I-anti-abushelelezi yemisipha yomzimba

I-anti-smooth muscle antibody ukuhlolwa kwegazi okuthola ubukhona bama-antibody emisipha ebushelelezi. I-antibody iyasiza ekwenzeni ukuxilongwa kwe-hepatitis ezenzakalelayo.

Kudingeka isampula yegazi. Lokhu kungathathwa ngomthambo. Inqubo ibizwa ngokuthi i-venipuncture.

Azikho izinyathelo ezikhethekile ezidingekayo ukulungiselela lolu vivinyo.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bangazizwa nje ngokuhlatshwa noma ukuzwa okuhlabayo. Ngemuva kwalokho, kungahle kube nokushaywa okuthile.

Ungasidinga lesi sivivinyo uma unezimpawu zezifo ezithile zesibindi, njenge-hepatitis ne-cirrhosis. Lezi zimo zingadala ukuthi umzimba wakhe amasosha omzimba alwe nemisipha ebushelelezi.

Ama-antibodies ama-anti-abushelelezi emisipha awavamisile ukubonwa ezifweni ngaphandle kwesifo sokusha kwesibindi somzimba. Ngakho-ke, kuyasiza ukwenza ukuxilongwa. I-autoimmune hepatitis iphathwa ngemithi yokuzivikela emzimbeni. Abantu abane-hepatitis ezenzakalelayo bavame ukuba namanye ama-autoantibodies. Lokhu kufaka phakathi:

• Amasosha omzimba aphikisayo.
• Ama-anti-actin antibodies.
• Ama-anti-soluble liver antigen / isibindi amanyikwe (anti-SLA / LP).
• Amanye ama-antibody angaba khona, noma ngabe ama-anti-bused muscle antibodies engekho.

Ukuxilongwa nokuphathwa kwe-hepatitis ezenzakalelayo kungadinga i-biopsy yesibindi.

Ngokuvamile, awekho ama-antibody akhona.

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

Ukuhlolwa okuqondile kungabangelwa:

• Isifo sokusha kwesibindi sokuzivikela esisebenza njalo
• Isifo sokuqina kwesibindi
• I-mononucleosis ethathelwanayo

Isivivinyo sisiza futhi ukuhlukanisa isifo sokusha kwesibindi somzimba ku-systemic lupus erythematosus.

Izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

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

• Ukuhlolwa kwegazi
• Izinhlobo zezicubu zemisipha

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.

UFerri FF. Amanani welebhu nokuchazwa kwemiphumela. Ku: Ferri FF, ed. Isivivinyo Esikahle Kakhulu sikaFerri: Umhlahlandlela Osebenzayo Wemitholampilo Yaselabhoratri Yezokwelapha Nokufanekisa Ukuxilonga. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: 129-227.

Ilungu lePhalamende leManns, uLohse AW, uVergani D. I-hepatitis ezenzakalelayo - Buyekeza i-2015. UJ Hepatol. 2015; 62 (1 Isipele): S100-S111. I-PMID: 25920079 www.ncbi.nlm.nih.gov/pubmed/25920079.