Iphaneli yesifo sesibindi ngokuzenzakalela

Iphaneli lesifo sesibindi esizimele liyiqembu lezivivinyo ezenziwa ukuhlola izifo zesibindi ezizimele. Isifo sesibindi sokuzivikela komzimba sisho ukuthi amasosha omzimba ahlasela isibindi.

Lezi zivivinyo zifaka:

• Amasosha omzimba alwa nesibindi / izinso
• Ama-anti-mitochondrial antibodies
• Amasosha omzimba alwa nenuzi
• Amasosha omzimba alwa nobushelelezi
• I-Serum IgG

Iphaneli ingafaka nezinye izivivinyo. Imvamisa, amazinga wamaprotheni omzimba egazini nawo ayahlolwa.

Isampuli segazi sithathwa emthanjeni.

Isampuli yegazi ithunyelwa elebhu ukuyohlolwa.

Awudingi ukuthatha izinyathelo ezikhethekile ngaphambi kwalolu vivinyo.

Ungase uzwe ubuhlungu obuncane noma isitinyela lapho kufakwa inaliti ukuze kutholwe igazi. Ngemuva kwalokho, kungahle kube nokushaywa okuthile.

Ukuphazamiseka kokuzilimaza kuyimbangela yesifo sesibindi. Izifo ezivame kakhulu kulezi yi-autoimmune hepatitis kanye ne-primary biliary cholangitis (eyayibizwa nge-primary biliary cirrhosis).

Leli qembu lezivivinyo lisiza umhlinzeki wakho wezokunakekelwa kwempilo ukuthi abheke isifo sesibindi.

AMAPROTINI AMAZINGA:

Ububanzi obujwayelekile bamazinga amaprotheni egazini bazoshintsha ngelebhu ngayinye. Sicela ubuze umhlinzeki wakho ngamabanga ajwayelekile elabhorethri yakho ethile.

IZIMPAWU:

Imiphumela engemihle kuwo wonke ama-antibody ijwayelekile.

Qaphela: Amabanga wamanani ajwayelekile angahluka kancane kumalabhorethri ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izibonelo ezingenhla zibonisa izilinganiso ezivamile zemiphumela yalezi zivivinyo. Amanye ama-laboratories asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezahlukene.

Ukuhlolwa kwegazi kwezifo ezizimele akulungile ngokuphelele. Bangaba nemiphumela engeyinhle yamanga (unalesi sifo, kodwa ukuhlolwa kuthiwe akunagciwane) kanye nemiphumela engeyona eyamanga (awunaso lesi sifo, kodwa isivivinyo sikhona).

Ukuhlolwa okunamandla okubuthakathaka noma okuphansi kwesifo se-autoimmune ngokuvamile akubangelwa yisiphi isifo.

Ukuhlolwa okuhle kuphaneli kungaba uphawu lwe-hepatitis ezenzakalelayo noma esinye isifo sokuqina kwesibindi.

Uma isivivinyo sihle kakhulu ngama-anti-mitochondrial antibodies, kungenzeka ukuthi une-chololitis eyinhloko ye-biliary. Uma amaprotheni omzimba aphakeme futhi i-albhamuin iphansi, ungaba nesibindi sokuqina kwesibindi noma isifo sokusha kwesibindi esingapheli esisebenzayo.

Izingozi ezincane zokutholwa kwegazi zifaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Iphaneli yokuhlola isifo sesibindi - okuzenzakalelayo

• Isibindi

I-Bowlus C, i-Assis DN, i-Goldberg D. I-cholangitis yamabanga aphansi nasesekondari. Ku: Sanyal AJ, Boyter TD, Lindor KD, Terrault NA, abahleli. I-Hepatology kaZakim neBoyer. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 43.

Czaja AJ. I-hepatitis ezenzakalelayo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 90.

I-Eaton JE, uLindor KD. Isifo sokuqina kwesibindi esiyinhloko. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 91.

Pawlotsky JM. I-hepatitis engapheli yegciwane kanye ne-autoimmune. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 149.