Cabbiraadda CRP waxay Muhiim u Yihiin Caafimaadkaaga Wadnaha
Cabbiraadda qiyaasaha borotiinka C-reactive (CRP) waxay faa'iido u yeelan kartaa qiimeynta halista cudurrada halista ah ee loo yaqaan 'coronary artery disease' (CAD) dadka qaarkood. CRP waa borotiin lagu sii daayo dhiigga marxaladaha muddada infakshanka. Maadaama cudurka infalawansadu hadda la og yahay inuu qeyb weyn ka ciyaaro horumarinta atherosclerosis (habka loo sameeyo jimicsiyada xididdada halbowlaha), waxay macno samayneysaa in heerarka CRP ay sare u qaadi karaan inta lagu jiro xilliyada jiritaanka lakabyada firfircoon iyo in heerarka sare ee CRP uu isku xiro dhacdooyinka wadnaha.
Daraasadaha ayaa hadda muujiyey in kor u qaadista CRP ay la xiriirto khatarta sii kordheysa ee dhacdooyinka wadnaha, sida wadnaha iyo wadno-xanuunka . Haddii CRP dhab ahaantii sababa khatarta kor u kaca ama ay tahay hal calaamad oo halis ah ayaa weli laga doodayaa, inkasta oo caddaynta caddayntu ay muujinayso inaysan ahayn sabab toos ah. Weli, waxaa hadda la og yahay in lagu daaweynayo dadka leh heerarka CRP ee sarreeya ee statins ay yareyn karaan khatartooda. Xaqiiqadani waxay kali ka dhigaysaa qiyaasta CRP inay suurtogal u tahay dadka qaarkood.
Sidee loo cabbiraa CRP?
CRP waxaa lagu cabbiraa iyadoo la adeegsanayo baaritaan sareeya (oo loo yaqaanno baaritaanka dhiigga ee hs-CRP). Guud ahaan, heerka sare ee hs-CRP, ayaa khatarta sareeya. Heerarka Hs-CRP ee ka hooseeya 1 ayaa loo tixgeliyaa inay hooseeyso; Heerarka 1 - 3 waxaa loo arkaa mid dhexdhexaad ah; Heerarka ka sareeya 3 ayaa loo tixgeliyaa sareeya. Heerarka ka sareeya 10 ayaa badanaa la arkaa oo keliya marka loo eego geeddi-socodka firfircoon ee cad, sida infakshanka daran, dhaawacyada waaweyn, ama cudurrada dabaysha ee joogtada ah - heerarkan heer sare ah lama isticmaali karo si loo fahmo halista wadnaha .
Sababtoo ah heerarka CRP ayaa isbedbeddeli kara wakhti badan, khabiirada intooda badan waxay kugula talinayaan in ay cabiraan 2 heerarka CRP toddobaadyo yar oo kala duwan iyo celceliska labada qiimeyn.
Go'aaminta in qiyaasta CRP ay qayb ka tahay habka baaritaanka caadiga ah ay ku adkaatay laba sababood. Marka hore, tarjumida muhiimadda heerka sare ee CRP inta badan ma aha mid toos ah, waxayna u horseedi kartaa wareer badan halkii aan ka yareyn.
Tan labaad, illaa iyo hadda lama hubin in daaweynta la beddelo qof kasta oo ku saleysan natiijooyinka CRP qiimaha.
Goorma Ayay Faa'iido Lahayd In Lagu Caawiyo CRP?
Heerarka sarreeya ee CRP ayaa inta badan lala xiriiriyaa jiritaanka waxyaabo kale oo khatar ah oo ku saabsan cudurada wadnaha sida sigaarka, cayilka, qaabka nolosha haboon , kor u kaca kolesteroolka, hypertension iyo dheef-shiid kiimikaadka . Sidaas daraadeed heerarka sare ee CRP waxaa badanaa lagu arkaa bukaanada leh tirada ugu badan ee khatarta dheeraadka ah ee halista ah. Xaaladahaas, helitaanka heerka sare ee CRP oo keliya ayaa caddaynaya waxa horayba u muuqda - bukaanku wuxuu leeyahay khatar aad u badan oo ah cudurrada wadnaha , wuxuuna u baahan yahay isbeddel ku yimaada isbeddelka khatarta ah (oo ay u badantahay in lagu daro statins) wax kasta oo heerkooda CRP ah.
Dhinaca kale, heerka sare ee CRP ee qof leh hal ama labo halabood oo kale ayaa ku daraya macluumaad muhiim ah oo muhiim ah. Dadkaas, heerka heerarka sare ee CRP ayaa u muuqda in ay tilmaamayaan in khatartoodu ay ka sarrayso tan kale. Waxay micnaheedu tahay in waxoogaa yar oo ah hypertension, ama miisaan yar oo dheeri ah, dhab ahaantii la xidhiidha infakshanka suurtagalka ah ee marinnada dhiigga iyo in halista xaaladaha wadnaha iyo dhiig-baxa.
Sidaa darteed, ugu yaraan, heerka sare ee CRP-ga waa inuu adiga iyo dhakhtarkaaga ka dhigaa mid aad u culus oo ku saabsan dhimista khatarta. Waxaa intaa dheer, xogta laga helay daraasadda JUPITER ee dhowaan waxay noo sheegaysaa in bixinta statins ay u tahay bukaanno caafimaad qaba oo leh heerar sare oo CRP ay si weyn u yareyn karaan ayna u yareeyaan khatarta cudurada wadnaha.
Qeybta hoose
Xaqiiqooyinka CRP dhab ahaantii uma baahna in loo qiyaaso qof walba. Ka hor inta aadan ka fiirsan qiyaasta CRP, adiga iyo dhakhtarkaagu waa inay qiimeeyaan halista asaasiga ah ee cudurrada wadnaha, taasoo ku saleysan raadsashada khatarta ah . Qiimeyntan waxay kuu sheegi doontaa haddii aad ku jirto heer sare, dhexdhexaad ah ama mid khatar ah.
Haddii aad horey ugu jirtey qaybta khatarta sare leh, cabbiraadda CRP ma noqon doonto mid wax ku ool ah. Waxaa macquul ah inaad yeelatid wadno-qabad wadnaha ama istaroogga haddii aadan adigu si wax ku ool ah u yareeyn khatartaada, iyada oo aan loo eegin heerka uu CRP-ku noqon karo. Laakiin haddii adiga ama takhtarkaaga aad ka shakisan tahay inaad isticmaasho statins , oo aadan hubin waxtarka ay ku siin karaan, ka dibna cabiraya heerarkaaga CRP waxay ku siin karaan hal sabab kale oo aad ku tixgelin kartid khatarta yareynta daawooyinka.
Waa macquul in la qiyaaso heerka CRP haddii aad ku jirto qaybta qatarta khatarta ah. Heerka sare ee CRP halkan waa inay soo diraan calanka cas ee khatartaada ay ka sareyso inta aad ka fekereyso. Sidoo kale, haddii heerarka kolesteroolkaagu yahay mid caadi ah ama yar yar oo sarreeya, ka dib markaad ogaato in CRP-daagu uu sarreeyo uu ku siin doono adiga iyo dhakhtarkaaga sabab cad oo lagu tixgelinayo daaweynta dawooyinka.
Iyada oo ay jirto xaaladda aqoonta maanta ee maanta, qiimaha lagu cabbirayo heerarka CRP ee dadka ku jira qaybta hoose ee halistu waa mid aad u yar. Haddii CRP ay sare u kacdo oo aanad lahayn waxyaallo kale oo halis ah, isticmaalka sheyga ayaa loo tixgelin karaa laakiin waa mid muran badan. Dhakhaatiirta badankooda waxay ku heshiiyaan in ay jirto sabab aad u yar oo lagu cabbiro heerarka CRP ee dadka ku jira qaybta khatarta yar.
Haddii aad qabtid CRP-gaaga oo uu dib ugu soo laabto, waxaa laga yaabaa inaad doonayso inaad akhriso maqaalkan: Maxaa Lagu Sameynaayo Marka Markhaatigaaga Lagu Sareeyo.
Ilaha:
Kukoosto NR, Buring JE, iyo Ridker PM. Saameynta ay ka mid yihiin borotiinka C-reactive-ka ee saadaalinta khatarta wadnaha ee wadnaha ee haweenka. Ann Intern Med 2006; 145: 21-29.
Lloyd-Jones DM, Liu K, Tian L, iyo Greenland P. Dib-u-naqiijinta sheekada: Qiimaynta borotiinka C-reactive-ka ee saadaasha khatarta cudurada wadnaha. Ann Intern Med 2006; 145: 35-42.
Davey Smith G, Timpson N iyo Lawlor D. C-reactive iyo khatarta cudurrada wadnaha iyo xididada: weli wali ma tiri? Ann Intern Med 2006; 145: 70-72.
Ridker PM, Danielson E, Fonseca FA et al. Rosuvastatin si looga hortago dhacdooyinka dhiigga ee ragga iyo dumarka leh qiyaasta borotiinka C-reactive. New Engl J Med 2008; DOI: 10.1056 / NEJMoa0807646. Waxaa laga heli karaa: http://www.nejm.org.