Gadzira phosphokinase bvunzo
Zvisikwa phosphokinase (CPK) inzimu mumuviri. Inowanikwa zvakanyanya mumoyo, huropi, uye mhasuru yemhasuru. Ichi chinyorwa chinokurukura bvunzo kuyera huwandu hweCPK muropa.
Muenzaniso weropa unodiwa. Izvi zvinogona kutorwa kubva mutsinga. Maitiro acho anonzi venipuncture.
Muedzo uyu unogona kudzokororwa kwemazuva maviri kana matatu kana iwe uri murwere muchipatara.
Hapana gadziriro yakakosha inodikanwa kazhinji yenguva.
Udza mupi wako wezvehutano nezve chero mishonga yauri kutora. Zvinodhaka zvinogona kuwedzera zviyero zveCPK zvinosanganisira amphotericin B, mamwe maanesthetics, statins, fibrate, dexamethasone, doro, uye cocaine.
Unogona kunzwa kurwadziwa kushoma kana tsono ikaiswa kuti utore ropa. Vamwe vanhu vanongonzwa kubaya kana kurira. Mushure meizvozvo, panogona kunge paine kurovera.
Kana huwandu hweCPK hwese hwanyanya kwazvo, zvinowanzoreva kuti kwave nekukuvara kana kushushikana kune mhasuru nyama, moyo, kana huropi.
Tsvina yemhasuru inokuvara zvakanyanya. Kana tsandanyama ikakuvara, CPK inodonhedza muropa. Kutsvaga ndeipi chaiyo fomu yeCPK yakakwira kunobatsira kuona kuti ndeipi nyama yakakanganiswa.
Bvunzo iyi inogona kushandiswa ku:
- Ziva chirwere chemwoyo
- Ongorora chinokonzera kurwadziwa kwepfupa
- Sarudza kana musungo wakakuvara kana kuti wakakuvara zvakadii
- Tsvaga dermatomyositis, polymyositis, uye zvimwe zvirwere zvetsandanyama
- Udza musiyano uripo pakati pehutachiona hwehutachiona uye hutachiona hwemashure mekuvhiya
Iyo pateni uye nguva yekumuka kana kudonha mumatanho eCPK inogona kuve yakakosha mukugadzira chirwere. Izvi zvinonyanya kuitika kana chirwere chemwoyo chikafungidzirwa.
Muzviitiko zvakawanda mimwe miedzo inoshandiswa pachinzvimbo kana neiyi bvunzo kuongorora kurwara kwemoyo.
Yakazara CPK zvakajairwa tsika:
- 10 kusvika 120 micrograms per litre (mcg / L)
Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.
High CPK nhanho dzinogona kuoneka mune vanhu vane:
- Kukuvara kwehuropi kana sitiroko
- Kugwinha
- Delirium inodedera
- Dermatomyositis kana polymyositis
- Kuvhunduka kwemagetsi
- Kumira kurova kwemoyo
- Kuzvimba kwemoyo mhasuru (myocarditis)
- Lung tishu kufa (pulmonary infarction)
- Tsandanyama dystrophies
- Myopathy
- Rhabdomyolysis
Mimwe mamiriro ezvinhu anogona kupa zvakanaka mhedzisiro mhedzisiro inosanganisira:
- Hypothyroidism
- Hyperthyroidism
- Pericarditis inotevera chirwere chemwoyo
Njodzi dzakabatana nekutorwa kweropa idiki asi dzinogona kusanganisira:
- Kuwedzera kubuda ropa
- Kufenda kana kunzwa kushaya musoro
- Hematoma (ropa rinoungana pasi peganda)
- Utachiona (hushoma njodzi chero nguva ganda parinovhunika)
Mimwe bvunzo inofanirwa kuitwa kuti uwane iyo chaiyo nzvimbo yekukuvara kwemhasuru.
Zviitiko zvinogona kukanganisa mhedzisiro bvunzo zvinosanganisira moyo catheterization, majekiseni epamuviri, kushungurudzika kune mhasuru, kuvhiya kwazvino, uye kurovedza muviri
CPK bvunzo
- Kuongorora ropa
Anderson JL. St chidimbu kukwirira kwakapinza myocardial infarction uye kunetsekana kweye myocardial infarction. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 73.
Carty RP, Pincus MR, Sarafraz-Yazdi E. Clinical enzymology. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. Philadelphia, PA: Elsevier; 2017: chitsiko 20.
Mccullough PA. Inowanikwa pakati peitsvo chirwere uye chirwere chemwoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 98.
Nagaraju K, Gladue HS, Lundberg IE. Zvirwere zvinopisa zvemhasuru uye mamwe maopathies. Mune: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley uye Firestein's Bhuku reRheumatology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2017: chits. 85.