Creatine phosphokinase suʻega

Creatine phosphokinase (CPK) o se enzyme i le tino. E maua faʻapitoa lava i le fatu, faiʻai, ma masoivi. Lenei tusitusiga talanoaina le suʻega e fua ai le aofaʻi o CPK i le toto.

E manaʻomia se faʻataʻitaʻiga ole toto. Lenei ono mafai ona aveʻesea mai se uaua. O le auala e taʻua o le venipuncture.

Lenei suʻega ono toe faia ile 2 pe 3 aso pe a fai o oe o se tagata maʻi ile falemaʻi.

Leai se faʻapitoa sauniuniga e manaʻomia tele ile taimi.

Taʻu i lau soifua maloloina tautua e uiga i soʻo se vailaʻau o loʻo inu. Fualaʻau e mafai ona faʻateleina CPK fuataga aofia ai amphotericin B, nisi vailaʻau faʻapitoa, statins, fibrates, dexamethasone, 'ava malosi, ma cocaine.

Atonu e te lagonaina sina tiga pe a tuu le nila i le toto. O nisi tagata e naʻo se tuitui poʻo se lagona tiga e lagonaina. A maeʻa, atonu e i ai ni faʻagatete.

A maualuga le maualuga ole maualuga ole CPK, o lona uiga e iai se manuʻa poʻo se mafatiaga i maso, poʻo le faiʻai.

E masalomia e manuʻa aano o maso. A leaga se maso, e oso foʻi le CPK i totonu o le alatoto. O le sailia poʻo le fea faʻapitoa ituaiga ole CPK e maualuga e fesoasoani e faʻamautinoa poʻo fea o mea na faʻaleagaina.

Lenei suʻega ono faʻaaogaina e:

• Faʻamaonia le tata o le fatu
• Iloilo mafuaʻaga o le tiga o le pusa
• Fuafua pe o le a le leaga o se maso ua faʻaleagaina
• Maua le dermatomyositis, polymyositis, ma isi maso faʻamaʻi
• Taʻu le eseʻesega i le va o le gasegase o le hyperthermia ma le siama mulimuli ane

O le faʻataʻitaʻiga ma le taimi o le tulaʻi mai poʻo le pa'ū i tulaga CPK mafai ona taua i le faia o se faʻamaoniga. E moni lenei mea pe a fai e masalomia le oso o le fatu.

I le tele o tulaga isi faʻataʻitaʻiga e faʻaaogaina nai lo le i ai o lenei suʻega e suʻesuʻe ai se fatu faʻamaʻi.

Aofai CPK masani aoga:

• 10 i le 120 micrograms ile lita (mcg / L)

E masani ona fesuisuiaʻi vaega eseese o tau masani ile falefaigaluega eseese. O nisi fale suesue faʻaaoga eseese fuataga pe tofotofoina eseese faʻataʻitaʻiga. Talanoa i lau tautua e uiga i le uiga o au faʻapitoa suʻega iʻuga.

Maualuga CPK tulaga ono mafai ona vaʻaia i tagata o loʻo i ai:

• Manua o le faiʻai poʻo le papala
• Taupulega
• Delirium gatete
• Dermatomyositis poʻo le polymyositis
• Faateʻi eletise
• Maʻi fatu
• Fula o le fatu fatu (myocarditis)
• Le kanesa oti oti (pulmonary infarction)
• Faʻamalologa maso
• Myopathy
• Rhabdomyolysis

O isi tuutuuga e ono maua ai ni iʻuga lelei o suʻega e aofia ai:

• Hypothyroidism
• Hyperthyroidism
• Pericarditis mulimuli ane i le fatu fatu

O faʻafitauli e fesoʻotaʻi ma le tosoina o le toto e laʻititi ae ono aofia ai:

• Toto tele
• Faaseʻe pe lagona le mumu o le ulu
• Hematoma (toto faʻaputuputu i lalo o le paʻu)
• Faamaʻi (o se laʻititi tulaga lamatia soʻo se taimi le paʻu ua paʻu)

O isi suʻega e tatau ona faia e suʻe ai le nofoaga tonu o faʻaleagaina maso.

Vaega e ono aʻafia ai faʻaiuga o suʻega e aofia ai catheterization fatu, tui intramuscular, afaina i maso, taotoga talu ai nei, ma faamalositino mamafa.

CPK suʻega

• Tofotofoga toto

Anderson JL. St vaega faʻamalosia matuitui myocardial infarction ma faʻafitauli o myocardial infarction. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 25th lomiga. Filatelefaia, PA: Elsevier Saunders; 2016: mata 73.

Carty RP, Pincus MR, Sarafraz-Yazdi E. Fomaʻi oona I totonu: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management e le Laboratory Metotia. 23rd ed. Filatelefia, PA: Elsevier; 2017: mata 20.

Mccullough PA. Faʻafesoʻotaʻiga i le va o faʻamaʻi fatu ma maʻi o le fatu. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 98.

Nagaraju K, Gladue HS, Lundberg IE. Faamai faʻamaʻi o maso ma isi myopathies. I totonu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley ma Firestein's Tusitusiga o Rheumatology. 10 ed. Filatelefaia, PA: Elsevier Saunders; 2017: mata 85.