Cholinesterase test: nws yog dabtsi, nws yog dabtsi rau thiab txiaj ntsig txhais li cas
Zoo Siab
Kev soj ntsuam cholinesterase yog ib qho kev sim tshuaj kom kuaj tau txheeb xyuas qhov txheeb ze ntawm tus neeg mus rau cov khoom lom, xws li tshuaj tua kab, tshuaj tua kab, tshuaj tua kab lossis tshuaj chiv, piv txwv li yog tsim nyog rau cov neeg ua liaj ua teb, txij li lawv tau sib cuag tas li kev ua liaj ua teb.
Cholinesterase yog ib qho enzyme nyob rau hauv lub cev ua lub luag haujlwm rau qhov tawg ntawm cov khoom hu ua acetylcholine, tus neurotransmitter lub luag haujlwm rau kev tswj cov leeg lub cev tsis muaj zog. Muaj ob chav kawm ntawm cholinesterase:
- Erythrocyte cholinesterase, uas yog nqa los ntawm cov qe ntshav liab;
- Ntshav cholinesterase los yog cov ntshav dej, uas yog cholinesterase tsim tawm los ntawm lub siab, txiav thiab lub plab hnyuv thiab uas mob hauv cov ntshav ntshav.
Kev tshuaj xyuas cov qib cholinesterase tseem ceeb heev kom txhua qhov kev hloov pauv tuaj yeem paub sai thiab kho, tsis txhob muaj teeb meem rau tus neeg.
Dab tsi yog nws rau
Kev kuaj mob cholinesterase yog pom zoo los ntawm kws kho mob txhawm rau saib xyuas qhov kev tiv thaiv ntawm cov neeg ua liaj ua teb, piv txwv li, kom cov tshuaj tua kab thiab tshuaj tua kab.
Tsis tas li ntawd, ntau npaum li cas ntawm cov enzyme no tuaj yeem thov soj ntsuam cov neeg mob uas muaj kab mob siab, tshwj xeeb tshaj yog cov uas tau hla lub siab hloov pauv, vim lawv feem ntau muaj qis dua cholinesterase.
Kev noj cov tshuaj cholinesterase kuj tseem qhia tau rau cov neeg uas muaj kev sib hloov uas cuam tshuam nrog kev ua haujlwm tau zoo lossis tsim tawm ntawm qhov enzyme no.
Kev siv qhov tseem ceeb
Cholinesterase ntsuas siv cov nqi sib txawv raws li cov chaw kuaj thiab cov khoom siv siv los ua cov khoom ntsuas. Yog li, ib txwm siv qhov tseem ceeb tuaj yeem yog nyob ntawm:
- Txiv neej: 4620 - 11500 U / L
- Poj niam: 3930 - 10800 U / L
Qhov ntsuas no yog ua tiav ib yam li lwm cov kev kuaj ntshav, uas yog, khaws cov ntshav me me thiab xa mus rau qhov chaw kuaj sim raug tshuaj ntsuam xyuas los ntawm biochemistry sector. Raws li kev kuaj nws yuav pom zoo kom ceev nrawm li 4 teev.
Qhov txhais tau li cas
Koj theem qis ntawm cholinesterase feem ntau qhia tias yog raug ntev ntev rau cov kab mob organophosphate, uas yog cov tshuaj tua kab tsuag hauv tshuaj tua kab, tshuaj tua kab thiab tshuaj tua kab muaj peev xwm tiv thaiv kev ua haujlwm ntawm cov enzyme no, uas ua rau muaj kev txuam nrog ntawm acetylcholine thiab uas tej zaum yuav ua rau muaj qhov pom ntawm qee cov cim thiab cov tsos mob, xws li :
- Cramps;
- Zawv plab;
- Ntuav;
- Kev noj qab nyob ntev dhau;
- Pom tau qhov nyuaj;
- Kev txo qis ntshav siab;
- Mob leeg tsis muaj zog;
- Tuag tes tuag taw.
Txawm hais tias qhov txo qis hauv cholinesterase feem ntau yog txuam nrog kev qaug cawv, nws kuj tseem yuav muaj qhov txo qis ntawm qhov enzyme nyob rau hauv cov ntaub ntawv ntawm tus kab mob siab, mob ntsws, mob plawv tsis ua haujlwm, mob hnyav thiab infarction.
Yog li, nws yog ib qho tseem ceeb uas cov txiaj ntsig ntawm cholinesterase tau muab txhais ua ke nrog cov txiaj ntsig ntawm lwm qhov kev xeem thiaj li ua kom qhov qis ntawm cov enzyme no tau txheeb xyuas thiab txoj kev kho tsim nyog tshaj plaws tuaj yeem qhia tau.
Rau lwm cov tes, siab siab ntawm cholinesterase, feem ntau tshwm sim vim kev rog dhau, ntshav qab zib, mob nephrotic thiab hyperthyroidism.