Pangani mayeso a phosphokinase

Creatine phosphokinase (CPK) ndi enzyme m'thupi. Amapezeka makamaka mumtima, ubongo, ndi mafupa. Nkhaniyi ikufotokoza za kuyesa kuyeza kuchuluka kwa CPK m'magazi.

Muyenera kuyesa magazi. Izi zitha kuchotsedwa pamitsempha. Njirayi imatchedwa venipuncture.

Mayesowa amatha kubwereza masiku awiri kapena atatu ngati ndinu wodwala mchipatala.

Palibe kukonzekera kwapadera komwe kumafunika nthawi zambiri.

Uzani wothandizira zaumoyo wanu za mankhwala omwe mukumwa. Mankhwala omwe amatha kuwonjezera miyezo ya CPK ndi amphotericin B, mankhwala ena opha ululu, ma statins, ma fibrate, dexamethasone, mowa, ndi cocaine.

Mutha kumva kupweteka pang'ono singano ikaikidwa kuti mutenge magazi. Anthu ena amangomva kuwawa kapena kuluma. Pambuyo pake, pakhoza kukhala kupindika.

Mulingo wathunthu wa CPK uli wokwera kwambiri, nthawi zambiri amatanthauza kuti pakhala kuvulala kapena kupsinjika kwa minofu ya minofu, mtima, kapena ubongo.

Kuvulala kwa minofu ndikotheka. Minofu ikawonongeka, CPK imalowera m'magazi. Kupeza mtundu uti wa CPK wapamwamba kumathandizira kudziwa kuti ndi minofu iti yomwe yawonongeka.

Mayesowa angagwiritsidwe ntchito:

• Dziwani za matenda a mtima
• Ganizirani zomwe zimayambitsa kupweteka pachifuwa
• Dziwani ngati minofu yawonongeka kapena ayi
• Dziwani za dermatomyositis, polymyositis, ndi matenda ena am'mimba
• Fotokozerani kusiyana kwa matenda oopsa a hyperthermia ndi matenda atatha kugwira ntchito

Kachitidwe ndi nthawi yakukwera kapena kutsika kwa milingo ya CPK itha kukhala yofunikira pakupanga matenda. Izi ndizowona makamaka ngati akudandaula kuti ali ndi vuto la mtima.

Nthawi zambiri mayeso ena amagwiritsidwa ntchito m'malo moyezetsa matenda a mtima.

Chiwerengero chonse cha CPK:

• Ma micrograms 10 mpaka 120 pa lita (mcg / L)

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mulingo wapamwamba wa CPK ukhoza kuwoneka mwa anthu omwe ali ndi:

• Kuvulala kwa ubongo kapena sitiroko
• Kugwedezeka
• Delirium amanjenjemera
• Dermatomyositis kapena polymyositis
• Kugwedezeka kwamagetsi
• Matenda amtima
• Kutupa kwa mtima waminyewa (myocarditis)
• Imfa ya m'mapapo (infarction yamapapo)
• Matenda am'mimba
• Myopathy
• Kukonzanso

Zina zomwe zingapereke zotsatira zoyeserera ndi monga:

• Matenda osokoneza bongo
• Hyperthyroidism
• Pericarditis kutsatira matenda amtima

Zowopsa zomwe zimakhudza kukoka magazi ndizochepa koma zingaphatikizepo:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Mayesero ena ayenera kuchitidwa kuti apeze malo enieni a kuwonongeka kwa minofu.

Zinthu zomwe zingakhudze zotsatira zoyeserera zimaphatikizapo kupwetekedwa mtima kwa mtima, jakisoni wamitsempha, kupsinjika kwa minofu, opaleshoni yaposachedwa, komanso masewera olimbitsa thupi.

Mayeso a CPK

• Kuyezetsa magazi

Anderson JL. Gawo lakwera kukwera kwamphamvu kwam'mapapo amtima ndi zovuta zamatenda am'mnyewa wamtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 73.

Carty RP, Pincus MR, Sarafraz-Yazdi E. Chithandizo cha enzymology. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. Philadelphia, PA: Elsevier; 2017: mutu 20.

Mccullough PA. Chiyanjano pakati pa matenda a impso ndi matenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 98.

Nagaraju K, Gladue HS, Lundberg IE. Matenda otupa a minofu ndi myopathies ena. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelley ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2017: mutu 85.