miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
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gadatanil <strong>miokardiumis</strong> infarqtze da Sesabamisad gvexmareba diagnozis dasmaSi.<br />
izolirebuli QQ kbili III ganxraSi, rogorc wesi, gvxvdeba normaSic, gansakuTrebiT<br />
Tu mas ar axlavs repolarizaciis darRveva romelime qvemo ganxraSi. Aaucileblad<br />
aRsaniSnavia, romNnormaluri ekg ar gamoricxavs <strong>arastabiluri</strong> stenokardiis<br />
diagnozs.<br />
sisxlSi <strong>miokardiumis</strong> enzimebi<br />
<strong>miokardiumis</strong> enzimebis dones sisxlSi aqvs didi mniSvneloba rogorc diagnozis<br />
dasasmelad, aseve prognozis Sesafaseblad. gamoiyeneba Semdegi markerebi:<br />
troponinebi, kreatinkinazas - MB fraqcia, mioglobini.<br />
troponinebi _ M<strong>miokardiumis</strong> troponinebi arian miocitebis nekrozis specifiuri da<br />
sensitiuri markerebi. troponinebi gamoiyeneba ara mxolod diagnostikuri mizniT,<br />
aramed prognozuli mizniTac. Aam mizniT gamoyenebuli troponini I iTvleba maRali<br />
riskis markerad, maSin roca igi > 0,4 ng/ml-Si. 0,1-dan 0,4-mde igi iTvleba, rogorc<br />
saSualo riskis markeri. Ddiagnostikuri Rirebuleba troponini T-Tvis aris >0.01<br />
ng/ml-Si. Aaucilebelia troponinebis sisxlSi gamoTavisuflebis dinamikis codna.<br />
magaliTad, Tu pacienti Semodis klinikaSi simptomebis dawyebidan 6 saaTze nakleb<br />
droSi, mas SeiZleba hqondes troponinebis normaluri done sisxlSi, miuxedavad<br />
imisa, rom is maRali risk-jgufis pacientia. sisxlSi troponini matebas iwyebs<br />
miocitebis nekrozidan 6-sT-Si da piks aRwevs 36-sT-Si. aucilebelia troponinis<br />
pirveli analizi gakeTdes pacientis miRebisTanave da ganmeorebiTi analizi 6-12<br />
saaTis Semdeg.<br />
kreatinkinaza _ kreatinkinazas mb fraqcia gamoiyeneba rogorc miocitebis nekrozis<br />
markeri. CK-MB–is specifiuroba SedarebiT dabalia, misi elevacia SeiZleba<br />
gamoiwvios ConCxis kunTebis seriozulma dazianebamac. rogorc cnobilia,<br />
troponini momatebulia sisxlSi <strong>miokardiumis</strong> dazianebidan 2 kviris Semdegac,<br />
xolo CK-MB normas ubrundeba <strong>infarqti</strong>dan daaxloebiT 2 dReSi, Sesabamisad misi<br />
diagnostikuri Rirebuleba mkveTrad izrdeba re<strong>infarqti</strong>s diagnostirebisTvis.<br />
mioglobini _ is aRmoCenilia rogorc miokardiumSi, ise ConCxis kunTebSi,<br />
Sesabamisad mioglobini ar aris <strong>miokardiumis</strong> specifiuri cila. <strong>miokardiumis</strong><br />
nekrozidan daaxloebiT 2 saaTSi iwyeba misi gamoTavisufleba sisxlSi anu sanam<br />
troponini da CK-MB daiwyebs matebas. <strong>miokardiumis</strong> <strong>infarqti</strong>s diagnozis<br />
dasasmelad mioglobinis izolirebuli mateba ar aris sakmarisi, is unda<br />
ganvixiloT, rogorc damatebiTi diagnostikuri saSualeba. Tumca, tkivilis<br />
epizodidan 4-8 saaTSi sisxlSi dabali mioglobini sakamarisia <strong>miokardiumis</strong><br />
<strong>infarqti</strong>s gamosaricxad - misi maRali sensitiurobis gamo.<br />
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