ITeknoloji yoNxibelelwano (a uvavanyo lwegazi). iTeknoloji yoNxibelelwano ziqonde

iinkqubo ezahlukeneyo ukudumba ngamanye amaxesha kunzima ukuchonga ngaphandle ukuvavanywa elebhu. Ukuze wenze oku, oogqirha ukumisela yiklinikhi, uhlalutyo zengqo- yezinto eziphilayo. Kutheni kufuneka uthathe uvavanyo igazi ngenxa PCT?

Yintoni PCT?

Xa imizimba yethu njengoko, umxholo kwezinto ezithile ingamiselwa okanye ukuphika ubukho nasiphi na isifo. Uhlalutyo Eyona efundisayo igazi kule nkalo. Enye into enceda ukubeka uxilongo oluchanekileyo yi procalcitonin (iTeknoloji), oko landulelwa ekumisweni calcitonin. Kwelinye icala, calcitonin ngumlinganiselo ikhalsiyam yokucolwa emzimbeni kunye kweziyobisi uxilongo umhlaza lengqula.

Procalcitonin yenziweyo ndlala C-iiseli. Ngenxa ekudibaneni kwemichiza iTeknoloji aguqulelwe calcitonin. Kubantu abasempilweni, le nkqubo lwenzeka kunye kwintsalela luncinane okanye lungekhoyo, oko kukuthi, iTeknoloji akanayo ixesha kungena egazini. Kungenxa yoko le nto imizila kuphela into ibonakele egazini, nto leyo ebonisa ulwazi oluyimfuneko ngobume bempilo yabantu.

Ngokungafaniyo elandelayo hormone calcitonin, iTeknoloji eyimfuneko ngenxa uxilongo kweentlobo ezithile zizifo okanye iinkqubo arhabaxa.

Ziziphi izinto isetyenziselwa uhlalutyo?

Uvavanyo for nokuzimisela iTeknoloji ingqalelo ukufunda igazi jikelele kwezonyango kunye nemvelo. Ukuze wenze oku, uze uthathe capillary kunye negazi lwemithambo. Emva koko, elabhoratri plasma ufunda imizila procalcitonin. Ukuba iziphumo zange nembono, zonke iimeko lokuhanjiswa kuhlalutyo kufuneka iqalwe.

Ngesizathu esithile, esi salathisi anda egazini?

Uhlalutyo for procalcitonin okanye iTeknoloji yoNxibelelwano - uphando kwemichiza, enexabiso ekugqibeni yengxinano nokudumba kunye lwenkqubo syndrome impendulo yokukrala (Madoda).

Procalcitonin ukuba kuhlelwe ngesiqhelo kwi C-iiseli le ndlala lengqula. Ukuqinisekisa inqanaba le isiphawuli emzimbeni, wenziwe uvavanyo igazi. Ezama iTeknoloji ngumceli-mngeni igqirha, njengoko liphuma ezimbi ezininzi, ezisongela ubomi. Cinga, ukuba naziphi na iingxaki kunye zempilo ngayo ngaphezu eqhelekileyo.

• procalcitonin yegazi eyonyukileyo lokosuleleka ezingenawo i umyalezo wentsholongwane egazini. Le meko kubonakala nokudumba yebhaktiriya.
• balimala, ukutsha, utyando ukunika ukutyhala ukuphucula iTeknoloji ngeentsuku ezimbini okanye ezintathu.
• Kuba abantu abenza immunosuppressants, kunye nezinye namayeza afanelekileyo, ayaphuma xa tsitokliny anti ezaziqukwa izinga eliphezulu procalcitonin.
• Xa kubelekwa, iintsuku ezimbini zokuqala emva kokuzalwa landa iTeknoloji. A test igazi, ubuyiselo kubhalo oluqhelekileyo, izinga bonke abantwana akanayo singularities.
• Ixesha elide yaye enzima esikhukulayo cardiogenic Njengokungeniswa ibonisa anda amanani kuphononongo zolu vavanyo.
• ukuphazamiseka Microcirculation onikeza elide, nayo kukhokelela ekwandeni komsebenzi procalcitonin.

Kwezinye iimeko, uvavanyo lwegazi yabelwa PCT?

Iingcali ziye wabhenela isifundo efanayo phantsi kwale miqathango ilandelayo yento ephilayo:

• Amaxesha amaninzi ukumisela igazi iTeknoloji-analysis, ukucazulula ifumaneka kuphela ubugcisa, ngenxa uxilongo iimeko yokubolisa kunye namandla awo. Waphinda kube nzima ukuba bakinfektsii avuza kurhanelwa, ifiva of umyalezo ezingaziwayo.
• Ukulawulwa iziphumo zonyango lwe nokudumba, ukothuka ithi, ALS ezi ezimbi zifuna nokuqeshwa uphando fct.
• Ukufumanisa iingxaki uhlobo ezosulelayo yezigulane emva kotyando, nokufakelwa amalungu omzimba, ngexesha labagula kakhulu , abayama mpilo, isoloko isetyenziswa ekuhlalutyeni procalcitonin. Kuba abantu abafunyaniswa "neutropenia" yaye "omzimba", kunye zixilonga engaziwayo Ukuyivavanya kubaluleke kakhulu gqitha - bacacise novavanyo unyango.
• Umahluko uphethwe yophando ezosulelayo kunye non-esosulelayo isifo izikhathi ibalulekile.
• Iingxaki eluhlobo imingxunya bacteria izifo iya kunceda ukuchonga olu vavanyo gazi. Ezama iTeknoloji kuya kunceda ukufumanisa ukuba yintoni na ukuba zibangelwa yi omnye okanye enye ingxaki.
• Izifo ezifana pneumonia, meningitis, peritonitis ziibhakteriya, isenokwenza ukuba kufuneke ukuqeshwa yophando procalcitonin.

Imigaqo lokuhanjiswa uhlalutyo kwesi salathisi

Zonke izigulane kwi ukwamkelwa kunye nonyango kwiziko lonyango amisiweyo ICBC. Ezama iTeknoloji, izinga leyo ixhomekeke ubudala nempilo yesigulane, nto leyo wabelwa ukuba njalo rhoqo. Kodwa ke uphando isiba yonke imihla ngakumbi zithandwa ngakumbi, oogqirha ukuqonda intsingiselo yalo ngokupheleleyo moshilongo abane lomguli ngakumbi.

Zonke izifundo kwemichiza lwenziwa ungatyanga. Kwaye procalcitonin Akukho ngaphandle. Uhlalutyo kufuneka kudlula phambi Intsimbi ye-10. Ngobusuku obandulela kufuneka uyeke ezinamanqatha, okroqiweyo, ukutya anetyuwa kunye notywala. Mhlawumbi ukuphelisa amayeza. Ukuba awunakungenziwa, kuyimfuneko kukuthi amagama amayeza e elabhoratri.

Ngosuku lokuhanjiswa kuhlalutyo, ungenza usele iglasi yamanzi, kodwa akukho ngakumbi, kuba "abangenazigqibo" umba umgangatho kufuneka ilandelwe ngenyameko. Enye into ebalulekileyo kukuba imini sexesheni kwabasetyhini, njengoko besini elifanelekileyo, kukho iintsuku ezithile xa ezithandwa kakhulu ukuba igazi isifundo amanqanaba hormone. Olu lwazi lungafumaneka kugqirha lowo emiselweyo yokuhlaziya.

Ingcaciso igazi jikelele analysis iTeknoloji

Xa isifundo ngasinye, inxalenye ebalulekileyo ukutyhilwa kwale iziphumo. Abaninzi badla zama bona bawathabatha une izikhombisi, kodwa engamelanga khawuleza ukuba emnqamlezweni. Blood, iTeknoloji khowudi yasiwa kumbhalo zibaluleke kakhulu uxilongo nabanye abantu abane sandla of nokudumba kunye nezinye iimeko zophendlo lwezifo:

• Ukuba isalathiso ingaphantsi kwe-0.5 ng / ml, oku kubonisa ukuba lo umngcipheko sokuphuhlisa nokudumba kakhulu cishe akukho.
• 0.5-2 ng / ml - kwindawo ebizwa ngokuba ezingwevu zinqanda systemic impendulo arhabaxa syndrome. Ke ukuba nithi kakuhle ukuba isigulane ukuze aphuhlise nokudumba kakhulu, akunakwenzeka. Kucetyiswa ukuba ukuphinda zeemvavanyo ezintandathu - iiyure ezingamashumi amabini anesine.
• Ukuba index lidlula procalcitonin ezimbini ng / ml, oko ingakrokreleka nokudumba kakhulu okanye Madoda.
• Ngaphezu 10 ng / ml okanye ngaphezulu - kubonakaliswa Bahlekazi, nto leyo ngenxa nokudumba kakhulu okanye kukothuka. Oku kungakhokelela syndrome ye zomzimba ezininzi. umngcipheko A yesigulane wokufa phezulu kakhulu.

Amazinga abadala kunye nabantwana

Ngokwesiqhelo, uyazikhomba iTeknoloji lincinane kakhulu. Kungenxa kuluhlu 0,01 - 0.045 ng / ml. iparameters abaninzi kwezonyango kunye zengqo- zahlukile, ngokuxhomekeke kubudala kunye neminye imiba kunye neemeko. Kodwa asiyiyo loo iTeknoloji. Uhlalutyo igazi, zokucazulula koonyana eseyiphantse alinayo nayiphi na imisebenzi ezigcinwe kungakhathaliseki ubudala. Ngaba kuphela kuzalwa uphando kwandisa izinga iintsuku eziliqela, kodwa ngoko kwakhona uza zibuyele esiqhelweni.

Ntoni izinga eliphantsi?

Yinto eyaziwayo ukuba abantwana abafumana perinatally dexamethasone xa kuqhutywa igazi iTeknoloji-analysis, zokucazulula - "zehliselwa". Xa abadala ukumisela kubekho izinga procalcitonin akwenzeki, ukususela ixabiso eqhelekileyo ephantsi kwalo kakhulu.

Kuthekani ukuba uvavanyo igazi umbhalo iTeknoloji-eyayibanjwe - 'ezinyuselweyo "?

Abaninzi xa ukungafani lwamaxabiso reference kunye iziphumo yokuhlaziya ukuqala ngokuphakuzela. Kodwa kuqala kufuneka ufumanise ukuba yintoni ezi amaxabiso bathini. Xa lokufunyaniswa iinkqubo ezininzi zophendlo lwezifo igazi enzima (zokucazulula iTeknoloji) kubalulekile. imigangatho ephakamileyo procalcitonin kunokubonisa i ezimbi ezinzima ezifana nokudumba, nabanye abantu abane yingozi isigulane.

Emva kokuba baziwa iziphumo zovavanyo, kube lula ukukhetha up unyango kuyimfuneko ukuba unako ukusindisa ubomi bomntu. Xa sithetha ngalo yobubi, uphando lubonisa ukuba xa usaqala, eyenza kube lula ngokukhawuleza ukuqinisekisa uxilongo ngamanye izifundo yaye uye unyango eziyimfuneko kwangexesha. Oku kwandisa amathuba achache.

Ukuba isigulane uza esibhedlele kunye pancreatitis ebukhali, kodwa parameters igazi nomchamo amylase ziphezulu kakhulu, uphando procalcitonin ukuvumela qinisekisa pancreatic okanye ingabandakanywa.

Izigulane emva abohlukeneyo kunye nezinye iinkqubo ezinzulu zotyando, ezikunika lobushushu eliphezulu, kuyenzeka ukuba wenze ngohlalutyo fct ukuqinisekisa ukuba amagciwane okanye igciwane wajoyina.

Ukuba izigulane nge "nokudumba" kuqinisekiswa sifo, nezikhombisi ehlile, ikuthethayo impumelelo yonyango. Izigulane kabani procalcitonin siyongezwa egazini, kodwa ayikho zancitshiswa, kubaluleke abane kuyathandabuzeka. Ukuba izikhombisi, nangona unyango olunzulu kuphela zancitshiswa, kodwa kukhula, ngoko ke isigulana neze amathuba okusinda.

Yintoni ekufuneka ukuba ucinge oyingcali yonke ezama le salathisi?

umda Reference kubaguli okunempilo yokugula akufunekanga ke ukuba umahluko omkhulu,, xa isigulane enikezela iTeknoloji-analysis of igazi, ukucazulula yolu phando kufuna lwengcali inkathalelo eyodwa. Konke kuxhomekeke ngamnye. Ngoko ke, xa etolika kwezi zalathisi kufuneka ukuba zivule amehlo kakhulu, ukuba athathe ingqalelo imbali kunye lwezonyango data yezonyango yesigulane, kwakunye neminye imiqondiso, ezifana segazi, urinalysis jikelele, iiproteins C-lovukelo, amagosa amakishayo ithumba.