<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg1.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls0 ws0">Aula 00</div><div class="t m0 x2 h3 y2 ff1 fs1 fc1 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico)</div><div class="t m0 x2 h4 y3 ff2 fs1 fc1 sc0 ls0 ws0">Professor: Denise Rodrigues</div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x4 y5 w2 h6" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg2.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">1</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="c x4 yf w4 hc"><div class="t m0 xc hb y10 ff8 fs3 fc0 sc0 ls0 ws0">AULA 00: Bioquímica <span class="ff9 ws2">\u2013</span> Dosagens Hormonais e de Enzimas </div></div><div class="t m0 xb hb y11 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="c x4 y12 w5 hd"><div class="t m0 xd hb y13 ff8 fs3 fc0 sc0 ls0 ws2">SUMÁRIO<span class="ff7 ws0"> </span></div></div><div class="c xe y12 w6 hd"><div class="t m0 xf hb y13 ff8 fs3 fc0 sc0 ls0 ws2">PÁGINA<span class="ff7 ws0"> </span></div></div><div class="c x4 y14 w5 he"><div class="t m0 x10 hb y15 ff7 fs3 fc0 sc0 ls0 ws0">1. Apresentação </div></div><div class="c xe y14 w6 he"><div class="t m0 x11 hb y15 ff7 fs3 fc0 sc0 ls6 ws3">01<span class="ls0 ws0"> </span></div></div><div class="c x4 y16 w5 hf"><div class="t m0 x10 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">2. Estrutura do Curso </div></div><div class="c xe y16 w6 hf"><div class="t m0 x11 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">02 </div></div><div class="c x4 y18 w5 h10"><div class="t m0 x10 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">3. Introdução </div></div><div class="c xe y18 w6 h10"><div class="t m0 x11 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">03 </div></div><div class="c x4 y19 w5 h11"><div class="t m0 x10 hb y1a ff7 fs3 fc0 sc0 ls0 ws0">4. Enzimas </div></div><div class="c xe y19 w6 h11"><div class="t m0 x11 hb y1a ff7 fs3 fc0 sc0 ls0 ws0">06 </div></div><div class="c x4 y1b w5 h12"><div class="t m0 x10 hb y1c ff7 fs3 fc0 sc0 ls0 ws0">5. Avaliação Bioquímica da Função Hepatobiliar </div></div><div class="c xe y1b w6 h12"><div class="t m0 x11 hb y1c ff7 fs3 fc0 sc0 ls0 ws0">10 </div></div><div class="c x4 y1d w5 h13"><div class="t m0 x10 hb y9 ff7 fs3 fc0 sc0 ls3">6<span class="ls7 ws0">. <span class="ls0">Enzimas Marcadoras da Função Pancreática </span></span></div></div><div class="c xe y1d w6 h13"><div class="t m0 x11 hb y9 ff7 fs3 fc0 sc0 ls6 ws3">39<span class="ls0 ws0"> </span></div></div><div class="c x4 y1e w5 h14"><div class="t m0 x10 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">7. Marcadores Cardíacos </div></div><div class="c xe y1e w6 h14"><div class="t m0 x11 hb y17 ff7 fs3 fc0 sc0 ls6 ws3">45<span class="ls0 ws0"> </span></div></div><div class="c x4 y1f w5 h15"><div class="t m0 x10 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">8. Outras Enzimas de Importância Diagnóstica </div></div><div class="c xe y1f w6 h15"><div class="t m0 x11 hb y17 ff7 fs3 fc0 sc0 ls6 ws3">49<span class="ls0 ws0"> </span></div></div><div class="c x4 y20 w5 h15"><div class="t m0 x10 hb y17 ff7 fs3 fc0 sc0 ls0 ws0">8. Lista de Questões </div></div><div class="c xe y20 w6 h15"><div class="t m0 x11 hb y17 ff7 fs3 fc0 sc0 ls6 ws3">70<span class="ls0 ws0"> </span></div></div><div class="c x4 y21 w5 h16"><div class="t m0 x10 hb y9 ff7 fs3 fc0 sc0 ls0 ws0">9. Gabarito </div></div><div class="c xe y21 w6 h16"><div class="t m0 x11 hb y9 ff7 fs3 fc0 sc0 ls6 ws3">81<span class="ls0 ws0"> </span></div></div><div class="c x4 y22 w5 h17"><div class="t m0 x10 hb y23 ff7 fs3 fc0 sc0 ls0 ws0">10. Referências Bibliográficas </div></div><div class="c xe y22 w6 h17"><div class="t m0 x11 hb y23 ff7 fs3 fc0 sc0 ls6 ws3">82<span class="ls0 ws0"> </span></div></div><div class="t m0 xb hb y24 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y25 ff8 fs3 fc0 sc0 ls0 ws0">Apresentação </div><div class="t m0 x12 hb y26 ff7 fs3 fc0 sc0 ls0 ws0">Olá, <span class="_1 blank"> </span>pessoal! Sejam<span class="_1 blank"> </span> <span class="_1 blank"> </span>bem-vindos <span class="_1 blank"> </span>ao <span class="_1 blank"> </span>nosso <span class="_2 blank"> </span>curso <span class="_1 blank"> </span>de <span class="_1 blank"> </span><span class="ff8 ws2">Bioquímica</span> </div><div class="t m0 xb hb y27 ff7 fs3 fc0 sc0 ls0 ws0">para <span class="ff8 ws2">biomédicos</span> que pretendem ingressar na <span class="ff8 ws2">EMSERH</span>! </div><div class="t m0 x12 hb y28 ff7 fs3 fc0 sc0 ls0 ws0">Irei <span class="_1 blank"> </span>apresentar <span class="_1 blank"> </span>a <span class="_1 blank"> </span>vo<span class="_1 blank"> </span>cês <span class="_1 blank"> </span>todo <span class="_1 blank"> </span>o<span class="_1 blank"> </span> <span class="_1 blank"> </span>conteúdo <span class="_2 blank"> </span>de <span class="_1 blank"> </span><span class="ff8 ws2">Bioquímica</span> <span class="_2 blank"> </span>exigido </div><div class="t m0 xb hb y29 ff7 fs3 fc0 sc0 ls0 ws0">para <span class="_3 blank"> </span>o <span class="_3 blank"> </span>cargo <span class="_3 blank"> </span>de <span class="_3 blank"> </span><span class="ff8 ws2">bio<span class="_1 blank"> </span>médico</span><span class="ls4"> <span class="ls6">e <span class="_3 blank"> </span></span></span>vamos <span class="_3 blank"> </span>exercitar <span class="_3 blank"> </span>o <span class="_3 blank"> </span>que <span class="_3 blank"> </span>for <span class="_3 blank"> </span>aprendido </div><div class="t m0 xb hb y2a ff7 fs3 fc0 sc0 ls0 ws0">resolvendo <span class="_4 blank"> </span>muitas <span class="_4 blank"> </span>questões <span class="_4 blank"> </span>de <span class="_4 blank"> </span>provas <span class="_4 blank"> </span>de <span class="_4 blank"> </span>concursos <span class="_4 blank"> </span>anteriores<span class="ls7">, </span></div><div class="t m0 xb hb y2b ff7 fs3 fc0 sc0 ls0 ws0">principalmente <span class="_5 blank"> </span>questões <span class="_5 blank"> </span>da <span class="_6 blank"> </span><span class="ff8">banca <span class="_5 blank"> </span>AOCP</span>. <span class="_6 blank"> </span>Além <span class="_5 blank"> </span>disso, <span class="_5 blank"> </span>estarei </div><div class="t m0 xb hb y2c ff7 fs3 fc0 sc0 ls0 ws0">disponível <span class="_7 blank"> </span>por <span class="_7 blank"> </span>meio <span class="_3 blank"> </span>do <span class="_7 blank"> </span>fórum <span class="_7 blank"> </span>e <span class="_7 blank"> </span>demais <span class="_7 blank"> </span>canais <span class="_7 blank"> </span>de <span class="_3 blank"> </span>comunicação <span class="_3 blank"> </span>para </div><div class="t m0 xb hb y2d ff7 fs3 fc0 sc0 ls0 ws0">tirar suas dúvidas. Espero contribuir com sua preparação! Vamos lá? </div><div class="t m0 x13 hb y2e ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xa hb y2f ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y30 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y31 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y32 w7 h18" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg3.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">2</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff8 fs3 fc0 sc0 ls0 ws0">Estrutura do Curso </div><div class="t m0 x12 hb y33 ff7 fs3 fc0 sc0 ls0 ws0">Neste <span class="_2 blank"> </span>curso <span class="_2 blank"> </span>veremos <span class="_2 blank"> </span>todos <span class="_2 blank"> </span>os <span class="_2 blank"> </span>tópicos <span class="_8 blank"> </span>de <span class="_8 blank"> </span><span class="ff8 ws2">Bioquímica</span> <span class="_2 blank"> </span>previstos </div><div class="t m0 xb hb y34 ff7 fs3 fc0 sc0 ls0 ws0">no <span class="_3 blank"> </span>edital<span class="_0 blank"></span> <span class="_3 blank"> </span>d<span class="ls8">a <span class="_3 blank"> </span></span><span class="ff8 ws2">EMSERH</span> <span class="_3 blank"> </span>para <span class="_7 blank"> </span>o <span class="_3 blank"> </span>cargo <span class="_3 blank"> </span>de <span class="_7 blank"> </span><span class="ff8 ws2">biomédico</span>. <span class="_3 blank"> </span>Sempre <span class="_3 blank"> </span>que <span class="_3 blank"> </span>fo<span class="_0 blank"></span>r </div><div class="t m0 xb hb y35 ff7 fs3 fc0 sc0 ls0 ws0">possível <span class="_9 blank"> </span>vamos <span class="_9 blank"> </span>resolver <span class="_5 blank"> </span>quest<span class="_0 blank"></span>ões <span class="_9 blank"> </span>de <span class="_9 blank"> </span>provas <span class="_5 blank"> </span>para <span class="_9 blank"> </span>o <span class="_9 blank"> </span>cargo <span class="_9 blank"> </span>de </div><div class="t m0 xb hb y36 ff7 fs3 fc0 sc0 ls0 ws0">biomédico <span class="_a blank"> </span><span class="ls9 ws4">da</span>s <span class="_a blank"> </span>bancas <span class="_b blank"> </span>AOCP<span class="ls7">. <span class="_a blank"> </span></span>Poré<span class="_1 blank"> </span>m, <span class="_a blank"> </span>para <span class="_a blank"> </span>oferecer <span class="_a blank"> </span>mais </div><div class="t m0 xb hb y37 ff7 fs3 fc0 sc0 ls0 ws0">oportunidades <span class="_c blank"> </span>de <span class="_c blank"> </span>praticar <span class="_c blank"> </span>determinados <span class="_9 blank"> </span>temas, <span class="_c blank"> </span>iremos <span class="_9 blank"> </span>tamb<span class="_0 blank"></span>ém </div><div class="t m0 xb hb y38 ff7 fs3 fc0 sc0 ls0 ws0">resolver <span class="_2 blank"> </span>questões <span class="_2 blank"> </span>de <span class="_2 blank"> </span>concursos <span class="_2 blank"> </span>para <span class="_2 blank"> </span>cargos <span class="_2 blank"> </span>afins <span class="_2 blank"> </span>como <span class="_8 blank"> </span>far<span class="_1 blank"> </span>macêutico, </div><div class="t m0 xb hb y39 ff7 fs3 fc0 sc0 ls0 ws0">médico, biólogo <span class="_1 blank"> </span>e <span class="_1 blank"> </span>técnico <span class="_1 blank"> </span>de <span class="_1 blank"> </span>laboratório <span class="_1 blank"> </span>e questões <span class="_1 blank"> </span>de <span class="_1 blank"> </span>outr<span class="_1 blank"> </span><span class="ls8 ws5">as</span> <span class="_1 blank"> </span>bancas<span class="lsa">. </span></div><div class="t m0 xb hb y3a ff7 fs3 fc0 sc0 ls0 ws0">O <span class="_1 blank"> </span>importante <span class="_2 blank"> </span>é <span class="_2 blank"> </span>estudar <span class="_2 blank"> </span>todos <span class="_1 blank"> </span>os <span class="_2 blank"> </span>tópicos <span class="_2 blank"> </span>e <span class="_2 blank"> </span>responder <span class="_2 blank"> </span>o <span class="_2 blank"> </span>maior <span class="_1 blank"> </span>número </div><div class="t m0 xb hb y3b ff7 fs3 fc0 sc0 ls0 ws0">de questões disponíveis. </div><div class="t m0 x12 hb y3c ff7 fs3 fc0 sc0 ls0 ws0">Aprender <span class="_d blank"> </span>é <span class="_d blank"> </span>muito <span class="_d blank"> </span>bom <span class="_d blank"> </span>e <span class="_d blank"> </span>estudar <span class="_d blank"> </span>Bio<span class="_1 blank"> </span>química <span class="_d blank"> </span>muitas <span class="_d blank"> </span>vezes <span class="_d blank"> </span>é </div><div class="t m0 xb hb y3d ff7 fs3 fc0 sc0 ls0 ws0">intrigante <span class="_6 blank"> </span>e <span class="_6 blank"> </span>desperta <span class="_e blank"> </span>muita <span class="_6 blank"> </span>curiosidade. <span class="_6 blank"> </span>Por <span class="_6 blank"> </span>conta <span class="_e blank"> </span>disso, <span class="_5 blank"> </span>em </div><div class="t m0 xb hb y3e ff7 fs3 fc0 sc0 ls0 ws0">determinados <span class="_1 blank"> </span>mom<span class="_1 blank"> </span>entos <span class="_2 blank"> </span>poderá <span class="_2 blank"> </span>surgir <span class="_2 blank"> </span>interesse <span class="_2 blank"> </span>de <span class="_2 blank"> </span>saber <span class="_2 blank"> </span>mais <span class="_1 blank"> </span>sobre<span class="_1 blank"> </span> </div><div class="t m0 xb hb y3f ff7 fs3 fc0 sc0 ls0 ws0">um <span class="_7 blank"> </span>dado <span class="_7 blank"> </span>assunto <span class="_7 blank"> </span>e<span class="_1 blank"> </span>, <span class="_7 blank"> </span>quem <span class="_7 blank"> </span>sabe, <span class="_7 blank"> </span>até <span class="_3 blank"> </span>uma <span class="_7 blank"> </span>certa <span class="_7 blank"> </span>frus<span class="_1 blank"> </span>tração <span class="_7 blank"> </span>se <span class="_3 blank"> </span>a <span class="_7 blank"> </span>aula </div><div class="t m0 xb hb y40 ff7 fs3 fc0 sc0 ls0 ws0">não <span class="_7 blank"> </span>se <span class="_3 blank"> </span>aprofundar <span class="_7 blank"> </span>mais. <span class="_3 blank"> </span>Porém, <span class="_7 blank"> </span>saiba <span class="_3 blank"> </span>que <span class="_7 blank"> </span>os <span class="_3 blank"> </span>cursos <span class="_7 blank"> </span>do <span class="_3 blank"> </span><span class="ff8">E<span class="_0 blank"></span>stratégia </span></div><div class="t m0 xb hb y41 ff8 fs3 fc0 sc0 ls0 ws2">Concursos<span class="ff7 ws0"> <span class="_c blank"> </span>têm <span class="_9 blank"> </span>por <span class="_9 blank"> </span>objetivo <span class="_9 blank"> </span>apresentar <span class="_c blank"> </span>o <span class="_9 blank"> </span>conteúdo <span class="_9 blank"> </span>de <span class="_9 blank"> </span>forma </span></div><div class="t m0 xb hb y42 ff7 fs3 fc0 sc0 ls0 ws0">direcionada, <span class="_f blank"> </span>com <span class="_f blank"> </span>f<span class="_1 blank"> </span>oco <span class="_f blank"> </span>na <span class="_4 blank"> </span>ap<span class="_0 blank"></span>rovação <span class="_f blank"> </span>em <span class="_10 blank"> </span>concursos! <span class="_f blank"> </span>O <span class="_f blank"> </span>que <span class="_10 blank"> </span>isso </div><div class="t m0 xb hb y43 ff7 fs3 fc0 sc0 ls0 ws0">significa? Significa que nosso olhar sobre cada tópico s<span class="_1 blank"> </span>erá guiado pelo </div><div class="t m0 xb hb y44 ff7 fs3 fc0 sc0 ls0 ws0">que <span class="_2 blank"> </span>cai <span class="_2 blank"> </span>e<span class="_1 blank"> </span>m <span class="_2 blank"> </span>prova, <span class="_8 blank"> </span>como <span class="_8 blank"> </span>cai, <span class="_2 blank"> </span>com <span class="_8 blank"> </span>que <span class="_8 blank"> </span>frequência <span class="_2 blank"> </span>é<span class="_1 blank"> </span> <span class="_2 blank"> </span>cobrado, <span class="_2 blank"> </span>como <span class="_8 blank"> </span>as </div><div class="t m0 xb hb y45 ff7 fs3 fc0 sc0 ls0 ws0">bancas <span class="_2 blank"> </span>abordam <span class="_2 blank"> </span>o <span class="_8 blank"> </span>assunto <span class="_2 blank"> </span>etc... <span class="_8 blank"> </span>A <span class="_2 blank"> </span>abordagem <span class="_2 blank"> </span>do <span class="_8 blank"> </span>curso <span class="_2 blank"> </span>é <span class="_8 blank"> </span>desenhada </div><div class="t m0 xb hb y46 ff7 fs3 fc0 sc0 ls0 ws0">no <span class="_d blank"> </span>int<span class="_0 blank"></span>uito <span class="_d blank"> </span>de <span class="_d blank"> </span>m<span class="_0 blank"></span>antermos <span class="_d blank"> </span>o <span class="_11 blank"> </span>foco <span class="_11 blank"> </span>sempre, <span class="_11 blank"> </span>ok? <span class="_d blank"> </span>D<span class="_1 blank"> </span>ada <span class="_11 blank"> </span>a <span class="_d blank"> </span>exten<span class="_0 blank"></span>são <span class="_11 blank"> </span>do </div><div class="t m0 xb hb y47 ff7 fs3 fc0 sc0 ls0 ws0">conteúdo <span class="_2 blank"> </span>de <span class="_8 blank"> </span>B<span class="_1 blank"> </span>ioquímica <span class="_2 blank"> </span>que <span class="_8 blank"> </span>normalmente <span class="_8 blank"> </span>é <span class="_8 blank"> </span>exigido <span class="_8 blank"> </span>nos <span class="_8 blank"> </span>editais, <span class="_2 blank"> </span>e<span class="_1 blank"> </span>sse </div><div class="t m0 xb hb y48 ff8 fs3 fc0 sc0 ls0 ws0">foco é fundamental!!! </div><div class="t m0 x12 hb y49 ff7 fs3 fc0 sc0 ls0 ws0">Em <span class="_5 blank"> </span>nossa <span class="_5 blank"> </span><span class="ff8">aula <span class="_5 blank"> </span>00</span>, <span class="_5 blank"> </span>abordaremos <span class="_5 blank"> </span>as <span class="_5 blank"> </span>principais <span class="_5 blank"> </span>dosagens </div><div class="t m0 xb hb y4a ff7 fs3 fc0 sc0 ls0 ws0">hormonais <span class="_3 blank"> </span>e <span class="_12 blank"> </span>de <span class="_12 blank"> </span>enzim<span class="_0 blank"></span><span class="ls8 ws5">as<span class="ls0 ws0"> <span class="_12 blank"> </span>presentes <span class="_3 blank"> </span>no <span class="_12 blank"> </span>sang<span class="_0 blank"></span>ue. <span class="_12 blank"> </span>Os <span class="_3 blank"> </span>demais <span class="_12 blank"> </span>assuntos </span></span></div><div class="t m0 xb hb y4b ff7 fs3 fc0 sc0 ls0 ws0">listados no edital serão vistos conforme plan<span class="_0 blank"></span>o de curso a seguir:<span class="_1 blank"> </span> </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf4" class="pf w0 h0" data-page-no="4"><div class="pc pc4 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y4c w7 h19" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg4.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">3</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 x12 hb ye ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="c x14 y4d w8 h1a"><div class="t m0 x15 hb y4e ff8 fs3 fc0 sc0 ls0 ws0">Aula 00 </div></div><div class="c x16 y4d w9 h1a"><div class="t m0 x7 hb y4e ff7 fs3 fc0 sc0 ls0 ws0">Dosagens hormonais e de enzimas; </div></div><div class="c x14 y4f w8 h1b"><div class="t m0 x15 hb y50 ff8 fs3 fc0 sc0 ls0 ws0">Aula 01 </div></div><div class="c x16 y4f w9 h1b"><div class="t m0 x17 hb y50 ff7 fs3 fc0 sc0 ls0 ws0">Dosagens hormonais e de enzimas <span class="ls8 ws5">II;</span> </div></div><div class="c x14 y51 w8 h1c"><div class="t m0 x15 hb y52 ff8 fs3 fc0 sc0 ls0 ws0">Aula 02<span class="ff7"> </span></div></div><div class="c x16 y51 w9 h1c"><div class="t m0 x15 hb y52 ff7 fs3 fc0 sc0 ls0 ws0">Eletroforese de hemoglobina, lipoproteínas e proteína<span class="_0 blank"></span>s;<span class="_1 blank"> </span> </div></div><div class="c x14 y53 w8 h1d"><div class="t m0 x15 hb y52 ff8 fs3 fc0 sc0 ls0 ws0">Aula 03<span class="ff7"> </span></div></div><div class="c x16 y53 w9 h1d"><div class="t m0 x18 hb y54 ff7 fs3 fc0 sc0 ls0 ws0">Equilíbrio ácido<span class="ffa lsb">\ue1e6</span>base; </div></div><div class="c x14 y55 w8 h1e"><div class="t m0 x15 hb y54 ff8 fs3 fc0 sc0 ls0 ws0">Aula 04<span class="ff7"> </span></div></div><div class="c x16 y55 w9 h1e"><div class="t m0 x19 hb y56 ff7 fs3 fc0 sc0 ls0 ws0">Propriedades da água; </div><div class="t m0 x1a hb y57 ff7 fs3 fc0 sc0 ls0 ws0">Radicais livres; </div></div><div class="t m0 x12 hb y58 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x12 hb y59 ff7 fs3 fc0 sc0 ls0 ws0">Além <span class="_11 blank"> </span>de <span class="_d blank"> </span>nossas <span class="_d blank"> </span>aulas <span class="_d blank"> </span>em <span class="_d blank"> </span>pdf, <span class="_11 blank"> </span>tam<span class="_1 blank"> </span>bém <span class="_d blank"> </span>estarei <span class="_d blank"> </span>acessível <span class="_11 blank"> </span>por </div><div class="t m0 xb hb y5a ff7 fs3 fc0 sc0 ls0 ws0">meio <span class="_2 blank"> </span>do <span class="_2 blank"> </span>fórum <span class="_2 blank"> </span>de <span class="_2 blank"> </span>dúvidas. <span class="_1 blank"> </span>Vocês <span class="_8 blank"> </span>podem <span class="_2 blank"> </span>e <span class="_2 blank"> </span>devem <span class="_2 blank"> </span>tirar <span class="_2 blank"> </span>suas <span class="_1 blank"> </span>dúvidas, </div><div class="t m0 xb hb y5b ff7 fs3 fc0 sc0 ls0 ws0">dar <span class="_8 blank"> </span>sugestões, <span class="_7 blank"> </span>fazer <span class="_8 blank"> </span>comentários <span class="_7 blank"> </span>e <span class="_8 blank"> </span>etc... <span class="_13 blank"> </span>Não <span class="_13 blank"> </span>hesitem <span class="_13 blank"> </span>em <span class="_13 blank"> </span>entrar <span class="_8 blank"> </span>em </div><div class="t m0 xb hb y5c ff7 fs3 fc0 sc0 ls0 ws0">contato, será um prazer ajuda-los em sua preparação! </div><div class="t m0 x12 hb y5d ff7 fs3 fc0 sc0 ls0 ws0">Então é isso, pessoal! Vamos à nossa primeira aula? </div><div class="t m0 xb hb y22 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y5e ff8 fs3 fc0 sc0 ls0 ws0">Introdução </div><div class="t m0 x12 hb y5f ff7 fs3 fc0 sc0 ls0 ws0">Os <span class="_5 blank"> </span>exames <span class="_9 blank"> </span>bioquímicos <span class="_5 blank"> </span>são <span class="_9 blank"> </span>ex<span class="_1 blank"> </span>ames <span class="_5 blank"> </span>comp<span class="_0 blank"></span>lementares <span class="_5 blank"> </span>que </div><div class="t m0 xb hb y60 ff7 fs3 fc0 sc0 ls0 ws0">devem <span class="_14 blank"> </span>ser <span class="_14 blank"> </span>analisados <span class="_14 blank"> </span>em <span class="_14 blank"> </span>conjunto <span class="_14 blank"> </span>com <span class="_14 blank"> </span>outros <span class="_14 blank"> </span>exames <span class="_14 blank"> </span>como <span class="_14 blank"> </span>o </div><div class="t m0 xb hb y61 ff7 fs3 fc0 sc0 ls0 ws0">hemograma <span class="_14 blank"> </span>e <span class="_14 blank"> </span>da <span class="_14 blank"> </span>urinálise <span class="_14 blank"> </span>para <span class="_14 blank"> </span>auxiliarem <span class="_14 blank"> </span>o <span class="_14 blank"> </span>d<span class="_1 blank"> </span>iagnóstico <span class="_14 blank"> </span>clínico. </div><div class="t m0 xb hb y62 ff7 fs3 fc0 sc0 ls0 ws0">Podem <span class="_15 blank"> </span>ser <span class="_15 blank"> </span>realizadas <span class="_15 blank"> </span>múltiplas <span class="_15 blank"> </span>determinações <span class="_15 blank"> </span>bioquímicas </div><div class="t m0 xb hb y63 ff7 fs3 fc0 sc0 ls0 ws0">simultâneas <span class="_14 blank"> </span>para <span class="_f blank"> </span>avaliar <span class="_f blank"> </span>a <span class="_14 blank"> </span>fu<span class="_1 blank"> </span>nção <span class="_14 blank"> </span>de <span class="_f blank"> </span>um <span class="_f blank"> </span>ou <span class="_f blank"> </span>mais <span class="_14 blank"> </span>sistemas <span class="_14 blank"> </span>do<span class="_1 blank"> </span> </div><div class="t m0 xb hb y64 ff7 fs3 fc0 sc0 ls0 ws0">organismo. <span class="_3 blank"> </span>Os <span class="_12 blank"> </span>exames<span class="_1 blank"> </span> <span class="_12 blank"> </span>relacionados <span class="_3 blank"> </span>à<span class="_1 blank"> </span> <span class="_12 blank"> </span>bioquímica <span class="_3 blank"> </span>san<span class="_1 blank"> </span>guínea <span class="_12 blank"> </span>podem </div><div class="t m0 xb hb y65 ff7 fs3 fc0 sc0 ls0 ws0">ser <span class="_8 blank"> </span>dosagens <span class="_13 blank"> </span>de <span class="_8 blank"> </span>metabólitos, <span class="_8 blank"> </span>minerais, <span class="_13 blank"> </span>enzimas <span class="_13 blank"> </span>e <span class="_8 blank"> </span>hormônios, <span class="_8 blank"> </span>dentre </div><div class="t m0 xb hb y66 ff7 fs3 fc0 sc0 ls0 ws0">outros. <span class="ffb">O edital menciona \u201c<span class="ff8">dosagens <span class="_1 blank"> </span>hormonais e enzimas<span class="_1 blank"> </span></span>\u201d, então </span></div><div class="t m0 xb hb y67 ff7 fs3 fc0 sc0 ls0 ws0">iremos focar nesses, ok? </div><div class="t m0 xb hb y68 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y69 ff8 fs3 fc0 sc0 ls0 ws0">Características da Amostra </div><div class="t m0 x12 hb y6a ff7 fs3 fc0 sc0 ls0 ws0">A <span class="_16 blank"> </span>qualidade <span class="_16 blank"> </span>dos <span class="_16 blank"> </span>exames <span class="_16 blank"> </span>laboratoriais <span class="_16 blank"> </span>está <span class="_16 blank"> </span>intima<span class="_1 blank"> </span>mente </div><div class="t m0 xb hb y6b ff7 fs3 fc0 sc0 ls0 ws0">relacionada <span class="_7 blank"> </span>à <span class="_3 blank"> </span>fas<span class="_0 blank"></span>e <span class="_3 blank"> </span>pré-analítica, <span class="_7 blank"> </span>especialmente <span class="_7 blank"> </span>à <span class="_3 blank"> </span>colet<span class="_0 blank"></span>a <span class="_3 blank"> </span>da <span class="_7 blank"> </span>amostra. </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf5" class="pf w0 h0" data-page-no="5"><div class="pc pc5 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y6c w7 h1f" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg5.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">4</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff7 fs3 fc0 sc0 ls0 ws0">Até mesmo as mais sofisticadas tecnologias não são capazes <span class="_17 blank"> </span>de </div><div class="t m0 xb hb y33 ff7 fs3 fc0 sc0 ls0 ws0">fornecer bons resultados com uma amostra de má qual<span class="_0 blank"></span>idade. </div><div class="t m0 x12 hb y34 ff7 fs3 fc0 sc0 ls0 ws0">Em <span class="_11 blank"> </span>um <span class="_d blank"> </span>setor <span class="_11 blank"> </span>de <span class="_d blank"> </span>Bioquímica <span class="_11 blank"> </span>podem <span class="_11 blank"> </span>ser <span class="_d blank"> </span>analisados <span class="_d blank"> </span>diferentes </div><div class="t m0 xb hb y6d ff7 fs3 fc0 sc0 ls0 ws0">tipos <span class="_18 blank"> </span>de <span class="_18 blank"> </span>amostras, tais <span class="_18 blank"> </span>como <span class="_18 blank"> </span>o <span class="ff8">sangue, urin<span class="_0 blank"></span>a e lí<span class="_0 blank"></span>quor<span class="_1 blank"> </span><span class="ff7">, <span class="_18 blank"> </span>dentre </span></span></div><div class="t m0 xb hb y6e ff7 fs3 fc0 sc0 ls0 ws0">outros. <span class="_d blank"> </span>Alguns <span class="_11 blank"> </span>aspectos <span class="_d blank"> </span>importantes <span class="_d blank"> </span>sobre <span class="_d blank"> </span>os<span class="_1 blank"> </span><span class="ff8"> <span class="_d blank"> </span>tipos <span class="_d blank"> </span>de <span class="_d blank"> </span>amostras </span></div><div class="t m0 xb hb y37 ff8 fs3 fc0 sc0 ls0 ws0">utilizadas em dosagens bioquímicas: </div><div class="t m0 xb hb y6f ff8 fs3 fc0 sc0 ls0 ws0">Sangue <span class="_a blank"> </span>total<span class="ff7">: <span class="_a blank"> </span>obtido <span class="_a blank"> </span>através <span class="_a blank"> </span>da <span class="_a blank"> </span>coleta <span class="_a blank"> </span>em <span class="_a blank"> </span>tubo <span class="_b blank"> </span></span><span class="ws2">com</span><span class="ff7"> </span></div><div class="t m0 xb hb y39 ff8 fs3 fc0 sc0 ls0 ws2">anticoagulante<span class="ff7 ws0">. <span class="_12 blank"> </span>U<span class="_1 blank"> </span>tiliza-se <span class="_11 blank"> </span>a <span class="_12 blank"> </span>amostra<span class="_1 blank"> </span> <span class="_11 blank"> </span>homogeneizada <span class="_12 blank"> </span>Ex: <span class="_11 blank"> </span>no <span class="_12 blank"> </span>teste </span></div><div class="t m0 xb hb y3a ff7 fs3 fc0 sc0 ls0 ws0">da hemoglobina glicada utiliza-se sangue total com EDTA. </div><div class="t m0 xb hb y3b ff8 fs3 fc0 sc0 ls0 ws0">Plasma: <span class="_19 blank"> </span><span class="ff7">parte <span class="_19 blank"> </span>líquida <span class="_19 blank"> </span>do <span class="_19 blank"> </span>sangue <span class="_19 blank"> </span>coletado <span class="_19 blank"> </span>em <span class="_19 blank"> </span>tubo <span class="_19 blank"> </span>com </span></div><div class="t m0 xb hb y3c ff7 fs3 fc0 sc0 ls0 ws0">anticoagulante. O <span class="_17 blank"> </span>plasma <span class="_17 blank"> </span>é <span class="_17 blank"> </span>muito <span class="_17 blank"> </span>menos <span class="_14 blank"> </span>util<span class="_0 blank"></span>izado <span class="_17 blank"> </span>nas <span class="_17 blank"> </span>dosagens </div><div class="t m0 xb hb y3d ff7 fs3 fc0 sc0 ls0 ws0">bioquímicas que o soro. </div><div class="t m0 xb hb y70 ff8 fs3 fc0 sc0 ls0 ws0">Soro: <span class="_1a blank"> </span><span class="ff7">é <span class="_e blank"> </span>a <span class="_1a blank"> </span>parte <span class="_1a blank"> </span>liquida <span class="_1a blank"> </span>do <span class="_e blank"> </span>sa<span class="_1 blank"> </span>ngue <span class="_e blank"> </span>coletado <span class="_1a blank"> </span>em <span class="_1a blank"> </span>tubo <span class="_1a blank"> </span></span>sem </div><div class="t m0 xb hb y3f ff8 fs3 fc0 sc0 ls0 ws2">anticoagulante<span class="ff7 ws0">, sendo <span class="_17 blank"> </span>o <span class="_17 blank"> </span>soro <span class="_17 blank"> </span>obtido após <span class="_17 blank"> </span>a centrifugação. <span class="_17 blank"> </span>É o<span class="_1 blank"> </span> </span></div><div class="t m0 xb hb y40 ff7 fs3 fc0 sc0 ls0 ws0">principal tipo de amostra nas dosagens bioquímic<span class="_0 blank"></span>as.<span class="_1 blank"> </span> </div><div class="t m0 x12 hb y41 ff8 fs3 fc0 sc0 ls0 ws2">Atenção!!!<span class="ff7 ws0"> </span></div><div class="t m0 x12 hb y71 ff7 fs3 fc0 sc0 ls0 ws0">Com <span class="_3 blank"> </span>o <span class="_3 blank"> </span>uso <span class="_7 blank"> </span>de <span class="_3 blank"> </span>anticoagulante <span class="_7 blank"> </span>não <span class="_3 blank"> </span>ocorre <span class="_3 blank"> </span>a <span class="_3 blank"> </span>coagul<span class="_0 blank"></span>ação, <span class="_3 blank"> </span>pois <span class="_7 blank"> </span>o </div><div class="t m0 xb hb y72 ff7 fs3 fc0 sc0 ls0 ws0">mesmo <span class="_12 blank"> </span>irá <span class="_3 blank"> </span>inibir <span class="_12 blank"> </span>um <span class="_12 blank"> </span>dos <span class="_12 blank"> </span>fat<span class="_0 blank"></span>ores <span class="_12 blank"> </span>da <span class="_12 blank"> </span>coagulação <span class="_12 blank"> </span>(geralmente <span class="_3 blank"> </span>cálcio) </div><div class="t m0 xb hb y73 ff7 fs3 fc0 sc0 ls0 ws0">impedindo ass<span class="_1 blank"> </span>im <span class="_1 blank"> </span>a <span class="_1 blank"> </span>f<span class="_1 blank"> </span>ormação <span class="_1 blank"> </span>do <span class="_1 blank"> </span>coágulo. <span class="_2 blank"> </span>Um <span class="_2 blank"> </span>bom <span class="_1 blank"> </span>anticoagulante <span class="_1 blank"> </span>não </div><div class="t m0 xb hb y74 ff7 fs3 fc0 sc0 ls0 ws0">deve <span class="_11 blank"> </span>interferir <span class="_11 blank"> </span>na <span class="_12 blank"> </span>reação <span class="_11 blank"> </span>química, <span class="_11 blank"> </span>não <span class="_11 blank"> </span>deve <span class="_11 blank"> </span>adicionar <span class="_12 blank"> </span>às<span class="_1 blank"> </span> <span class="_11 blank"> </span>amostras </div><div class="t m0 xb hb y46 ff7 fs3 fc0 sc0 ls0 ws0">substâncias <span class="_c blank"> </span>a <span class="_c blank"> </span>serem <span class="_9 blank"> </span>dosadas <span class="_c blank"> </span>e <span class="_9 blank"> </span>nem <span class="_c blank"> </span>remover <span class="_c blank"> </span>substâncias <span class="_c blank"> </span>que </div><div class="t m0 xb hb y47 ff7 fs3 fc0 sc0 ls0 ws0">interfiram nas dosagens. </div><div class="t m0 x12 hb y48 ff7 fs3 fc0 sc0 ls0 ws0">Para <span class="_8 blank"> </span>o <span class="_8 blank"> </span>caso <span class="_8 blank"> </span>da <span class="_8 blank"> </span>Bioquímica, <span class="_8 blank"> </span>quando <span class="_8 blank"> </span>é <span class="_8 blank"> </span>necessário <span class="_8 blank"> </span>o <span class="_8 blank"> </span>sangue <span class="_8 blank"> </span>total </div><div class="t m0 xb hb y49 ff7 fs3 fc0 sc0 ls0 ws0">ou <span class="_1 blank"> </span>plasma, normalme<span class="_1 blank"> </span>nte <span class="_1 blank"> </span>utiliza-se <span class="_1 blank"> </span>a <span class="_1 blank"> </span><span class="ff8">heparina, <span class="_1 blank"> </span>antico<span class="_1 blank"> </span>agulante que </span></div><div class="t m0 xb hb y4a ff8 fs3 fc0 sc0 ls0 ws0">menos <span class="_18 blank"> </span>interfe<span class="_0 blank"></span>re <span class="_18 blank"> </span>com <span class="_18 blank"> </span>as <span class="_18 blank"> </span>reações <span class="_1b blank"> </span>químicas<span class="ff7 ws6">.</span><span class="lsc"> </span><span class="ff7">Mas <span class="_18 blank"> </span>alguns <span class="_18 blank"> </span>testes </span></div><div class="t m0 xb hb y4b ff7 fs3 fc0 sc0 ls0 ws0">também <span class="_1 blank"> </span>podem <span class="_1 blank"> </span>ou <span class="_2 blank"> </span>devem <span class="_1 blank"> </span>ser <span class="_1 blank"> </span>re<span class="_1 blank"> </span>alizados <span class="_1 blank"> </span>com <span class="_1 blank"> </span>sangue <span class="_1 blank"> </span>total <span class="_2 blank"> </span>ou <span class="_1 blank"> </span>plasma </div><div class="t m0 xb hb y75 ff7 fs3 fc0 sc0 ls0 ws0">obtido do sangue coletado com <span class="ff8">EDTA. </span></div><div class="t m0 xb hb y76 ff8 fs3 fc0 sc0 ls0 ws0">EDTA <span class="_2 blank"> </span>(ácido <span class="_8 blank"> </span>etilenodiaminotetracético)<span class="ff7">: <span class="_8 blank"> </span>anticoagulante <span class="_2 blank"> </span>que <span class="_8 blank"> </span>atua </span></div><div class="t m0 xb hb y77 ff7 fs3 fc0 sc0 ls0 ws0">quelando <span class="_11 blank"> </span>o <span class="_d blank"> </span>cálcio <span class="_11 blank"> </span>do <span class="_11 blank"> </span>sangue. <span class="_d blank"> </span>O <span class="_11 blank"> </span>cálcio <span class="_d blank"> </span>é <span class="_11 blank"> </span>necessário <span class="_d blank"> </span>na <span class="_11 blank"> </span>cascata <span class="_11 blank"> </span>de </div><div class="t m0 xb hb y78 ff7 fs3 fc0 sc0 ls0 ws0">coagulação <span class="_1b blank"> </span>e <span class="_18 blank"> </span>sua <span class="_1b blank"> </span>quelação <span class="_18 blank"> </span>inibe <span class="_1b blank"> </span>a <span class="_18 blank"> </span>série <span class="_1b blank"> </span>de <span class="_18 blank"> </span>eventos <span class="_1b blank"> </span>que <span class="_1b blank"> </span>causa <span class="_18 blank"> </span>a </div><div class="t m0 xb hb y79 ff7 fs3 fc0 sc0 ls0 ws0">coagulação. <span class="_a blank"> </span>É <span class="_b blank"> </span>o <span class="_b blank"> </span>anticoagulante <span class="_b blank"> </span>de <span class="_b blank"> </span>escolha <span class="_b blank"> </span>para <span class="_b blank"> </span>ex<span class="_1 blank"> </span>ames </div><div class="t m0 xb hb y7a ff7 fs3 fc0 sc0 ls0 ws0">hematológicos, <span class="_d blank"> </span>pois <span class="_d blank"> </span>preser<span class="_1 blank"> </span>va <span class="_d blank"> </span>os <span class="_d blank"> </span>componentes <span class="_d blank"> </span>celulares <span class="_d blank"> </span>do <span class="_1b blank"> </span>sangue </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf6" class="pf w0 h0" data-page-no="6"><div class="pc pc6 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y32 w7 h18" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg6.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">5</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff7 fs3 fc0 sc0 ls0 ws0">sem alterar sua morfologia. </div><div class="t m0 xb hb y7b ff8 fs3 fc0 sc0 ls0 ws0">Fluoreto <span class="_10 blank"> </span>de <span class="_10 blank"> </span>Sódio<span class="_1 blank"> </span><span class="ff7">: <span class="_10 blank"> </span>o <span class="_10 blank"> </span>fluoreto <span class="_4 blank"> </span>inibe <span class="_10 blank"> </span>a <span class="_10 blank"> </span>enzima <span class="_10 blank"> </span>enolase <span class="_4 blank"> </span>na <span class="_10 blank"> </span>via </span></div><div class="t m0 xb hb y7c ff7 fs3 fc0 sc0 ls0 ws0">glicolítica <span class="_d blank"> </span>e <span class="_1b blank"> </span>assim <span class="_d blank"> </span>pre<span class="_1 blank"> </span>vine <span class="_d blank"> </span>a <span class="_1b blank"> </span>degradação <span class="_1b blank"> </span>da <span class="_1b blank"> </span>glicose. <span class="_d blank"> </span>Nas <span class="_1b blank"> </span>amostras </div><div class="t m0 xb hb y35 ff7 fs3 fc0 sc0 ls0 ws0">tratadas <span class="_18 blank"> </span>com antiglicolítico, <span class="_18 blank"> </span>a concentração de <span class="_18 blank"> </span>glicose perman<span class="_0 blank"></span>ece </div><div class="t m0 xb hb y36 ff7 fs3 fc0 sc0 ls0 ws0">estável <span class="_7 blank"> </span>por <span class="_3 blank"> </span>8 <span class="_3 blank"> </span>horas <span class="_7 blank"> </span>a <span class="_3 blank"> </span>25°C <span class="_7 blank"> </span>e <span class="_3 blank"> </span>por <span class="_7 blank"> </span>4<span class="_1 blank"> </span>8 <span class="_3 blank"> </span>h<span class="_0 blank"></span>oras <span class="_3 blank"> </span>ent<span class="_0 blank"></span>re <span class="_3 blank"> </span>2 <span class="_7 blank"> </span>a <span class="_3 blank"> </span>8°C.<span class="_0 blank"></span> <span class="_7 blank"> </span>Sem <span class="_3 blank"> </span>um </div><div class="t m0 xb hb y37 ff7 fs3 fc0 sc0 ls0 ws0">agente <span class="_7 blank"> </span>antiglicolítico<span class="_1 blank"> </span>, <span class="_7 blank"> </span>a <span class="_3 blank"> </span>concentração <span class="_3 blank"> </span>de <span class="_7 blank"> </span>glicose <span class="_3 blank"> </span>no <span class="_7 blank"> </span>sangue <span class="_3 blank"> </span>decresce </div><div class="t m0 xb hb y38 ff7 fs3 fc0 sc0 ls0 ws0">em torno de 10mg/dL por hora a 25°C.<span class="ff8"> </span></div><div class="t m0 x12 hb y39 ff7 fs3 fc0 sc0 ls0 ws0">Fatores <span class="_11 blank"> </span>como <span class="_12 blank"> </span>o <span class="_11 blank"> </span>tempo <span class="_11 blank"> </span>de <span class="_11 blank"> </span>contato <span class="_12 blank"> </span>prolongado <span class="_11 blank"> </span>do <span class="_11 blank"> </span>soro <span class="_12 blank"> </span>ou<span class="_1 blank"> </span> <span class="_11 blank"> </span>do </div><div class="t m0 xb hb y3a ff7 fs3 fc0 sc0 ls0 ws0">plasma <span class="_18 blank"> </span>com as <span class="_18 blank"> </span>células, <span class="_18 blank"> </span>hemólise, h<span class="_0 blank"></span>emoconcentraç<span class="_1 blank"> </span><span class="ls8 ws5">ão</span> cau<span class="_0 blank"></span>sada <span class="_18 blank"> </span>por </div><div class="t m0 xb hb y3b ff7 fs3 fc0 sc0 ls0 ws0">evaporação, <span class="_1c blank"> </span>temperatura <span class="_1c blank"> </span>inadequada <span class="_19 blank"> </span>de <span class="_1c blank"> </span>armazenamento <span class="_1d blank"> </span>das </div><div class="t m0 xb hb y3c ff7 fs3 fc0 sc0 ls0 ws0">amostras, transporte <span class="_1 blank"> </span>de <span class="_1 blank"> </span>forma <span class="_1 blank"> </span>incorreta, <span class="_1 blank"> </span>uso e<span class="_1 blank"> </span>rrôneo <span class="_1 blank"> </span>de aditivos (<span class="_1 blank"> </span>ex: </div><div class="t m0 xb hb y3d ff7 fs3 fc0 sc0 ls0 ws0">anticoagulantes), <span class="_7 blank"> </span>lipemia <span class="_7 blank"> </span>e <span class="_7 blank"> </span>icterícia <span class="_7 blank"> </span>podem <span class="_3 blank"> </span>alt<span class="_0 blank"></span>erar <span class="_7 blank"> </span>os <span class="_7 blank"> </span>re<span class="_1 blank"> </span>sult<span class="_0 blank"></span>ado<span class="_1 blank"> </span>s <span class="_3 blank"> </span>dos </div><div class="t m0 xb hb y3e ff7 fs3 fc0 sc0 ls0 ws0">testes bioquímicos. </div><div class="t m0 x12 hb y3f ff7 fs3 fc0 sc0 ls0 ws0">A separação <span class="_1 blank"> </span>do <span class="_1 blank"> </span>soro <span class="_1 blank"> </span>ou plasma <span class="_1 blank"> </span>das cél<span class="_1 blank"> </span>ulas sanguíneas <span class="_1 blank"> </span>deve <span class="_1 blank"> </span>ser </div><div class="t m0 xb hb y40 ff7 fs3 fc0 sc0 ls0 ws0">realizada <span class="_3 blank"> </span>o <span class="_3 blank"> </span>mais <span class="_3 blank"> </span>rápido <span class="_3 blank"> </span>possível. <span class="_3 blank"> </span>Um <span class="_3 blank"> </span>tempo <span class="_12 blank"> </span>máx<span class="_0 blank"></span>imo <span class="_3 blank"> </span>de <span class="_3 blank"> </span>duas <span class="_3 blank"> </span>horas </div><div class="t m0 xb hb y41 ff7 fs3 fc0 sc0 ls0 ws0">para <span class="_7 blank"> </span>e<span class="_1 blank"> </span>ssa <span class="_7 blank"> </span>separaçã<span class="_1 blank"> </span>o <span class="_3 blank"> </span>deve <span class="_7 blank"> </span>ser <span class="_3 blank"> </span>segui<span class="_0 blank"></span>do <span class="_3 blank"> </span>a <span class="_7 blank"> </span>fim <span class="_7 blank"> </span>de <span class="_3 blank"> </span>evitar <span class="_7 blank"> </span>interferências </div><div class="t m0 xb hb y71 ff7 fs3 fc0 sc0 ls0 ws0">em <span class="_17 blank"> </span>exames <span class="_14 blank"> </span>como <span class="_17 blank"> </span>glicose, <span class="_14 blank"> </span>potássio <span class="_17 blank"> </span>e <span class="_14 blank"> </span>DHL, <span class="_17 blank"> </span>por <span class="_14 blank"> </span>exemplo. <span class="_17 blank"> </span>Alguns </div><div class="t m0 xb hb y72 ff7 fs3 fc0 sc0 ls0 ws0">parâmetros <span class="_1 blank"> </span>não <span class="_1 blank"> </span>sofrem <span class="_1 blank"> </span>interferências <span class="_1 blank"> </span>quando <span class="_1 blank"> </span>não <span class="_1 blank"> </span>se <span class="_2 blank"> </span>atende ao <span class="_2 blank"> </span>prazo </div><div class="t m0 xb hb y73 ff7 fs3 fc0 sc0 ls0 ws0">de duas horas para centrifugação, tais como albumina, fosfatase </div><div class="t m0 xb hb y74 ff7 fs3 fc0 sc0 ls0 ws0">alcalina, <span class="_1 blank"> </span>ALT <span class="_1 blank"> </span>(TGP), <span class="_2 blank"> </span>bilirrubina, cá<span class="_1 blank"> </span>lcio, <span class="_1 blank"> </span>co<span class="_1 blank"> </span>lesterol, <span class="_1 blank"> </span>CK <span class="_1 blank"> </span>total, <span class="_1 blank"> </span>creatinina, </div><div class="t m0 xb hb y7d ff7 fs3 fc0 sc0 ls0 ws0">magnésio, <span class="_13 blank"> </span>fósforo, <span class="_13 blank"> </span>sódio,<span class="_1 blank"> </span> <span class="_13 blank"> </span>proteína <span class="_7 blank"> </span>total, <span class="_13 blank"> </span>triglicérides, <span class="_13 blank"> </span>T3, <span class="_7 blank"> </span>T4, <span class="_7 blank"> </span>ureia <span class="_13 blank"> </span><span class="lsd">e </span></div><div class="t m0 xb hb y7e ff7 fs3 fc0 sc0 ls0 ws0">ácido <span class="_1b blank"> </span>úrico. <span class="_18 blank"> </span>Veremos <span class="_1b blank"> </span>caso <span class="_18 blank"> </span>a <span class="_1b blank"> </span>caso <span class="_18 blank"> </span>as <span class="_1b blank"> </span>interferências <span class="_18 blank"> </span>que <span class="_1b blank"> </span>forem <span class="_1b blank"> </span>de </div><div class="t m0 xb hb y48 ff7 fs3 fc0 sc0 ls0 ws0">importância relacionadas às amostras. </div><div class="t m0 x12 hb y49 ff7 fs3 fc0 sc0 ls0 ws0">A <span class="_7 blank"> </span>temperatura <span class="_7 blank"> </span>também <span class="_7 blank"> </span>tem <span class="_7 blank"> </span>impacto <span class="_13 blank"> </span>importante <span class="_7 blank"> </span>na <span class="_7 blank"> </span>viabilidade </div><div class="t m0 xb hb y4a ff7 fs3 fc0 sc0 ls0 ws0">da <span class="_14 blank"> </span>amostra. <span class="_f blank"> </span>É <span class="_f blank"> </span>considerada <span class="_14 blank"> </span>temperatura <span class="_f blank"> </span>ambiente <span class="_f blank"> </span>no <span class="_f blank"> </span>laboratório </div><div class="t m0 xb hb y4b ff7 fs3 fc0 sc0 ls8 ws5">aq<span class="ls0 ws0">uela compreendida entre 22 e 25º<span class="ls1 ws7">C.</span> </span></div><div class="t m0 x12 hb y75 ff7 fs3 fc0 sc0 ls0 ws0">Sempre que <span class="_17 blank"> </span>possível, o <span class="_17 blank"> </span>soro <span class="_17 blank"> </span>não <span class="_17 blank"> </span>deve <span class="_17 blank"> </span>conter <span class="_17 blank"> </span>vestígios de </div><div class="t m0 xb hb y7f ff7 fs3 fc0 sc0 ls0 ws0">coágulo, <span class="_1c blank"> </span>não <span class="_19 blank"> </span>deve <span class="_19 blank"> </span>estar <span class="_1c blank"> </span>lipêmico <span class="_19 blank"> </span>ou <span class="_1c blank"> </span>hemolisado. <span class="_19 blank"> </span>Após <span class="_1c blank"> </span>a<span class="_1 blank"> </span> </div><div class="t m0 xb hb y80 ff7 fs3 fc0 sc0 ls0 ws0">centrifugação, separar alíquota de soro da amostra e arm<span class="_0 blank"></span>azenar, caso </div><div class="t m0 xb hb y81 ff7 fs3 fc0 sc0 ls0 ws0">não for utilizar imediatamente. </div><div class="t m0 x12 hb y82 ff7 fs3 fc0 sc0 ls0 ws0">A <span class="_7 blank"> </span>maioria <span class="_7 blank"> </span>dos <span class="_7 blank"> </span>analitos <span class="_7 blank"> </span>não <span class="_7 blank"> </span>altera <span class="_7 blank"> </span>em <span class="_7 blank"> </span>24 <span class="_7 blank"> </span>horas. <span class="_7 blank"> </span>Mas, <span class="_7 blank"> </span>caso <span class="_7 blank"> </span>não </div><div class="t m0 xb hb y83 ff7 fs3 fc0 sc0 ls0 ws0">possa ser dosado de<span class="_1 blank"> </span> imediato na rotina, refrigerar <span class="_1 blank"> </span>a amostra é o mais </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf7" class="pf w0 h0" data-page-no="7"><div class="pc pc7 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y84 w7 h20" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg7.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">6</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff7 fs3 fc0 sc0 ls0 ws0">adequado, <span class="_8 blank"> </span>podendo <span class="_8 blank"> </span>também <span class="_8 blank"> </span>congelar <span class="_8 blank"> </span>quando <span class="_8 blank"> </span>for <span class="_8 blank"> </span>necessá<span class="_1 blank"> </span>rio <span class="_2 blank"> </span>(porém, </div><div class="t m0 xb hb y33 ff7 fs3 fc0 sc0 ls0 ws0">o congelamento altera algun<span class="_0 blank"></span>s exames, como o lipidograma).<span class="_1 blank"> </span> </div><div class="t m0 x12 hb y34 ff7 fs3 fc0 sc0 ls0 ws0">Além <span class="_11 blank"> </span>dos <span class="_d blank"> </span>fatores <span class="_d blank"> </span>descritos, <span class="_d blank"> </span>na <span class="_d blank"> </span>fase <span class="_d blank"> </span>pré<span class="_1 blank"> </span>-analítica <span class="_11 blank"> </span>também <span class="_d blank"> </span>há </div><div class="t m0 xb hb y35 ff7 fs3 fc0 sc0 ls0 ws0">influência <span class="_14 blank"> </span>das <span class="_f blank"> </span><span class="ff8">variações <span class="_f blank"> </span>cronobiológicas</span> <span class="_14 blank"> </span>como: <span class="_f blank"> </span>gênero, <span class="_f blank"> </span>idade, </div><div class="t m0 xb hb y36 ff7 fs3 fc0 sc0 ls0 ws0">prática de atividade fí<span class="_0 blank"></span>sica, dieta, jejum, u<span class="_0 blank"></span>so de medicamentos e </div><div class="t m0 xb hb y37 ff7 fs3 fc0 sc0 ls0 ws0">outros. </div><div class="t m0 xb hb y38 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y39 ff8 fs3 fc6 sc0 ls0 ws0">Enzimas </div><div class="t m0 x12 hb y85 ff7 fs3 fc0 sc0 ls0 ws0">As <span class="_9 blank"> </span>enzimas <span class="_9 blank"> </span>são <span class="_9 blank"> </span>proteínas <span class="_9 blank"> </span>que <span class="_9 blank"> </span>ca<span class="_1 blank"> </span>talisam <span class="_9 blank"> </span><span class="ls8 ws5">as</span> <span class="_9 blank"> </span>re<span class="_1 blank"> </span>ações <span class="_9 blank"> </span>que </div><div class="t m0 xb hb y86 ff7 fs3 fc0 sc0 ls0 ws0">ocorrem <span class="_14 blank"> </span>nos <span class="_14 blank"> </span>sistemas <span class="_14 blank"> </span>biológicos. <span class="_14 blank"> </span>Elas <span class="_14 blank"> </span>têm <span class="_14 blank"> </span>grande <span class="_14 blank"> </span>especificidade </div><div class="t m0 xb hb y87 ff7 fs3 fc0 sc0 ls0 ws0">pelos seus substratos e aceleram reações específicas sem serem </div><div class="t m0 xb hb y88 ff7 fs3 fc0 sc0 ls0 ws0">alteradas <span class="_7 blank"> </span>ou <span class="_7 blank"> </span>consumidas <span class="_3 blank"> </span>durant<span class="_0 blank"></span>e <span class="_7 blank"> </span>o <span class="_3 blank"> </span>processo. <span class="_7 blank"> </span>O <span class="_3 blank"> </span>estud<span class="_0 blank"></span>o <span class="_7 blank"> </span>das <span class="_7 blank"> </span>e<span class="_1 blank"> </span>nzimas </div><div class="t m0 xb hb y89 ff7 fs3 fc0 sc0 ls0 ws0">tem imensa importância clínica.<span class="_0 blank"></span> Você sabe por quê?<span class="_1 blank"> </span><span class="ff8 fc6 v0"> </span></div><div class="t m0 xb hb y3f ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y40 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y8a ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y42 ff7 fs3 fc6 sc0 ls0 ws0"> </div><div class="t m0 xb hb y72 ff7 fs3 fc6 sc0 ls0 ws0"> <span class="_1e blank"> </span>Bem, <span class="_8 blank"> </span>de <span class="_13 blank"> </span>uma <span class="_8 blank"> </span>maneira <span class="_8 blank"> </span>geral, <span class="_13 blank"> </span><span class="ff8">a <span class="_8 blank"> </span>concent<span class="_1 blank"> </span>ração <span class="_8 blank"> </span>de <span class="_13 blank"> </span>enzimas <span class="_8 blank"> </span>no </span></div><div class="t m0 xb hb y44 ff8 fs3 fc6 sc0 ls0 ws0">soro <span class="_5 blank"> </span>é <span class="_5 blank"> </span>baixa, <span class="_5 blank"> </span>podendo <span class="_5 blank"> </span>aumen<span class="_0 blank"></span>tar <span class="_5 blank"> </span>significativamente <span class="_5 blank"> </span>após </div><div class="t m0 xb hb y74 ff8 fs3 fc6 sc0 ls0 ws0">lesões <span class="_1f blank"> </span>celulares <span class="_1f blank"> </span>no <span class="_1f blank"> </span>organismo<span class="_1 blank"> </span><span class="ff7">. <span class="_1f blank"> </span>Na <span class="_1f blank"> </span></span><span class="ws2">ma<span class="_1 blank"> </span>ioria</span><span class="ff7"> <span class="_1f blank"> </span>dos <span class="_1f blank"> </span>estados </span></div><div class="t m0 xb hb y7d ff7 fs3 fc6 sc0 ls0 ws0">patológicos <span class="_3 blank"> </span>em <span class="_3 blank"> </span>que <span class="_3 blank"> </span>ocorre <span class="_3 blank"> </span>elevação <span class="_3 blank"> </span>da <span class="_3 blank"> </span>concentração <span class="_3 blank"> </span>de <span class="_20 blank"> </span>enzimas, <span class="_3 blank"> </span>a </div><div class="t m0 xb hb y7e ff7 fs3 fc6 sc0 ls0 ws0">causa <span class="_3 blank"> </span>é <span class="_20 blank"> </span>o <span class="_20 blank"> </span>au<span class="_1 blank"> </span>mento <span class="_20 blank"> </span>da <span class="_20 blank"> </span>permeabilidade <span class="_20 blank"> </span>da <span class="_20 blank"> </span>membrana <span class="_20 blank"> </span>por<span class="_1 blank"> </span> <span class="_20 blank"> </span>lesões <span class="_3 blank"> </span>ou </div><div class="t m0 xb hb y8b ff7 fs3 fc6 sc0 ls0 ws0">até <span class="_8 blank"> </span>mesmo <span class="_8 blank"> </span>a <span class="_13 blank"> </span>necrose <span class="_13 blank"> </span>celular <span class="_8 blank"> </span>(morte), <span class="_13 blank"> </span>com <span class="_13 blank"> </span>as <span class="_8 blank"> </span>enzimas <span class="_13 blank"> </span>difundindo-se<span class="_1 blank"> </span> </div><div class="t m0 xb hb y49 ff7 fs3 fc6 sc0 ls0 ws0">para <span class="_2 blank"> </span>os <span class="_2 blank"> </span>capilares <span class="_2 blank"> </span>e <span class="_2 blank"> </span>atingindo <span class="_2 blank"> </span>a <span class="_2 blank"> </span>corrente <span class="_2 blank"> </span>circulatória. <span class="_1 blank"> </span>Outras <span class="_2 blank"> </span>vez<span class="_1 blank"> </span>es, <span class="_1 blank"> </span>os </div><div class="t m0 xb hb y4a ff7 fs3 fc6 sc0 ls0 ws0">níveis <span class="_11 blank"> </span>aumentados <span class="_11 blank"> </span>de <span class="_11 blank"> </span>enzimas <span class="_11 blank"> </span>no <span class="_11 blank"> </span>soro <span class="_11 blank"> </span>podem <span class="_11 blank"> </span>ser <span class="_11 blank"> </span>provocados <span class="_11 blank"> </span>por </div><div class="t m0 xb hb y4b ff7 fs3 fc6 sc0 ls0 ws0">aumento <span class="_3 blank"> </span>na <span class="_7 blank"> </span>sí<span class="_1 blank"> </span>ntese <span class="_3 blank"> </span>enzimática <span class="_3 blank"> </span>intracelular <span class="_3 blank"> </span>e <span class="_7 blank"> </span>a <span class="_3 blank"> </span>consequente <span class="_3 blank"> </span>difusão </div><div class="t m0 xb hb y75 ff7 fs3 fc6 sc0 ls0 ws0">desse conteúdo para a circulação sanguín<span class="_0 blank"></span>ea.<span class="_1 blank"> </span> </div><div class="t m0 xb hb y7f ff7 fs3 fc6 sc0 ls0 ws0"> <span class="_1e blank"> </span>Por <span class="_21 blank"> </span>conta <span class="_9 blank"> </span>de <span class="_21 blank"> </span>tudo <span class="_9 blank"> </span>isso, <span class="_21 blank"> </span>a <span class="_21 blank"> </span>determinação <span class="_9 blank"> </span>de <span class="_21 blank"> </span>enzimas <span class="_21 blank"> </span>no </div><div class="t m0 xb hb y8c ff7 fs3 fc6 sc0 ls0 ws0">laboratório clínico tem uma <span class="_17 blank"> </span>grande aplicação para o<span class="_1 blank"> </span> diagnóstico, </div><div class="t m0 xb hb y8d ff7 fs3 fc6 sc0 ls0 ws0">prognóstico <span class="_d blank"> </span>e <span class="_1b blank"> </span>acompanhamento <span class="_1b blank"> </span>da <span class="_d blank"> </span>t<span class="_1 blank"> </span>erapia <span class="_d blank"> </span>de <span class="_1b blank"> </span>di<span class="_1 blank"> </span>versas <span class="_1b blank"> </span>patologias, </div><div class="t m0 xb hb y8e ff7 fs3 fc6 sc0 ls0 ws0">especialmente no caso das <span class="_17 blank"> </span>doenças hepáticas, cardíacas, ósseas,<span class="_1 blank"> </span> </div><div class="t m0 xb hb y8f ff7 fs3 fc6 sc0 ls0 ws0">musculares e pancreáticas. </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf8" class="pf w0 h0" data-page-no="8"><div class="pc pc8 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y90 w7 h21" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg8.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">7</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff7 fs3 fc6 sc0 ls0 ws0"> <span class="_1e blank"> </span>Em <span class="_b blank"> </span>alguns <span class="_22 blank"> </span>processos <span class="_22 blank"> </span>patológicos, <span class="_22 blank"> </span><span class="ff8">as <span class="_b blank"> </span>determinaçõ<span class="_1 blank"> </span>es </span></div><div class="t m0 xb hb y7b ff8 fs3 fc6 sc0 ls0 ws0">enzimáticas <span class="_13 blank"> </span>co<span class="_1 blank"> </span>ntribuem <span class="_13 blank"> </span>significativamente <span class="_7 blank"> </span>para <span class="_7 blank"> </span>estabelecer <span class="_13 blank"> </span>a </div><div class="t m0 xb hb y34 ff8 fs3 fc6 sc0 ls0 ws0">causa, <span class="_3 blank"> </span>loca<span class="_1 blank"> </span>lização <span class="_3 blank"> </span>e <span class="_20 blank"> </span>grau <span class="_20 blank"> </span>de <span class="_20 blank"> </span>exten<span class="_1 blank"> </span>são <span class="_20 blank"> </span>da <span class="_20 blank"> </span>lesão, <span class="_20 blank"> </span>para <span class="_20 blank"> </span>fazer <span class="_20 blank"> </span>o </div><div class="t m0 xb hb y35 ff8 fs3 fc6 sc0 ls0 ws0">controle do tratamento e ainda para determinar a cura<span class="ff7">. </span></div><div class="t m0 xb h22 y36 ff7 fs3 fc6 sc0 lse ws0"> <span class="fc0 ls0 v0">Em <span class="_14 blank"> </span>algumas <span class="_14 blank"> </span>doenças <span class="_f blank"> </span>as <span class="_14 blank"> </span>atividades <span class="_14 blank"> </span>de <span class="_f blank"> </span>certas <span class="_14 blank"> </span>enzimas <span class="_14 blank"> </span>são </span></div><div class="t m0 xb hb y91 ff7 fs3 fc0 sc0 ls0 ws0">medidas, principalmente, no <span class="_1 blank"> </span>plasma sanguíneo, <span class="_1 blank"> </span>eritrócitos ou <span class="_1 blank"> </span>tecidos. </div><div class="t m0 xb hb y6f ff7 fs3 fc0 sc0 ls0 ws0">Todas <span class="_10 blank"> </span>as <span class="_10 blank"> </span>enzimas <span class="_10 blank"> </span>prese<span class="_1 blank"> </span>ntes <span class="_10 blank"> </span>no <span class="_10 blank"> </span>corpo <span class="_10 blank"> </span>humano <span class="_10 blank"> </span>são <span class="_10 blank"> </span>s<span class="_1 blank"> </span>intetizadas </div><div class="t m0 xb hb y92 ff7 fs3 fc0 sc0 ls0 ws0">intracelularmente. Três grupos se destacam:<span class="fc6 v0"> </span></div><div class="t m0 xb hb y85 ff8 fs3 fc0 sc0 ls0 ws0">Enzimas <span class="_a blank"> </span>plasma-específicas: <span class="_a blank"> </span><span class="ff7">enzimas <span class="_a blank"> </span></span>ativas <span class="_a blank"> </span>no <span class="_23 blank"> </span>plasma<span class="ff7"> </span></div><div class="t m0 xb hb y3b ff7 fs3 fc0 sc0 ls0 ws0">utilizadas <span class="_7 blank"> </span>no <span class="_3 blank"> </span>mecanismo <span class="_3 blank"> </span>de <span class="_3 blank"> </span>coagulação <span class="_3 blank"> </span>sanguínea <span class="_7 blank"> </span>e <span class="_3 blank"> </span>fibrinólise. <span class="_3 blank"> </span>Ex.: </div><div class="t m0 xb hb y3c ff7 fs3 fc0 sc0 ls0 ws0">pró-coagulantes: trombina, fator XII, fator X e outros. </div><div class="t m0 xb hb y3d ff8 fs3 fc0 sc0 ls0 ws0">Enzimas <span class="_2 blank"> </span>secretadas<span class="ff7">: <span class="_8 blank"> </span><span class="ls8 ws5">são</span> <span class="_2 blank"> </span>secr<span class="_1 blank"> </span>etadas <span class="_2 blank"> </span>geralmente <span class="_2 blank"> </span>na <span class="_8 blank"> </span>forma <span class="_2 blank"> </span>inativa <span class="_2 blank"> </span>e </span></div><div class="t m0 xb hb y3e ff7 fs3 fc0 sc0 ls0 ws0">após ativação <span class="ff8">atuam no meio extracelular<span class="_1 blank"> </span></span>. Os exemplos mais </div><div class="t m0 xb hb y3f ff7 fs3 fc0 sc0 ls0 ws0">óbvios <span class="_21 blank"> </span>sã<span class="_1 blank"> </span>o <span class="_5 blank"> </span>as <span class="_5 blank"> </span>proteases <span class="_5 blank"> </span>ou <span class="_6 blank"> </span>hidrolases <span class="_21 blank"> </span>pro<span class="_1 blank"> </span>duzidas <span class="_21 blank"> </span>n<span class="_1 blank"> </span>o <span class="_5 blank"> </span>sistema </div><div class="t m0 xb hb y40 ff7 fs3 fc0 sc0 ls0 ws0">digestório. <span class="_16 blank"> </span>Ex.: <span class="_16 blank"> </span>lipase, <span class="_16 blank"> </span>amilase, <span class="_16 blank"> </span>tri<span class="_1 blank"> </span>psinogênio, <span class="_16 blank"> </span>fosfatase <span class="_16 blank"> </span>ácida </div><div class="t m0 xb hb y41 ff7 fs3 fc0 sc0 ls0 ws0">prostática e antígeno <span class="_1 blank"> </span>prostático espec<span class="_1 blank"> </span>ífico. Muitas são <span class="_1 blank"> </span>encontradas no </div><div class="t m0 xb hb y71 ff7 fs3 fc0 sc0 ls0 ws0">sangue. </div><div class="t m0 xb hb y72 ff8 fs3 fc0 sc0 ls0 ws0">Enzimas <span class="_2 blank"> </span>celulares<span class="ff7">: <span class="_2 blank"> </span>normalmente <span class="_2 blank"> </span>apre<span class="_1 blank"> </span>sentam <span class="_1 blank"> </span>ba<span class="_1 blank"> </span>ixos <span class="_2 blank"> </span>teores <span class="_2 blank"> </span>séricos, </span></div><div class="t m0 xb hb y73 ff7 fs3 fc0 sc0 ls0 ws0">mas <span class="_7 blank"> </span>os <span class="_7 blank"> </span>níveis <span class="_7 blank"> </span>aumentam <span class="_7 blank"> </span>quando <span class="_7 blank"> </span>os <span class="_7 blank"> </span>tecidos <span class="_7 blank"> </span>são <span class="_7 blank"> </span>lesados <span class="_7 blank"> </span>por <span class="_7 blank"> </span>alguma </div><div class="t m0 xb hb y74 ff7 fs3 fc0 sc0 ls0 ws0">doença, <span class="_c blank"> </span>permitindo <span class="_9 blank"> </span>inferir <span class="_9 blank"> </span>localização<span class="_1 blank"> </span> <span class="_9 blank"> </span>e <span class="_9 blank"> </span>natureza <span class="_c blank"> </span>de <span class="_9 blank"> </span>alterações </div><div class="t m0 xb hb y7d ff7 fs3 fc0 sc0 ls0 ws0">patológicas em órgã<span class="_1 blank"> </span>os como o<span class="_1 blank"> </span> fígado, p<span class="_1 blank"> </span>âncreas e <span class="_1 blank"> </span>coração. A elevação </div><div class="t m0 xb hb y7e ff7 fs3 fc0 sc0 ls0 ws0">da <span class="_10 blank"> </span>atividade <span class="_4 blank"> </span>sérica <span class="_4 blank"> </span>depende <span class="_4 blank"> </span>do <span class="_10 blank"> </span>co<span class="_1 blank"> </span>nteúdo <span class="_10 blank"> </span>de <span class="_4 blank"> </span>enzima <span class="_4 blank"> </span>do <span class="_4 blank"> </span>tecido </div><div class="t m0 xb hb y8b ff7 fs3 fc0 sc0 ls0 ws0">envolvido, <span class="_17 blank"> </span>da <span class="_17 blank"> </span>e<span class="_1 blank"> </span>xtensão <span class="_14 blank"> </span>e <span class="_17 blank"> </span>do <span class="_17 blank"> </span>tipo <span class="_14 blank"> </span>de <span class="_14 blank"> </span>necrose. <span class="_17 blank"> </span>São <span class="_17 blank"> </span>e<span class="_1 blank"> </span>xemp<span class="_0 blank"></span>los <span class="_17 blank"> </span>de </div><div class="t m0 xb hb y49 ff7 fs3 fc0 sc0 ls0 ws0">enzimas <span class="_3 blank"> </span>celulares <span class="_3 blank"> </span>as <span class="_3 blank"> </span>transaminases <span class="_3 blank"> </span>e <span class="_3 blank"> </span>lactato <span class="_3 blank"> </span>desidrogena<span class="_1 blank"> </span>se, <span class="_3 blank"> </span>dentre </div><div class="t m0 xb hb y4a ff7 fs3 fc0 sc0 ls0 ws0">muitas outras. </div><div class="t m0 x12 hb y4b ff7 fs3 fc0 sc0 ls0 ws0">As <span class="_8 blank"> </span>enzimas <span class="_13 blank"> </span>também <span class="_13 blank"> </span>podem <span class="_13 blank"> </span>ser <span class="_13 blank"> </span>classificadas <span class="_8 blank"> </span>como <span class="_13 blank"> </span>u<span class="_1 blank"> </span>niloculares </div><div class="t m0 xb hb y75 ff7 fs3 fc0 sc0 ls0 ws0">ou <span class="_c blank"> </span>biloculares, <span class="_4 blank"> </span>de <span class="_c blank"> </span>acordo <span class="_c blank"> </span>com <span class="_c blank"> </span>sua <span class="_c blank"> </span>local<span class="_0 blank"></span>ização <span class="_c blank"> </span>intracelular. <span class="_c blank"> </span>Por </div><div class="t m0 xb hb y7f ff7 fs3 fc0 sc0 ls0 ws0">exemplo: </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf9" class="pf w0 h0" data-page-no="9"><div class="pc pc9 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 y93 w7 h23" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bg9.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">8</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 x12 hb ye ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y7b ff8 fs3 fc0 sc0 ls0 ws0">Uniloculares: </div><div class="t m0 x12 hb y7c ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x13 hb y35 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y36 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y37 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y38 ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y39 ff8 fs3 fc0 sc0 ls0 ws0">Biloculares: </div><div class="t m0 x13 hb y3a ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="c x1b y94 wa h24"><div class="t m1 x1c h25 y95 ffc fs6 fc0 sc0 ls0 ws0">Citopl<span class="_0 blank"></span>asma e<span class="_0 blank"></span> Mito<span class="_0 blank"></span>côn<span class="_0 blank"></span>dria<span class="fc7"> </span></div><div class="t m1 x1d h26 y96 ffc fs7 fc0 sc0 ls0 ws8">T<span class="lsf ws9">GO</span><span class="ws0"> (trans. G<span class="_1 blank"> </span>lutamo o<span class="_1 blank"> </span>x<span class="_0 blank"></span>a<span class="_1 blank"> </span>lacética<span class="_1 blank"> </span>) </span></div><div class="t m1 x1d h26 y97 ffc fs7 fc0 sc0 ls0 ws0">MDH (málico de<span class="_1 blank"> </span>sidro<span class="_1 blank"> </span>genase) </div></div><div class="t m0 x1e hb y98 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x13 hb y99 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x12 hb y9a ff7 fs3 fc0 sc0 ls0 ws0">As <span class="ff8">elevações de atividade enzimática são devidas a:</span> </div><div class="t m0 xb hb y9b ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb y9c ff8 fs3 fc0 sc0 ls0 ws0">1) <span class="_17 blank"> </span>A<span class="_1 blank"> </span>umento <span class="_14 blank"> </span>na <span class="_17 blank"> </span>liberação <span class="_14 blank"> </span>de <span class="_17 blank"> </span>en<span class="_1 blank"> </span>zimas <span class="_14 blank"> </span>para <span class="_17 blank"> </span>o <span class="_14 blank"> </span>plasma <span class="_14 blank"> </span><span class="ff7">como </span></div><div class="t m0 xb hb y9d ff7 fs3 fc0 sc0 ls0 ws0">consequência de: </div><div class="t m0 xb hb y9e ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_2 blank"> </span>Lesão <span class="_8 blank"> </span>celular <span class="_2 blank"> </span>extensa: <span class="_2 blank"> </span>as <span class="_8 blank"> </span>lesões <span class="_2 blank"> </span>celulares <span class="_8 blank"> </span>são <span class="_2 blank"> </span>geralmente <span class="_2 blank"> </span>causadas </div><div class="t m0 xb hb y9f ff7 fs3 fc0 sc0 ls0 ws0">por isquemia ou <span class="_17 blank"> </span>toxinas celulares. P<span class="_1 blank"> </span>or exemplo: na el<span class="_1 blank"> </span>evação da </div><div class="t m0 xb hb ya0 ff7 fs3 fc0 sc0 ls0 ws0">atividade da isoenzima CK-MB após infarto do miocárdio. </div><div class="t m0 xb hb ya1 ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_3 blank"> </span>Proliferação <span class="_7 blank"> </span>celu<span class="_1 blank"> </span>lar <span class="_3 blank"> </span>e <span class="_3 blank"> </span>aumento <span class="_3 blank"> </span>na <span class="_3 blank"> </span>renovação <span class="_7 blank"> </span>celular: <span class="_3 blank"> </span>exemplo <span class="_3 blank"> </span>dos </div><div class="t m0 xb hb ya2 ff7 fs3 fc0 sc0 ls0 ws0">aumentos <span class="_1c blank"> </span>na <span class="_1c blank"> </span>fos<span class="_1 blank"> </span>fatase <span class="_1c blank"> </span>alcalina <span class="_19 blank"> </span>pela <span class="_1c blank"> </span>elevação <span class="_19 blank"> </span>da <span class="_1c blank"> </span>atividade </div><div class="t m0 xb hb ya3 ff7 fs3 fc0 sc0 ls0 ws0">osteoblástica <span class="_4 blank"> </span>durante <span class="_c blank"> </span>o <span class="_4 blank"> </span>crescimento <span class="_4 blank"> </span>ou <span class="_c blank"> </span>restauração <span class="_4 blank"> </span>óssea <span class="_c blank"> </span>ap<span class="_0 blank"></span>ós </div><div class="t m0 xb hb ya4 ff7 fs3 fc0 sc0 ls0 ws0">fraturas. </div><div class="t m0 xb hb ya5 ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_2 blank"> </span>Aumento <span class="_2 blank"> </span>na <span class="_2 blank"> </span>síntese <span class="_8 blank"> </span>enzimática, <span class="_1 blank"> </span>por <span class="_8 blank"> </span>exemplo: <span class="_1 blank"> </span>marcada <span class="_2 blank"> </span>e<span class="_1 blank"> </span>levação <span class="_2 blank"> </span>na </div><div class="t m0 xb hb ya6 ff7 fs3 fc0 sc0 ls0 ws0">atividade da g-glutamil transferase após a ingestão de ál<span class="_0 blank"></span>cool.<span class="_1 blank"> </span> </div><div class="t m0 xb hb ya7 ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_13 blank"> </span>Obstrução <span class="_7 blank"> </span>de <span class="_13 blank"> </span>ductos <span class="_13 blank"> </span><span class="ffb ls3">\u2013</span> <span class="_7 blank"> </span>afeta <span class="_13 blank"> </span>as <span class="_13 blank"> </span>enzi<span class="_1 blank"> </span>mas <span class="_13 blank"> </span>normalmente <span class="_13 blank"> </span>e<span class="_1 blank"> </span>ncontradas </div><div class="t m0 xb hb ya8 ff7 fs3 fc0 sc0 ls0 ws0">nas <span class="_7 blank"> </span>secreções <span class="_7 blank"> </span>e<span class="_1 blank"> </span>xócrinas, <span class="_13 blank"> </span>por <span class="_3 blank"> </span>exemplo: <span class="_7 blank"> </span>a <span class="_7 blank"> </span>amilase <span class="_7 blank"> </span>e <span class="_3 blank"> </span>a<span class="_0 blank"></span> <span class="_7 blank"> </span>lipase <span class="_7 blank"> </span>no <span class="_7 blank"> </span>suco </div><div class="t m0 xb hb ya9 ff7 fs3 fc0 sc0 ls0 ws0">pancreático. <span class="_6 blank"> </span>Es<span class="_1 blank"> </span>tas <span class="_e blank"> </span>enzimas <span class="_e blank"> </span>podem <span class="_e blank"> </span>regurgitar <span class="_e blank"> </span>para <span class="_e blank"> </span>a <span class="_1a blank"> </span>corrente </div><div class="t m0 xb hb yaa ff7 fs3 fc0 sc0 ls0 ws0">circulatória se o ducto pancreático-biliar estiver bloqueado. </div><div class="t m0 xb hb yab ff8 fs3 fc0 sc0 ls0 ws0"> </div><div class="c x1f yac wb h27"><div class="t m2 x20 h28 yad ffc fs8 fc0 sc0 ls0 wsa">Citopl<span class="_0 blank"></span>asma<span class="fc7 ws0"> </span></div></div><div class="c x21 yac wc h27"><div class="t m2 x17 h28 yad ffc fs8 fc0 sc0 ls0 wsa">Mitocô<span class="_0 blank"></span>ndria<span class="fc7 ws0"> </span></div></div><div class="c x1f yac wb h27"><div class="t m2 x1d h29 yae ffc fs9 fc0 sc0 ls0 ws0">LDH (lactato desidrogenase)<span class="fc7"> </span></div><div class="t m2 x1d h29 yaf ffc fs9 fc0 sc0 ls0 ws0">TGP (trans. Glutamo pirúvica)<span class="fc7"> </span></div></div><div class="c x21 yac wc h27"><div class="t m2 x1d h29 yae ffc fs9 fc0 sc0 ls0 ws0">GLDH (glutamato desidrogenase) </div><div class="t m2 x1d h29 yb0 ffd fs9 fc0 sc0 ls0 wsb">\uf0ad<span class="ffc ws0"> lesão profunda <span class="ffe wsc">\u2013</span> interior da cé<span class="_1 blank"> </span>lul<span class="_0 blank"></span>a<span class="fc7"> </span></span></div></div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pfa" class="pf w0 h0" data-page-no="a"><div class="pc pca w0 h0"><img fetchpriority="low" loading="lazy" class="bi x4 yb1 w7 h2a" alt="" src="https://files.passeidireto.com/0c83204a-8113-4f57-8773-69410a89c0b7/bga.png"><div class="c x5 y6 w3 h7"><div class="t m0 x6 h8 y7 ff3 fs3 fc3 sc0 ls0 ws0">Bioquímica p/ EMSERH (Biomédico) </div><div class="t m0 x7 h8 y8 ff3 fs3 fc3 sc0 ls0 ws0">Teoria e exercícios comentados </div><div class="t m0 x8 h8 y9 ff3 fs3 fc3 sc0 ls0 ws0">Prof.ª Denise Rodrigues <span class="ff4 ls1">\ue374</span> Aula 00 </div><div class="t m0 x9 h8 ya ff3 fs3 fc3 sc0 ls0 ws0"> </div></div><div class="t m0 xa h9 yb ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb ha yc ff3 fs4 fc4 sc0 ls0 ws0">Prof. Denise Rodr<span class="_0 blank"></span>igues <span class="ff6 fs5 fc5">www.estra<span class="_0 blank"></span>tegiaconcursos.com.b<span class="_0 blank"></span>r <span class="ff5 fs4 fc4"> <span class="_0 blank"></span> <span class="ff6 fc0 ls2">9</span><span class="fc0"> de <span class="ff6 ls5 ws1">82</span> </span></span></span></div><div class="t m0 xb h9 yd ff5 fs4 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ye ff8 fs3 fc0 sc0 ls0 ws0">2) Redução <span class="_1 blank"> </span>da <span class="_1 blank"> </span>sua <span class="_1 blank"> </span>remoção <span class="_1 blank"> </span>do plasma<span class="_1 blank"> </span><span class="ls10">: <span class="_1 blank"> </span></span><span class="ff7">por <span class="_1 blank"> </span>conta de <span class="_1 blank"> </span>insuficiência<span class="_1 blank"> </span> </span></div><div class="t m0 xb hb y33 ff7 fs3 fc0 sc0 ls0 ws0">renal. Afeta as enzimas que sofre<span class="_1 blank"> </span>m excreção pela urina, por exemplo, </div><div class="t m0 xb hb y34 ff7 fs3 fc0 sc0 ls0 ws0">a amilase, que pode estar elevada na insuficiência renal. </div><div class="t m0 x12 hb y6d ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x12 hb y6e ff7 fs3 fc0 sc0 ls0 ws0">Já <span class="_18 blank"> </span>as <span class="_18 blank"> </span><span class="ff8">reduções <span class="_18 blank"> </span>nos <span class="_18 blank"> </span>níveis<span class="_0 blank"></span> <span class="_18 blank"> </span>de <span class="_18 blank"> </span>atividade <span class="_18 blank"> </span>enzimática <span class="_18 blank"> </span>são </span></div><div class="t m0 xb hb y37 ff8 fs3 fc0 sc0 ls0 ws0">menos comuns e ocorrem em caso de:<span class="ff7"> </span></div><div class="t m0 xb hb y38 ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_20 blank"> </span>Síntese <span class="_12 blank"> </span>enzimática <span class="_12 blank"> </span>reduzida, <span class="_20 blank"> </span>por <span class="_12 blank"> </span>e<span class="_1 blank"> </span>xemplo: <span class="_20 blank"> </span>colinesterase <span class="_20 blank"> </span>baixa <span class="_12 blank"> </span>na </div><div class="t m0 xb hb y39 ff7 fs3 fc0 sc0 ls0 ws0">insuficiência <span class="_1 blank"> </span>hepátic<span class="_1 blank"> </span>a <span class="_2 blank"> </span>severa <span class="_2 blank"> </span>pela <span class="_2 blank"> </span>re<span class="_1 blank"> </span>dução <span class="_2 blank"> </span>do <span class="_2 blank"> </span>número <span class="_2 blank"> </span>de <span class="_2 blank"> </span>hepatócitos. </div><div class="t m0 xb hb y3a ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_13 blank"> </span>Deficiência <span class="_7 blank"> </span>congênita <span class="_13 blank"> </span>de <span class="_7 blank"> </span>enzimas, <span class="_13 blank"> </span>po<span class="_1 blank"> </span>r <span class="_7 blank"> </span>exemplo: <span class="_13 blank"> </span>ba<span class="_1 blank"> </span>ixa <span class="_13 blank"> </span>atividade <span class="_7 blank"> </span>da </div><div class="t m0 xb hb y3b ff7 fs3 fc0 sc0 ls0 ws0">enzima fosfatase alcalina pla<span class="_0 blank"></span>smática na hipofosfatasemia congênita. </div><div class="t m0 xb hb y3c ff7 fs3 fc0 sc0 ls0 ws0">- <span class="_20 blank"> </span>Variantes <span class="_12 blank"> </span>enzimáticas <span class="_12 blank"> </span>com <span class="_12 blank"> </span>inerente <span class="_12 blank"> </span>baixa <span class="_20 blank"> </span>a<span class="_1 blank"> </span>tividade <span class="_20 blank"> </span>biológica, <span class="_12 blank"> </span>por </div><div class="t m0 xb hb y3d ff7 fs3 fc0 sc0 ls0 ws0">exemplo, variantes anormais da colinesterase. </div><div class="t m0 xb hb y70 ff7 fs3 fc0 sc0 ls0 ws0"> <span class="_1e blank"> </span>Na prática, <span class="_1 blank"> </span><span class="ff8">o <span class="_1 blank"> </span>significado<span class="_1 blank"> </span> de <span class="_1 blank"> </span>uma <span class="_1 blank"> </span>elevação<span class="_1 blank"> </span> enzimática <span class="_1 blank"> </span>pod<span class="_1 blank"> </span><span class="ls7">e </span></span></div><div class="t m0 xb hb y3f ff8 fs3 fc0 sc0 ls0 ws0">ser <span class="_1f blank"> </span>bem <span class="_24 blank"> </span>inespecífico <span class="_1f blank"> </span>po<span class="_1 blank"> </span>rque <span class="_1f blank"> </span>muitas <span class="_24 blank"> </span>enzimas <span class="_1f blank"> </span>não <span class="_24 blank"> </span>têm </div><div class="t m0 xb hb yb2 ff8 fs3 fc0 sc0 ls0 ws0">localização restrita a<span class="_1 blank"> </span> um único <span class="_1 blank"> </span>tecido ou órgão<span class="ff7"> <span class="_1 blank"> </span>e suas desordens </span></div><div class="t m0 xb hb y41 ff7 fs3 fc0 sc0 ls0 ws0">podem <span class="_1d blank"> </span>indicar <span class="_1d blank"> </span>envolvimento <span class="_1d blank"> </span>de <span class="_1c blank"> </span>vários <span class="_1d blank"> </span>tecidos. <span class="_1d blank"> </span>A<span class="_1 blank"> </span> <span class="_1d blank"> </span>falta <span class="_1d blank"> </span>de </div><div class="t m0 xb hb y71 ff7 fs3 fc0 sc0 ls0 ws0">especificidade <span class="_8 blank"> </span>pode <span class="_13 blank"> </span>ser <span class="_13 blank"> </span>parcialmente <span class="_13 blank"> </span>superada <span class="_13 blank"> </span>pela <span class="_13 blank"> </span>análise <span class="_13 blank"> </span>de <span class="_13 blank"> </span>vários </div><div class="t m0 xb hb y72 ff7 fs3 fc0 sc0 ls0 ws0">parâmetros <span class="_6 blank"> </span>bioquímicos. <span class="_6 blank"> </span>As <span class="_e blank"> </span>principais <span class="_6 blank"> </span>enzimas <span class="_6 blank"> </span>de <span class="_6 blank"> </span>uso <span class="_e blank"> </span>clíni<span class="_0 blank"></span>co, </div><div class="t m0 xb hb y73 ff7 fs3 fc0 sc0 ls0 ws0">juntamente <span class="_1b blank"> </span>com <span class="_18 blank"> </span>seus <span class="_18 blank"> </span>tecidos <span class="_18 blank"> </span>de <span class="_1b blank"> </span>origem <span class="_18 blank"> </span>e <span class="_18 blank"> </span>aplicações <span class="_1b blank"> </span>clínicas <span class="_18 blank"> </span>são </div><div class="t m0 xb hb y74 ff7 fs3 fc0 sc0 ls0 ws0">listadas na tabela abaixo: </div><div class="t m0 xb hb y7d ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb3 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb4 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb5 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb6 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb7 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb8 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yb9 ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb yba ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 xb hb ybb ff7 fs3 fc0 sc0 ls0 ws0"> </div><div class="t m0 x12 hb ybc ff7 fs3 fc0 sc0 ls0 ws0">Após <span class="_12 blank"> </span>essa <span class="_11 blank"> </span>breve <span class="_11 blank"> </span>introdução <span class="_12 blank"> </span>sobre<span class="_1 blank"> </span> <span class="_12 blank"> </span>a <span class="_11 blank"> </span>importância <span class="_11 blank"> </span>da <span class="_12 blank"> </span>dos<span class="_1 blank"> </span>agem </div><div class="t m0 xb hb ybd ff7 fs3 fc0 sc0 ls0 ws0">laboratorial de <span class="_1 blank"> </span>enzimas, i<span class="_1 blank"> </span>niciaremos <span class="_1 blank"> </span>o e<span class="_1 blank"> </span>studo <span class="_1 blank"> </span>de <span class="_1 blank"> </span>um s<span class="_1 blank"> </span>istema orgânico<span class="_1 blank"> </span> </div><div class="t m0 x3 h5 y4 ff2 fs2 fc2 sc0 ls0 ws0">00000000000 - DEMO</div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div>
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