Unofanira Kuva neRPP Yakaenzaniswa Here?

Kuyera CRP inogona kuva yakakosha kuhutano hwako hwehupenyu

Kuyera maitiro eC-reactive protein (CRP) anogona kubatsira pakuchengeta njodzi yekugadzirisa zvirwere (CAD) mune vamwe vanhu. CRP iprotini inosunungurwa muropa mumvura munguva dzekuvhiringidza. Sezvo kurwisana ikozvino kwave kuchizivikanwa kuti kunotora chikamu chikuru mukugadzirwa kweAristrosclerosis (iyo inogadzirisa mavara mumariti), zvinonzwisisika kuti maRPP angave akakwidziridzwa munguva dzekushanda kwekuita mapeji uye kuti mazinga akakwirira eCRP aizobatana ne mwoyo yezviitiko.

Zvidzidzo zvino zvakaratidza kuti CRP yakakwirira inobatanidzwa nehuwandu hwehutano hwezviitiko zvepfungwa, zvakadai sekurwadziwa kwepfungwa uye kurwisa . Kunyangwe iRPP inokonzera kuwedzera kungozi kana kungova chiratidzo chepangozi ichiri kukwikwidzana, kunyange kupererwa kwehumwe uchapupu hunoratidza kuti haisi chikonzero chaicho. Kunyange zvakadaro, zvino yava kuzivikanwa kuti kurapa vanhu vane mazinga akakwirira eCRP vanogona kuderedza ngozi yavo. Ichi chikonzero chega chinokonzera kuenzaniswa kweRPP inogona kuve yakakosha kune vamwe vanhu.

Ko CRP Inofanirwa Sei?

CRP inotaridzika uchishandisa kuongorora kukuru kwehutano (inonzi hs-CRP ropa test). Muzhinji, yepamusoro ye hs-CRP yepamusoro, inowedzera ngozi. Mazinga e hs-CRP pasi apa 1 anotaridzirwa pasi; Nhamba dze1 - 3 dzinofungidzirwa sepamusoro dzakakwirira; mazinga makuru kupfuura matatu anotaridzirwa akakwirira. Nhamba dzakakura kupfuura 10 dzinowanzoonekwa chete nekushanda, zvakajeka kuvhiringidza zvirongwa, zvakadai sehutachiona hwakakomba, kushungurudzika kukuru, kana zvirwere zvisingaperi zvirwere-idzi dzakakwirira-refu hazvigoni kushandiswa kududzira dambudziko remwoyo .

Nokuti zvikwata zveRPP zvinogona kuchinja nekufamba kwenguva, nyanzvi dzakawanda zvino dzinokurudzira kuenzana nemazinga maviri eRP masvondo mashomanana oga uye kuenzanisa maitiro maviri.

Kusarudza kana kuenzaniswa kweRPP kunofanirwa kuve chikamu chekuita maitiro ekuongorora maitiro kwave kwakaoma zvikonzero zviviri. Chokutanga, kududzira kukosha kwechikwata cheRPP chakakwirira hachisi nyore, uye kunogona kutungamirira kune kuvhiringidzika kupfuura pane zvishoma.

Chechipiri, kusvikira munguva pfupi yakanga isingazivikanwe kana mushonga unofanirwa kuchinjwa kune chero ani zvake zvichienderana nemigumisiro yekodzero dzeRPP.

Ndeipi Inobatsira Kuenzanisa CRP?

Kuwedzera kwezvikwata zveRPP zvinowanzobatanidzwa nehupo hwehumwe humwe huwandu hunokonzerwa nehutano hwehutano hwakadai sekusvuta, kuwedzera kuneta, mararamiro ehupenyu , kuwedzera cholesterol, kuwedzera kwehutano uye chirwere chemagetsi . Saka zvikamu zvepamusoro zveRPP zvinowanzoonekwa kune varwere vane huwandu hwehuwandu hwehuwandu hunowedzera. Muzviitiko izvi, kuwana chikwata chepamusoro cheRPP chinongoratidzira izvo zvatove zviri pachena - murwere ane dambudziko guru rehutano hwemwoyo , uye anoda hutsinye hunokonzerwa nehutachiona hunochinja (kunyanya kusanganisira statins) chero mazinga eRPP.

Kune rumwe rutivi, ruzivo rweRPP rwakakwirira mumunhu ane imwe chete kana maviri mamwe ngozi ane ngozi anowedzera mashoko angangodaro anokosha. Kune vanhu ava, urongwa hwakakwirira hweRPP hunoratidzika kuratidza kuti dambudziko ravo rakakwirira kudarika zvarinoratidzika. Zvinoreva kuti zvishomanana zvepfungwa yepamusoro, kana zvishoma zvishoma kuwedzera, zvakanyatsobatanidzwa nekugona kuvhiringidza mumidziyo yeropa uye kuti njodzi yezviitiko zvemoyo inogona kukwidziridzwa.

Saka, kana zvisingaiti, kuva neRPP yakakwirira inofanira kuita kuti iwe uye chiremba wako uwedzere zvakanyanya pamusoro pokuderedza njodzi. Uyezve, mashoko kubva kuJUPITER achangobva kuongorora anotiudza kuti kupa zviremera kune avo vanoratidzika kunge vane utano hwakanaka avo vane mazinga akakwirira eRPP vanogona kuderedza zvikuru uye kuwandisa ngozi yavo yehutano hwehutano.

Chinokosha

Nenzira dzeRPP hazvidi kudikanwa kuyerwa mumunhu wese. Usati wambofunga nezveRPP chiyero, iwe nachiremba wako munofanira kuongorora dambudziko renyu rekutanga remararamiro emwoyo, zvichienderana nehuwandu hwehutano hwezvinhu . Ichi chiongorori chichakuudza kana iwe uri munzvimbo yakakwirira, iri pakati, kana iri pasi pengozi.

Kana iwe uchitove uri munharaunda yepamusoro-soro, kuenzanisa CRP hazvizobatsiri. Iwe unonzwisisika kuti unogona kurwara nemwoyo kana kurohwa kunze kwekunge iwe uchideredza zvine utsinye njodzi yako, zvisinei kuti urongwa hwe CRP huve hupi. Asi kana iwe kana chiremba wako uchizeza kushandisa statins , uye usina chokwadi chekubatsira kwavanogona kukupa, zvino kuenzanisa mazinga ako eCPP angakupa imwe chikonzero chekutarisa zvinodhaka-kuderedza zvinodhaka.

Zviri nani kunzwisisa chirongwa cheRPP kana iwe uri munharaunda inowedzera ngozi. Nzvimbo yepamusoro yeRPP pano inofanira kutumira mapuruguru matsvuku kuti mukana wako unogona kunge wakakwirira kudarika iwe unofunga. Uyezve, kana cholesterol yako yakawanda kana yakasimudzirwa zvishoma, uchiziva kuti CRP yako yakakwirira ingakupa iwe uye chiremba wako chikonzero chakajeka chokufungisisa remishonga nemasimoni.

Nemaitiro ezuva ranhasi rezivo, kukosha kwekuyera mazinga eCPP kune vanhu vari pasi pekutengesa kunenge kusina kujekesa. Kana CRP yakasimudzwa uye iwe usina zvimwe zvinokonzera njodzi, kushandiswa kwemasimoni kunogona kufungwa asi kunopesana zvikuru. Nyanzvi dzakawanda dzinobvumirana kuti pane chikonzero chiduku chekuyera mazinga eCPP kune vanhu vari munharaunda yakaderera.

Kana iwe uine CRP yako yakayera uye inodzoka kumusoro, unogona kuverenga nyaya ino: Chii Chingaita Kana CRP Yako Yakasimudzwa.

Sources:

Cook NR, Buring JE, uye Ridker PM. Mhedziso yekubatanidza mapuroteni eC-reactive muhutano hwehutano hwehutano hwevakadzi. Ann Intern Med 2006; 145: 21-29.

Lloyd-Jones DM, Liu K, Tian L, uye Greenland P. Nyaya yekuongorora: Kuongorora kweP-proactive protein inoparidzirwa nengozi yehutano hwepfungwa. Ann Intern Med 2006; 145: 35-42.

Davey Smith G, Timpson N uye Lawlor D. C-puroteni yakagadzikana uye yehutano hwehutano hwehutano: Kunyange zvakadaro hazvizivikanwi huwandu? Ann Intern Med 2006; 145: 70-72.

Ridker PM, Danielson E, Fonseca FA uye al. Rosuvastatin kudzivirira zviitiko zvezviitiko mumarume nevakadzi neP-proactive protein yakakwirira. New Engl J Med 2008; DOI: 10.1056 / NEJMoa0807646. Inowanika pa: http://www.nejm.org.