Ma jirto daaweyn loogu talagalay heerarka sare ee CRP iyo Fibrinogen
Laba dhiig oo tijaabo ah ayaa loo qaaday kor u qaadista sida calaamadaha cudurka wadnaha. Labada imtixaan ee dhiigga- C-reactive-protein (CRP) iyo fibrinogen - ayaa hadda lala xiriiriyay khatar aad u sarreysa oo ah weerarrada wadnaha ee mustaqbalka. Dhibaatadu waa, ka duwan sida arrimaha kale ee khatarta ah (sida cayilka, sigaarka, iyo kolestaroolka) ma aha mid cad in la samaynayo heerarka sare ee CRP iyo fibrinogen.
CRP iyo Fibrinogen
CRP waa borotiin lagu sii daayo dhiigga mar kasta oo uu jirku jirku firfircoon yahay. (Inflammation waxay ku timaadaa jawaabta infekshanka, dhaawaca, ama xaalado kala duwan sida arthritis .) Caddayntu waxay muujinaysaa in atherosclerosis ( cudurka koroner artery ) uu yahay geedi-socodka bararsan. Qaar waxay xitaa u arkaan in cudurka halbowlaha ee loo yaqaan 'coronary artery disease' uu ku faafi karo caabuq. Xaqiiqada ah in heerka sare ee heerarka CRP ay la xiriirto khatarta kordhaysa ee wadno-qabadka wadnaha waxay u muuqataa inay taageerto xiriirka la soo jeediyey ee u dhexeeya caabuqa iyo atherosclerosis.
Fibrinogen waa qodob dhiig-xinjir leh. Inta badan infekshannada miyir-wareerka (wadno-xanuunka) ayaa hadda la og yahay inay sabab u tahay xinjir dhiig-baxa ah, ama abuuritaanka si deg-deg ah ee xinjir dhiig oo ku yaala goobta lafaha atherosclerotic ah. Taas macnaheedu waa, sidaas darteed, heerarka fibrinogen ee kor u kaca (taas oo ah, borotiinka kor u qaada xinjirta dhiigga) ayaa lala xiriirinayaa khatarta sii kordheysa ee wadnaha.
Heerka sare ee CRP iyo Fibrinogen miyaa la daweyn karaa?
Jawaabta gaaban waa maya.
Marka la eego heerarka CRP , ma aha heerka CRP lafteeda oo loo maleynayo inay tahay dhibaatada, laakiin caabuqa la arkay ee ku dhacay halbowleyaasha wadnaha ee ka muuqda heerka sare ee CRP. Haddaba su'aasha dhabta ah waa haddii caabuqa (iyo maaha CRP) in la daaweyn karo.
Waxaa jira cadeymo muujinaya in cudurka infalawansada loo yaqaan ' Chlamydia pneumoniae' ay noqon karto arrin horumarinta cudurka halbowlaha wadnaha. Haddii ay sidaas tahay, markaa antibiyootikadu waxay noqon kartaa mid wax ku ool ah si loo baabi'iyo caabuqa iyo yareynta khatarta weerarrada wadnaha (iyo, dhacda, dhimista heerarka CRP). Haddii antibiyootikadu si sax ah u caddeeyaan, cabirka heerarka CRP ayaa laga yaabaa inay noqdaan qalab baaritaan oo waxtar leh si loo doorto bukaanada laga yaabo inay ka faa'iideystaan daaweynta antibiyootigga.
Dheeraad ah, daawooyinka statin - daawooyinka loo isticmaalo daaweynta kolestaroolka sare - waxay sidoo kale yeelan karaan saamaynta yareynta caabuqyada halbowlayaasha wadnaha. Heerarka CRP waxaa laga yaabaa inay noqdaan qalab wax lagu baaro halkan, sidoo kale.
Fibrinogen , oo ka duwan CRP (oo loo maleynayo inuu yahay calaamad muujinaysa caabuq), ayaa loo maleynayaa inuu kaalin toos ah ka ciyaaro xididada wadnaha ee xididada wadnaha. Sida darteed, marka, marka heerarka fibrinogenku uu sarreeyo, hoos u dhigidda heerarkan waa inuu ahaadaa ujeeddada daaweynta. Nasiib darro, ma jiraan daweyno la yaqaan oo yareynaya heerarka fibrinogenka.
Waa maxay sababta Heerka Imtixaanka ee Muhiim u ah
Maxay takhaatiirta iyo bukaanku sameeyaan marka heerarka CRP ama fibrinogen ay sare u kacaan?
Weydiistay si kale, haddii aysan jirin wax daaweyn ah oo gaar ah oo loo isticmaali karo jawaabta heerarka CRP ama fibrinogen sare, maxaad waligaa loo cabbiri doonaa?
Waqtigan xaadirka, jawaabta kaliya ee su'aashan waa: ogaanshaha heerarka CRP iyo fibrinogen ayaa laga yaabaa in ay ka caawiso inay si sax ah u muujiyaan khatarta cudurka halbowlaha wadnaha, sidaas darteed dhakhtarka iyo bukaan-socodka ayaa go'aan ka gaadhi kara sida uu u dagaalamayo weerarka khatarta ah ee noqon kara bedelay.
Tusaale ahaan, labadaba bukaan-socodka iyo dhakhtarka labadaba way ka madax-bannaanaan karaan inay bilaabaan daawooyinka duroogo marka heerarka kolesteroolka ay yihiin xadka xuduudaha oo kaliya. Xaaladdan, heerarka sare ee CRP ama fibrinogen waxay ku tilmaami karaan qiyaasaha daaweynta bilawga ah, halka heerarka caadiga ah ee CRP ama fibrinogen ay ku tilmaami karaan qiyaasta daaweynta xanibaada.
Cabbiraadda mid ama labadaba waxyaabahan cusub ee khatarta ah ayaa sidaas darteed, si toos ah ugu ciyaari kara go'aamada daaweynta.
Xeelad ahaan, ogaanshaha in heerka CRP ama fibrinogen ay sare u qaadaan ay noqon karaan caws in ugu dambeyntii jabiyo geela geela - waxa ugu dambeyntii ku qasbaya sigaarcabku in uu ka tago, seddexda jimicsi, ama cayilku si aad ah u beddelo noloshooda.
Laakiin waxaa suurtagal ah in lagu cabbiro qatarta khatarta ah ee aan isbeddeli karin iskuxir ahaan oo kaliya kicin kara walaac aan macquul ahayn. Maqnaanshaha miisaanka caadiga ah, kolestaroolka caadiga ah, iyo hab nololeedka firfircoon, tusaale ahaan, way adagtahay in la arko faa'idada laga yaabo in la helo iyada oo la ogaanayo in CRP uu kordhay. Xaqiiqdii, waxay sababi kartaa walaac aan fududeyn karin. Ma aha qalad in la sameeyo cabbiraadda, laakiin (sida isku qiyaasidda calaamadaha hidde) bukaanka waa in la ogeysiiyaa ka hor inta aan la sameynin baaritaanka inuusan jirin daaweyn gaar ah oo la heli karo. Iyo (sida calaamadaha hidde-wade) ee leh khatarahaas khatarta ah ee ku jira diiwaanka caafimaadka waxay si macquul ah u saameyn karaan caymiska mustaqbalka.
Daraasado fara badan ayaa la sameeyay si loo helo habab loogu daaweeyo caabuqa saameynaya halbowlayaasha wadnaha. Haddii daawada antibiotics, statins, ama daaweyn kale oo kale ay u muuqato inay tahay faa'iido, waxay samayn lahayd dareen badan oo lagu cabbirayo heerarka CRP iyo fibrinogen, xitaa dadka bukaanka ah ee aan lahayn khataro kale oo halis ah.
Cabbiraadda heerarka CRP iyo fibrinogen waxay faa'iido u yeelan kartaa xaalado badan waxayna u badan tahay inay noqdaan kuwo aad u faa'iido badan mustaqbalka. Laakiin ka hor intaan lagu amrin baaritaanyadaas, dhakhtarka iyo bukaanku waa inay awoodaan inay sheegaan kahor waqtiga sida natiijooyinka faa'iido u lahaan karaan. Gaar ahaan bukaanka aan lahayn khataro kale oo khatar ah, samaynta baaritaanadaasi waxay keeni kartaa waxyeelo ka badan ta wanaagsan, bukaanadu waxay u baahan yihiin inay fahmaan in ka hor inta aan la sameynin cabirrada.
Qoraalka kama dambaysta ah, Ururka Wadnaha ee Maraykanku ma soo jeedin doono baaritaanka joogtada ah ee CRP ama fibrinogen ka mid ah xubnaha dadweynaha.