I-Cholinesterase-igazi

I-serum cholinesterase luvavanyo lwegazi olujonga amanqanaba ezinto ezi-2 ezinceda inkqubo ye-nervous isebenze ngokufanelekileyo. Babizwa ngokuba yi-acetylcholinesterase kunye ne-pseudocholinesterase. Imithambo-luvo yakho ifuna ezi zinto ukuze ithumele imiqondiso.

I-Acetylcholinesterase ifumaneka kwizihlunu zemithambo-luvo kunye neeseli ezibomvu zegazi. I-Pseudocholinesterase ifumaneka ikakhulu kwisibindi.

Isampulu yegazi iyafuneka. Uninzi lwexesha igazi litsalwa kumthambo ngaphakathi kwengqiniba okanye ngasemva kwesandla.

Akukho manyathelo akhethekileyo afunekayo ukulungiselela olu vavanyo.

Unokuziva iintlungu okanye ulwamvila xa kufakwa inaliti. Unokuziva ubethwa sisiza emva kokuba kuthathwe igazi.

Umboneleli wakho wokhathalelo lwempilo unokuyalela olu vavanyo ukuba ubunokuvezwa ziikhemikhali ezibizwa ngokuba yi-organophosphates. Ezi khemikhali zisetyenziswa kwizibulali zinambuzane. Olu vavanyo lunokunceda ukumisela umngcipheko wakho wetyhefu.

Ngaphantsi kakhulu, olu vavanyo lunokwenziwa:

• Ukufumanisa isifo sesibindi
• Ngaphambi kokuba ufumane i-anesthesia nge-succinylcholine, enokunikwa ngaphambi kweenkqubo ezithile okanye unyango, kubandakanya unyango lwe-electroconvulsive (ECT)

Ngokwesiqhelo, amaxabiso esiqhelo e-pseudocholinesterase aphakathi kwe-8 kunye ne-18 yeeyunithi ngeemililitha (U / mL) okanye i-8 kunye neekhilogremu ezili-18 kwilitha nganye (kU / L).

Qaphela: Uluhlu lwamaxabiso aqhelekileyo luyahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukuhla kwamanqanaba e-pseudocholinesterase kunokubangelwa:

• Usulelo olungapheliyo
• Ukungondleki okungapheliyo
• Ukuhlaselwa yintliziyo
• Umonakalo wesibindi
• Imetastasis
• I-jaundice ethintelayo
• Ityhefu evela kwi-organophosphates (iikhemikhali ezifumaneka kwezinye izitshabalalisi)
• Ukudumba okuhamba nezifo ezithile

Ukuncipha okuncinci kunokubangelwa:

• Ukukhulelwa
• Ukusetyenziswa kweepilisi zolawulo lokuzalwa

Acetylcholinesterase; I-RBC (okanye i-erythrocyte) i-cholinesterase; IPseudocholinesterase; IPlasma cholinesterase; Butyrylcholinesterase; I-serum cholinesterase

• Uvavanyo lweCholinesterase

U-Aminoff MJ, ke YT. Iziphumo zetyhefu kunye neearhente zomzimba kwinkqubo yovalo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 86.

UNelson LS, uFord MD. Ityhefu Acute. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 110.