Mu Gushyingo 2021, Ishyirahamwe ry’umutima ry’Abanyamerika (AHA) n’ishuri rikuru ry’Abanyamerika ryita ku ndwara z’umutima (ACC) bafatanije gutanga amabwiriza yuzuye yo gusuzuma no gusuzuma ububabare bwo mu gatuza.Amabwiriza arambuye asuzuma ibipimo ngenderwaho bisanzwe, inzira zubuvuzi, nibikoresho byo gupima ububabare bwo mu gatuza, bitanga ibyifuzo na algorithms kubaganga gusuzuma no gusuzuma ububabare bwo mu gatuza ku barwayi bakuze.
Imirongo ngenderwaho itanga ubutumwa 10 bwingenzi kubibazo nibisabwa kugirango dusuzume uyu munsi gusuzuma uburibwe bwo mu gatuza, byavuzwe neza mu nyuguti icumi “ububabare bwo mu gatuza”, ku buryo bukurikira:
Cardiac troponin ni ikimenyetso cyihariye cyo gukomeretsa kwa myocardial selile kandi ni biomarker ikunzwe mugupima, gutondeka ibyago, kuvura no guhanura syndromes ikaze.Amabwiriza ajyanye no gukoresha troponine-yunvikana cyane, kubarwayi bafite ububabare bukabije bwo mu gatuza kandi bakekwaho kuba ACS (usibye na STEMI), batanga inama zikurikira mugihe washyizeho inzira zifata ibyemezo:
1.Mu barwayi bagaragaza ububabare bukabije bwo mu gatuza kandi bakekwa ko ari ACS, inzira zifata ibyemezo (CDPs) zigomba gushyira abarwayi mu byiciro bito-, hagati-, n’ibyago byinshi kugira ngo byoroherezwe kwisuzumisha no kwisuzumisha nyuma.
2.Mu isuzuma ry’abarwayi bagaragaza ububabare bukabije bwo mu gatuza hamwe n’abakekwaho kuba ACS bagaragarizwa ko troponine ikurikirana ikuraho imvune ya myocardial, igihe cyagenwe nyuma yigihe cyo gukusanya icyitegererezo cya troponine (igihe cya zeru) kugirango bapimwe gusubiramo ni: amasaha 1 kugeza kuri 3 yo hejuru -ibyiyumvo bya troponine n'amasaha 3 kugeza kuri 6 kubisanzwe troponine.
3.Kugirango hamenyekane no gutandukanya imvune ya myocardial ku barwayi bagaragaza ububabare bukabije bwo mu gatuza kandi bakekwaho kuba ACS, ibigo bigomba gushyira mu bikorwa CDP ikubiyemo protocole yo gupima troponine ishingiye ku bushakashatsi bwabo.
4.Mu barwayi bafite ububabare bukabije bwo mu gatuza kandi bakekwaho kuba ACS, ibizamini byabanjirije igihe biboneka bigomba gusuzumwa no kwinjizwa muri CDP.
5.Ku barwayi bafite ububabare bukabije bwo mu gatuza, ECG isanzwe, nibimenyetso byerekana ACS yatangiye byibura amasaha 3 mbere yuko ED igera, icyerekezo kimwe cya hs-cTn kiri munsi yurugero rwo gutahura kubipimo byambere (igihe zeru) birumvikana gukuraho imvune ya myocardial.
cTnI na cTnT bikoreshwa kenshi mugupima ubuziranenge bwindwara ya myocardial, MYO ikoreshwa kenshi mugupima hakiri kare indwara ya myocardial, kandi CK-MB ikoreshwa mugupima indwara ya myocardial infarction nyuma yindwara ya myocardial.cTnI kuri ubu ni cyo kimenyetso cy’amavuriro kandi cyihariye cyerekana imvune ya myocardial, kandi kikaba cyarabaye ishingiro ry’isuzumabumenyi ryo gukomeretsa ingirangingo za myocardial (nk'indwara ya myocardial) .Ubuzima bufite ikizamini cyuzuye cy'ibintu bya myocardial, byatsinze icyemezo cya CE, bitanga ishingiro ryizewe ryo kwisuzumisha kubarwayi bafite uburwayi bwamavuriro nigituza, no gufasha cyane kubaka ibigo bibabaza igituza.
Igihe cyo kohereza: Apr-02-2022