PCT (cov ntshav mus kuaj). deciphering PCT

Ntau yam inflammatory dab no tej zaum kuj tsis qhia hais tias tsis muaj kev kuaj. Ua li no, cov kws kho mob muab kev soj ntsuam, biochemical tsom xam kev lom ntaub ntawv. Vim li cas peb yuav tsum tau mus coj ib tug mus kuaj ntshav rau PCT?

Yuav ua li cas yog lub PCT?

Nyob rau hauv peb lub cev li, cov ntsiab lus ntawm tej yam tshuaj yuav tsum tau txiav txim los yog tsis kam lees lub xub ntiag ntawm tej yam kab mob. Tshwj xeeb yog tuav tsom xam ntawm cov ntshav nyob rau hauv no hais txog. Lwm yam khoom uas yuav pab tau muab tso rau qhov tseeb mob yog procalcitonin (PCT), nws yog preceded los ntawm cov tsim ntawm calcitonin. Nyob rau hauv lem, calcitonin yog ib qho kev ntsuas ntawm calcium metabolism hauv lub cev thiab ib yam khoom uas rau cov mob ntawm lub qog cancer.

Procalcitonin yog ua los ntawm cov qog C-hlwb. Vim hais tias ntawm cov tshuaj tshua PCT hloov dua siab tshiab rau calcitonin. Nyob rau hauv cov neeg noj qab, tus txheej txheem no muaj tshwm sim nrog me me los yog tsis muaj residue, piv txwv li, PCT tsis muaj lub sij hawm mus rau nkag mus rau cov hlab ntsha. Uas yog vim li cas lub xwb ib co kua nplaum ntawm cov tshuaj yeeb dej caw kuaj nyob rau hauv cov ntshav, uas qhia cov ntaub ntawv tsim nyog nyob rau lub xeev ntawm tib neeg noj qab haus huv.

Tsis zoo li tom ntej lawm calcitonin, PCT tsim nyog rau qhov mob ntawm tej hom kab mob los yog inflammatory dab.

Yuav ua li cas cov ntaub ntawv uas yog siv rau cov kev soj ntsuam?

Tshuaj ntsuam rau kev txiav txim ntawm PCT xam tau tias yog kev soj ntsuam thiab biochemical ntshav txoj kev tshawb no. Ua li no, koj yuav tsum tsis txhob coj cov capillary thiab venous ntshav. Ces, nyob rau hauv cov ntshav kuaj kawm lub ib co kua nplaum ntawm procalcitonin. Tias tus tau twb tsis distorted, tag nrho cov tej yam kev mob ntawm tus me nyuam ntawm tus tsom xam yuav tsum muaj cai.

Rau ib txhia yog vim li cas, qhov no qhia nce nyob rau hauv cov ntshav?

Analysis rau procalcitonin los yog PCT - biochemical kev tshawb fawb, ntawm tus nqi nyob rau hauv kev txiav txim hnyav tau sepsis thiab mauj inflammatory teb syndrome (Sirs).

Procalcitonin yog tsim feem ntau sib xws nyob rau hauv lub C-hlwb ntawm cov thyroid caj pas. Yuav kom txiav txim seb qhov theem ntawm no marker nyob rau hauv lub cev, nqa tawm cov ntshav mus kuaj. Deciphering lub PCT yog ib tug kev sib tw rau tus kws kho mob, raws li nws nce nyob rau hauv ntau pathologies, tuag taus. Xav txog, yog tias muaj teeb meem nrog kev noj qab nyob nws saum toj no qhov txhia qhov.

• ntshav procalcitonin nce nyob rau hauv kab mob uas tsis muaj ib tug kab mob etiology. Qhov no tshwm sim yog tshwm nyob rau hauv cov kab mob sepsis.
• Loj raug mob, kub nyhiab, kev phais muab ib tug laub los txhim kho lub PCT nyob rau hauv ob los yog peb hnub.
• Rau cov neeg noj immunosuppressants, thiab lwm yam pharmaceuticals, uas yog tso tawm thaum anti tsitokliny feem ntau pom ib tug high nqi ntawm procalcitonin.
• Nyob rau hauv cov me nyuam mos, cov thawj ob hnub tom qab yug tus me nyuam muaj zog PCT. Ib tug ntshav kuaj, decryption, tus nqi ntawm tus so ntawm cov me nyuam mos twb tsis muaj singularities.
• Heev thiab hnyav ntws cardiogenic poob siab qhia tau hais tias muaj zog cov nuj nqis nyob rau hauv txoj kev tshawb no ntawm qhov kev xeem no.
• Microcirculation mob extending ntev, yuav ua rau muaj zog ua tau zoo ntawm procalcitonin.

Nyob rau hauv tej rooj plaub, cov ntshav mus kuaj yog muab rau cov PCT?

Tshwj xeeb muaj resorted mus rau ib tug zoo xws li cov kev tshawb nyob rau hauv cov nram no tej yam kev mob ntawm tus kab mob:

• Feem ntau muab cov ntshav PCT-tsom, seev suab no tsuas muaj nyob rau hauv lub kos duab, rau qhov mob ntawm lub taub dej khawb tej yam kev mob thiab lawv heev. Tsis tas li ntawd pom nws tsis yooj yim rau xav tias leaking bakinfektsii, ua npaws tsis paub hais tias etiology.
• Control ntawm kev tshwm sim ntawm kev kho mob ntawm sepsis, poob siab lub xeev, raug ntawm cov pathologies yuav tsum tau lub sij hawm ntawm kev tshawb fawb ntawm FCT.
• Yuav kom tshawb nrhiav qhov teeb meem ntawm cov kab xwm ntawm cov neeg mob tom qab phais, hloov hloov, thaum lub sij hawm intensive kev saib xyuas thiab nyob twj ywm rau ib tug lub tshuab ua pa, yog feem ntau siv nyob rau hauv lub tsom xam ntawm procalcitonin. Rau cov neeg thiaj paub hais tias "neutropenia" thiab "tiv thaiv", uas tsis paub mob kuaj nws yog ib yam uas tseem ceeb heev tseem ceeb - rau clarifications thiab kev luj xyuas ntawm txoj kev kho.
• Lub differential mob ntawm cov kab thiab uas tsis yog-kis tus kab mob kev tshawb fawb muaj tej zaum tseem ceeb heev.
• Teeb meem nyob rau hauv daim ntawv ntawm fungal thiab kab mob kab mob no kuj yuav pab kom paub tias qhov no mus kuaj ntshav. Deciphering lub PCT yuav pab txiav txim seb dab tsi yog yuav tsum tau tshwm sim los ntawm ib tug los yog lwm yam tab kaum.
• Cov kab mob xws li mob ntsws, meningitis, kab mob peritonitis, tej zaum kuj yuav tsum tau lub sij hawm ntawm kev tshawb fawb nyob rau hauv procalcitonin.

Cov ntsiab lus uas tus me nyuam ntawm tus tsom xam rau qhov ntsuas no

Tag nrho cov neeg mob nyob rau hauv kev txais neeg kawm thiab kev kho mob nyob rau hauv ib tug lub tsev kho mob taw CBC. Deciphering lub PCT, tus nqi ntawm uas yog nyob rau hauv lub hnub nyoog thiab noj qab haus huv ntawm tus neeg mob, nws yuav tsis muab tso rau li ntawd feem ntau. Tab sis cov kev tshawb fawb yog ua txhua txhua hnub ntau thiab ntau nrov, cov kws kho mob nkag siab txog nws cov tag nrho tseem ceeb rau mob thiab raug ntawm tus neeg mob ntxiv.

Tag nrho biochemical kev tshawb fawb ua rau ib qho kev npliag plab. Thiab procalcitonin yog tsis muaj exception. Analysis yuav tsum dhau ua ntej 10 teev. Nyob rau lub tswv yim yuav tsum caiv txhob fatty, kib, qab ntsev cov khoom noj thiab dej caw. Tejzaum nws tshem tawm tshuaj. Yog hais tias lawv yuav tsis tau undone, nws yog tsim nyog los hais cov npe ntawm cov tshuaj nyob rau hauv cov kev kuaj.

Nyob rau hnub uas tus me nyuam ntawm tus tsom xam, koj muaj peev xwm haus dej haus ib khob dej, tiam sis tsis muaj ntxiv, vim hais tias nws yog ib tug "capricious" teeb meem uas theem yuav tsum tau ua tib zoo tracked. Ib qho tseem ceeb saib xyuas yog lub hnub ntawm lub cev ntas rau cov poj niam, raws li kev ncaj ncees nrog txiv neej pw, muaj tej hnub thaum lub feem ntau dej siab rau coj cov ntshav rau txoj kev tshawb no ntawm lawm ntau ntau. Cov ntaub ntawv no muaj peev xwm muab tau los ntawm tus kws kho mob uas tus kws kho tus tsom xam.

Piav general ntshav tsom xam PCT

Nyob rau hauv txhua txoj kev tshawb no, qhov tseem ceeb yog tus txhais lus los ntawm cov kev tshwm sim. Muaj ntau ntau sim lawv tus kheej tau txais ib tug mob ntawm indicators, As, tab sis yuav tsum tsis txhob maj muab tso rau hauv ib tug ntoo khaub lig. Ntshav, PCT decryption yog ntawm kuj zoo kawg tseem ceeb nyob rau hauv lub mob thiab raug ntawm heev ntawm sepsis thiab lwm yam pathological tej yam kev mob:

• Yog hais tias lub Performance index yog tsawg tshaj li 0.5 ng / ml, qhov no qhia tias cov uas muaj feem yuav tsim kev mob loj sepsis yog suab tsis muaj.
• 0.5-2 ng / ml - qhov thiaj li hu ua grey cheeb tsam coincides nrog mauj inflammatory teb syndrome. Tab sis hais qhov tseeb tias tus neeg mob tej zaum yuav tsim kev mob loj sepsis, nws yog tsis yooj yim sua. Nws yog pom zoo kom rov hais dua cov kev xeem nyob rau hauv rau - nees nkaum plaub teev.
• Yog hais tias lub Performance index tshaj ob procalcitonin ng / ml, nws yuav xav tias mob loj heev sepsis los yog Sirs.
• Saum toj no 10 ng / ml los yog ntau tshaj - yog qhia Sirs, uas yog ib lub txim mob sepsis los yog poob siab. Nws yuav ua tau kom lub syndrome ntawm ntau yam hloov tsis ua hauj lwm. Ib tug neeg mob uas yuav muaj kev tuag yog heev.

Nqi rau cov neeg laus thiab cov me nyuam

Feem ntau, lub concentration ntawm PCT yog heev me me. Nws yog nyob rau hauv ntau 0.01 - 0.045 ng / ml. Muaj ntau soj ntsuam thiab biochemical tsis yog sib txawv, nyob ntawm seb muaj hnub nyoog thiab lwm yam thiab tej yam. Tab sis qhov no yog tsis yog tus PCT. Analysis ntawm cov ntshav, seev suab ntawm cov me nyuam uas yog yuav luag tsis muaj tej nta tuav tsis hais hnub nyoog. Yog nws tsuas nyob rau hauv cov me nyuam mos soj ntsuam tus nqi nce rau ob peb hnub, tab sis, ces dua los rov qab mus rau qub.

Li cas rau cov qis nqi?

Nws yog zoo dua lub npe hu tias cov me nyuam uas tau txais dexamethasone perinatally thaum muaj ntshav PCT-tsom, seev suab - "downgraded". Nyob rau hauv cov laus txiav txim ib tug txo nqi ntawm procalcitonin yog tsis tau, txij thaum lub qub tus nqi ntawm nws cov tsawg tsawg heev.

Yuav ua li cas yog hais tias tus PCT tuav cov ntshav mus kuaj tseem ceeb - "kho"?

Muaj ntau thaum ib tug mismatch ntawm reference qhov tseem ceeb nrog sij tshwm sim ntawm kev tsom xam pib nyob rau hauv ceeb. Tiam sis ua ntej koj yuav tsum nrhiav seb yog dab tsi no tseem ceeb hais. Nyob rau hauv lub mob ntawm ntau pathological kev ntawm hnyav ntshav (seev suab PCT) yog ib qho tseem ceeb. Kom ntau ntau cov procalcitonin tej zaum yuav qhia ib tug formidable pathologies li sepsis, thiab raug tuag rau tus neeg mob.

Tom qab tau txais cov kev kuaj tau paub, nws yog yooj yim los mus khaws cov tsim nyog kho mob kev kho mob uas muaj peev xwm cawm tau ib tug tib neeg lub neej. Yog hais tias peb yuav sib tham txog lub malignancy, txoj kev tshawb qhia nws nyob rau hauv thaum ntxov ua sawv, ua rau nws ua tau rau sai sai paub meej tias cov mob los ntawm lwm cov kev tshawb fawb thiab mus rau hauv txoj tsim nyog kho mob rau lub sij hawm. Qhov no yuav tsub tau txoj kev rov qab.

Yog hais tias ib tug neeg mob los txog rau lub tsev kho mob nrog mob pancreatitis, tab sis qhov tsis muaj cov ntshav thiab zis amylase yog cov tsis tshua siab, kev tshawb fawb nyob rau hauv procalcitonin cia pancreatic paub meej tias los yog cais nws.

Cov neeg mob tom qab hloov hloov thiab lwm yam kev phais cov txheej txheem, uas muab ib tug kub, nws yog ua tau kom ib tug tsom xam rau cov FCT ascertain seb fungal los yog kab mob kab mob tuaj koom.

Yog hais tias cov neeg mob uas muaj ib tug "sepsis" paub tseeb hais tias mob, cov ntsuas yog down, nws hais tias hais txog cov hauj lwm zoo ntawm cov kev kho mob. Cov neeg mob uas nws procalcitonin yog tsis tau nce nyob rau hauv cov ntshav, tab sis kuj yog tsis txo, nws yog ib yam uas doubtful raug. Yog hais tias cov ntsuas, txawm intensive kev kho tsis tau tsuas yog txo, tab sis kuj loj hlob, ces tus neeg mob yog suab tsis muaj caij nyoog ntawm cov ciaj sia taus.

Yuav ua li cas koj yuav tsum xav txog ib tug kws nyob rau hauv deciphering qhov ntsuas no?

Reference ciam teb nyob rau hauv kev noj qab nyob thiab mob cov neeg mob tej zaum yuav tsis muaj qhov sib txawv, li cas los xij, thaum ib tug neeg mob yuav muab kev pab PCT-tsom xam ntawm cov ntshav, seev suab ntawm txoj kev tshawb no yuav tsum tau kev pab tshwj xeeb specialist. Nws tag nrho cov nyob ntawm tus neeg. Yog li ntawd, thaum txhais tej cim no yuav tsum tau heev tsev, coj mus rau hauv tus account tus neeg mob tus kws keeb kwm thiab kev soj ntsuam cov ntaub ntawv, raws li tau zoo raws li lwm yam kev ntsuas, xws li cov ntshav count, general urinalysis, C-reactive protein, mob npiv zas.