Cholinesterase - ntshav

Ntshav cov tshuaj cholinesterase yog cov yuav kuaj ntshav ntawm qib 2 yam tshuaj uas pab ua kom txoj hlab ntshav ua haujlwm zoo. Lawv hu ua acetylcholinesterase thiab pseudocholinesterase. Koj cov hlab ntsha xav tau cov khoom no xa cov cim.

Acetylcholinesterase muaj nyob hauv cov leeg ntshav thiab cov ntshav liab. Pseudocholinesterase feem ntau pom nyob hauv lub siab.

Xav tau cov ntshav ntxiv. Feem ntau lub sijhawm tso ntshav tawm los ntawm txoj hlab ntsha nyob rau sab hauv ntawm lub luj tshib lossis sab tes sab tes.

Tsis muaj cov kauj ruam tshwj xeeb los npaj rau qhov kev xeem no.

Tej zaum koj yuav hnov ​​mob me ntsis lossis plev thaum koob tau ntxig. Koj tuaj yeem hnov ​​zoo ib yam li mob ncus ntawm qhov chaw tom qab kos cov ntshav.

Koj tus kws kho mob yuav xaj kom kuaj mob no yog koj raug cov tshuaj hu ua organophosphates. Cov tshuaj no siv rau hauv cov tshuaj tua kab. Qhov kev ntsuas no tuaj yeem pab txiav txim koj qhov kev pheej hmoo ntawm lom.

Tsawg zaus, qhov ntsuas no tuaj yeem ua:

• Txhawm rau soj ntsuam kab mob siab
• Ua ntej koj tau txais tshuaj loog nrog succinylcholine, uas tej zaum yuav tau muab ua ntej qee cov txheej txheem lossis kev kho mob, suav nrog electroconvulsive therapy (ECT)

Feem ntau, ib txwm pseudocholinesterase muaj nuj nqis nyob nruab nrab ntawm 8 thiab 18 units ib milliliter (U / mL) lossis 8 thiab 18 kilounits ib litre (kU / L).

Nco tseg: Tus lej ib txwm muaj nuj nqis yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Cov qib pseudocholinesterase tsawg zuj zus tuaj yeem yog vim:

• Kab mob sib kis
• Muaj khoom noj khoom haus muaj tsis tu ncua ntev ntev
• Plawv nres
• Nplooj siab puas tsuaj
• Metastasis
• Tawv nqaij tawv
• Kev lom los ntawm organophosphates (tshuaj lom nyob hauv qee cov tshuaj tua kab)
• Kev mob o uas ua ke nrog qee yam kabmob

Qhov ua kom tsawg dua me me tej zaum yuav yog vim:

• Cev xeeb tub
• Kev siv tshuaj tswj tsis pub muaj menyuam

Acetylcholinesterase; RBC (lossis erythrocyte) cholinesterase; Pseudocholinesterase; Ntshav cholinesterase; Butyrylcholinesterase; Ntshav cov tshuaj cholinesterase

• Kev soj ntsuam Cholinesterase

Aminoff MJ, Yog li YT. Qhov cuam tshuam ntawm co toxins thiab lub cev lub cev ntawm cov hlab ntsha txuas nrog. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: tshooj 86.

Nelson LS, Ford MD. Mob lom. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 110.