Daga cikin gwaje-gwaje na farko da aka yi a lokacin da ake jin damuwa da cututtukan Arthritis Rheumatoid
Rheumatoid factor shi ne autoantibody (yawancin IgM) wanda ke ɗaura zuwa yankin Fc na kare-layin IgG. Autoantibodies sunadaran sunadarai waɗanda aka samar da kwayar cutar , amma maimakon kai hari ga abubuwa na waje, sun kai hari ga kayan jikin mutum. Idan likitanku sunyi tsammanin cewa kuna iya samun ciwon maganin ƙwayar cuta , ƙwaƙwalwar gwajin rheumatoid zai kasance daga cikin gwajin gwajin farko da aka umarce su.
Tambayoyin farko (gwaje-gwajen) don nuna cewa an haɗa da autoantibodies tare da maganin arthritis a cikin shekarun 1940. Tun da farko, waɗannan sune gwaje-gwajen agglutination inda aka tabbatar da kwayoyin cutar marasa lafiya na jini wanda aka sanya su da kwayar cutar tumakin erythrocyte. An yi gyare-gyaren da yawa don gwaji na asibiti na farko, musamman maye gurbin takalma na latex mai dauke da IgG don tumakin tumaki. A ƙarshe, jarrabawar ELISA (gwagwarmaya ta hanyar haɗari ta enzyme) ta ƙaddamar da matsala na rheumatoid, da kuma gwaje-gwajen nephelometry.
A cikin gwaje-gyaren agglutination, jingina yana nuna alamun sakamako mai kyau. Za a iya yin dilutions na Serial tare da gwajin gwaji don sanin ƙimar. Mai magana ya nuna yadda za a iya gwada samfurin a gaban factor rheumatoid ba shi da tabbacin (ba ya rufe).
A cikin gwaje-gwaje na marasa lafiya, samfurin jini yana haɗuwa tare da kwayoyin cuta don haifar da farawa.
Hasken ya wuce ta samfurin don sanin ƙimar girgije.
Fahimtar sakamakon
Yawanci, al'ada na al'ada don gwajin gwajin rheumatoid ya ruwaito shi kamar:
- Kasa da 40-60 u / ml
- Kasa da 1:80 (titan)
Lura: Dandalin gwaje-gwaje daban-daban na iya bambanta a hanyar gwaji ko gwajin gwaji da aka yi amfani dashi, don haka bi sakamakon da yanayin da aka tsara ta dakin gwaje-gwajen ku.
Sakamakon gwagwarmayar gwagwarmaya na rheumatoid zai iya zama damuwa ga marasa lafiya na arthritis. Abu na farko da mahimmanci, abu mafi mahimmanci shine ya san cewa gwajin gwajin rheumatoid abu ne guda ɗaya na bayanin da aka yi amfani da su don tsara fasali. Sakamakon ganewar asali ba a dogara ne kawai akan sakamakon gwagwarmayar rheumatoid. Ga wasu muhimman bayanai game da gwajin gwagwarmayar gwagwarmaya da ya kamata ku sani:
- Rheumatoid factor zai iya zama tabbatacce a cikin mutane lafiya (a cikin 1% na matasa da kuma har zuwa 5% na wadanda fiye da 70 years old).
- Rheumatoid factor zai iya zama tabbatacce a cututtuka marasa cututtuka da cututtuka marasa cututtuka (misali, cututtuka, ciwon daji) ko a cikin yanayin rheumatic banda ilimin cututtuka na rheumatoid (misali, Sjogren's syndrome ko lupus ).
- Rheumatoid factor za a iya gano a cikin jini har zuwa shekaru 10 kafin rheumatoid arthritis bayyanar cututtuka bayyana. Duk da haka, a cikin wani rukuni na rukuni na marasa lafiya na wutsiya, nau'in rheumatoid zai iya ganowa bayan bayyanar cututtuka sun bayyana.
- Magungunan cututtuka na rheumatoid wadanda ke da tabbacin maganganun rheumatoid ( kwayoyin halitta ) sun kasance suna da mummunan cutar, yayin da marasa lafiya wadanda ke da mummunar cutar don maganganun rheumatoid (maganganu) suna da mummunan cututtuka da ƙananan ƙashi.
- Kimanin kashi 20 cikin dari na mutanen da aka gano da cututtuka na rheumatoid sun kasance masu mummunan hali ga nau'in kwayar cutar a duk lokacin da suka kamu da cutar.
Sakamakon Clinical Results
Sakamakon gwajin gwagwarmayar gwagwarmaya wanda shine farkon korau zai iya zama mai kyau amma daga baya ya zama ainihin muhimmancin wannan gaskiyar. A cewar Scott Zashin, MD, wani masanin ilimin lissafi daga Dallas, Texas (scottzashinmd.com) da kuma marubucin Arthritis Ba tare da Pain - Miracle of TNF Blockers da co-marubucin na na biyu littafin Natural Arthritis Treatment , "Rheumatologists yawanci ba su bi factor rheumatoid da zarar an gane ganewar asali na arthritis na rheumatoid.Idan aka ce, a cikin kwarewa, matakin matsalar rheumatoid zai iya canzawa da aiki tare da cutar , amma wannan ba shine amfani da asibiti ba yayin da wasu gwaje-gwaje, irin su ragowar ƙwayar erythrocyte , C- mai gina jiki (CRP) , kuma a wasu lokuta wasu alamomin da za a iya samu a gwaje-gwaje na VECTRA , waɗanda aka yi amfani da su don tantance ayyukan cututtuka a maganin arthritis. "
Sources:
Kelley's Textbook na Rheumatology. Edition na tara. Autoantibodies a Rheumatoid Arthritis. Babi na 56. Felipe Andrade et al. p. 804.
Mahimmanci a kan cututtuka na Rheumatic. Sha Uku na Uku Edition. An wallafa ta asusun Arthritis. Babi na 6. Rheumatoid Arthritis. Abubuwan Rheumatoid. p. 126.
Faɗar Rheumatoid (RF). MedlinePlus. Updated 4/20/2013.
https://www.nlm.nih.gov/medlineplus/ency/article/003548.htm