Wani gwaji da aka ƙara amfani dashi A cikin kamfanin IBD da kuma rufe ta kamfanoni masu asusu
Magunguna sunyi amfani da gwaje-gwajen da yawa don duba abin da ke faruwa a cikin sashin kwayar cutar da mutane masu fama da cututtuka (IBD) . Yin amfani da gwajin endoscopy don duba cikin ƙananan ko babban hanji shine hanya mafi kyau don gano, amma ana iya yin gyaran fuska kawai sau da yawa kuma likitoci suna buƙatar bayanai akai-akai fiye da haka. Wannan shi ne inda gwajin calprotectin zai iya taimakawa domin, ba kamar wata hanyar endoscopy ba, ba mai banƙyama ba ne amma zai iya ba da wasu bayanai da zasu iya taimaka wajen yin yanke shawara.
Calprotectin shine nau'in furotin da aka samo mafi yawa a wasu nau'in jini mai tsabta da ake kira granulocytes neutrophil da sauran nau'in jini na jini a karamin digiri. Ana iya auna adadin calprotectin a cikin kwakwalwa, kuma an gano cewa mutanen da ke tare da IBD suna da karin calprotectin a cikin abin da suke ciki (rashin lafiya) fiye da mutanen da ba su da IBD.
Bayani mai sauki game da gwaje-gwaje na Calprotectin na ƙwayoyin cuta (ko jaraba)
- Calprotectin shine furotin da ke samuwa a cikin kwayoyin jinin mai tsabta waɗanda ke nuna cewa sun kasance mafi girma a cikin mutane tare da IBD.
- An gwada gwajin calprotectin mai zurfi a kan samfurin ajiya.
- Yawancin kamfanonin inshora zasu rufe gwajin calprotectin don gudanar da kamfanin IBD.
- Akwai bambanci a cikin "al'ada" matakan calprotectin mai sauƙi daga mutum zuwa mutum.
- Sakamakon matakin calprotectin zai iya zama babba ko da yake babu wata alamar da ke ciki na IBD.
Me yasa Mutum da ke da IBD suna da Ƙari Calprotectin a Tsarkarsu?
Nazarin ya nuna cewa kula da matakin matakin calprotectin a cikin tasirin yana da amfani a cikin gudanar da IBD.
Wannan shi ne sakamakon cututtukan Crohn ko cututtuka na ulla da ke haifar da ƙonewa a cikin ƙwayar narkewa . Lokacin da ƙonewa ya faru a cikin ƙwayar mucosal na hanji, yayin da jini ya karu a lamba don ya yashe shi. Kwayoyin jini na fari zasu iya raguwa, wanda ke nufin cewa su saki abinda suke ciki don kare kwayoyin jikin daga kumburi.
A cikin kwayoyin fararen fata shine calprotectin (da wasu sauran kwayoyin sunadarai) kuma idan akwai karin calprotectin a cikin tarin, yana da kyau cewa akwai karin ƙonewa a cikin hanji.
Ta Yaya An Yi Gwajin Test Calprotectin?
Daidaita launi na calprotectin yana da sauƙin gwaji don yin duk abin da ake buƙata shine samfurin samfurin, wani abu da yake da sauƙin sauƙi ba tare da yunkuri ba. Lokacin da ake buƙatar mai haƙuri ya ba da samfurin samfurin, yana nufin ɗauka a cikin akwati marar lafiya kuma juya shi a cikin wani lab, ko dai a asibiti, ofishin likita, ko kuma wani wurin zaman kanta. Tsakanin matakin calprotectin yana da yawa a lokacin da yake da fuska da ƙananan lokacin gyarawa, amma gwajin ba shi da kuskure. Za'a iya zama bambanci a matakan calprotectin ga wani mutum kuma akwai, ba shakka, bambancin daga mutum zuwa mutum. Yana da, duk da haka, wani kayan aikin da wani mai ilimin gastroenterologist zai iya amfani da shi don taimakawa mutanen dake tare da IBD na ci gaba da canji a cikin cutar.
Me yasa Calprotectin ya kasance mai amfani a cikin IBD?
Calprotectin yana da amfani ga wasu dalilai: Na farko shi ne cewa lokacin da aka samo shi a cikin kwanciyar hankali, yana da daidaituwa na tsawon lokaci. Domin har tsawon kwanaki bakwai, matakin calprotectin a cikin samfurin ajiya zai kasance daidai, yin gwaji wanda ya fi sauƙi a yi.
Wani amfani na wannan jarabawar shi ne cewa za'a iya gano matakin ƙwayoyin calprotectin a ko da wani samfurin ƙarami.
Yawancin karatu sun nuna cewa mutanen da ke da IBD suna da adadi mai yawa na calprotectin a cikin ɗakinsu idan aka kwatanta da mutanen da ba su da IBD (masu lafiya a cikin waɗannan nazarin ana kiran su sarrafawa). Don sanin cewa wannan gwajin yana da amfani, anyi nazari akan wanda yayi la'akari da matakin calprotectin a cikin mutanen da ke tare da IBD, wanda aka biyo tare da gwajin endoscopy don ganin yadda matakan ya dace da abin da ke gudana a cikin sashin kwayar halitta. Abin da masu bincike suka gano shine mutanen da ke da IBD suna da matsananciyar ƙwayoyin calprotectin kuma suna iya samun ciwon kumburi ko ulcers wanda IBD ya haifar a wani wuri mai narkewa.
Mutanen da ke cikin binciken ba koyaushe suna da alamun bayyanar cutar ta IBD ba, ko da yake, koda kuwa matakan da suke da shi na halayen calprotectin sun kasance high. Wannan shi ne mafi yawan gaske sau da yawa a cikin cututtukan daji fiye da yadda yake a cikin cutar Crohn. Wannan yana nuna karin amfani da gwajin gwaji na calprotectin, domin yana iya bayar da gargadi na farko cewa wasu ƙananan ciwon ke faruwa a cikin wuri mai narkewa kafin kafin bayyanar cututtuka fara farawa.
Ta hanyar auna calprotectin a cikin kwanciyar hankali, masu aiki zasu iya fara hanyar hanyar bincikar IBD a cikin mai haƙuri, ko don tantance aikin cututtuka a cikin likita da aka gano tare da IBD. Ma'anar ita ce jarrabawa mai sauƙi, wanda ba shi da kishi saboda an yi shi a kan dutsen, zai iya sauke da buƙatar samun endoscopy (kamar sigmoidoscopy ko colonoscopy ) a wasu lokuta kuma ya nuna muhimmancin gwajin gwajin endoscopy a wasu. Test gwajin calprotectin ba zai maye gurbin endoscopy ba, amma zai iya taimaka wa likitocin kayan aiki, don ƙayyade mafi alhẽri idan kuma lokacin da ake buƙatar gwaje-gwaje masu zuwa.
A cikin yara tare da IBD wani mai sautin calprotectin zai iya zama da amfani sosai. Ta yin amfani da wannan gwajin, akwai likita ga likita don yanke shawara da sauri idan bayyanar cututtuka na iya fitowa daga IBD ko a'a, ba tare da yin gwaji mai haɗari kamar endoscopy ko jarrabawar da ta shafi radiology kamar CT scan dama daga bat.
Sakamakon matakin calprotectin zai iya zama da amfani ga mutanen da suke neman samfurin ganewa kuma IBD yana cikin mahaɗin. Za a iya umurce wani likitancin likita ko likitan kwaminisanci wanda zai iya kasancewa mai girma, wanda zai iya turawa zuwa gastroenterologist don ƙarin kimantawa.
Shin akwai Karin Bayani ga Tsarin Calprotectin?
Ɗaya daga cikin abubuwan da za a gwada gwajin calprotectin shine sakamakon ɓarna ko ɓarna maras kyau, ko da yake waɗannan sakamakon ba a saba ba. Mai haƙuri zai iya samun IBD ko kuma yana iya ƙonewa daga IBD, amma matakin calprotectin ba zai yiwu ba. Wannan na iya nufin cewa akwai ƙumburi a cikin shinge mai narkewa amma sakamakon gwajin yana dawowa tare da matakan calprotectin (ko da yake wannan ba na hali ba ne). Hanyoyin ƙarya na iya zama matsala sosai a yara da matasa, wadanda suke da babban rabo daga marasa lafiya da aka gano tare da IBD.
Shin ana tabbatar da gwaji na Calprotectin ta hanyar Assurance?
Wasu insurances zasu iya rufe gwaji na calprotectin na cutar Crohn da cututtukan ulcerative saboda an nuna cewa yana da tasiri sosai. Kudirin wannan gwajin zai kasance ƙasa da ƙasa fiye da endoscopy ko CT scan. Akwai kamfanoni masu inshora waɗanda ba su rufe wannan gwaji duk da haka a kan dalili na yau da kullum domin ba shi da tarihin sauran gwaje-gwajen, kuma kamfanonin inshora suna da jinkirin karɓar canje-canje. Duk da haka, akwai kullun kira, kuma Crohn da Colitis Foundation suna da takardun aiki wanda likita zai iya amfani da su don neman ɗaukar hoto don gwajin daga mai bada inshora.
A Note Daga
Cikin gwajin gwaji na calprotectin ba shi da hankali sosai a cikin IBD duniya fiye da, in ji, wani abu ne da aka yi. Duk da haka, yana da gwajin taimako, musamman saboda bazai buƙatar wani abu na musamman ba, kamar safarar ko ranar kashe aiki, don yin hakan. Ba kowane likita ba zai iya yin wannan gwaji, don haka yana da kyau a tambayi idan ya dace a wasu yanayi. Kamfanoni masu asusu za su rufe shi, musamman idan yana da haƙuri tare da IBD (sun sani yana da rahusa fiye da sauran gwaje-gwajen). Akwai wasu lokuta inda alamar calprotectin bazai dawowa tare da matakan da ake sa ran ba, amma wannan ba abin da ke faruwa ba ne.
> Sources:
D'Haens G, Ferrante M, Vermeire S, et al. "Fecal calprotectin alama ce mai amfani ga masu ciwon endoscopic a cikin cututtukan jini." Flamm Bowel Dis . 2012 Dec, 18: 2218-2224.
> Roda G, Caponi A, Benevento M, et al. "Hanyoyin Sabo Masu Neman Bincike Na Halitta a Binciken Flammatory Bowel." Flamm Bowel Dis . 2010. 16; 7: 1239-1246
> Van Rheenen PF, Van de Vijver E, Fidler V. "Faecal calprotectin don nunawa ga marasa lafiya da ake zargi da laifi ƙwayar cutar ciwon jini: bincike meta-bincike." BMJ . 2010 Jul 15; 341: c3369.
Van de Vijver E, Schreuder AB, et al. Cibiyar ilimin likitancin IBD na Arewa ta Arewa. "Tabbataccen hukuncin fitar da cututtukan zuciya na yara a cikin yara da matasa ba tare da kulawa don endoscopy ba." Arch Dis Child . 2012 Dec; 97: 1014-1018.
> Waugh N, Cummins E, Royle P, et al. "Faecal calprotectin gwaji don bambanta tsakanin cututtuka da ƙananan cututtukan cututtuka: nazarin tsarin da kuma tattalin arziki evaluatio n." Sashen Kimiyyar Kiwon Lafiya, A'a. 17.55. Southampton (Birtaniya): NIHR Journals Library; 2013 Nuwamba