Isici se-rheumatoid: kuyini, kwenziwa kanjani nokuthi ungawuqonda kanjani umphumela

-Delile

• Kwenziwa kanjani ukuhlolwa
• Yini engaba yisici se-rheumatoid esishintshiwe

I-rheumatoid factor i-autoantibody engakhiqizwa kwezinye izifo ezizimele futhi ephendula ngokumelene ne-IgG, yakha izakhiwo zomzimba ezihlasela futhi zibhubhise izicubu ezinempilo, njenge-joint cartilage, ngokwesibonelo.

Ngakho-ke, ukuhlonza i-rheumatoid factor egazini kubalulekile ukuphenya ubukhona bezifo ezizimele zomzimba, njenge-lupus, i-rheumatoid arthritis noma i-Sjögren's syndrome, ejwayele ukuletha amanani aphezulu ale protein.

Kwenziwa kanjani ukuhlolwa

Isilinganiso se-rheumatoid factor senziwa ngesampula encane yegazi okumele iqoqwe elabhoratri ngemuva kokuzila okungenani amahora ama-4.

Igazi eliqoqiwe lithunyelwa elabhorethri, lapho kuzokwenziwa khona ukuhlolwa ukuthola ubukhona besifo samathambo. Ngokuya kwelabhorethri, ukuhlonza i-rheumatoid factor kwenziwa ngokusebenzisa i-latex test noma i-Waaler-Rose test, lapho i-reagent ethize yokuhlolwa ngakunye ifakwa edonsi legazi kusuka esigulini, bese ihlanganiswa futhi ngemuva kwemizuzu emi-3 5, hlola ukuhlangana. Uma ukutholakala kwezigaxa kuqinisekiswa, ukuhlolwa kuthiwa kune-positive, futhi kuyadingeka ukwenza ezinye izixazululo ukuqinisekisa inani le-rheumatoid factor ekhona futhi, ngaleyo ndlela, izinga lesifo.

Njengoba lokhu kuhlolwa kungathatha isikhathi esithe xaxa, isivivinyo esizenzakalelayo, esaziwa ngokuthi i-nephelometry, siyasebenza kakhulu emisebenzini yelabhorethri, njengoba ivumela izivivinyo eziningi ukuthi zenziwe ngasikhathi sinye futhi nokuhluzwa kwenziwa ngokuzenzakalela, ukwaziswa kuphela kochwepheshe belebhu udokotela umphumela wokuhlolwa.

Umphumela unikezwa ngezihloko, ngesihloko esifinyelela ku-1: 20 sithathwa njengejwayelekile. Kodwa-ke, imiphumela emikhulu kuno-1: 20 ayikhombisi isifo samathambo, futhi udokotela kufanele a-oda ezinye izivivinyo.

Yini engaba yisici se-rheumatoid esishintshiwe

Ukuhlolwa kwesici se-rheumatoid kuyinto enhle lapho amanani aso engaphezulu kuka-1: 80, okuphakamisa isifo samathambo, noma phakathi kuka-1: 20 no-1: 80, okungasho ukuthi kukhona ezinye izifo, njenge:

• I-Lupus erythematosus;
• Isifo sikaSjogren;
• I-Vasculitis;
• I-Scleroderma;
• Isifo sofuba;
• Mononucleosis;
• Ugcunsula;
• Umalaleveva;
• Izinkinga zesibindi;
• Ukutheleleka kwenhliziyo;
• Umdlavuza wegazi.

Kodwa-ke, njengoba i-rheumatoid factor nayo ingashintshwa kubantu abaphilile, udokotela anga-oda ezinye izivivinyo ukuqinisekisa ukutholakala kwanoma yiziphi izifo ezandisa lokho. Ngoba umphumela walokhu kuhlolwa kunzima kakhulu ukuwuhumusha, umphumela wawo kumele uhlale uhlolwe ngudokotela wamathambo. Funda konke mayelana ne-Rheumatoid Arthritis.