Hōʻike philokinase Creatine
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
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