قد نتمكن فعديد من الاحيان ان نكون على علم بأكثر الأمراض انتشارا
ا رتفاع انزيمات القلب: ماذا تعرف عنه؟
شاركغرد
قد يحدث لديك ارتفاع فانزيمات القلب فحال اصابتك باعتلال فعضله القلب،
او اصابتك بالسكته الدماغيه فما هو ذلك المرض
وهل ممكن علاجه؟
ارتفاع انزيمات القلب: ماذا تعرف عنه؟
تعتبر انزيمات القلب احد اهم الطرق المستخدمة من قبل الأطباء لمعرفه ما اذا كان هنالك اي خلل فعضله القلب لديك،
فما هي انزيمات القلب
وما هي الأسباب المؤديه الى ارتفاعها؟
عاده ما يتم اطلاق انزيمات القلب خلال الدوره الدموية،
ولكن ربما يحدث هنالك ارتفاع فالأنزيمات،
وخاصة عند حدوث اعتلال فالقلب كحدوث نغز فعضله القلب.
وهنالك ثلاث نوعيات من انزيمات القلب و هي:
الميوغلوبين: يتم اطلاق الميوغلوبين فالدوره الدمويه عند حدوث تلف فالأنسجه العضليه للقلب،
مما يسبب ارتفاع فالأنزيم.
وإن الزياده لا ممكن كشفها الا بعد 30 دقيقه من حدوث الاصابة على عكس التروبونين و الكرياتين و التي تستغرق من 3 الى 4 ساعات.
التروبونين: و هي عبارة عن بروتينات طبيعية مهمه فعملية انقباض عضله القلب،
يتم اطلاقها فالدوره الدمويه بعد 3 الى 4 ساعات من حدوث احتشاء فعضله القلب.
أن ارتفاع التروبونين اكثر حساسيه و خطوره من الميوجلوبين و الكرياتين.
الكريتانين: و المعروف كذلك بالفوسفوكينيز و هو انزيم عضلى موجود على شكل انزيمات،
ويزيد مستوي انزيم الكرياتين بعد 3 الى 4 ساعات بعد احتشاء عضله القلب.
ما هي سبب ارتفاع انزيمات القلب؟
تعتبر امراض و اضطرابات القلب احد اكثر الأسباب شيوعا الى ارتفاع انزيمات القلب،
اضافه الى بعض الأسباب الأخري مثل:
تلف فعضله القلب مما يسبب احتشاء او التهاب بها و بالتالي اطلاق انزيمات القلب فالدوره الدموية
السكته الدماغيه و التشنجات و الصدمات
التهاب العضلات و ضمورها
تلف فالرئه و احتقانها.
ما هو اختبار انزيمات القلب؟
إن اختبار انزيمات القلب من الأدوات التي يستعملها الأطباء لمعرفه ما اذا كنت تعانى من نوبه قلبيه ام لا،
ويمكنك كذلك اجراء الاختبار اذا كان لديك اعراض انسداد فشرايين القلب مثل:
ألم و ضغط فالصدر
الشعور بالضعف العام و التعب و الدوخة
التعرق و الشعور بالبرد
ضيق التنفس.
عند الضغط الحاد على عضله القلب ربما يؤدى هذا الى حدوث ضرر بعضلات القلب مما يؤدى الى اطلاق انزيمات القلب فالدوره الدمويه لديك.
علي ماذا تدل نتائج فحص انزيمات القلب؟
تختلف نتائج فحوصات انزيمات القلب بشكل كبير من شخص الى اخر،
كما تختلف المسببات المؤديه الى ارتفاع انزيمات القلب كما ذكر سابقا،
ولكن يجب ان تكون النسب الطبيعية للإنزيمات كالأتي:
التروبونين: قيمتة الطبيعية 0.4
إجمالى الكريتانين كاينيز: من 2.6 الى 140
الكريتانين: من 07 الى 1.2.
عوامل تعيق فحص انزيمات القلب
هنالك بعض العوامل التي تجعل من الصعب اجراء فحص انزيمات القلب نظرا لحدوث خلل فنتائج الفحوصات،
منها:
أمراض الغده الدرقيه و ضمور العضلات و بعض امراض المناعه الذاتية
بعض طرق علاج مشاكل القلب مثل: CPR و تقويم نظم القلب و الصدمات الكهربائية
أدويه تخفيض الكوليسترول فالدم
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Application Key Features
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■ setup message window is disabled in the shareware version.
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