Creatine Kinase
Toka Te Manawa
- He aha te whakamātautau kaihanga kinase (CK)?
- Hei aha te whakamahi?
- He aha i hiahiatia ai e ahau he whakamatautau CK?
- Ka ahatia i te wa o te whakamatautau CK?
- Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
- He raru pea mo te whakamatautau?
- He aha te tikanga o nga hua?
- He mea ano e hiahia ana ahau kia mohio mo te whakamatautau CK?
- Tohutoro
He aha te whakamātautau kaihanga kinase (CK)?
Ko tenei whakamatautau ka whanganga i te nui o te kakano waihanga (CK) kei roto i te toto. Ko te CK he momo momo pūmua, e mohiotia ana ko te whākōkī. Ko te nuinga ka kitea i o uaua me nga manawa o te koiwi, me te iti o te rahinga. Ko nga uaua koiwi nga uaua e piri ana ki to angaanga. Ka mahi ratau ki o koiwi hei awhina i a koe ki te neke me te tuku i to tinana ki te kaha me te kaha. Ko nga uaua o te ngakau e pupuhi ana i te toto ki roto, ki waho o te ngakau.
E toru nga momo pepeha CK:
- CK-MM, i kitea i roto i nga uaua koiwi
- CK-MB, kitea te nuinga i roto i te uaua ngakau
- CK-BB, kitea te nuinga i roto i te kiko roro
He iti noa te rahi o te CK i roto i te toto. Ko te nui o te moni ka raru te hauora. I runga i te momo me te taumata o te CK i kitea, ko te tikanga he mate koe, he mate ranei o nga uaua koiwi, ngakau, roro ranei.
Ko etahi ingoa: CK, katoa CK, phosphokinase kaihanga, CPK
Hei aha te whakamahi?
Whakamahia ai he whakamatautau CK hei tirotiro mate, hei tirotiro hoki i nga whara me nga mate o te uaua. Ko enei mate ko:
- Ko te ngoikoretanga o te uaua, he mate onge no te ngoikoretanga, te pakaru, me te ngoikore o nga uaua koiwi. Te nuinga ka kitea i roto i nga tane.
- Rhabdomyolis, he whati tere i te kiko uaua. Ko te wharanga kino pea, ko te mauiui o te uaua, ko etahi atu whakararuraru ranei ka pa ki a ia.
Ka taea te whakamahi i te whakamatautau hei awhina i te mate pukupuku, ahakoa kaore i te nuinga o te waa. Ko te whakamatautau CK i mua he whakamatautau noa mo nga whakaeke ngakau. Engari ko tetahi whakamatautau, ko troponin te ingoa, kua kitea he pai ake i te rapu kino i te ngakau.
He aha i hiahiatia ai e ahau he whakamatautau CK?
Akene me whai whakamatautau koe i te CK mena ka kitea e koe he tohu o te mate uaua. Kei roto i enei:
- Te mamae o te uaua me te / te koretake ranei
- Te ngoikore o te uaua
- Nga raru toenga
- Numbness tingling ranei
Akene ka hiahia ano koe ki tenei whakamatau mena i whara koe i te uaua i whiu ranei. Kaore pea nga taumata CK e eke ki te taumata tae atu ki te rua ra i muri o etahi wharanga, no reira me whakamatautau pea koe mo etahi wa. Ma tenei whakamatautau e ahei te whakaatu mena he kino to ngakau me etahi atu uaua.
Ka ahatia i te wa o te whakamatautau CK?
Ka tangohia e tetahi tohunga ngaio hauora tetahi tauira toto mai i te uaua i roto i to ringa, ma te whakamahi i te ngira iti. Whai muri i te kuhunga o te ngira, ka kohia he toto iti ki roto i te ipuipu, ipu ranei. Akene he iti to ngau ka puta te ngira ki waho ka puta atu ranei. Ko te tikanga ka iti ake i te rima meneti tenei.
Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
Kaore e hiahiatia he whakaritenga motuhake mo te whakamatautau CK.
He raru pea mo te whakamatautau?
He iti noa te tuponotanga ka tirohia o toto. Ka mamae pea koe, ka maru ranei koe i te waahi i maka ai te ngira, engari ko te nuinga o nga tohu ka tere wawe.
He aha te tikanga o nga hua?
Mena ka whakaatu mai o kitenga he teitei ake i te taumata noa o te CK, tera pea kua whara koe he mate ranei o nga uaua, ngakau, roro ranei. Hei tiki atu i nga korero, ka whakahau pea to kaiwhakarato kia tirohia nga taumata o nga whākōkī CK motuhake:
- Mena he teitei ake koe i nga whākōkī CK-MM noa, tērā pea ka whara to uaua, to mate ranei, penei i te ngoikoretanga o te uaua, te rhabdomyolis ranei.
- Mena he teitei ake koe i nga whākōkī CK-MB noa, tērā pea ka pāngia koe e te uaua o te manawa, kua pāngia ranei koe e te ngakau.
- Mena he teitei ake koe i nga whākōkī CK-BB noa, tērā pea kua whara koe, kua whara roro ranei.
Ko etahi atu o nga ahuatanga ka teitei ake i nga taumata CK noa:
- Pakihi toto
- Nga mate uruta
- Nga mate Hormonal, tae atu ki nga mate o te thyroid me te repe adrenal
- Taahiraa roa
- Ko etahi rongoa
- Te whakakaha i te mahi
Mena he paatai taau mo o hua, korero ki to kaiwhakarato hauora.
Ako atu mo nga whakamatautau taiwhanga, awhe tohutoro, me te maarama ki nga hua.
He mea ano e hiahia ana ahau kia mohio mo te whakamatautau CK?
Ko etahi atu whakamatautau toto, penei i te papa electrolyte me nga whakamatautau i nga mahi a te whatukuhu, ka taea te tono me te whakamatautau CK.
Tohutoro
- Cedars-Hinai [Ipurangi]. Los Angeles: Cedars-Sinai; c2019. Nga Mate Neuromuscular; [whakahua 2019 Pipiri 12]; [tata ki te 2 nga mata]. Wātea mai i: https://www.cedars-sinai.edu/Patients/Health-Conditions/Neuromuscular-Disorders.aspx
- KidsHealth mai i Nemours [Ipurangi]. Te Nemours Foundation; c1995-2019. Ko ou uaua; [whakahua 2019 Jun 19]; [tata ki te 3 nga mata]. Wātea mai i: https://kidshealth.org/en/kids/muscles.html
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2019. Creatine Kinase (CK); [whakahoutia 2019 Mei 3; whakahuahia 2019 Jun 12]; [tata ki te 2 nga mata]. Wātea mai i: https://labtestsonline.org/tests/creatine-kinase-ck
- Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co., Inc. c2019. Nga Whakamatau mo nga Mate Musculoskeletal; [whakahoutia 2017 Tihema; whakahuahia 2019 Jun 12]; [tata ki te 2 nga mata]. Wātea mai:
- Te Taakaro Whakahaerenga Muscular [Ipurangi]. Chicago: Te Whakawhanautanga Kaha Motuhake; c2019. He Maamaa Te Whakamaarama: Ko Te Whakatautau Kinase Creatine; 2000 Hanuere 31 [whakahua 2019 Jun 12]; [e 4 pea nga mata]. Wātea mai i: https://www.mda.org/quest/article/simply-stated-the-creatine-kinase-test
- National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Nga Whakamatau Toto; [whakahua 2019 Jun 12]; [tata ki te 3 nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests
- National Institute of Neurological Disorder and Stroke [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Te Whakakahoretanga Muscular: Tumanako Ma Te Rangahau; [whakahoutia 2019 Mei 7; whakahuahia 2019 Jun 12]; [tata ki te 3 nga mata]. Wātea mai:
- Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2019. Te whakamātautau phosphokinase Creatine: Tirohanga Katoa; [whakahoutia 2019 Jun 12; whakahuahia 2019 Jun 12]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/creatine-phosphokinase-test
- Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2019. Encyclopedia Hauora: Creatine Kinase (Toto); [whakahua 2019 Jun 12]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=creatine_kinase_blood
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2019. Korero Hauora: Creatine Kinase: Tirohanga Tirohanga; [whakahoutia 2018 Jun 25; whakahuahia 2019 Jun 12]; [tata ki te 2 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/creatine-kinase/abq5121.html
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2019. Korero Hauora: Creatine Kinase: Te Take E Whakamana Ai; [whakahoutia 2018 Jun 25; whakahuahia 2019 Jun 12]; [tata ki te 3 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/creatine-kinase/abq5121.html#abq5123
Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai taau mo to hauora.