Amafrile / ama-agglutin abandayo

Ama-Agglutinins amasosha omzimba abangela ukuthi amangqamuzana abomvu egazi ahlangane.

• Ama-Cold agglutinins asebenza emazingeni okushisa abandayo.
• Ama-agglutinins we-Febrile (afudumele) asebenza emazingeni okushisa omzimba ajwayelekile.

Lo mbhalo uchaza ukuhlolwa kwegazi okusetshenziselwa ukukala izinga lala ma-antibody egazini.

Kudingeka isampula yegazi.

Akukho ukulungiselela okukhethekile.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa lapho inaliti yafakwa khona.

Lokhu kuhlola kwenziwa ukuthola izifo ezithile bese kutholakala imbangela ye-hemolytic anemia (uhlobo lwe-anemia olwenzeka lapho kubhujiswa amaseli abomvu egazi). Ukwazi ukuthi kukhona ama-agglutinins afudumele noma abandayo kungasiza ekuchazeni ukuthi kungani i-hemolytic anemia yenzeka futhi yelashwa ngqo.

Imiphumela ejwayelekile yile:

• Ama-agglutinins afudumele: akukho ukubumbana kumatiters at or below 1:80
• Ama-Cold agglutinins: akukho ukuhlanganiswa kwamatiters at or below 1:16

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Umphumela ongajwayelekile (omuhle) usho ukuthi bekukhona ama-agglutinin kusampuli yakho yegazi.

Ama-agglutinins afudumele kungenzeka nge:

• Ukutheleleka, kufaka phakathi i-brucellosis, isifo se-rickettsial, ukutheleleka kwe-salmonella, ne-tularemia
• Isifo samathumbu esivuthayo
• I-Lymphoma
• Uhlelo lupus erythematosus
• Ukusetshenziswa kwemithi ethile, kufaka phakathi i-methyldopa, i-penicillin, ne-quinidine

Ama-Cold agglutinins kungenzeka nge:

• Ukutheleleka, njenge-mononucleous ne-mycoplasma pneumonia
• Inkukhu pox (varicella)
• Ukutheleleka kweCytomegalovirus
• Umdlavuza, kufaka phakathi i-lymphoma kanye ne-myeloma eminingi
• IListeria monocytogenes
• Uhlelo lupus erythematosus
• I-Waldenstrom macroglobulinemia

Izingozi zincane kepha zingafaka:

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

Uma kusolwa isifo esixhunywe ne-agglutinin ebandayo, lowo muntu udinga ukufudunyezwa.

Ama-agglutinins abandayo; Ukusabela kukaWeil-Felix; Ukuhlolwa kweWidal; Ama-agglutinins afudumele; Ama-Agglutinins

• Ukuhlolwa kwegazi

IBaum SG, iGoldman DL. I-Mycoplasma izifo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 301.

UMichel M, uJäger U. I-autoimmune hemolytic anemia. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 46.

I-Quanquin NM, uCherry JD. Ukutheleleka nge-Mycoplasma ne-ureaplasma. Ku: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, abahleli. Incwadi kaFeigin neCherry's Pediatric Infectious Diseases. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 196.