Uvavanyo lwe-natriuretic peptide yovavanyo

Uvavanyo lwe-Brain natriuretic peptide (BNP) luvavanyo lwegazi olulinganisa amanqanaba eprotini ebizwa ngokuba yi-BNP eyenziwe yintliziyo kunye nemithambo yegazi. Amanqanaba e-BNP aphezulu kunesiqhelo xa usilela kwentliziyo.

Isampulu yegazi iyafuneka. Igazi lithathwa emthanjeni (venipuncture).

Olu vavanyo luhlala lwenziwa kwigumbi likaxakeka okanye esibhedlele. Iziphumo zithatha ukuya kwimizuzu eli-15. Kwezinye izibhedlele, uvavanyo lokuhlaba umnwe oluneziphumo ezikhawulezayo luyafumaneka.

Xa kufakwa inaliti ukuze kutsalwe igazi, ungaziva iintlungu. Uninzi lwabantu luziva luhlaba nje okanye luhlaba. Emva koko kunokubakho ukuphazamiseka okanye ukugruzuka.

Unokulufuna olu vavanyo ukuba uneempawu zokusilela kwentliziyo. Iimpawu zibandakanya ukuphefumla kancinci kunye nokudumba kwemilenze yakho okanye isisu. Uvavanyo luyanceda ukuqinisekisa ukuba iingxaki zibangelwa yintliziyo yakho hayi imiphunga, izintso, okanye isibindi.

Akucaci ukuba ngaba uvavanyo lwe-BNP oluphindaphindiweyo luyanceda ekukhokeleni unyango kwabo sele befumene ukuba banesifo sentliziyo.

Ngokubanzi, iziphumo ezingaphantsi kwe-100 zeepikgram / zemililitha (pg / mL) luphawu lokuba umntu akanasifo sentliziyo.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho wezempilo malunga nentsingiselo yeziphumo zakho zovavanyo.

Amanqanaba e-BNP anyuka xa intliziyo ingakwazi ukumpompa ngendlela efanele.

Iziphumo ezingaphezulu kwe-100 pg / mL aziqhelekanga. Ukunyuka kwenani, kokukhona kusilela ukusilela kwentliziyo, kwaye okukhona kunzima.

Ngamanye amaxesha ezinye iimeko zinokubangela amanqanaba aphezulu e-BNP. Oku kubandakanya:

• Ukungaphumeleli kwezintso
• Ukudibanisa iipulmonary
• Uxinzelelo lwegazi
• Usulelo olomeleleyo (sepsis)
• Iingxaki zemiphunga

Iingozi ezinxulumene nokutsalwa kwegazi zincinci kodwa zinokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo olunxulumene noko, olubizwa ngokuba yi-N-terminal pro-BNP test, lwenziwa ngendlela efanayo. Inika ulwazi olufanayo, kodwa uluhlu oluqhelekileyo lwahlukile.

Bock JL. Ukulimala kwe-Cardiac, atherosclerosis, kunye nesifo se-thrombotic. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 18.

UFelker GM, iTeerlink JR. Ukuchongwa kunye nolawulo lokungaphumeleli kwentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 24.

UYancy CW, uJessup M, uBozkurt B, et al. Isikhokelo se-ACCF / AHA sika-2013 solawulo lokungaphumeleli kwentliziyo: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokusebenza Ukujikeleza. Ngo-2013; 128 (16): e240-e327. IINKCUKACHA: 23741058 pubmed.ncbi.nlm.nih.gov/23741058/.