I-Factor ye-Rheumatoid iVame kakhulu kubantu abane-Arthritis ye-Rheumatoid
Isisindo somzimba sinomzimba wokuzivikela (immunoglobulin (antibody) ongabhalela kwamanye ama-antibodies. Ngokuvamile, ama-antibodies ayi-amaprotheni avamile atholakala egazini elisebenza ngaphakathi kwesistimu yomzimba . Isici se-rheumatoid, noma kunjalo, ayitholakali ngokuvamile emphakathini jikelele. Ngenkathi itholakale kuphela kumaphesenti angu-1-2 abantu abaphilile, isifo se-rheumatoid senyuka ngobudala futhi cishe amaphesenti angu-20 abantu abangaphezu kweminyaka engama-65 ubudala banesisindo esiphakeme se-rheumatoid.
Ukuba khona kwe-rheumatoid factor kubonakala ngokuhlolwa kwegazi. Ukuhlolwa kwegazi ngokuvamile kuvunyelwe uma kutholakala ukuthi i- rheumatoid arthritis . Isisindo se-rheumatoid sekhona ngamaphesenti angu-80 abantu abadala abane-arthritis ye-rheumatoid, kodwa kunesisindo esincane kakhulu emanzini e-rheumatoid arthritis. Isifo sesifo sesifo sofuba sanda ngokukhula kwesifo ku-arthritis ye-rheumatoid: ezinyangeni ezingu-3 izibalo zingamaphesenti angu-33, kanti ngonyaka unama-75%. Amaphesenti angama-20 wezifo zamathambo e-rheumatoid ahlala engalungile ngenxa yesifo se-rheumatoid phakathi nenkathi yesifo sabo. Abantu abangenayo i-rheumatoid factor bahlukaniswa ngokomlando njenge-arthritis ye-seronegative ye-rheumatoid.
Ezinye izimo ezingase zihlotshaniswe nohlolo oluhle lwe-Rheumatoid Factor
Ezinye izifo ezithathelwana ngokuzenzakalelayo ezingase zibe zindawo ezihambisana nesifo se-rheumatoid zihlanganisa:
- Sjogren's syndrome
- I-Systemic lupus erythematosus
- Scleroderma
- I-polymyositis
- Dermatomyositis
- Izifo Ezixubile Ezixhumene Nezifo
Ezinye izifo noma izimo ezingase zihlotshaniswe nemiphumela emihle yokuhlolwa kwezinto ezibandakanya izibalo zihlanganisa:
- Ukwehlukanisa i -fibrosis yamaphaphu emaphakathi
- I-cirrhosis yesibindi
- I-Sarcoidosis
Izimo ezingahlanganisani ne-Rheumatoid Factor
Izimo ze-rheumatic ezingahlotshaniswa nesifo se-rheumatoid ephakeme zihlanganisa:
- I-osteoarthritis
- I-ankylosing spondylitis
- Gout
- I-arthritis yengqondo
- Isifo se-Reiter / isifo samathambo esisebenzayo
Isisindo se-High Titer se-Rheumatoid
Amazinga aphezulu noma iziqu zesifo sokudla kwesibindi zivame ukuhambisana nesifo samathambo esibi kakhulu. Isici se-rheumatoid siye sahlotshaniswa nokuthambekela okuphakeme ekuthuthukiseni ukubonakaliswa okungezona okuhlangene (lesi-extra-articular) yesifo, njengama- nodules we- rheumatoid nesifo se-lungs.
I-Factor ye-Rheumatoid ilinganiselwa kanjani?
Inani le-rheumatoid factor egazini lingalinganiswa yi:
Ukuhlolwa kwe-agglutination
Enye indlela ixuba igazi lesiguli ngezinhlayiya ezincane ze-latex ezihlanganiswe nama-antibodies omuntu (IgG). Ubuhlalu be-latex buhlanganiswa noma buhlukumezeka uma isifo se-rhumum (IgM RF) sikhona. Enye indlela ixuba igazi lesiguli ngezimvu ezibomvu zegazi ezihlanganiswe nezinhlamvu zamagciwane. Amangqamuzana egazi abomvu agxuma uma isimo se-rheumatoid sikhona.
I-titer iyinkomba yokuthi isampuli yegazi ye-agglutination ingahlanjululwa kanjani ngaphambi kokuba isifo sofuba singabonakali.
Isiqu se-1:20 sibonisa ukuthi i-rheumatoid factor ingatholakala uma ingxenye eyodwa yegazi ihlanjululwa yizingxenye ezingu-20 ze-saline. Kuye kubhabhu, inani le-rheumatoid ye-1:20 noma ngaphansi libhekwa njengelesijwayelekile.
Isivivinyo se-Nephelometry
Igazi lomgulane lixubene nama-antibodies elibangela ukuba lihlanganise uma isifo se-rheumatoid sikhona. Ukukhanya kudluliselwa ngethubhu eliqukethe ingxube kanye nensimbi ithola ukuthi ukukhanya kuvinjiwe kanjani ngxube. Izinga eliphezulu le-rheumatoid lidala isampula esinesibhakabhaka futhi livumele ukukhanya okuncane kudlule, kulinganiswe amayunithi. Kuncike ebhodini, inani le-rheumatoid factor of 23 noma ngaphansi units libhekwa evamile.
Uma uhlaziya imiphumela yamabhodi, khumbula ukuthi isifo se-rheumatoid ezingaphezu kwama-23 amayunithi kanye nesibalo esingaphezu kwe-1:80 sibonisa isifo samathambo kodwa kungenzeka futhi nezinye izimo. Imiphumela emibi ingenzeka uma izinga lamafutha egazini liphakeme. Imiphumela engalungile ingabangelwa ukuphathwa okungalungile kwethembisi yegazi. Futhi ekugcineni, umphumela omubi wokuhlolwa we-factor factor u-rheumatoid awuvimbeli ukuxilongwa kwe-arthritis ye-rheumatoid.
Imithombo:
I-Arthritis Ye-Rheumatoid: Ukuxilongwa Kwangaphambili Nokunakekelwa. UCush, Weinblatt, noCavanaugh MD Professional Communications, Inc. Uhlelo lwesiThathu.
Todd-Sanford: Ukutholwa Kwemitholampilo nge-Laboratory Methods.