Iingcali zamagqirha zisebenzisa i-Procalcitonin ye-Blood Test ukuze kusize ukuxilonga i-Sepsis
I-Procalcitonin (PCT) yindlela yokuhlolwa kwegazi edlalwa rhoqo xa kukho isikrokro sokuba isigulane sinokuthi sisifo se-bacteria sepsis , isifo esinamandla esisifo esingasongela ubomi. Ukuhlolwa kwe-procalcitonin yindlela enye yokwenza ukuxilongwa ngokukhawuleza kwaye sindisa ubomi.
Ukutolika iPracalcitonin Iziphumo
Ngomntu onempilo, i-procalcitonin ayinakwenzeka ukuba iphakanyiswe.
Ukuba umntu uyagula, kwaye i-sepsis iyakrokrelwa, ithabhu ye-procalcitonin iya kutsalwa ukukunceda ukuba uthathe isifo. Kubalulekile ukuba uqaphele ukuba i-procalcitonin ayixilisi uhlobo losulelo; Kunoko, kubonisa ukuba kunokwenzeka ukuba usulelo lukhona. Ukuba uvavanyo lwe-procalcitonin luhle, ugqirha ke ukhangele iimvavanyo ezongezelelweyo kunye nokuhlolwa komzimba wesigulane ukuze aqinisekise ukuba usulelo lukhona, nendlela yokunyanga ngayo.
Ukuba i-sepsis ikhunjulwa, iimvavanyo ezongeziweyo, ezifana neenkcubeko zegazi kunye negazi elipheleleyo (CBC) , zidlalwa rhoqo ukuba zibone ukuba i-sepsis ikhoyo, kwaye ichonga ukuba yiyiphi into eyenza isifo. Kwezinye iimeko, i-procalcitonin isetyenziselwa ukwahlula phakathi kosulelo olunzulu lwengingqi, olufana nokusuleleka kwintsholongwane, kunye nosulelo olusisiseko.
Ulwaphulo lweNgingqi kunye ne-Infection Infection (Sepsis)
Usulelo lwengingqi lufumaneka kwicandelo elithile lomzimba; Imizekelo ibandakanya ukusulela ukuphefumula, intsholongwane yezinyo okanye isifo sofuba.
I-Sepsis yintsholongwane yesistimu eye yangena kwigazi kwaye ihambela kuzo zonke iindawo zomzimba. Nangona kunokwenzeka ukuba usulelo lwengingqi lube sisongelo lobomi, i-sepsis inokuthi ibe yinto enzima kwaye iqinisekise ukuba ingenelelo enkulu yonyango.
Procalcitonin Iziphumo
Nangona iziphumo zovavanyo lwe-procalcitonin kufuneka zichazwe ngugqirha okanye omnye umboneleli wezempilo oqeqeshiwe, iziphumo ngokubanzi zichazwa ngolu hlobo lulandelayo:
- Iprocalcitonin ye-0-.05 μg / L ilindeleke kumntu ophilileyo.
- Amanqanaba ePlaccitonin angaphantsi kwe-.5 μg / L angabonisa intsholongwane, kodwa inqanaba elinjalo alinakwenzeka ukuba libe sisifo se-systemic njenge-sepsis. Usulelo lwengingqi, olunjengezinyo ezisulelekileyo okanye usulelo lokuphefumula, lunokuba khona.
- I-procalcitonin level phakathi .5 - 2 μg / L ibonisa ukuba isifo sesistim ekhona, kodwa asiyihlolisi ye-sepsis.
- Amanqanaba e-Procalcitonin ka-2-10 μg / L abonisa ukuba i-sepsis inokwenzeka.
- Iziphumo ze-Procalcitonin ye-10 μg / L okanye ngaphezulu zibonisa ukuba kunokwenzeka ukuba kunokwenzeka ukuba kunokwenzeka ukuba utywala obunzima okanye ukutshatyalaliswa kwemvelo kwaye ngokuqhelekileyo unyango kunye nemithi ye-IV kunye ne-fluid iqalwa ngokukhawuleza.
Iziphumo ze-procalcitonin zingasetyenziselwa ukuchonga ukuba usulelo luya kubangelwa ibhaktheriya okanye intsholongwane. Ukuba isifo sithe saziwa ukuba sikhona, kwaye izinga le-procalcitonin liphantsi kakhulu, ubukho bebhaktheriya bungeke kwenzeke, kwaye kunokwenzeka ukuba usulelo lubangelwa yi-ntsholongwane. Oku kunokuthintela ukusebenzisa i-antibiotics ngokungenasiphelo, njengoko iintsholongwane zingaphathwa ngonyango lwe-antibiotic.
Ezinye izizathu zokuphakanyiswa kweProcalcitonin
Ukongeza kwi-sepsis, kukho izizathu ezongezelelweyo zokuba umntu unokuba nenqanaba eliphezulu le-procalcitonin.
Kwiintsana, umzekelo, izinga eliqhelekileyo egazini liphezulu ngaphandle kokusuleleka. Ukulimala - ngokugqithiseleyo ingozi okanye ukuhlinzwa-kunokudala nomphumo ophezulu ngaphandle kobuchule be-sepsis. Amanye amayeza, ukutshitshiswa kungabangelwa yi-sepsis, kwaye nokuba nomhlaza kungakhokelela ekuphakameni kwamanqanaba e-procalcitonin.
Imiqathango eyancipha izinga le-oksijini efumanekayo kwiimfucu zomzimba, kungakhathaliseki ukuba yintoni ingcambu, ingabangela i-proalcitonin ephakamileyo xa kungekho sisifo esinoko. Ezi zinokuhlula ukusuka ekunciphiseni i-oksijeni intlawulo ngenxa yesifo se-asthma okanye i-pneumonia ukuboshwa kwentliziyo .
Amanqanaba aphantsi eProtecitonin kunye okanye ngaphandle kwe-Sepsis
Kunokwenzeka ukuba isigulane esine-sepsis sibonise ngezinga eliphantsi le-procalcitonin. Ukuba uvavanyo luqhutywe kakhulu ekuqaleni kwexesha lokugula, amanqanaba angase aphantsi, kodwa uya kukwandisa ngaphezu kweeyure ezimbalwa okanye iintsuku ezizayo.
Amanqanaba aphantsi angaphinda afunyanwe xa kungekho mvelaphi yesifo ebonakalayo. Oku kunokwenzeka ukuba usulelo lukhuni ukufumana. Isigulane asinakho iimpawu zentsholongwane xa uvavanyo lubonisa ukuba usulelo lukhoyo.
I-Procalcitonin kunye neSepsis: Kuthetha ntoni Konke?
Ngokwenene, inqanaba le-procalcitonin ngokwalo lichaza kwangaphambili ukuba kukho uhlobo losulelo olukhoyo. Isiphumo se-procalcitonin sisikhokelo, kungekhona ukuxilongwa. Cinga ngomphumo wokuvavanya njengomqondiso wokuba uvavanyo oluqhubekayo lwenziwa, kungekhona ukuxilongwa.
Izigulane azifumani unyango ngokusekelwe kwinqanaba le-procalcitonin yedwa: lonke ububanzi bempilo yabo yangoku livavanywa, kwaye unyango lusekelwe kwisigqibo sekliniki somgqirha. Isigulane sisoloko sihlolwe iimpawu ezongezelelweyo kunye neempawu zentsholongwane . Ukuba isigulane esahlolwa ekuqaleni kwenkqubo ye-sepsis, kwaye inezinga eliphantsi le-procalcitonin, ukuphinda ukuvavanywa emva kwexesha kunokubonakalisa ukuba i-sepsis ikhoyo.
Ixabiso eliyinyaniso lezinga le-procalcitonin kukuba lingaholela ekunyilweni kwangaphambili kwe-sepsis, enokukhawuleza ibe yingozi yokuphila. Kuba umntu ophuhlisa i-sepsis, ukuphathwa ngeeyure ezimbalwa ngokukhawuleza ngenxa yezinga eliphezulu lika-procalcitonin lingenza umehluko phakathi kwesifo esiphendula ngokukhawuleza kwiimithi zonyango kunye nokugula okunzima ngokwaneleyo ukufuna ukunakekelwa kwezinga le- ICU .
I-Sepsis maxa wambi kunzima ukuxilonga ngenxa yokuba umntu onombuzo akanakho ukuqonda ukuba banentsholongwane. Into encinane njengonyawo lomdlali ingakhokelela ekuthungeni. Ezi zi gulane ezingakwaziyo ukusuleleka, uvavanyo lwe-procalcitonin luncedo kakhulu.
Imithombo:
> Chakraborty, Sutirtha. Ngaba sidinga i-procalcitonin ye-sepsis? Umbutho waseMelika weKlinikhi yeKhemistry. KwiWebhu. > Februwari > 2015.
> Jin, Ming. Iprocalcitonin: Ukusetyenziswa kwibhubhoratri yeklinikhi yokuxilongwa kwe-sepsis. Lab Med. 2010; 41 (3): 173-177.
AmaZiko eZiko lezeMpilo. Iprocalcitonin luncedo ekuqaliseni unyango lwe-antibiotics kwizigulane ezincinci zonyango. KwiWebhu. Matshi 2013.