Creatine Kinase

Qanacsan

• Waa maxay baaritaanka creatine kinase (CK)?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka CK?
• Maxaa dhacaya inta lagu jiro baaritaanka CK?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka CK?
• Tixraacyo

Waa maxay baaritaanka creatine kinase (CK)?

Tijaabadani waxay cabireysaa xaddiga creatine kinase (CK) ee dhiiga ku jira. CK waa nooc ka mid ah borotiinka, oo loo yaqaan 'enzyme'. Badanaa waxaa laga helaa muruqyadaada muruqyada iyo wadnaha, iyadoo qaddar ka yar ay ku jirto maskaxda. Muruqyada lafaha waa muruqyada ku lifaaqan qalfoofkaaga. Waxay la shaqeeyaan lafahaaga si ay kaaga caawiyaan inaad dhaqdhaqaaqdo oo jirkaaga u siiso awood iyo xoog. Muruqyada wadnaha ayaa dhiig ka soo bixiya wadnaha gudihiisa iyo dibadiisa.

Waxaa jira seddex nooc oo enzymes CK ah:

• CK-MM, oo laga helo inta badan murqaha lafaha
• CK-MB, waxaa laga helaa inta badan muruqa wadnaha
• CK-BB, waxaa laga helaa inta badan unugyada maskaxda

Qaddar yar oo CK ah oo dhiigga ku jira ayaa caadi ah. Xaddiga badan ayaa macnaheedu noqon karaa dhibaato caafimaad. Waxay kuxirantahay nooca iyo heerka CK la helay, waxay macnaheedu noqon kartaa inaad leedahay dhaawac ama cudur ku dhaca muruqyada lafaha, wadnaha, ama maskaxda.

Magacyada kale: CK, wadarta CK, creatine phosphokinase, CPK

Maxaa loo adeegsadaa?

Baadhitaanka 'CK' waxaa badanaa loo isticmaalaa in lagu baaro laguna kormeero dhaawacyada muruqyada iyo cudurada. Cuduradan waxaa ka mid ah:

• Kala-baxa murqaha, cudur naadir ah oo la iska dhaxlo oo sababa daciifnimo, kala-jajab, iyo luminta shaqada murqaha lafaha. Badanaa waxay ku dhacdaa ragga.
• Rhabdomyolis, oo si dhakhso ah u burbura unugyada muruqyada. Waxaa sababi kara dhaawac halis ah, murqo xanuun, ama cillad kale.

Tijaabada waxaa loo isticmaali karaa in lagu caawiyo baaritaanka wadne qabashada, in kastoo aan badanaa la helin. Tijaabada CK waxay ahaan jirtay tijaabo guud oo wadno qabadka ah. Laakiin tijaabo kale, oo loo yaqaan 'troonin', ayaa la ogaaday inay sifiican u ogaato dhaawaca wadnaha.

Maxaan ugu baahanahay baaritaanka CK?

Waxaad u baahan kartaa baaritaanka CK haddii aad leedahay astaamo cillad muruqa ah. Kuwaas waxaa ka mid ah:

• Muruq xanuun iyo / ama casiraad
• Murqaha oo daciifa
• Dhibaatooyinka isu dheelitirka
• Kabuubyo ama xoqid

Waxa kale oo laga yaabaa inaad u baahato baadhitaankan haddii aad dhaawac ka soo gaadhay murqaha ama istaroog. Heerarka CK ma sarrayn karaan ilaa laba maalmood ka dib dhaawacyada qaarkood, markaa waxaad u baahan kartaa in dhowr jeer lagaa baaro. Tijaabadani waxay kaa caawin kartaa inaad muujiso haddii aad waxyeello ka soo gaadhay wadnahaaga ama murqaha kale.

Maxaa dhacaya inta lagu jiro baaritaanka CK?

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka CK.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Haddii natiijooyinkaagu muujiyaan inaad leedahay wax ka sarreeya heerka caadiga ah ee CK, waxay macnaheedu noqon kartaa inaad leedahay dhaawac ama cudur ku dhaca murqaha, wadnaha, ama maskaxda. Si aad u hesho macluumaad dheeri ah, adeeg bixiyahaagu wuxuu dalban karaa baaritaanno si loo hubiyo heerarka enzymes gaar ah ee CK:

• Haddii aad leedahay wax ka sarreeya heerka caadiga ah enzymes-ka 'CK-MM', waxay noqon kartaa inaad qabto dhaawac murqaha ah ama cudur, sida murqaha dystrophy ama rhabdomyolis.
• Haddii aad leedahay wax ka sarreeya heerka caadiga ah enzymes-ka 'CK-MB', waxay ka dhigan tahay inaad leedahay caabuq muruqa wadnaha ah ama aad qabto ama goor dhow aad wadno qabad qabtid.
• Haddii aad leedahay wax ka sarreeya heerka caadiga ah enzymes-ka 'CK-BB', waxay noqon kartaa inaad ku dhacday istaroog ama dhaawac maskaxeed.

Xaaladaha kale ee keeni kara heerar ka sarreeya heerka CK-ga waxaa ka mid ah:

• Xinjirowga dhiigga
• Caabuqyada
• Ciladaha hormoonnada, oo ay ku jiraan cilladaha qanjirka 'thyroid' iyo qanjidhada adrenal
• Qalliinka muddada dheer
• Daawooyinka qaarkood
• Jimicsi culus

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka CK?

Baadhitaanada kale ee dhiigga, sida korantada korontada iyo baaritaanka shaqada kelyaha, waa la dalban karaa iyadoo la raacayo baaritaanka CK.

Tixraacyo

1. Kedar-Siinay [Internet]. Los Angeles: Cedars-Sinai; c2019. Cilladaha Neuromuscular; [daliishaday 2019 Juun 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.cedars-sinai.edu/Patients/Health-Condition/Neuromuscular-Disorders.aspx
2. KidsHealth laga bilaabo Nemours [Internet]. Mu'asasada Nemours; c1995-2019. Murqahaaga; [xigasho 2019 Jun 19]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://kidshealth.org/en/kids/muscles.html
3. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington DC: Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2019. Creatine Kinase (CK); [cusboonaysiiyay 2019 Meey 3; daliishaday 2019 Jun 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/tests/creatine-kinase-ck
4. Nooca Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Merck & Co., Inc.; c2019. Tijaabooyinka Cilladaha Musqulaha; [cusboonaysiiyay 2017 Dec; daliishaday 2019 Jun 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/diagnosis-of-musculoskeletal-disorders/tests-for-musculoskeletal-disorders?query=creatine%20kinase
5. Ururka Murqaha Musqulaha [Internetka]. Chicago: Ururka Murqaha Musqulaha; c2019. Si Fudud Loogu Qoray: Tijaabada Creatine Kinase; 2000 Jan 31 [xigasho 2019 Jun 12]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://www.mda.org/quest/article/simply-stated-the-creatine-kinase-test
6. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Tijaabooyinka Dhiigga; [xigasho 2019 Jun 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health-topics/blood-tests
7. Machadka Qaranka ee Cilladaha neerfaha iyo istaroogga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Qalalaasaha Murqaha: Rajada Cilmibaarista; [cusboonaysiiyay 2019 Meey 7; daliishaday 2019 Jun 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Muscular-Dystrophy-Hope-Through-Research
8. Caafimaadka UF: Jaamacadda Florida Health [Internet]. Gainesville (FL): Jaamacadda Florida Caafimaadka; c2019. Imtixaanka fosfokinase ee loo yaqaan 'Creatine phosphokinase': Dulmar guud; [cusboonaysiiyay 2019 Jun 12; daliishaday 2019 Jun 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://ufhealth.org/creatine-phosphokinase-test
9. Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2019. Encyclopedia Health: Creatine Kinase (Dhiig); [xigasho 2019 Jun 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=creatine_kinase_blood
10. Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2019. Macluumaadka Caafimaadka: Creatine Kinase: Guudmarka Tijaabada; [cusboonaysiiyay 2018 Jun 25; daliishaday 2019 Jun 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/creatine-kinase/abq5121.html
11. Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2019. Macluumaadka Caafimaadka: Creatine Kinase: Maxaa Loo Sameeyay; [cusboonaysiiyay 2018 Jun 25; daliishaday 2019 Jun 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/creatine-kinase/abq5121.html#abq5123

Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.