Lɛ wi lan bɔt di ɛnzaym mak dɛn we de na yu blɔd.

We dɔktɔ tɛl yu fɔ chɛk yu "Enzyme Markers," yu go mɔs gɛt sɔm kwɛstyɔn dɛn na yu maynd, nɔto so? "Wetin na dɛn ɛnzaym ya?", "Wetin mek dɛn de chɛk dɛn?" Kwɛstyɔn dɛn lɛk dat. Nɔ wɔri, i rili simpul. Lɛ wi lan mɔ bɔt dis tide, jɔs lɛk we wi de tɔk to wi padi.

So wetin na dɛn ɛnzaym mak dɛn ya?

Fɔ tɔk am simpul wan, Enzyme Markers na blɔd tɛst we de no di lɛvɛl we sɔm ɛnzaym dɛn de na yu blɔd. Dɛn ɛnzaym ya kin de insay di sɛl dɛn na wi bɔdi. Bɔt we wan ɔgan na wi bɔdi lɛk di liva, at, ɔ mɔsul dɛn pwɛl, sik, ɔ wund, sɔm pan dɛn ɛnzaym dɛn ya kin lik frɔm dɛn sɛl dɛn we dɔn pwɛl ɛn go insay di blɔd. I tan lɛk se wata de lik frɔm bɔtul we dɔn brok.

Dɔn, wit dis blɔd tɛst, di dɔktɔ kin si if di lɛvɛl we dis ɛnzaym de na yu blɔd ay ɔ smɔl pas aw i kin bi. Sɔntɛnde, dɔktɔ dɛn kin kɔl dɛn tin ya "bayomakɛr." Dat min se, na bayolojikal sayn fɔ wan patikyula sik. Dis kin mek di dɔktɔ no if sɔntin nɔ rayt insay yu bɔdi.

Okay, so wetin na dis "enzymes"?

Wi jis tok boht "enzyme markers." So wetin na dɛn "ɛnzym" ya? Tink bɔt ɛnzaym dɛn as prɔtin dɛn we tan lɛk smɔl smɔl wokman dɛn na wi bɔdi. Dɛn kin ɛp wit ɔda kεmikכl prכsεs dεm na wi bכdi, εn dεn kin mek wi mεtabolism kwik. I tan lɛk pɔsin we de ɛp wi fɔ digest it kwik kwik wan.

Bɔku bɔku difrɛn ɛnzaym dɛn de na wi bɔdi, ɛn ɛni wan pan dɛn de du wan patikyula wok. Na sɔm ɛgzampul dɛn ya:

• Insay di blɔd sistɛm: I de ɛp fɔ mek blɔd klɔt.
• Dijestiv sistεm: I de εp fכ digεst di it we wi de it.
• di mכskul skel sistεm: di mכsul dεm de εp fכ wok εn muvmεnt.
• Nεv sistεm: I de εp fכ wok na di bren, spεnal kכd, εn nεv dεm.
• di rεspiretכri sistεm: I de εp fכ di brith prכsεs.
• Urinary system: I de ɛp fɔ pul dɔti na di bɔdi.

Yu si, ɛnzaym dɛn de ple so impɔtant pat na wi bɔdi!

Udat nid dis ɛnzaym mak tɛst?

Bɔku rizin dɛn de we mek dɔktɔ kin ɔda fɔ du dis tɛst. Di men wan dɛn na:

• Skrin: Sɔntɛnde, we yu go fɔ ɛgzamin yu bɔdi ɔltɛm, dɛn kin du dis tɛst fɔ chɛk if yu gɛt ɛni prɔblɛm we de insay yu bɔdi, yu ɔgan dɛn we dɔn pwɛl, ɔ yu mɔsul dɛn taya, ilɛksɛf yu nɔ gɛt ɛni sayn.
• Fɔ no di sik (Diagnosis): .If yu gɛt ɛni sayn, dis tɛst kin ɛp fɔ no if di kɔz na wan patikyula sik ɔ na at prɔblɛm.
• Fɔ wach aw di tritmɛnt go wok fayn: If yu de tek mɛrɛsin fɔ wan patikyula sik, dɛn kin du dɛn ɛnzaym tɛst ya bak fɔ si if di mɛrɛsin de wok fayn ɔ if i de mek ɔda ɔgan pwɛl.

Us kayn ɛnzaym mak tɛst dɛn de?

Dɔktɔ dɛn kin yuz difrɛn ɛnzaym mak tɛst fɔ no difrɛn sik dɛn ɛn aw dɛn de. Na sɔm pan di men kayn dɛn ya:

• Cardiac enzyme test: Dis de chɛk fɔ si if di at mɔsul dɔn pwɛl.
• kriaytinin fכsfokinεz (CPK) isoεnzym tεst: dis de tεst fכ εnzym dεm lεk `(CK-MB)` εn `(CK-MM)`. Dis kin no bak se di mɔsul dɛn dɔn pwɛl, mɔ di at ɛn ɔda mɔsul dɛn.
• di liva εnzym tεst: dis tεst de mכsu εnzym dεm lεk `(ALT)`, `(AST)`, `(Alkaline phosphatase)`, `(GGT)`, εn `(5'-NT)` fכ gεt aydia fכ di kכndishכn fכ di liva.

Naw lɛ wi luk ɛni wan pan dɛn kayn dɛn ya smɔl mɔ.

Wetin na Kadyak Ɛnzaym Tɛst?

Bɔku tɛm dɛn kin du dis we dɛn tink se pɔsin gɛt at atak, ɔ fɔ chɛk if ɔda at sik dɔn pwɛl di at mɔsul. Dɛn kin du am bak fɔ chɛk aw di at de wok afta sɔm ɔpreshɔn dɛn na di at, lɛk korona at baypas graftin (CABG) ɔ angioplasty.

We sɔntin pwɛl na di at, di at kin pul wan prɔtin we dɛn kɔl troponin (cTn) ɛn wan ɛnzaym we dɛn kɔl kriaytin fɔsfɔkinayz (CPK) insay di blɔd. Trade, di lɛvɛl fɔ kriaytin fɔsfɔkinayz (CPK) na bin di men tɛst we dɛn bin de yuz fɔ no if pɔsin gɛt at atak. Bɔt naw, if yu tink se yu go gɛt at atak, bɔku tɛm dɔktɔ dɛn kin du wan tɛst we dɛn kɔl troponin fɔ no if yu gɛt di sik. dis na biכs di troponin εnzym de כnli insay di at. Na dat mek i rili spɛshal.

di troponin lεvεl na di bכdi kin bigin fכ go כp insay 12 awa afta yu hat atak. di CPK lεvεl we dεn εlevεt kin sho bak wan kכndyushכn we dεn kכl korona atεri sik, we na we di at dεm we de gi bכdi to di at blכk.

nכmal wan, di troponin lεvεl dεm na di bכdi kin rili lכw – lεk 0.02 nanogram pan wan mililita (0.02 ng/mL). di εlevεt lεvεl fכ dis kadyak εnzym na di bכdi min se i pכsibul hat atak. Di mɔ di valyu we i gɛt, na di mɔ di at dɔn pwɛl.

Bikɔs di ɛnzaym lɛvɛl kin chenj we yu gɛt at atak, yu dɔktɔ kin ɔda fɔ du sɔm tɛst fɔ no yu CPK ɛn troponin lɛvɛl ɛvri sɔm awa.

Yu dɔktɔ kin ɔda fɔ mek dɛn tɛst yu at ɛnzaym if yu gɛt ɛni wan pan dɛn sayn ya:

• Chɛst de pen
• Diziz we pɔsin kin gɛt
• Vɔmit
• Fɔ swet pasmak (Bɔku swet / Hyperhidrosis) .
• Shot we yu de blo / Dyspnea

Wetin na di CPK Isoenzymes Test?

Dis tεst de luk fכ εlevεt lεvεl dεm fכ `(CPK)`. Dis de sho se di tisu dɛn dɔn pwɛl. we wi mכsul dεm (inklud di at mכsul), bren, εn lכng dεm dεn dכn pwεl bay sik כ injuri, dεn `(CPK)` isoεnzym dεm ya de kכmכt insay di bכdi. isoεnzym na di kayn εnzym dεm we spεshal fכ sכm כgan כ tisu dεm.

Fɔ ɛgzampul:

• Di at-spɛsifi k `(CK)` na `CK-MB` .
• di spεsifi k `(CK)` fכ di skel mכsul dεm (lεk di mכsul dεm na di an dεm) na `CK-MM` .
• Fɔ jɔs se `(CK)` na di tɔtal amɔnt fɔ `(CK)` we de kɔmɔt frɔm ɔl dɛn ples ya.

Dipen pan yu simptom, diagnosis, ɔr risk factors, yu dɔktɔ kin ɔda dis (CPK) isoenzyme test fɔ chɛk fɔ kɔndishɔn lɛk:

• At atak
• Strok
• Bren tumor
• Muscular dystrophy (na sik we de mek di mɔsul dɛn wik) .
• Dɛmatomyosaytis (na sik we de na di skin ɛn di mɔsul dɛm) .
• Inklushɔn bɔdi mayosaytis (na sik we de mek di mɔsul dɛn wik) .
• Polymyositis (na sik we de na di mɔsul dɛn) .
• Malignant hyperthermia (na wan sik we pɔsin kin gɛt ay fiva we i gɛt anestezi we dɛn de du ɔpreshɔn) .

Wetin na Liva Ɛnzaym Tɛst?

We wi liva pwɛl bikɔs ɔf sɔm sik ɔ injuri, di liva kin pul difrɛn ɛnzaym dɛn insay di blɔd. tu pan di εnzym dεm we pipul dεn no pas כl na alanin aminotransfεrayz (ALT) εn aspartat aminotransfεrayz (AST). di εnzym ALT de mεntal prodyuz insay di liva. di aspartate aminotransferase (AST) de mek na di liva, at, kidni, bren, εn mכsul dεm.

wan liva εnzym tεst de chεk fכ εlevεt lεvεl dεm fכ dεn εnzym dεm ya. If dɛn ɔp, i kin bi bikɔs ɔf wan kɔndishɔn lɛk:

• Di bayl dakt we dɔn blok
• Siliak sik (wan alɛji fɔ gluten) .
• Sirosis na di liva
• Fat liva sik ɔr liva sik we gɛt fɔ du wit rɔm
• Ɛmokromatosis (ayɔn we pasmak na di blɔd) .
• Epataytis A, epataytis B ɛn ɛpatitis C
• Kansa na di liva
• Mononucleosis (na sik we de mek di gland dɛn swel) .
• Wilson sik (we kɔpa de put pasmak na di bon) .

Mɛmba se, we yu gɛt di ɛnzaym lɛvɛl nɔmɔ, dat nɔ min se yu gɛt sik. Yu dɔktɔ go kɔmpia dɛn tin ya wit yu sik ɛn ɔda tɛst rizɔlt fɔ mek yu ebul fɔ no sɔntin.

Aw a fɔ pripia fɔ wan ɛnzaym mak tɛst?

If yu go du blɔd tɛst, if yu mɛmba dɛn smɔl tin ya, dat kin mek di prɔses izi:

• Drink plɛnti wata: Drink bɔku wata bifo yu gi blɔd. Dis go ɛp di blɔd fɔ flɔ tru di vein dɛn fayn fayn wan, ɛn dis go mek i izi fɔ gɛda blɔd.
• Nɔ yuz nikotin: If yu de smok (inklud vaping), avɔyd am bifo yu gi blɔd. Nikotin kin mek di blɔd vesel dɛn kɔnstrikt, ɛn dis kin mek i nɔ izi fɔ pul blɔd frɔm wan vein we kɔnstrikt.
• Tɛl wi if yu de fred: If yu gɛt fred fɔ nidul (Trypanophobia) ɔ yu de fred fɔ si blɔd (Hemophobia), tɛl yu dɔktɔ ɔ di pɔsin we de pul yu blɔd bifo tɛm. Dɛn kin ɛp yu fɔ mek di we aw yu de pul blɔd izi fɔ yu.

A nid fɔ fast bifo a du ɛnzaym mak tɛst?

Yu dɔktɔ go tɛl yu if yu nid fɔ fast (eksept fɔ wata). Bɔku tɛm, yu nɔ nid fɔ du dat. Ɛspɛshali bikɔs dɛn kin du di tɛst fɔ di kadyak ɛnzaym we yu gɛt imejensi, lɛk at atak, dɛn nɔ go tink se yu go fast da tɛm de.

Wetin kin apin we dɛn du ɛnzaym mak tɛst?

Dis na jɔs wan rili simpul blɔd tɛst. Dipen pan yu situeshɔn, dɛn kin du dis tɛst na dɔktɔ in ɔfis, blɔd tɛst lab, ɔ ɔspitul. Phlebotomist (pɔsin we dɛn tren spɛshal fɔ pul blɔd) ɔ ɔda pɔsin we sabi bɔt wɛlbɔdi biznɛs go pul yu blɔd. Dis prɔses kin tek sɔm minit nɔmɔ.

Wetin a fɔ ɛkspɛkt afta a dɔn du ɛnzaym mak tɛst?

I bɛtɛ fɔ kip di plasta na di say we dɛn pul di blɔd fɔ lɛk tu to 4 awa so fɔ mek yu nɔ gɛt di sik. Di say we dɛn put di nidul kin swel smɔl ɛn brus. Dis go go insay sɔm dez.

Yu kin ridyus di brus ɔ diskɔmfɔt if yu du dɛn tin ya:

• Rap wan ays pak wit wan klos ɛn put am pan di plasta.
• Tek wan mɛrɛsin we de mek yu nɔ gɛt pen we yu nɔ de bay.
• Nɔ es yu wet ɔ du ɛksɛsayz tranga wan fɔ 24 awa afta yu dɔn gi yu blɔd.

Wetin na di prɔblɛm dɛn we kin apin we dɛn du ɛnzaym mak tɛst?

Blɔd tɛst na tin dɛn we nɔ gɛt bɔku prɔblɛm. Sɔm pipul dɛn kin gɛt lɔw blɔd prɛshɔn (haypotension) we dɛn pul dɛn blɔd. Dis kin mek yu fil lɛk se yu de tɔn ɔ yu de fil lɛk yu nɔs. If yu fil bad ɔ yu de fɔdɔm, tɛl yu dɔktɔ ɔ di pɔsin we de tek di blɔd wantɛm wantɛm. Dɛn kin ɛp yu bay we dɛn de mek yu ledɔm ɔ du ɔda tin dɛn.

Ustɛm a go gɛt di tɛst rizɔlt?

Fɔ ɛgzampul, we tin apin we nɔ izi fɔ du, if dɛn tink se pɔsin gɛt at atak, di tin kin apin kwik kwik wan. If nɔto dat, i kin tek sɔm dez fɔ mek di dɔktɔ gɛt di rizɔlt frɔm di lab.

Yu dɔktɔ go tɔk to yu bɔt di tin dɛn we go apin. Yu kin nid fɔ du mɔ tɛst fɔ no if yu gɛt wan patikyula prɔblɛm ɔ fɔ mek shɔ se prɔblɛm nɔ de. Dipen pan di kayn prɔblɛm, yu kin gɛt sɔm ɛnzaym mak tɛst fɔ sɔm awa ɔr dez.

Wetin a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a nid fɔ du dis ɛnzaym mak tɛst?
• A nid fɔ fast, stɔp fɔ smok, ɔ stɔp fɔ tek mɛrɛsin bifo di tɛst?
• Ustɛm a go gɛt di tɛst rizɔlt?
• A fɔ wɔri bɔt di tɛst rizɔlt?
• A go gɛt fɔ du mɔ tɛst dɛn?
• Aw ɔltɛm a go nid fɔ gɛt dis ɛnzaym mak tɛst?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Enzym marker test na test we de gi impɔtant infɔmeshɔn bɔt aw wi ɔgan dɛn de wok, aw sik dɛn de, ɛn aw fɔ trit wi. If yu gɛt sɔm sayn dɛn, dɔktɔ kin tɛl yu fɔ du dis tɛst fɔ no if yu gɛt sik ɔ fɔ no if da kayn sik de nɔ de.

Wan kadyak ɛnzaym tɛst de asɛs di damej pan di at afta at atak. wan fכsfokinεz (CPK) tεst de luk fכ sik dεm we de kכmכt frכm di mכsul dεm. wan liva εnzym tεst de ases di liva fכnshכn. Aks yu dɔktɔ ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis tɛst ɔ in rizɔlt. Nɔ wɔri, yu dɔktɔ de fɔ ɛp yu.

` εnzym, εnzym tεst, blכd tεst, at sik, liva sik, mכsul sik, diagnosis