A cikin Nuwamba 2021, Ƙungiyar Zuciya ta Amurka (AHA) da Kwalejin Ilimin Zuciya ta Amurka (ACC) tare sun ba da cikakkun ƙa'idodi don kimantawa da gano ciwon ƙirji.Sharuɗɗan sun ba da cikakken bayani game da daidaitattun ƙididdiga masu haɗari, hanyoyi na asibiti, da kayan aikin bincike don ciwon kirji, wanda ke ba da shawarwari da algorithms ga likitoci don tantancewa da kuma gano ciwon kirji a cikin tsofaffi marasa lafiya.
Jagoran yana gabatar da mahimman saƙonnin guda 10 akan batutuwa da shawarwari don ƙima na yau da kullun game da ciwon ƙirji, wanda aka taƙaita da kyau a cikin haruffa goma "ciwon ƙirji", kamar haka:
troponin na zuciya shine takamaiman alamar rauni na ƙwayar zuciya kuma shine wanda aka fi so don ganewar asali, ƙaddamar da haɗari, jiyya da tsinkayen cututtukan cututtukan zuciya.Sharuɗɗa da aka haɗa tare da yin amfani da troponin mai mahimmanci, ga marasa lafiya da ciwon kirji mai tsanani da kuma wanda ake zargi da ACS (ban da STEMI), ba da shawarwari masu zuwa lokacin da aka kafa hanyoyin yanke shawara na asibiti:
1.A cikin marasa lafiya da ke nunawa tare da ciwon kirji mai tsanani da kuma wanda ake zargi da ACS, hanyoyin yanke shawara na asibiti (CDPs) ya kamata su rarraba marasa lafiya a cikin ƙananan ƙananan, tsaka-tsaki, da ƙananan haɗari don sauƙaƙe ƙaddamarwa da ƙididdigar bincike na gaba.
2.A cikin kimantawa na marasa lafiya da ke nunawa tare da ciwon kirji mai tsanani da kuma wanda ake zargi da ACS wanda aka nuna serial troponin don ware raunin myocardial, shawarwarin lokaci na lokaci bayan tarin samfurin troponin na farko (lokacin sifili) don maimaita ma'auni shine: 1 zuwa 3 hours for high. - troponin hankali da sa'o'i 3 zuwa 6 don ƙididdigar troponin na al'ada.
3.Don daidaitawa da ganowa da bambance-bambancen rauni na myocardial a cikin marasa lafiya da ke nuna ciwon kirji mai tsanani da kuma zargin ACS, cibiyoyi ya kamata su aiwatar da CDP wanda ya hada da yarjejeniya don samfurin troponin bisa ga binciken su.
4.A cikin marasa lafiya da ciwon kirji mai tsanani da kuma ake zargi da ACS, gwajin da aka yi a baya lokacin da akwai ya kamata a yi la'akari da kuma shigar da su cikin CDPs.
5.Ga marasa lafiya da ciwon kirji mai tsanani, ECG na al'ada, da kuma alamun bayyanar cututtuka na ACS wanda ya fara akalla 3 hours kafin zuwan ED, ƙaddamar da hs-cTn guda ɗaya wanda ke ƙasa da iyakar ganowa akan ma'auni na farko (lokacin sifili) yana da ma'ana. don ware rauni na zuciya.
Ana amfani da cTnI da cTnT sau da yawa a cikin ƙididdiga na ƙididdiga na ciwon zuciya, MYO ana amfani dashi a farkon ganewar ciwon zuciya, kuma CK-MB ana amfani dashi sau da yawa a cikin ganewar ciwon zuciya bayan ciwon zuciya.cTnI a halin yanzu shine mafi mahimmancin asibiti da takamaiman alamar rauni na zuciya, kuma ya zama mafi mahimmancin ganewar asali don raunin nama na zuciya (irin su ciwon zuciya). wani ƙarin abin dogara tushen ganewar asali na asibiti da masu ciwon kirji, da kuma taimakawa wajen gina cibiyoyin ciwon kirji.
Lokacin aikawa: Afrilu-02-2022