C reactive protein kapena CRP ndi mapuloteni opangidwa ndi chiwindi poyankha kutupa kapena matenda m'thupi. Amayezedwa kuti apereke lingaliro la kutupa kwa munthu panthawi inayake.

Mapuloteni a C-reactive (CRP) ndi mapuloteni opangidwa ndi hepatocytes, mwachitsanzo, maselo a chiwindi, omwe amatulutsidwa m'magazi. Anapezeka mu 30s mu plasma odwala pneumococcal chibayo. Kuchuluka kwa mapuloteni a C oyambitsa kumawonjezeka ndi kutupa kapena matenda.

Ndi chizindikiro choyambirira cha kuyankhidwa kotupa. Izi zili choncho chifukwa kupangidwa kwake ndi chiwindi ndi kutulutsidwa kwake m'magazi kumawonjezeka mkati mwa maola 4 mpaka 6 kuchokera pa chiyambi, kufika pamtunda wake wapamwamba kwambiri pambuyo pa maola 36 mpaka 50. Kupanga kwake nthawi zambiri kumatsogolera kupweteka, kutentha thupi ndi zizindikiro zina zachipatala za kutupa.

M'matenda ena, kukwera kwa mapuloteni a C okhazikika kumatha kukhala kwakukulu. Izi ndizochitika, mwachitsanzo:

• matenda a bakiteriya kapena fungal;
• matenda otupa: nyamakazi monga nyamakazi ya nyamakazi kapena spondyloarthritis, kugaya chakudya monga matenda a Crohn, dermatological monga psoriasis;
• khansa monga lymphoma kapena carcinoma;
• m'mnyewa wamtima infarction;
• kupwetekedwa mtima.

Ikhoza kuwonjezeka koma pang'onopang'ono mu matenda a tizilombo, lupus, ulcerative colitis, khansa ya m'magazi kapena m'mikhalidwe yotupa yomwe imagwirizana ndi kulephera kwa chiwindi.

Kuyesa kwa CRP kumatha kutsimikizira kukhalapo kwa kutupa. Komabe, sizodziwika kwambiri, ndiko kunena kuti sizimapereka chidziwitso cha zomwe zimayambitsa kutupa.

Mapuloteni a C okhazikika ndi chizindikiro cha kutupa, kuyesa kwake kumapangitsa kuti athe kuyesa momwe wodwalayo alili. Mlingo ukhoza kufunsidwa muzochitika zosiyanasiyana:

• zimapangitsa kuti zitsimikizire kapena kuletsa kupezeka kwa kutupa ndi / kapena matenda;
• zimapangitsa kuti zitheke kuyang'anira momwe chithandizo chikuyendera;
• kuyesa kwa mapuloteni a C-reactive kungapemphedwenso mwa munthu yemwe wangochitidwa opaleshoni ndipo amene akukayikira kuti pali zovuta;
• itha kugwiritsidwanso ntchito pozindikira ndi kuyang'anira momwe matenda otupa amatha, komanso kuyang'anira chithandizo chake.

Mlingo wake umachitika poyezetsa magazi. Sikoyenera kukhala pamimba yopanda kanthu. Komabe, samalani, kumwa mankhwala ena monga non-steroidal anti-inflammatory drugs kapena estrogens (mapiritsi olerera, implantation yolerera, IUD, mahomoni olowa m’malo a kutha kwa msambo, ndi zina zotero) kungapangitse zotsatirapo zabodza. Ndikofunikira kudziwitsa dokotala ndi labotale ya kusanthula, kumwa mankhwala aliwonse (omwe amaperekedwa kapena ogula) kapena mankhwala achilengedwe (chakudya chowonjezera, mankhwala azitsamba, mafuta ofunikira, etc.).

Chiyeso china chowunika kutupa chikhoza kuchitidwa limodzi ndi mayeso a CRP. Uwu ndiye mlingo wa sedimentation wa maselo ofiira a magazi. Izi zimaperekanso chidziwitso chosangalatsa chokhudza kutupa kwa munthuyo. Komabe, kuchuluka kwa mapuloteni a C okhazikika kumalumikizidwa kwambiri pakapita nthawi ndi kutupa. Zoonadi, ndende yake imakula mofulumira pambuyo poyambitsa ndipo imachepa mofulumira pamene chithandizo chikugwira ntchito. Kuchuluka kwa sedimentation kumatha kusokonezedwa kwa nthawi yayitali.

Ngati zotsatira mkulu

Chotsatira chachikulu chimatanthauza kukhalapo kwa kutupa m'thupi. Kutupa uku kumatha chifukwa cha matenda (mabakiteriya kapena mafangasi), matenda otupa, khansa, ndi zina zambiri. Anthu onenepa kwambiri komanso amayi oyembekezera amakhala ndi ma protein ambiri a C-reactive protein.

Kawirikawiri, timapeza:

• ndende ya 10-40 mg / L, ngati kutupa pang'ono kapena matenda a virus;
• kuchuluka kwa 50-200 mg / L, mu kutupa kwakukulu kapena matenda a bakiteriya;
• Kuwonjezeka pang'ono, pakati pa 3 ndi 10 mg / L, kumapezekanso pa kunenepa kwambiri, kusuta, matenda a shuga, kuthamanga kwa magazi, moyo wongokhala, mankhwala a mahomoni, matenda ogona, kutopa kosatha komanso kuvutika maganizo.

Ngati zotsatira zake ndi zapamwamba, dokotala adzafunika kuyesanso ndi kufufuza kuti apeze chomwe chimayambitsa kutupa. Kuwonjezeka kwake ndi chizindikiro chochenjeza kwa madokotala. Izi ziyenera kusintha kalondolondo ndi chithandizo cha wodwalayo moyenerera.

Ngati zotsatira zotsika

Chotsatira chochepa chimafunidwa.

Chithandizo cha kutupa chidzadalira chomwe chimayambitsa (matenda aakulu, matenda, khansa, etc.). Ngati chithandizo cha kutupa chikuyenda bwino, kuchuluka kwa mapuloteni a C okhazikika kumabwereranso mwakale.