha chipangizocho. Simungayambe kuyesa mpaka iwonetse chizindikiro ndi CH. Zithunzizi ziyenera kufanana ndi zomwe zikupezeka mchidebe ndi mikwingwirima.

Tsopano popeza chipangizocho chikukonzekera bwino kufufuza, mutha kubaya chala chanu ndi choko. Izi zisanachitike, manja ayenera kutsukidwa ndi madzi ofunda ndi sopo ndipo chala chikhale chopukutira kuti magazi azituluka. Dontho loyamba lomwe limatuluka limachotsedwa ndi bandeji, ndipo dontho lotsatira lokha ndi lomwe limagwiritsidwa ntchito pophunzira ndi kuyesa. Ingogwira dontho mderalo ndi reagent pamtunda woyesera - imawoneka ngati bwalo loyera. Mzere pawokha umatulutsa magazi ochuluka monga momwe amafunikira phunziroli. Potere, zigawo zoyenda zikuyenera kuwonekera pa chiwonetserochi, ndipo chipangacho chitha kupereka chizindikiro.

Ngati izi sizingachitike, muyenera kukhudza chingwe choyesa ndi chala chanu kachiwiri ndikupitilira mpaka chipangizocho chikuyankha. Ndikofunikira kuti mtundu pawindo ukhale wofanana. Ngati sichingafanane, chifukwa chodalirika chotsatira ndi bwino kumayesanso kwachiwiri.

Zimatengera masekondi angapo mpaka mphindi zitatu kukonza zomwe zanenedwazo ndikuwonetsa zotsatira zake pazenera - zimatengera mtundu wa chosindikizira wowonetsa. Pambuyo powerenga zotsatirazi, muyenera kukanikiza "kukonzanso" - zidziwitsozo zidzachotsedwa, ndipo mutha kuchotsa mzere kuchokera pa chipangizocho. Ndi chiyani china chofunikira kudziwa? Kuti muchite mayeso, mumangofunika dontho limodzi lokha la magazi kuchokera kumunwe umodzi. Magazi onse amawunikira, sikofunikira kudzipatula seramu.

Zowonekera mwazogwiritsidwa ntchito ndikusungira zingwe

Kutentha kwenikweni kosunga mizere sikotsika kuposa madigiri asanu pamwamba pa zero Celsius ndipo sikwambamwamba kuposa madigiri sate. Koma nthawi yomweyo, chidebe chokhala ndi mikwingwirima chimasungidwa kutali ndi dzuwa ndi chinyezi. Osasiya chidebe chotseguka. Zida zonse ziyenera kugwiritsidwa ntchito pakatha miyezi itatu chitseko chitsegulidwa. Pambuyo panthawiyi, ndikosayenera kugwiritsira ntchito zingwe, izi zingakhudze kudalirika kwa zotsatira. Komanso mikwingwirima sitimakhala yozizira.

Kuchita kwa chipangizocho kumasuliridwa motere:

  • kuchuluka kwa cholesterol yonse pansipa 3.3 mmol / lita ndi LO - izi zikutanthauza kuti kuyesedwa kukuyenera kubwerezedwa,
  • mulingo wa cholesterol kuyambira 3,3 mmol / lita mpaka 10, 2 mmol / lita - chiwerengero chidzasonyezedwa,
  • cholesterol yonse pamwamba pa 10.2 mmol / lita yofanana ndi HI.

Ngati zotsatira zomaliza zili zowerengera za chipangizochi, izi zikuwonetsa mavuto akulu azaumoyo komanso kufunika kofunikira kuchipatala mwachangu.

Kudalirika kwa zotsatira kumathanso kukhudzidwa ndi mayetsedwe omwe mayeso anachitika. Ngati munthu ali pamalo okwera kwambiri, kuchuluka kwa okosijeni m'magazi kudzachepa, ndipo zotsatira zake sizikhala zolondola. Kuphatikiza apo, mulingo wa triglycerides, ma steroid ndi bilirubin ali ndi zotsatira zake. Ngati wodwala amatenga ascorbic acid, kuchuluka kwake m'magazi kungakhudzenso zotsatira za kafukufukuyu.

Chifukwa chake, ngati owerengera chipangizochi ndi overestimated, sikuli kopindulitsa kudzipenda nokha. Ndikofunikira kukaonana ndi dokotala, amalangiza zoyenera kuchita. Koma kuyezetsa magazi kwathanzi kwathunthu kuti mutsimikizire kapena kukana kudzindikirabe kudzafunikabe.

Cholesterol mita kunyumba - chosonyeza analosera ndi mayeso apadera. Ndiosavuta komanso yosavuta kugwiritsa ntchito.

Chipangizo choyezera cholesterol yamagazi kunyumba ndizothandiza kwambiri. Tiyenera kumvetsetsa kuti kuchuluka kwathunthu kwa cholesterol m'magazi ndi chizindikiro chosatsimikizirika.

Cholesterol mita kunyumba - chosonyeza analosera ndi mayeso apadera. Ndiosavuta komanso yosavuta kugwiritsa ntchito.

Chipangizo choyezera cholesterol yamagazi kunyumba ndizothandiza kwambiri. Tiyenera kumvetsetsa kuti kuchuluka kwathunthu kwa cholesterol m'magazi ndi chizindikiro chosatsimikizirika.

Lingaliro la cholesterol

Cholesterol ndi mowa wa cosclic wachiwiri wa monoatomic. Kuphatikizika kwake ndi chizindikiro cha metabolidi ya lipid. Cholesterol yaulere ndi gawo limodzi la cell, mitochondrial membranes ndi endoplasmic reticulum. Kuphatikiza apo, ndikofunikira popanga vitamini D, cortisol, mahomoni ndi mafuta acids. Pafupifupi 80% ya zinthu zotere zimapangidwa ndi thupi lokha, ndipo kachigawo kakang'ono kokha kamalowa m'thupi ndi chakudya chamagulu.

Cholesterol siisungunuka m'madzi, ndipo mayendedwe onse amtunduwu pakati pa ziwalo ndi minofu amachitika kudzera pakupanga lipoprotein. Pali gulu la zigawo za cholesterol. Amagawika m'magulu otsika kwambiri a lipoproteins (LDL) ndi high density (HDL). Izi tizigawo timasiyana kwambiri munthaka zawo komanso momwe zimagwirira ntchito.

Tiyenera kudziwa kuti zaka komanso jenda zimakhudza cholesterol yamagazi. Izi zimachitika chifukwa cha mphamvu ya mahomoni ogonana: kuchuluka kwa androgens, ndi ma estrogens amachepetsa cholesterol yonse. Komanso, zinthu zomwe zili m'magazi zizisintha chifukwa cha zakudya, mankhwala, mimba, ndi matenda monga matenda ashuga komanso matenda ena akuluakulu omwe ali ofanana.

Ndikulimbikitsidwa kwambiri kuti anthu azilamulira ndende ya magazi m'magulu awa:

  • osuta
  • anthu otopa
  • kufikira zaka 60,
  • woledzera
  • kudya zakudya zamafuta kwambiri,
  • anthu ovutika ndi matenda amtima.

Zambiri zosungira ndi kugwiritsa ntchito zingwe

Pitilizani mikwingwirima kuti mudziwe cholesterol yotentha kuyambira +5 mpaka +30 degrees. Muyeneranso kuteteza thankiyo ku radiation kuchokera ku dzuwa. Zisiyeni pamalo owuma ndipo nthawi yomweyo mutseke ndikamaliza kuchotsa mzere. Nthawi zambiri, mbale zoyesa zimaloledwa kuti zisungidwe kwa miyezi itatu kuyambira pomwe chitsekerocho chidatsegulidwa, ndipo tsiku lotha ntchito kuti lisungidwe bwino likhoza kupezeka pa labotolo.

Ndi zoletsedwa konse kugwiritsa ntchito mizere yomwe yatha, chifukwa izi zidzatsogolera zosokoneza. Pa chifukwa chomwechi, musamasule.

Zizindikiro zothekera za chipangizocho:

  • cholesterol yonse yotsika 3.3 mmol / l = LO (yofunikira kubwereza mayesowo),
  • cholesterol yathunthu pamlingo wa 3.3-10.2 mmol / l = nambala,
  • cholesterol yathunthu yoposa 10.2 mmol / l = HI.

Ndikofunikira kudziwa kuti zotsatirazi zikuwonetsa kuchuluka kwa magazi kwambiri a triglyceride, ndipo zimagwirizanitsidwa ndi zoopsa. Ndi mawonekedwe a chipangizocho, muyenera kulankhulana ndi dokotala nthawi yomweyo.

Tiyenera kudziwa kuti zotsatira zolakwika zolakwika zitha kupezeka ngati zikuchitika pamalo okwera, chifukwa izi zimapangitsa kuchepa kwa mpweya m'magazi. Kuchuluka kwa zinthu monga ma steroid, bilirubin ndi triglycerides kumakhudzanso magwiridwewo. Zomwezi ndizomwe zimachitika ndi ascorbic acid: kuchepetsedwa kwake sikuwonetsedwa konse, koma kukhudzidwa kwazinthu izi kudzawasokeretsa.

Kusamalira ambiri

Ma multicar mini-analyzer, omwe amapangidwa ku Italy, amatchuka kwambiri pakati pa anthu aku Russia. Chipangizocho ndi chosavuta kugwiritsa ntchito. Ngakhale anthu okalamba amatha kupirira. Kunyumba, mothandizidwa, mutha kudziwa kuchuluka kwa shuga, triglycerides, cholesterol.

Mfundo zoyendetsera chipangizochi zimatengera njira yowonetsera kuti mudziwe zomwe zili mu cholesterol.

Chipangizocho chimapangidwa kuti chizigwiritsidwa ntchito pozindikira panyumba pokha. Sizingagwiritsidwe ntchito kuzindikira zovuta komanso mayeso apadera. Wopanga sapereka deta pazolakwika zomwe zingachitike pakuyesa.

Choyipa chachikulu cha chipangizocho ndikuti magazi amayenera kupakidwa pamwamba pa mzere, womwe umayikidwa kale mu chipangizocho. Izi zimayambitsa kuipitsidwa kwa thupi la chipangizocho komanso ziwalo zake zamkati, zomwe zimabweretsa kuphwanya ukhondo komanso ukhondo. Pachifukwa ichi, Multicar iyenera kumakhala ikugwiritsidwa ntchito nthawi zonse.

Mizere yama test-Multicar In-cholesterol imakupatsani mwayi wodziwa kuchuluka kwa mowa wamafuta kuyambira 3,3 mpaka 10,3 mmol pa lita.

Kutanthauzira kwa Zotsatira

Pali kusiyana kwa mibadwo

Zomwe zapezedwa zikuwonetsa kuchuluka kwa cholesterol, poganizira zolakwika zovomerezeka.

Kwa akazi, Zizindikiro zamagulu kuchokera pa 2.90 mpaka 5.30 mmol pa lita imodzi zimawoneka ngati zabwinobwino.

Kwa amuna, kuyambira 2.95 mpaka 5.25 mmol pa lita.

Miyezo yapakati ikuwonetsedwa pano, koma kusiyanitsa zaka kumakhalabe. Izi siziyenera kuyiwalika.

Zofunika! Ndi kulumpha kwakuthwa kuzizindikiro za cholesterol, muyenera kufunsa dokotala nthawi yomweyo.

Ndemanga za kagwiritsidwe ntchito kosanthula ma compact ndi ma strip test kuti mupeze cholesterol ndizabwino kwambiri, chifukwa chipangizochi chimakulolani kuti mupulumutse nthawi yambiri komanso khama. Mudagula, simukufunikiranso kudula nthawi kuchokera kuntchito kuti mukapita ku chipatalako, ndipo mutakhala komweko kwa maola awiri kuti mumalize.

Mutha kutenga chida kunyumba, kupanga punct ndi cholembera ndikuyesa. Izi zimatenga mphindi 1 kuti muchotse ndikutenga magazi, mphindi zitatu kuti mudikire zotsatira ndi mphindi 15 zopumula musanayesedwe. Pafupifupi mphindi 20 zokha.

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Zabwino Kwambiri Zoyeserera za Cholesterol mu Mankhwala
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