{"id":103388,"date":"2022-01-16T00:00:00","date_gmt":"2022-01-16T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/xet-nghiem-ck\/"},"modified":"2022-09-05T00:00:00","modified_gmt":"2022-09-05T00:00:00","slug":"xet-nghiem-ck","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/xet-nghiem\/xet-nghiem-ck\/","title":{"rendered":"X\u00e9t nghi\u1ec7m CK v\u00e0 nh\u1eefng th\u00f4ng tin c\u1ea7n bi\u1ebft"},"content":{"rendered":"\n<p>X\u00e9t nghi\u1ec7m CK l\u00e0 v\u1ea5n \u0111\u1ec1 x\u00e9t nghi\u1ec7m chuy\u00ean bi\u1ec7t gi\u00fap \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1ee7y ho\u1ea1i c\u00e1c m\u00f4 c\u01a1 c\u1ee7a c\u01a1 th\u1ec3. X\u00e1c \u0111\u1ecbnh ho\u1ea1t \u0111\u1ed9 c\u1ee7a CK hay CPK l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng h\u1eefu \u00edch \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong ti\u1ebfn h\u00e0nh th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd v\u1ec3 c\u01a1 (V\u00ed d\u1ee5 nh\u01b0 b\u1ec7nh lo\u1ea1n d\u01b0\u1ee1ng c\u01a1) v\u00e0 c\u0169ng l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m c\u00f3 gi\u00e1 tr\u1ecb cao trong ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u n\u00e3o. H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> t\u00ecm hi\u1ec3u X\u00e9t nghi\u1ec7m CK nh\u01b0 th\u1ebf n\u00e0o v\u00e0 n\u00f3i l\u00ean \u0111i\u1ec1u g\u00ec trong b\u00e0i vi\u1ebft sau \u0111\u00e2y nh\u00e9 !<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CK trong m\u00e1u l\u00e0 g\u00ec? <\/h2>\n\n\n\n<p>Creatine phosphokinase ( CK hay CPK ) l\u00e0 enzym chuy\u1ec3n h\u00f3a hi\u1ec7n di\u1ec7n \u1edf c\u00e1c t\u1ebf b\u00e0o m\u00f4 c\u01a1 tim, c\u01a1 v\u00e2n v\u00e0 m\u00f4 n\u00e3o. N\u00f3 th\u1ef1c hi\u1ec7n x\u00fac t\u00e1c ph\u1ea3n \u1ee9ng chuy\u1ec3n \u0111\u1ed5i gi\u1eefa ATP v\u00e0 creatine phosphat theo ph\u01b0\u01a1ng tr\u00ecnh:&nbsp;<\/p>\n\n\n\n<p><strong><em>Creatine + ATP \u21d4 Creatine phosphate + ADP&nbsp;<\/em><\/strong><\/p>\n\n\n\n<p>V\u00ec v\u1eady CK \u0111\u01b0\u1ee3c xem c\u00f3 vai tr\u00f2 quan tr\u1ecdng c\u1ea7n thi\u1ebft trong ki\u1ec3m so\u00e1t d\u00f2ng n\u0103ng l\u01b0\u1ee3ng c\u1ea7n thi\u1ebft lu\u00e2n chuy\u1ec3n cho c\u00e1c m\u00f4 c\u01a1 quan kh\u00e1c nhau trong c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf m\u00f4 c\u01a1.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/xet-nghiem-ck-1.jpg\" alt=\"X\u00e9t nghi\u1ec7m CK\" class=\"wp-image-41165\"\/><figcaption>Creatine phosphokinase ( CK hay CPK ) l\u00e0 enzym chuy\u1ec3n h\u00f3a hi\u1ec7n di\u1ec7n \u1edf c\u00e1c t\u1ebf b\u00e0o m\u00f4 c\u01a1 tim, c\u01a1 v\u00e2n v\u00e0 m\u00f4 n\u00e3o<\/figcaption><\/figure>\n\n\n\n<p>Nh\u1edd k\u1ef9 thu\u1eadt \u0111i\u1ec7n di s\u1eafc k\u00fd th\u00ec c\u00f3 th\u1ec3 t\u00e1ch bi\u1ec7t Creatine phosphokinase  th\u00e0nh 3 lo\u1ea1i ri\u00eang bi\u1ec7t, trong \u0111\u00f3 lo\u1ea1i CK MB c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n cao nh\u1ea5t tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>CK BB \u0111\u01b0\u1ee3c th\u1ea5y r\u1ea5t \u00edt trong n\u00e3o v\u00e0 c\u01a1 tr\u01a1n c\u1ee7a ph\u1ed5i<\/li><li>CK MB khu tr\u00fa ch\u1ee7 y\u1ebfu trong c\u01a1 tim&nbsp;<\/li><li>CK MM \u0111\u01b0\u1ee3c th\u1ea5y ch\u1ee7 y\u1ebfu trong c\u00e1c m\u00f4 c\u01a1 v\u00e2n.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u00dd ngh\u0129a c\u1ee7a vi\u1ec7c \u0111o ho\u1ea1t \u0111\u1ed9 CK<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Tr\u01b0\u1eddng h\u1ee3p nghi v\u1ea5n c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch v\u00e0nh, \u0111\u1ecbnh l\u01b0\u1ee3ng CK gi\u00fap ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 cho ph\u00e9p theo d\u00f5i ti\u1ebfn tri\u1ec3n \u1ed5 nh\u1ed3i m\u00e1u<\/li><li>T\u00ecnh tr\u1ea1ng t\u0103ng CK kh\u00f4ng th\u1ec3 gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c l\u00fd do, k\u1ebft h\u1ee3p v\u1edbi h\u1ed9i ch\u1ee9ng \u0111\u1ea1i h\u1ed3ng v\u00e0 t\u0103ng cholesterol m\u00e1u g\u1ee3i \u00fd c\u00f3 suy gi\u00e1p<\/li><li>Trong tr\u01b0\u1eddng h\u1ee3p t\u0103ng c\u00e1c transaminase v\u00e0 LDH, \u0111\u1ecbnh l\u01b0\u1ee3ng CK gi\u00fap ph\u00e2n bi\u1ec7t m\u1ed9t b\u1ec7nh l\u00fd gan v\u1edbi b\u1ec7nh l\u00fd c\u01a1 v\u00e2n hay c\u01a1 tim&nbsp;<\/li><li>H\u1ed9i ch\u1ee9ng \u0111\u00e1p \u1ee9ng vi\u00eam to\u00e0n th\u00e2n (SIRS) k\u1ebft h\u1ee3p v\u1edbi t\u0103ng CPK-MM g\u1ee3i \u00fd ch\u1ea9n \u0111o\u00e1n Vi\u00eam \u0111a c\u01a1 hay Vi\u00eam da &#8211; c\u01a1<\/li><li><a href=\"https:\/\/www.docosan.com\/blog\/xet-nghiem\/\" target=\"_blank\" rel=\"noreferrer noopener\">X\u00e9t nghi\u1ec7m<\/a> gi\u00fap ph\u00e2n bi\u1ec7t gi\u1eefa ti\u1ec3u ra myoglobin v\u1edbi ti\u1ec3u ra hemoglobin. Ho\u1ea1t \u0111\u1ed9 CK b\u00ecnh th\u01b0\u1eddng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00e1n huy\u1ebft kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng.&nbsp;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">T\u00e1c d\u1ee5ng c\u1ee7a x\u00e9t nghi\u1ec7m \u0111o ho\u1ea1t \u0111\u1ed9 CK<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Ch\u1ec9 d\u1ea5u sinh h\u1ecdc v\u1edbi \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u t\u1ed1t \u0111\u1ed1i v\u1edbi t\u00ednh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh l\u00fd c\u1ee7a c\u01a1 tim.<\/li><li>X\u00e9t nghi\u1ec7m h\u1ed7 tr\u1ee3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ecdn l\u1ef1a \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u01a1 v\u00e2n.<\/li><li>X\u00e9t nghi\u1ec7m c\u00e1c isoenzym c\u1ee7a CK ( CPK-MM ) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh c\u01a1 v\u00e2n hi\u1ebfm g\u1eb7p, khi k\u1ebft h\u1ee3p v\u1edbi x\u00e9t nghi\u1ec7m aldolase<\/li><li>CPK &#8211; MB \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u01b0 m\u1ed9t ch\u1ec9 d\u1ea5u sinh h\u1ecdc s\u1edbm \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">X\u00e9t nghi\u1ec7m CK nh\u01b0 th\u1ebf n\u00e0o ? <\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1ch l\u1ea5y b\u1ec7nh ph\u1ea9m&nbsp;<\/h3>\n\n\n\n<p>X\u00e9t nghi\u1ec7m ti\u1ebfn h\u00e0nh tr\u00ean m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb y t\u00e1 ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng. Kh\u00f4ng c\u1ea7n thi\u1ebft y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n ph\u1ea3i nh\u1ecbn \u0103n tr\u01b0\u1edbc khi l\u1ea5y m\u00e1u l\u00e0m x\u00e9t nghi\u1ec7m CK \u0111\u01a1n thu\u1ea7n.&nbsp;<\/p>\n\n\n\n<p>X\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0m c\u1ea5p c\u1ee9u v\u00e0 \u0111\u01b0\u1ee3c l\u00e0m nh\u1eafc l\u1ea1i 3 \u0111\u1ebfn 4 l\u1ea7n trong v\u00f2ng 4 &#8211; 24 gi\u1edd \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng c\u01a1n \u0111au ng\u1ef1c k\u00e9o d\u00e0i.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/xet-nghiem-ck-4.jpg\" alt=\"X\u00e9t nghi\u1ec7m CK\" class=\"wp-image-41175\"\/><figcaption>B\u1ec7nh ph\u1ea9m \u0111\u1ec3 x\u00e9t nghi\u1ec7m CK l\u00e0 m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">L\u01b0u \u00fd<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>C\u1ea7n tr\u00e1nh g\u00e2y tan m\u00e1u do n\u1ed3ng \u0111\u1ed9 cao c\u1ee7a hemoglobin c\u00f3 th\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng CK m\u1ea5t t\u00ednh ch\u00ednh x\u00e1c&nbsp;<\/li><li>Kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam b\u1eafp b\u1ea5t c\u1ee9 thu\u1ed1c n\u00e0o trong v\u00f2ng 1 gi\u1edd tr\u01b0\u1edbc khi l\u1ea5y m\u00e1u.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a CK&nbsp;<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">CK m\u00e1u to\u00e0n ph\u1ea7n<\/h3>\n\n\n\n<p>Khi \u1edf <strong>nhi\u1ec7t<\/strong> <strong>\u0111\u1ed9 c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng<\/strong>, n\u1ed3ng \u0111\u1ed9 CK to\u00e0n ph\u1ea7n trong huy\u1ebft t\u01b0\u01a1ng \u1edf nam l\u00e0 [ 38 &#8211; 174 U\/L ] hay [ 0,63 &#8211; 2,90 ukat\/L ], v\u00e0 \u1edf n\u1eef l\u00e0 [ 40 &#8211; 150 U\/L ] hay [ 0,67 &#8211; 2,50 ukat\/L ] <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">CK MB<\/h3>\n\n\n\n<p>N\u1ed3ng \u0111\u1ed9 CK-MB trong huy\u1ebft t\u01b0\u01a1ng \u1edf nhi\u1ec7t \u0111\u1ed9 37<sup>o<\/sup>C l\u00e0 <strong>&lt; 10 U\/L<\/strong> v\u00e0 t\u1ef7 s\u1ed1 <strong>CK-MB\/CK l\u00e0 2,5 \u2013 3 %<\/strong>; gi\u00e1 tr\u1ecb c\u1eaft (cut-off) c\u1ee7a CK-MB \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 <strong>\u2265 6%<\/strong> <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a ch\u1ec9 s\u1ed1 CK trong m\u00e1u cao<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">T\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim<\/h3>\n\n\n\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u01b0 Nh\u1ed3i m\u00e1u c\u01a1 tim;&nbsp;Sau ti\u1ebfn h\u00e0nh kh\u1eed rung tim;&nbsp;Sau ph\u1eabu thu\u1eadt tim s\u1ebd g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ef1c th\u1ec3 c\u00e1c th\u1edb c\u01a1 c\u1ee7a tim l\u00e0m t\u0103ng cao n\u1ed3ng \u0111\u1ed9 CK m\u00e1u h\u01a1n ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. \u0110\u1eb7c bi\u1ec7t l\u00e0 b\u00e1c s\u0129 s\u1ebd cho l\u00e0m x\u00e9t nghi\u1ec7m CKMB trong nh\u1ed3i m\u00e1u c\u01a1 tim \u0111\u1ec3 g\u1ee3i \u00fd c\u00e1c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/xet-nghiem-ck-3.jpg\" alt=\"X\u00e9t nghi\u1ec7m CK\" class=\"wp-image-41166\"\/><figcaption>T\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a ch\u1ec9 s\u1ed1 CK trong m\u00e1u cao<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">T\u00ecnh tr\u1ea1ng ph\u00e1 h\u1ee7y c\u01a1 v\u00e2n<\/h3>\n\n\n\n<p>C\u00e1c b\u1ec7nh l\u00fd do b\u1ea9m sinh hay m\u1eafc ph\u1ea3i g\u00e2y ra t\u00ecnh tr\u1ea1ng&nbsp;vi\u00eam ho\u1ea1i t\u1eed ho\u1eb7c tho\u00e1i h\u00f3a c\u1ea5p c\u1ee7a c\u01a1 v\u00e2n s\u1ebd l\u00e0m t\u0103ng ph\u00f3ng th\u00edch r\u1ea5t nhi\u1ec1u CK v\u00e0o m\u00e1u, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lo\u1ea1n d\u01b0\u1ee1ng c\u01a1, lo\u1ea1n d\u01b0\u1ee1ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1&nbsp;<\/li><li>X\u01a1 c\u1ed9t b\u00ean teo c\u01a1&nbsp;<\/li><li>Vi\u00eam da v\u00e0 c\u01a1, Vi\u00eam \u0111a c\u01a1<\/li><li>B\u1ecfng nhi\u1ec7t v\u00e0 b\u1ecfng \u0111i\u1ec7n<\/li><li>V\u1eadn \u0111\u1ed9ng th\u1ec3 thao th\u1ec3 l\u1ef1c qu\u00e1 m\u1ee9c v\u00e0 k\u00e9o d\u00e0i<\/li><li>C\u01a1n co gi\u1eadt k\u00e9o d\u00e0i<\/li><li>T\u0103ng ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t \u00e1c t\u00ednh.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Do thu\u1ed1c v\u00e0 h\u00f3a ch\u1ea5t<\/h3>\n\n\n\n<p>\u0110\u1ed9c t\u00ednh c\u1ee7a h\u00f3a ch\u1ea5t l\u00e0 ch\u1ebf ph\u1ea9m c\u00f3 v\u00f2ng benzen s\u1ebd g\u00e2y kh\u1eed c\u1ef1c m\u00e0ng t\u1ebf b\u00e0o c\u01a1 v\u00e0 g\u00e2y th\u1ea9m th\u1ea5u kh\u00f4ng ch\u1ecdn l\u1ecdc c\u00e1c enzym v\u00e0o m\u00e1u.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">B\u1ec7nh tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o c\u1ea5p <\/h3>\n\n\n\n<p>G\u1eb7p \u1edf 50% s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o lan r\u1ed9ng. N\u1ed3ng \u0111\u1ed9 CK \u0111\u1ea1t t\u1edbi m\u1ee9c cao nh\u1ea5t v\u00e0o ng\u00e0y th\u1ee9 ba v\u1edbi t\u00ecnh tr\u1ea1ng t\u0103ng hay kh\u00f4ng trong v\u00f2ng 2 ng\u00e0y \u0111\u1ea7u.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c \u00edt g\u1eb7p<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>Lo\u1ea1n t\u00e2m th\u1ea7n c\u1ea5p t\u00ednh&nbsp;<\/li><li>Nghi\u1ec7n r\u01b0\u1ee3u&nbsp;<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng n\u00e3o, h\u1ed9p s\u1ecd&nbsp;<\/li><li>Suy ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p v\u00e0 ph\u00f9 ni\u00eam m\u1ea1c<\/li><li>Ti\u00eam b\u1eafp nhi\u1ec1u l\u1ea7n.&nbsp;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 CK m\u00e1u to\u00e0n ph\u1ea7n<\/h2>\n\n\n\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00e0m gi\u1ea3m b\u1ea5t th\u01b0\u1eddng kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 v\u00e2n c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft n\u1eb7ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng ph\u00e2n h\u1ee7y Creatine phosphokinase v\u00e0 gi\u1ea3m CK m\u00e1u to\u00e0n ph\u1ea7n.  <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p&nbsp;<\/li><li>B\u1ec7nh n\u1ed9i ti\u1ebft: Addison, c\u01b0\u1eddng gi\u00e1p, Cushing<\/li><li>B\u1ec7nh c\u1ee7a m\u00f4 li\u00ean k\u1ebft&nbsp;                                               <\/li><li>Suy nhi\u1ec1u h\u1ec7 th\u1ed1ng c\u01a1 quan&nbsp;<\/li><li>B\u1ec7nh l\u00fd ung th\u01b0 c\u01a1 quan n\u00e0o \u0111\u00f3 c\u00f3 di c\u0103n t\u1edbi gan.&nbsp;<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/xet-nghiem-ck-5.jpg\" alt=\"X\u00e9t nghi\u1ec7m CK\" class=\"wp-image-41167\"\/><figcaption>B\u1ec7nh ung th\u01b0 \u1edf c\u01a1 quan kh\u00e1c di c\u0103n \u0111\u1ebfn gan s\u1ebd l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 CK m\u00e1u to\u00e0n ph\u1ea7n<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p>X\u00e9t nghi\u1ec7m CK l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m sinh h\u00f3a h\u1eefu \u00edch trong quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u00e1c b\u1ec7nh l\u00fd c\u01a1 v\u00e2n, h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p hay m\u1ea1n v\u00e0 nh\u00f3m b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u n\u00e3o. T\u1ea5t c\u1ea3 c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00fd b\u1ea5t th\u01b0\u1eddng t\u00e1c \u0111\u1ed9ng t\u1edbi c\u00e1c c\u01a1 quan n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c minh r\u00f5 v\u00ec \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng ho\u1ea1t \u0111\u1ed9 CK to\u00e0n ph\u1ea7n trong m\u00e1u ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>X\u00e9t nghi\u1ec7m CK l\u00e0 v\u1ea5n \u0111\u1ec1 x\u00e9t nghi\u1ec7m chuy\u00ean bi\u1ec7t gi\u00fap \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1ee7y ho\u1ea1i c\u00e1c m\u00f4 c\u01a1 c\u1ee7a c\u01a1 th\u1ec3. X\u00e1c \u0111\u1ecbnh ho\u1ea1t \u0111\u1ed9 c\u1ee7a CK hay CPK l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng h\u1eefu \u00edch \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong ti\u1ebfn h\u00e0nh th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd v\u1ec3 c\u01a1 [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":93072,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[575,11],"tags":[],"class_list":["post-103388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-huyet-hoc","category-xet-nghiem"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/xet-nghiem-ck-2-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/xet-nghiem-ck-2-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103388"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103388\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/93072"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103388"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}