Kwi-retina, amehlo afumana izifo zentliziyo ye-biomarker

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Kwi-retina, amehlo afumana izifo zentliziyo ye-biomarker 16625_1
Kwi-retina, amehlo afumana izifo zentliziyo ye-biomarker

Izifo zentliziyo zeyona nto iphambili yokufa kunye nokukhubazeka kwihlabathi liphela. Nangona kunjalo, abaguli abachaphazeleka kumngcipheko ondalayo wokuphuhlisa isifo sentliziyo banokukuphepha, ekuhambeni kwexesha ngokutshintsha indlela yokuphila nokuthatha amayeza afanelekileyo. I-ALOS, kwiimeko ezininzi zePathodies zihlala zingapheli de kube senzeka okanye ukubetha.

Ke ngoko, kubalulekile ukumisela i-biomarks enokunceda ekuchongeni izigulana ezifihlakeleyo zentliziyo ezifihliweyo. Abantu abachaphazeleka kubo, njengoko uyazi, thambesela kwi-oxdicaction yeenqanawa (ukwaphulwa kokulala) ye-retina ye-reatina yesona se-isweni-inethiwekhi ye-capillary ye-capillary enomxholo onzima. I-vasculas ephezulu kunye ne-vasculas enzulu ibonelela ngeendawo ezingaphakathi zeoksijini kunye nenqanaba eliphakathi le-retina, ngelixa i-terina ifumana ioksijini evela kwi-choriocaillary. Ngenqanawa enkulu yokufakelwa inqanawa, ezimbini zangaphakathi ze-Innerane ye-Enerone ingama-Atrophy, kunye ne-Retinal microfarcts yeliso, njengeyona nto injenge-theculopathy, umaleko ophakathi uchaphazeleka ngokukhethekileyo.

Usebenzisa itekhnoloji yokujonga engahlaseli ngesisombululo se-vivo kunye ne-themical tomography ye-tochemia ebonisa i-Ischemia: Kwisigaba se-AcchereFrie Strivser kwi-nyclear engaphakathi I-Mesh-Shell Famer. Izilonda ezinjalo zenzeka ngenxa ye-hypoperfusion okanye i-microembolis efana ne-ortery kunye ne-veins ye-retina, i-hyperterstethy, i-purperternion's remoopathin, i-purcher's remoopathin kunye ne-purcher's remoopathin kunye ne-purcher's remoopathin kunye ne-purcher's remoopathin kunye ne-purcher's remoopathin kunye ne-purcher's resopathi. Ukuboniswa kwe-Micrososounde kubonisa ii-voids zegazi lokuhamba kwegazi kwisigaba se-abute esidweliswe ngasentla.

Ababhali boPhando olutsha - ogqirha abavela kwiDyunivesithi yaseCalifornia eSan Diego (i-USA) - bazamile ukuba izilonda ezinjalo ziqhelekile kwizigulana ezinesifo sentliziyo kwaye kunokwenzeka ukuba uzixele ngale ndlela. Inqaku lipapashwa kwiMagazini yase-EclinicalMedicine.

"Amehlo - iwindow kwimpilo yethu, izifo ezininzi zinokuzibonakalisa kubo. Kwaye izifo zentliziyo zikho ngaphandle kweqela lophando iMatieu Bachum, - Ischemia, oko kukuthi, kunokukhokelela kwisifo sentliziyo, kunokukhokelela kwigazi elinganeleyo kwigazi kwaye ungenise isoyikiso Iiseli ze-retina, zishiya iithegi "eziqinileyo". Sasizibiza kobuchopho izitshanguba retina perivascular, okanye Ripls, waza wafuna ukuba ukujonga ukuba zingaba biomarker izifo sentliziyo. "

I-Medics ifundele abantu abayi-13 940 abaphumelele i-oct scans (i-Optical tomography) yendawo etyheli-kwiDyunivesithi yaseCalifornia kwi-San Diegos kwi-1 kaJulayi, ka-2014 ukuya Julayi 1, 2019. Emva kokuhlaziya i-Prekart, abaphandi basasaze abaguli baba ngamaqela amabini: abantu abangama-84 abanesifo sentliziyo esibhaliweyo, abasesibini, bengekho, i-fibrrillation, i-fibrtrions, i-diabetes kuzo zombini iintlobo, isifo esingapheliyo semiphunga yemiphunga okanye i-phrimory hyperterension). Ukongeza, akukho namnye kubathathi-nxaxheba watyhila ii-pathologies ezihamba nazo.

Kwi-retina, amehlo afumana izifo zentliziyo ye-biomarker 16625_2
I-RIPL - I-Ischemia ye-Ischemia Biomars. A) i-themographuthane ye-toography yommandla obonakalayo; I-B-Scanning ukubonisa icandelo elithe nkqo lelinye iliso eliqhelekileyo); I-Rnfl-ungqimba lweentsomi ze-retinal nerve; I-GCL-Ubeko lweeseli zeqela lemigulukudu; -Umbeko lwangaphakathi lwenyukliya; I-Onl - ungqimba lwangaphandle lwenyukliya; I-RPE-i-piglight epitium.

B) Ukuskena kwe-SD-OCT, ukubonakalisa i-RIPL (iRecangle). Isifinyezo esibonakalayo esibonakalayo kwi-inl Ukusuka)

Ukubonakala kobuso obubuyiselwe ukusuka kwiskena se-bulk scan yeninzi ehlanganisiweyo ukusuka kwiskena esilandelelanayo. I-ripl ezintathu zikhangeleka ngathi zinamachaphaza amnyama (iintolo ezibomvu) / © Eclinicalmedine

Kuyaziwa ukuba umngcipheko wezifo zentliziyo eUnited States uzimisele ukusebenzisa i-AscvD ekhethekileyo ye-ASCVD ephuhliswe yiKholeji yaseMelika yamakhadi entliziyo. Ababhali besifundo bafumana unxibelelwano phakathi kwenani lezilonda zokugcina izinto (i-RIPL) kunye novavanyo lomngcipheko lubalwe yi-ASCVD kubo bonke amavolontiya.

"Kwizigulana ezineempawu ezisezantsi nezemida ye-ASCVD yayikhona isixa esincinci se-RIPL emehlweni, kodwa njengomngcipheko we-ASCVD osandayo, inani le-RIPL lakhula. I-RIPL nganye yayiphezulu kakhulu kwiqela ngezifo zentliziyo ezithelekiswa neqela lolawulo (2.8 ngokuchasene ne-0.8). Inani le-ripl kubantu abanee-Ibs kunye neStroke yayi-2.4 ne-3.7. Kwizigulana ezinoxinzelelo lwe-myacardial, i-ripl yesalathisiwe ibe yi-3-4 - ithelekiswa ne-1.3 iRipl kwizigulana ezine-ihs ngaphandle kokubetha kwentliziyo. Siqaphele uninzi lwamachibi e-retinal kwizigulana ezihlala phantsi. Kuba i-retina iqhubekeke ngokuthe ngqo kwengqondo, kusenokwenzeka ukuba i-ripls ithetha ngesifo sendlela yokuziphatha kwe-terebral kunezifo zezitya zemfundo, "abaphandi baxelelwa.

Ngenxa yoko, iziphumo ziqinisekisile ukuba umonakalo we-retina - ii-biomarkers ze-ischer of scheccociation zale gobolondo zangaphakathi zeliso ziqhelekile kwizifo ezinesifo sentliziyo kwaye zinokusebenza njengeziprofetho ezongeziweyo kunye nokufunyanwa kwakhona. Ngokutsho kwababhali bomsebenzi, ukuba i-Opthalmologist ifumana isigulana se-RIPL, ke kufuneka ithunyelwe ekwemkeleni nakwiingcali zentliziyo.

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