PCT (a bvunzo ropa). achiongorora zvaive PCT

Various anogumbura pezvakaitwa vari dzimwe nguva zvakaoma kuziva pasina mumarabhoritari kunovhenekwa. Kuti aite izvi, vanachiremba akarayira kurapwa, nokukanganisika kuongorora utachiona zvinhu. Nei tichifanira bvunzo kuti PCT ropa?

Chii PCT?

Mumiviri yedu sezvo, zviri zvimwe zvinhu zvinogona tsunga kana kuramba kuvapo chero chirwere. Zvikurukuru zvakwo kuongorora ropa panyaya iyi. Chimwe fuma kuti zvinobatsira kuisa zvakarurama zvokuongorora ndiyo procalcitonin (PCT), zvinonzi pashure paumbwe calcitonin. Uyewo, calcitonin chiyero calcium muviri mumuviri uye fuma nekuda nechirwere kenza thyroid.

Procalcitonin anogadzirwa pachishandiswa thyroid C-masero. Nokuda nemakemikari PCT vatendeukira calcitonin. In vanhu utano, izvi kunoitika chete dzinenge hapana residues, kureva, PCT haana nguva kupinda muropa. Ndokusaka chete kungoda pafuma dzakaonekwa muropa, iyo inoratidza zvakakodzera mashoko ari pamusoro mamiriro utano hwevanhu.

Kusiyana unozotevera kemikari calcitonin, PCT zvakakodzera nechirwere kuti mamwe zvirwere kana anogumbura kwendangariro.

zvinhu chii rinoshandiswa nokuda ongororo?

Munhu akaidza nokuti Kutsunga PCT vaiona zvavo kurapwa uye nokukanganisika ropa kudzidza. Kuti aite izvi, haufaniri kutora rirambe richibvira uye venous ropa. Zvadaro, muna plasma murabhoritari inodzidza tichingoda procalcitonin. Kuti migumisiro hadzina kunaka, zvose zvinhu makurukuriro ari kuongorora inofanira kuchengetwa.

Nokuda kwechimwewo chikonzero, chakarurama ichi nokuwedzerwa ropa?

Analysis nokuti procalcitonin kana PCT - nokukanganisika tsvakurudzo, chinokosha Pakusarudza kwokuomerwa sepsis uye systemic anogumbura norudaviro syndrome (Madzishe).

Procalcitonin ari synthesized anowanzoita muna C-masero ari thyroid shwanu. Kuti tizive padanho zvechinguvana ichi pamuviri, akaita nomuedzo ropa. Achiongorora zvaive zvakanyorwa pamapeji PCT kwakaoma nokuda chiremba, sezvo iye ichibuda mumwoyo pathologies zhinji, upenyu pangozi. Funga, kana paine matambudziko noutano payo vasingambooni chakaipa nazvo.

• ropa procalcitonin yakawedzera zvirwere kuti havana nemavhairasi etiology. Fani Izvi zvinooneka kwemabhakitiriya sepsis.
• kukuvara Serious, kutsva, kuvhiya kupa kusunda kuvandudza PCT mumazuva maviri kana matatu.
• Nokuti vanhu achitora immunosuppressants, uye dzimwe Pharmaceuticals, iyo vanosunungurwa apo Anti tsitokliny kakawanda yakakwirira mwero procalcitonin.
• Vachangoberekwa, mazuva maviri okutanga pashure pokuberekwa kwakawedzera PCT. A bvunzo ropa, Decryption, mwero navamwe vana asina singularities.
• Refu uye rinorema ruchiyerera cardiogenic kuvhunduka inoratidza yakawedzera mukufambisira kudzidza muedzo uyu.
• Microcirculation zvinetso Achitambanudzira refu, uyewo kuita kuti vawedzere chokupika procalcitonin.

Mune zvimwe zviitiko, rimwe bvunzo ropa akapa PCT?

Vanachiremba havana kuita zvakafanana kudzidza pasi zvinotevera ezvinhu nhengo:

• Kazhinji varayire ropa PCT-pachisara decoding inowanikwa chete unyanzvi, nokuti chirwere ose septic ezvinhu uye ravo kukuvadza. Uyewo achiratidza zvakaomera vanofungidzirwa yokubvinza bakinfektsii, kupisa muviri zvisingazivikanwi etiology.
• Kudzora zvabuda Mabatirwo sepsis, nehana rinoti, fungidziro pamusoro pathologies izvi zvinoda kugadzwa tsvakurudzo FCT.
• Rokuongorora kuti matambudziko ose mushure Kuvhiya zvinotapukira hunhu varwere, nhengo kuisirwa, panguva yevanorwara zvikuru uye kuramba ane ventilator, rinowanzoshandiswa mune kuongorora procalcitonin. Nokuti vanhu chirwere "neutropenia" uye "immunosuppression", ne asingazivikanwi diagnoses mumuedze zviri Chinonyanya kukosha - nokuti zvijeke uye kunyatsoongorora kurapa.
• The differential chirwere kutsvakurudza chirwere zvinotapukira uye non-chirwere ane dzimwe nguva zvinokosha.
• Matambudziko ari muchimiro fungal uye zvirwere zvinokonzerwa noutachiona zvichatibatsirawo kuziva muedzo uyu ropa. Achiongorora zvaive zvakanyorwa pamapeji PCT kuchabatsira kuona chii chinofanira zvinokonzerwa chimwe kuomesa.
• Zvirwere zvakadai nemabayo, yomumuzongoza, kwemabhakitiriya peritonitis, vanogonawo zvinoda kugadzwa pakutsvakurudza pamusoro procalcitonin.

Terms makurukuriro ari kuongorora pamusoro chinoratidza ichi

Varwere zvose kubvuma uye kurapwa mune chevanorwara zvokurapa yakatarwa CBC. Achiongorora zvaive zvakanyorwa pamapeji PCT, mwero izvo anoenderana nezera uye utano murwere, hazvina basa kudaro kakawanda. Asi kutsvakurudza kuva ose zuva rakaramba yakakurumbira, vanachiremba kunzwisisa zvizere ayo kukosha kuti chirwere uye fungidziro murwere mberi.

Zvidzidzo All nokukanganisika anoitwa usina chawadya. Uye procalcitonin hapana anosara. Analysis ukapfuura mberi 10 o'clock. Pausiku haafaniri nuna zvakakangwa, zvokudya wakawanda uye doro. Pamwe kubvisa nemishonga. haagoni ndoparara kana, zvinokosha kutaura mazita mishonga murabhoritari.

Pazuva chokuendesa mashoko pachisara unogona kunwa girazi remvura, asi haachipo, nokuti "capricious" basa pamwero anofanira kunyatsoongorora yakawana. Chimwe chinokosha hanya ndiro zuva kumwedzi vari vakadzi, sezvo akanaka pabonde, pane mamwe mazuva kana kupfuura zvakanaka kutora ropa nokuda pakudzidza mahomoni. ruzivo urwu kunogona kuwanikwa kubva chiremba uyo waitaura kuongorora.

Tsananguro mukuru ropa ongororo PCT

In kudzidza chimwe nechimwe, rinokosha chikamu ndiko kududzirwa zvabuda. Vazhinji kazhinji edza pachavo akagamuchira chirwere kubva zviratidzo, asi tinofanira rikasakurumidza kupfeka pamuchinjikwa. Blood, PCT Decryption muri zvikuru muna chirwere uye fungidziro pamusoro nekuomarara sepsis nemamwe mamiriro pathological:

• Kana indekisi idukusa 0.5 kumar / Rine mamiririta, ichi kunoratidza kuti njodzi pakuumba zvikuru sepsis iri kushanda pasina.
• 0.5-2 Ng / Rine mamiririta - vanonzi wachena nzvimbo rinobatana systemic anogumbura norudaviro syndrome. Asi kutaura chokwadi kuti murwere anogona kuva zvakakomba sepsis, hazvibviri. Zvinokurudzirwa kuti kudzokorora bvunzo muna matanhatu - maawa makumi maviri nemana.
• Kana indekisi kwazvo mbiri procalcitonin kumar / Rine mamiririta, rinogona vanofungidzirwa kwazvo sepsis kana Madzishe.
• Above 10 kumar / Rine mamiririta kana kupfuura - kunoratidzwa Madzishe, inova migumisiro kwazvo sepsis kana kuvhunduka. Kunogona kukonzera kuti chirwere siyana nhego kukundikana. mukana rufu A murwere chaizvo.

Rates for vakuru nevana

Kazhinji, wevasungwa pamusoro PCT iduku kwazvo. Zviri kuwanda 0.01 - 0.045 kumar / Rine mamiririta. Vazhinji kurapwa uye nokukanganisika parameters zvakasiyana, zvichienderana nezera uye zvimwe zvinhu uye mamiriro ezvinhu. Asi ichi hachisi PCT. Analysis ropa, decoding vana chiri anenge asina zvinhu wakaitwa pasinei nezera. Ko chete vachangoberekwa kuongororwa mwero kunowedzera mazuva akawanda, asi zvino anouya zvakare shure kune dzose.

Ko chimbadzo?

Zvinonyatsozivikanwa kuti vana avo vakagamuchira dexamethasone perinatally kana akabata ropa PCT-pachisara decoding - "downgraded". In vakuru kuona munhu kwakaderedza mwero procalcitonin hazvibviri, sezvo chakaipa kukosha kwayo zvakare pasi.

Zvakadini kana PCT-akabata bvunzo ropa inopangidza - "upgraded"?

Vazhinji kana mismatch pakati bhuku netsika pamwe chaiwo migumisiro kuongorora vanotanga mavhunduka. Asi kutanga unofanira kutsvaka chii tsika idzi vanoti. In nechirwere pamusoro pathological dzakawanda dzinotsanagura rinorema ropa (decoding PCT) kunokosha. Yakakwirira kwevari procalcitonin zvingaratidza muedzo pathologies akafanana sepsis, uye fungidziro chingaisa murwere.

Mushure kuwana pakuongororwa vanozivikanwa, zviri nyore kuti kunhonga zvakafanira kurapwa kuti anogona kuponesa upenyu hwomunhu. Kana tiri kutaura pamusoro malignancy, chidzidzo rinozivisa muna tanga, zvichiita kuti nokukurumidza kusimbisa chirwere nedzimwe ongororo uye achindireverera anodiwa kurapwa nenguva. Izvi zvinowedzera mikana nokupora.

Kana murwere anouya kuchipatara pamwe rikwanise pfungwa nomuviri zvemwana asati, asi parameters ropa uye weti amylase marefu chaizvo, ongororo pamusoro procalcitonin kubvumira pancreatic zvinosimbisa kana vanodzinga nayo.

Varwere pashure Nhengo transplantation nezvimwe zvakakomba maoparesheni, iyo kupa yakakwirira tembiricha, zvinokwanisika kuti kuongorora pamusoro FCT kuziva kana fungal kana noutachiona akabatanidzwa.

Kana varwere vane "sepsis" akasimbisa chirwere, kuti zviratidzo zviri pasi, inoti pamusoro kubudirira kurapwa. Varwere vane procalcitonin haina nokuwedzerwa ropa, asi haana akaderedzwa, zviri negakava fungidziro. Kana zviratidzo, pasinei ndichibvunza kurapa kwete chete kunoderedza asi kukura, zvino murwere chepakarepo hapana mukana yokupona.

Chii chaunofanira kufunga nyanzvi mune achiongorora zvaive chakarurama ichi?

Reference Muganhu pavarwere utano uye vachirwara varege Zvisinei kunokosha kusiyana, kana murwere anopa PCT-Kuongororwa kweropa, decoding yokudzidza ichi kunoda chinokosha kutarisirwa nyanzvi. Zvose zvinoenderana wacho. Naizvozvo, kana kududzira zviratidzo izvi vanofanira kungwarira chaizvo, kufunga murwere wezvokurapa nhoroondo uye kurapwa data, uyewo zvimwe zviratidzo, zvakadai count ropa, mukuru urinalysis, C-reactive mapuroteni, bundu zvezvinangwa.