Madaktari Anoshandisa Sei Procalcitonin Ropa Rokubatsira Kuti Uzive Kuongorora Sepsis
Procalcitonin (PCT) chirwere cheropa chinowanzoitwa kana pane kusafungirwa kuti murwere angave ane bhakitiriya sepsis , chirwere chakakomba chinogadzirisa chinogona kuisa upenyu pangozi. Testal procalcitonin inzira imwe yekuita kuti chirwere ichi chikurumidze uye chinogona ponesa upenyu.
Kududzira Procalcitonin Zviwanikwa
Mune munhu ane utano, procalcitonin haigoni kuwedzerwa.
Kana munhu ari kurwara, uye sepsis inenge yafungidzirwa, laboratoire ye procalcitonin yaizozobatwa kubatsira kubatsira kana kuve nehutachiwana huripo. Zvakakosha kucherechedza kuti procalcitonin haina kuongorora rudzi rwehutachiona; pane kudaro, inoratidza mukana wekuti utachiona hunogona kuvapo. Kana chirongwa che procalcitonin chakanaka, chiremba anobva atarisa miedzo yakawedzerwa uye kuongororwa kwemuviri kuti aone kana utachiona huripo, uye kuti ungahubata sei.
Kana sepsis ichifungidzirwa, kuongororwa kwakawedzerwa, kwakadai semitemo yeropa uye nhamba yakakwana yeropa (CBC) , inowanzoitwa kuti ione kana sepsis iripo, uye kuziva kuti chii chiri kuita kuti utachiona huvepo. Mune zvimwe zviitiko, procalcitonin inoshandiswa kuparadzanisa pakati pehutachiona hwemunharaunda, zvakadai sehutachiona hwehutachiona, uye hutachiona hwave huchirongwa.
Local Infection Versus Systemic Infection (Sepsis)
Chirwere chemunharaunda chinowanikwa mune chimwe chikamu chemuviri; mienzaniso inosanganisira chirwere chekufema, chirwere chezino kana utachiona hwemapfupa.
Sepsis ishutachiona ye systemic yakapinda muropa uye ichienda kunzvimbo dzose dzomuviri. Kunyange zvazvo zvichikwanisika kuti hutachiona hwemukati huve hupenyu hunotyisa, sepsis inowanzova yakasimba uye inobvumirana nehutano hwekupindira.
Procalcitonin Results
Kunyange zvazvo zviitiko zvekuongorora kwe procalcitonin zvinofanirwa kududzirwa nachiremba kana mumwe mudzidzisi wehutano akarovedzwa, zvigumisiro zvinowanzoshandurwa sezvizvi:
- Procalcitonin ye 0 -00 μg / L inotarisirwa kune munhu ane hutano.
- Procalcitonin mazinga mashoma kupfuura .5 μg / L angaratidza utachiona, asi huwandu hwakadaro hahuna kuve hutachiona hwehutachiona hwakafanana nespisis. Chirwere chemunharaunda, chakadai sezino rakakonzerwa nehutachiona kana hutachiona hwehutachiona, hunogona kuvapo.
- A procalcitonin pakati pe55 - 2 μg / L inoratidza kuti utachiona hunogadziriswa hunokwanisika, asi hahuongorori hutsva hwehuputi.
- Procalcitonin mazinga e2-10 μg / L anoratidza sepsis inogona kunge yakangoita.
- Procalcitonin migumisiro ye 10 μg / L kana yakakura inoratidza huwandu hwakawanda hwekutsvaira kwakanyanya kana kushungurudzwa kweputi uye kunyanya kurapwa nemishonga ye IV uye mvura inotanga pakarepo.
Zviratidzo zve procalcitonin zvinogona kushandiswawo kuongorora kana chirwere chinogona kukonzerwa nebhakitiriya kana chirwere. Kana utachiona hunozivikanwa kuti huripo, uye iyo procalcitonin level yakanyanya kuderera, kuvapo kwebhakitiriya hakusviki, uye zvinowanzoitika kuti utachiona huri kukonzerwa nehutachiona. Izvi zvinogona kudzivirira kushandiswa kwemishonga inorwisa mabhakitiriya pasina, sezvo zvirwere zvisingaiti kurapwa nemishonga inorwisa mabhakitiriya.
Zvimwe Zvinokonzera Kuwedzerwa Procalcitonin
Mukuwedzera kune chepisi, kune zvikonzero zvepamusoro kuti munhu angave ane yepamusoro yeproalcitonin level.
Muzvitsva, somuenzaniso, huwandu hunowanikwa muropa hwakareba pasina hutachiwana huripo. Kukuvadza - kunyanya kushungurudzika kwakanyanya kana kuvhiyiwa - kunogonawo kukonzera chigumisiro chakakwirira kunze kwekuvapo kwemashure. Mimwe mishonga, kushungurudzwa kwete kukonzerwa ne-sepsis, uye kunyange kenza kunogonawo kukonzera kukwirira mumatunhu e procalcitonin.
Mamiriro ezvinhu anoderedza muzinga we okisijeni inowanikwa kumatumbu emuviri, zvisinei nokuti chii chinokonzera, inogona kukonzera procalcitonin yakakwirira apo pasina hutachiwana huripo. Izvi zvinogona kubva pakuderera kweakisijeni yakaderera pamusana pemafivha kana kuti pneumonia kusvika kumwoyo kusungwa .
Low Procalcitonin Levels With or Without Without Sepsis
Zvinogoneka kune murwere ane sepsis kuti ape nechepasi procalcitonin level. Kana muedzo wacho waitwa kunyanya munguva yekurwara, mazinga angave akaderera, asi angangowedzera maawa mashomanana anotevera kana mazuva.
Kuderera kwakadzika kunogona kuonekwawo kana pasina chitubu chetachiona chiri pachena. Izvi zvingava zvakadaro kana utachiona hwakaoma kuwana. Murwere angave asina zviratidzo zvehutachiona apo muedzo unoratidza kuti hosha iripo.
Procalcitonin uye Sepsis: Zvose Izvi Zvinorevei?
Muchidimbu, utarati hwe procalcitonin pachahwo hunofanotaura hutano hwokuti rudzi rweutachiona huripo. Iko procalcitonin mugumisiro inotungamirira, kwete kuongororwa. Funga nezvekuedza kwechikonzero sechiratidzo chokutizve kuedza kunofanira kuitwa, kwete kunyanya kuongororwa.
Varwere havagashirwi kurapwa zvichienderana nenhamba ye procalcitonin bedzi: yose yakawanda yehutano hwavo huripo inoongororwa, uye kurapwa kunobva pakurongwa kwekliniki kwechiremba. Murwere anogara achiongororwa zvimwe zviratidzo nezviratidzo zvehutachiona . Kune murwere anoongororwa mangwanani-ngwanani ekufamba kwenguva, uye ane low-procalcitonin level, achidzokorora muedzo munguva inotevera angave akaratidza kuti sepsis iripo.
Iko kukosha kwechokwadi kwe procalcitonin nharaunda ndeyokuti inogona kutungamirira kumarangariro okutanga ezvimedu, izvo zvinogona kukurumidza kuisa upenyu pangozi. Kune munhu ari kukura sepsis, kutapwa maawa mashomanana nekukurumidza nekuda kwepamusoro ye procalcitonin level inogona kuita kusiyana pakati pehutano hunopindura nokukurumidza kumishonga inorwisa mabhakitiriya uye chirwere chakakosha zvokuti chinoda kuchengetedzwa kweCIU .
Sepsis dzimwe nguva zvakaoma kufungidzira nokuti munhu ari mubvunzo angave asingatombozivi kuti vane chirwere. Chimwe chinhu sechidiki semutsoka wetsoka chinogona kutungamirira kune chepisi. Kune avo varwere vasingazivi nezvehutachiona, kuongorora kwe procalcitonin kunonyanya kukosha.
Sources:
> Chakraborty, Sutirtha. Ko tinoda procalcitonin nokuda kwechiputi? American Association for Clinical Chemistry. Webhu. > February > 2015.
> Jin, Ming. Procalcitonin: Zvishandiso mumakiriniki e laboratory ekuzivikanwa kwechiputi. Lab Med. 2010; 41 (3): 173-177.
National Institutes of Health. Procalcitonin inobatsira pakuvambiswa kwemishonga inorwisa mabhakitiriya muchipatara chekuchengetedza varwere. Webhu. March 2013.