Kulungile, izinga lakho le-CRP liphezulu. Manje?
Ingabe udokotela wakho ulinganise izinga lakho le-protein e-C-reactive (CRP), futhi uyithole ukuthi liphakanyisiwe? Lesi yisimo esivame kakhulu, naphezu kokuthi ochwepheshe abaningi abancoma ukuthi bahlale bekala amazinga e-CRP.
I-CRP iyimvelo engavamile yokuvuvukala. Okusho ukuthi, uma amazinga e-CRP ephakanyisiwe, lokho kubonisa ukuthi ukuvuvukala kwenzeka endaweni ethile emzimbeni.
Ngakho, isibonelo, uma une-infection noma ibursitis esebenzayo, izinga lakho le-CRP cishe liphakeme.
Kodwa-ke, kuvela ukuthi uma amazinga e-CRP ehlala ephakanyisiwe ngokujwayelekile kubantu abanempilo abangenayo izibonakaliso zokuvuvukala okusebenzayo, lokho kungabonisa ukuthi ukuvuvukala okungapheli kwemithambo yegazi kukhona. Lolu hlobo lokuvuvukala kwamasongo ezincane luba nesifo senhliziyo.
- Funda mayelana nokuthi nini ukuhlolwa kwe-CRP yakho .
Manje?
Kungenzeka ukuthi ungase udideke, noma uphazamiseke, ngokuthola ukuthi i-CRP yakho iphezulu. Ngeshwa, kungenzeka ukuthi udokotela wakho uphinde adideke ngalokho okufanele akwenze ngokulandelayo - ngoba "okumele ukwenze ngokulandelayo" akukona ngokuphelele ngqo.
Yize manje kusungulwe kahle ukuthi ukuvuvukala kubalulekile ekubambeni kwe- atherosclerosis , futhi lokho okwenyusa i-CRP (okuyiphawu lokuvuvukala) kuhlotshaniswa nobungozi obandayo bokugula komzimba (CAD) , akukwazi ukuthi i-CRP ngokwayo iyasiza yini ukubangela I-CAD, noma ngabe ukwelashwa okuhloswe ngokuqondile ekunciphiseni amazinga e-CRP kunciphisa ingozi yomzimba.
Ngakho-ke, uma i-CRP yakho iphakamisa ingozi yakho yokuthuthukisa i-CAD iphinde iphakeme kunalokho okumele ibe khona. Kodwa asikwazi ngempela ukuthi kusiza kangakanani ukuthatha izinyathelo ezihloswe ngqo ekunciphiseni amazinga akho e-CRP. Esikhundleni salokho, okudingeka kwenziwe kwenziwa ukuthatha wonke amathuba okunciphisa ingozi yakho yenhliziyo yonke.
Okufanele Kwenzeke Okulandelayo
Manje ukuthi uyazi ukuthi i-CRP yakho iphakeme, kunemibuzo emibili okufanele uyibuze.
1) Yiziphi ezinye izinto zami engozini?
Amazinga e-CRP aphakeme ahlale ehlotshaniswa nezinye izici ezingozini zesifo senhliziyo.
Lokhu kuhlanganisa ukubhema, ukukhuluphala, ukuphila komzimba, ukukhula kwe- cholesterol , isifo somfutho wegazi kanye nesifo somzimba . Zonke lezi zici eziyingozi zibaluleke kakhulu, kanti wena nodokotela wakho ninakho ikhono lokuzitholela bonke.
Ngakho-ke, kungakhathaliseki ukuthi wena nodokotela wakho unquma ukuthini mayelana ne-CRP ngokwayo, ukuba ne-CRP ephakeme kwenza kubaluleke nakakhulu ukuthi uthathe izinyathelo ezinonya ukunciphisa zonke izici zakho ezingozini zomzimba .
2) Nginganciphisa kanjani izinga lami le-CRP?
Nakuba kusengakaqiniseki ukuthi kubaluleke kangakanani ukunciphisa izinga eliphakeme le-CRP ngokwayo, izindlela eziningana zokunciphisa i-CRP zikhonjisiwe:
Izindlela ezingezona ezomthetho zokunciphisa i-CRP zibandakanya ukuzivocavoca kwe-aerobic, ukuyeka ukubhema , ukulahlekelwa isisindo nokudla okunempilo . Ngamanye amazwi, ukuthatha izinyathelo ezinonya ukwenza impilo yakho ibe nempilo enhle kuyoholela ekunciphiseni i-CRP level.
Ukuphathwa kwezidakamizwa kunganciphisa futhi i-CRP . ** Izitatimende ** ukunciphisa amazinga e-CRP ngokuphawulekayo (13 kuya ku-50%,) ngokulandelana kwezilingo eziningana zomtholampilo.
I-Lipitor (atorvastatin), i-Mevacor (lovastatin), i-Pravachol (pravastatin), i-Crestor (i-rosuvastatin) ne-Zocor (simvastatin) yonke iboniswe ukuletha amazinga e-CRP futhi ibonise ubufakazi bokunciphisa ingozi yomzimba nge-CRP (ngokungafani nokwehla kwe-cholesterol) . Futhi, isilingo se-JUPITER sibonise ngokucacile ukuthi ezigulini ezinamazinga aphezulu e-CRP kepha amazinga "ejwayelekile" we-cholesterol, i-Crestor kakhulu futhi inciphisa kakhulu ingozi yemvelo.
Nakuba i- aspirin enganciphisi amazinga e-CRP, abantu abanezinga eliphezulu le-CRP bathola inzuzo yokunciphisa ingozi kusuka ku-aspirin kunalabo abanezigaba ezijwayelekile ze-CRP.
Ngakho amazinga e-CRP aphakeme angaphakamisa izikali ngenxa ye-prophylactic therapy ye-aspirin kwabanye.
Funda kabanzi mayelana nokuthi ubani okufanele athathe i-prophylactic aspirin .
Izwi elivela
Akusaziwa ukuthi i-CRP ngokwayo iyandisa ingozi yemvelo, noma ngabe ibonisa nje ukulimala kwamasongo nokuvuvukala okubangelwa ezinye izinto eziyingozi. Ngakho-ke uma amazinga akho e-CRP ephakanyisiwe, kufanele uthathe lokho njengesibonakaliso esibalulekile ukuthi sekuyisikhathi sokuthi uthinte ngokungathí sina zonke izinkinga zomzimba wakho ngokuzivocavoca, ukubhema, ukulahlekelwa isisindo, ukubuka ukudla kwakho nokulawula ukucindezeleka kwegazi.
Kodwa-ke, manje kubonakala kucace ukuthi ukusetshenziswa kwezidakamizwa ze-statin kunganciphisa kakhulu ingozi yokuhlasela kwenhliziyo nokushaywa izifo ngisho nasezigulini ezibonakalayo ezinempilo ezinamazinga e-CRP aphezulu.
Uma unamazinga aphezulu e-CRP, ikakhulukazi uma unezifo eziyingozi noma ezengeziwe ezengeziwe zesifo senhliziyo, kufanele uxoxe ngokukhetha ukuthatha isidakamizwa se-statin nodokotela wakho.
> Imithombo:
> Izinto ezibangela ingozi eziqhamukayo Ukubambisana, iKaptoge S, Di Angelantonio E, et al. Amaprotheni asebenzayo eC and Concentration and Risk of Coronary Heart Heart, Stroke, and Mortality: Ukuhlaziywa komuntu ngamunye. I-Lancet 2010; 375: 132.
> Hingorani AD, Sofat R, Morris RW, et al. Ingabe Kubalulekile Ukulinganisa Noma Ukunciphisa Amaprotheni Asebenzayo Ebantwini Ngengozini Yezifo Zenhliziyo? I-Eur Heart J 2012; 33: 2258.
> Ridker PM, uDanelson E, uFonseca FA et al. I-Rosuvastatin yokuvimbela izenzakalo ze-Vascular Men and Women nge-Protein ephakeme e-C-esebenzayo. I-Engl J Med 2008; I-DOI: 10.1056 / NEJMoa0807646.
> Sever PS, Poulter NR, Chang CL, et al. Ukuhlolwa kweprotheyini esebenzayo e-C ngaphambi kokuPhepha nokuPhepha njengokwamaPhuzu okuzuza ku-Atorvastatin: Ukubheka okuvela emiBhalweni ye-Cardiac ye-Anglo-Scandinavian Trial. I-Eur Heart J 2012; 33: 486.