Creatine Kinase

Anter

• He aha ka mea a koleine kinease (CK) e hoʻāʻo ai?
• No ke aha ia e hoʻohana ai?
• No ke aha e pono ai iaʻu kahi hōʻoia CK?
• He aha ka hana i ka wā o kahi hōʻike a CK?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike CK?
• Nā kūmole

He aha ka mea a koleine kinease (CK) e hoʻāʻo ai?

Ana kēia hōʻike i ka nui o ka creatine kinase (CK) i loko o ke koko. He ʻano protein ʻo CK, i ʻike ʻia ma ke ʻano he enzyme. Loaʻa ia i kāu mau mākala iwi a me kou puʻuwai, me nā mea liʻiliʻi i ka lolo. ʻO nā mākala iwi nā mākia i pili i ko iwi iwi. Hana lākou me kou mau iwi e kōkua iā ʻoe e neʻe a hāʻawi i kou kino i ka mana a me ka ikaika. Hoʻomaʻu nā mākala puʻuwai i ke koko i loko a i waho o ka puʻuwai.

ʻEkolu ʻano o nā enzyme CK:

• CK-MM, loaʻa ka hapa nui i nā mākala iwi
• CK-MB, loaʻa ka hapa nui i ka puʻuwai puʻuwai
• CK-BB, loaʻa i ka hapanui o ka lolo

ʻO kahi liʻiliʻi o CK i loko o ke koko he maʻamau. Hiki i nā kālā kiʻekiʻe ke manaʻo ʻia he pilikia olakino. Kaukaʻi ʻia i ka ʻano a me ka pae o CK i loaʻa, hiki i ka manaʻo ke loaʻa iā ʻoe ka hōʻino a maʻi paha o nā mākala iwi, puʻuwai, a lolo paha.

Nā inoa ʻē aʻe: CK, huina CK, phineokinase creatine, CPK

No ke aha ia e hoʻohana ai?

Hoʻohana pinepine ʻia kahi hōʻoia CK e hōʻoia a nānā i nā ʻeha muscular a me nā maʻi. Pili kēia mau maʻi:

• ʻO ka mustrular dystrophy, kahi maʻi hoʻoilina ʻike ʻole ʻia e kumu ai i ka nāwaliwali, haki, a me ka nalo ʻana o ka hana o nā mākala iwi. Kū ka hapanui i nā kāne.
• Rhabdomyolis, kahi haki wikiwiki o nāʻiʻo muscle. Hiki ke kumu ʻia e kahi ʻeha nui, nā maʻi maʻa, a i ʻole nā ​​maʻi ʻē aʻe.

Hiki ke hoʻohana ʻia ka hoʻokolohua e kōkua i ke kuhi ʻana i kahi puʻuwai puʻuwai, ʻoiai ʻaʻole pinepine pinepine. ʻO ka hoʻāʻo ʻana ʻo CK ma mua he hōʻike maʻamau no ka hōʻeha puʻuwai. Akā ua loaʻa kahi hōʻike ʻē aʻe, i kapa ʻia ʻo troponin, ʻoi aku ka maikaʻi ma ka ʻike ʻana i ka hōʻino o ka puʻuwai.

No ke aha e pono ai iaʻu kahi hōʻoia CK?

Pono ʻoe i kahi hoʻokolohua CK inā loaʻa iā ʻoe nā ʻōuli o kahi maʻi muscular. Pākuʻi ʻia kēia mau mea:

• ʻEha ʻeha a me / a i ʻole nā ​​ʻūlū
• Nāwaliwali ka ʻiʻo
• Nā pilikia kaulike
• Pōpō a ʻālani paha

Pono paha ʻoe i kēia hoʻokolohua inā loaʻa ʻoe i kahi ʻeha a ʻeha paha. ʻAʻole piʻi kiʻekiʻe nā pae CK a ʻelua mau lā ma hope o kekahi mau ʻeha, no laila pono ʻoe e hoʻāʻo i kekahi mau manawa. Hiki i kēia hōʻoia ke kōkua i ka hōʻike inā loaʻa iā ʻoe ka hōʻino i kou puʻuwai a i ʻole nā ​​mākala ʻē aʻe.

He aha ka hana i ka wā o kahi hōʻike a CK?

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka hoʻāʻo CK.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā hōʻike kāu mau hopena he ʻoi aku kou kiʻekiʻe ma mua o ka pae maʻamau o CK, manaʻo paha ia he ʻeha a maʻi paha ʻoe o nā mākala, ka puʻuwai, a me ka lolo. No ka loaʻa ʻana o ka ʻike hou aku, e kauoha paha kāu mea hāʻawi i nā hoʻokolohua e nānā i nā pae o nā enzymes CK kikoʻī.

• Inā he ʻoi aku kou kiʻekiʻe ma mua o nā enzyme CK-MM maʻamau, manaʻo paha ia he ʻeha a nā maʻi paha ʻoe, e like me ka dystrophy muscular a i ʻole rhabdomyolis
• Inā ʻoi aku kou kiʻekiʻe ma mua o nā enzyme CK-MB maʻamau, manaʻo paha ia he mumū kou o ka puʻuwai puʻuwai a i ʻole he maʻi puʻuwai paha kāu i hala iho nei.
• Inā ʻoi aku kou kiʻekiʻe ma mua o nā enzyme CK-BB maʻamau, manaʻo paha ia ua loaʻa ʻoe i ka maʻi hahau a me ka ʻeha o ka lolo.

ʻO nā kumu ʻē aʻe i hiki ke hoʻonui i ke kiʻekiʻe ma luna o nā pae CK maʻamau:

• Huʻi koko
• Nā maʻi ʻino
• Nā maʻi Hormonal, me nā maʻi o ka thyroid a me nā adrenal adrenal
• ʻOki lōʻihi
• Nā lāʻau lapaʻau kekahi
• Hoʻoikaika ikaika

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike CK?

ʻO nā hoʻokolohua koko ʻē aʻe, e like me ka panel electrolyte a me nā hoʻāʻo ʻana o ka hana puʻukū, e kauoha pū ʻia me kahi hōʻike CK.

Nā kūmole

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6. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [helu ʻia 2019 Jun 12]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
7. National Institute of Neurological Disorder a me ka Stroke [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Muscular Dystrophy: Lana ma o ka noiʻi; [hōʻano hou ʻia 2019 Mei 7; i helu ʻia ʻo 2019 Jun 12]; [ma kahi o 3 pale]. Loaʻa mai: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Muscular-Dystrophy-Hope-Through-Research
8. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Hōʻike Creatine phosphokinase: Overview; [hōʻano hou ʻia 2019 Jun 12; i helu ʻia ʻo 2019 Jun 12]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/creatine-phosphokinase-test
9. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Creatine Kinase (Koko); [helu ʻia 2019 Jun 12]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=creatine_kinase_blood
10. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili olakino: Creatine Kinase: Nānā Hōʻikeʻike; [hōʻano hou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jun 12]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/creatine-kinase/abq5121.html
11. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: Creatine Kinase: No ke aha e hana ai; [hōʻano hou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jun 12]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/creatine-kinase/abq5121.html#abq5123

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.