Cholinesterase - dhiig

Serum cholinesterase waa baaritaan dhiig oo fiiriya heerarka 2 walxo oo ka caawiya nidaamka neerfaha inuu si sax ah u shaqeeyo. Waxaa loo yaqaan acetylcholinesterase iyo pseudocholinesterase. Dareemayaashaadu waxay u baahan yihiin walxahan si ay u diraan calaamadaha.

Acetylcholinesterase waxaa laga helaa unugyada neerfaha iyo unugyada dhiigga cas. Pseudocholinesterase waxaa laga helaa ugu horreyn beerka.

Sambal dhiig ayaa loo baahan yahay. Inta badan dhiigga waxaa laga soo qaataa xididka ku yaal gudaha xusulka ama dhabarka gacanta.

Talaabooyin gaar ah looma baahna si loogu diyaariyo imtixaankan.

Waxaa laga yaabaa inaad dareento xanuun yar ama qaniinyo markii cirbadda la gelinayo. Waxa kale oo laga yaabaa inaad dareento xoogaa jug ah goobta ka dib markii dhiigga lagaa qaado.

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu dalbado baaritaankaan haddii lagaa yaabo inaad la kulantay kiimikooyin loo yaqaan organophosphates. Kiimikooyinkan waxaa loo isticmaalaa sunta cayayaanka. Tijaabadani waxay kaa caawin kartaa go'aaminta halista sumowga.

Had iyo jeer, tijaabadan ayaa la samayn karaa:

• Si loo ogaado cudurka beerka
• Kahor intaadan ku suuxin succinylcholine, oo la siin karo ka hor habab gaar ah ama daaweynno, oo ay ku jiraan daaweynta korontada ku shaqeysa (ECT)

Caadi ahaan, qiyamka caadiga ah ee 'pseudocholinesterase values' wuxuu u dhexeeyaa 8 iyo 18 halbeeg halkii mililitir (U / mL) ama 8 iyo 18 kilounit halkii litir (kU / L).

Fiiro gaar ah: Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Heerarka pseudocholinesterase ee hoos u dhacay waxaa sababi kara:

• Infekshin joogto ah
• Nafaqo darrada daba dheeraatay
• Wadne qabad
• Waxyeellada beerka
• Metastasis
• Cudurka cagaarshowga
• Sunta ka timi organophosphates (kiimikooyin laga helo sunta cayayaanka qaarkood)
• Caabuq la socda cudurrada qaarkood

Hoos udhaca yar waxaa sababi kara:

• Uurka
• Isticmaalka kaniiniyada ka hortagga uurka

Acetylcholinesterase; RBC (ama erythrocyte) cholinesterase; Pseudocholinesterase; Plasma cholinesterase; Butyrylcholinesterase; Serlines cholinesterase

• Baaritaanka Cholinesterase

Aminoff MJ, Marka YT. Saamaynta sunta iyo wakiilada jireed ee nidaamka dareenka. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 86.

Nelson LS, Ford MD. Sunta daran. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 110.