Tijaabada 'Creatine phosphokinase'

Creatine phosphokinase (CPK) waa insaym ku jira jirka. Waxaa badanaa laga helaa wadnaha, maskaxda, iyo murqaha lafaha. Maqaalkani wuxuu ka hadlayaa baaritaanka si loo cabiro qadarka CPK ee dhiiga ku jira.

Sambal dhiig ayaa loo baahan yahay. Tan waxaa laga qaadi karaa xididka. Nidaamka waxaa loo yaqaan 'venipuncture'.

Tijaabadani waxaa lagu soo celin karaa 2 ama 3 maalmood haddii aad bukaan ku tahay cisbitaalka.

Looma baahna diyaarin gaar ah inta badan.

U sheeg daryeel caafimaad bixiyahaaga wixii daawooyin ah ee aad qaadato. Daawooyinka kordhin kara cabirka CPK waxaa kamid ah amphotericin B, suuxinta qaarkood, statins, fibrates, dexamethasone, aalkolo, iyo kookayn.

Waxaad dareemi kartaa xanuun yar markii irbadda la gelinayo si dhiig looga qaado. Dadka qaarkiis waxay dareemaan oo keliya dharbaaxo ama dareemid xaniin. Ka dib, waxaa jiri kara xoogaa wax garaaca.

Marka wadarta guud ee heerka 'CPK' ay aad u sarreyso, badanaa waxay ka dhigan tahay inuu jiro dhaawac ama walaac ku yimid unugyada muruqyada, wadnaha, ama maskaxda.

Dhaawaca unugyada muruqyada ayaa u badan. Markuu muruq dhaawacmo, CPK wuxuu ku daadaa socodka dhiigga. Helitaanka nooca gaarka ah ee CPK ee sarreeya ayaa ka caawinaya go'aaminta unugyada waxyeellada gaadhay.

Tijaabadan waxaa loo isticmaali karaa:

• Baar wadnaha
• Qiimee sababta xanuunka laabta
• Go'aamso haddii ama sida xun ee muruqa waxyeelloobey
• Soo ogow dermatomyositis, polymyositis, iyo cudurada kale ee muruqyada
• Sheeg faraqa u dhexeeya xummad-xumada xun iyo infekshinka qalliinka ka dib

Qaabka iyo waqtiga kor u kaca ama hoos u dhaca heerarka CPK waxay noqon karaan kuwo muhiim u ah sameynta cudurka. Tani waa run gaar ahaan haddii wadno qabad laga shakiyo.

Xaaladaha badankood baaritaanno kale ayaa loo adeegsadaa halkii laga isticmaali lahaa ama lagu sameyn lahaa baaritaankaan si loo ogaado wadno qabad.

Wadarta qiimaha caadiga ah ee CPK:

• 10 illaa 120 microgram halkii litir (mcg / L)

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabiyaan shaybaarro kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Heerarka sare ee CPK ayaa laga arki karaa dadka qaba:

• Dhaawaca maskaxda ama istaroogga
• Gariir
• Delirium tremens
• Dermatomyositis ama polymyositis
• Naxdin koronto
• Wadne qabad
• Caabuq muruqa wadnaha (myocarditis)
• Dhimashada unugyada sambabka (infarction pulmonary)
• Dhibaatooyinka muruqyada
• Xanuun
• Rhabdomyolysis

Xaaladaha kale ee laga yaabo inay bixiyaan natiijooyinka baaritaanka togan waxaa ka mid ah:

• Hypothyroidism-ka
• Hyperthyroidism
• Pericarditis ka dib wadne qabad

Khataraha la xiriira in dhiig lagaa qaado way yar yihiin laakiin waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Hematoma (dhiig ku ururaya maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Tijaabooyinka kale waa in la sameeyaa si loo helo goobta saxda ah ee dhaawaca muruqa.

Waxyaabaha saameyn ku yeelan kara natiijooyinka baaritaanka waxaa ka mid ah kateetarka wadnaha, cirbadaha muruqyada, dhaawacyada muruqyada, qalliin dhawaan, iyo jimicsi culus.

Imtixaanka CPK

• Baaritaanka dhiigga

Anderson JL. Qaybta St sare uqaadida wadnaha iyo myocardial infakshanka ba'an. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 73.

Carty RP, Pincus MR, Sarafraz-Yazdi E. Enzymology Clinical. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 20.

Mccullough PA. Isdhexgalka u dhexeeya cudurka kelyaha iyo jirada wadnaha. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 98.

Nagaraju K, Gladue HS, Lundberg IE. Cudurrada caabuqa ee muruqyada iyo myopathies kale. Gudaha: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley iyo Firestein's Buugga Buugga Rheumatology. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2017: cutubka 85.