Mea Kākau: William Ramirez
Lā O Ka Hana: 17 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 13 Nowemapa 2024
Anonim
Hōʻike philokinase Creatine - Kino PaʻA
Hōʻike philokinase Creatine - Kino PaʻA

ʻO ka Creatine phosphokinase (CPK) kahi enzyme i ke kino. ʻIke nui ʻia ia i ka puʻuwai, ka lolo, a me nā mākala iwi. Kūkākūkā kēia ʻatikala i ka hoʻokolohua e ana i ka nui o CPK i loko o ke koko.

Pono kahi laʻana koko. Lawe ʻia paha kēia mai kahi aa. Kapa ʻia ke kaʻina hana he venipuncture.

E hana hou paha kēia hōʻike ma kahi o 2 a 3 mau lā inā he mea hoʻomanawanui ʻoe i ka haukapila.

ʻAʻole pono kahi hoʻomākaukau kūikawā i ka hapa nui o ka manawa.

E haʻi i kāu mea mālama ola e pili ana i nā lāʻau āu e lawe nei. ʻO nā lāʻau i hiki ke hoʻonui i nā ana CPK me ka amphotericin B, kekahi mau anesthetics, statins, fibrates, dexamethasone, wai ʻona, a me ka cocaine.

Hiki paha iā ʻoe ke ʻeha iki i ka wā e hoʻokomo ʻia ai ke kui kele e huki i ke koko. ʻO ka manaʻo o kekahi poʻe he prick a wīwī wale paha ka manaʻo. Ma hope, aia paha kekahi ʻōkā.

Ke kiʻekiʻe loa ka pae CPK āpau, ʻo ka manaʻo pinepine ia he ʻeha a koʻikoʻi paha i nāʻiʻo o ka ʻū, ka puʻuwai, a i ʻole ka lolo.

ʻO ka ʻeha pūpū o ka mākala ka mea nui. Ke hōʻino ʻia kahi mākala, kulu ʻo CPK i ke kahe o ke koko. Ke ʻike nei i kahi ʻano kikoʻī o CPK kiʻekiʻe e kōkua ai i ka hoʻoholo ʻana i nā ʻino i hōʻino ʻia.


E hoʻohana ʻia paha kēia hōʻike i:

  • ʻIke i ka hōʻeha puʻuwai
  • Loiloi kumu o ka eha umauma
  • E hoʻoholo inā a i ʻino hoʻi ka hōʻino ʻia o kahi mākala
  • Kuhi i ka dermatomyositis, polymyositis, a me nā maʻi ʻeleʻele ʻē aʻe
  • E haʻi i ka ʻokoʻa ma waena o ka hyperthermia malignant a me ka maʻi postoperative

ʻO ke kumu a me ka manawa o ka piʻi a hina ʻana paha o nā pae CPK hiki ke lilo i mea nui i ka hana ʻana i kahi hōʻailona. Heʻoiaʻiʻo maoli kēia inā e manaʻo ʻia he hōʻeha puʻuwai.

I ka hapanui o nā hihia e hoʻohana ʻia nā hoʻokolohua ʻē aʻe ma kahi o a me kēia hōʻike e ʻike ai i ka hōʻeha puʻuwai.

Huina CPK mau waiwai maʻamau:

  • 10 a 120 micrograms i kēlā me kēia lita (mcg / L)

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hiki ke ʻike ʻia nā pae CPK kiʻekiʻe i ka poʻe i loaʻa iā:

  • Ka hōʻeha lolo a hahau paha
  • Nā manaʻo hoʻohoka
  • Weliweli ʻo Delirium
  • ʻO Dermatomyositis a polymyositis paha
  • Hoʻoikaika uila
  • Maʻi hohola
  • ʻO ka hoʻohaunaele o ka puʻuwai puʻuwai (myocarditis)
  • ʻO ka make ʻana o ka pūpū (infarction pulmonary)
  • Nā maʻi maʻi muscular
  • Myopathy
  • Rhabdomyolysis

Nā kūlana ʻē aʻe e hāʻawi i nā hopena hōʻoia maikaʻi e like me:


  • Hypothyroidism
  • Hyperthyroidism
  • Pericarditis e ukali nei i kahi puʻuwai puʻuwai

ʻO nā pōpilikia e pili ana i ke kau ʻana o ke koko he mea liʻiliʻi akā hiki ke hoʻopili ʻia:

  • Kahe nui ke koko
  • Pāleʻale a ʻoluʻolu paha
  • Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
  • Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Pono e hana i nā hoʻokolohua ʻē aʻe e ʻike i kahi kikoʻī o ka hōʻino ʻana o nā mākala.

ʻO nā kumu e hoʻopili i nā hopena hōʻike e pili ana i ka catheterization cardiac, nā inikō intramuscular, trauma i nā mākala, nā ʻoki o kēia manawa, a me ka hoʻoikaika kino.

Hōʻike CPK

  • Hōʻaʻo koko

ʻO Anderson JL. St segment hoʻokiwikā myocardial infarction a me nā pilikia o ka myocardial infarction. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 73.


Carty RP, Pincus MR, Sarafraz-Yazdi E. ʻO ka enzymology lapaʻau. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 20.

ʻO Mccullough PA. ʻO ka helehelena ma waena o ka maʻi hōʻino a me ka maʻi maʻi maʻi. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 98.

Nagaraju K, Gladue HS, Lundberg IE. Nā maʻi hōʻeha o nā mākala a me nā myopathies ʻē aʻe. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2017: chap 85.

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