Pakati Pekuedzwa Kwokutanga Yakarongwa Kana Rheumatoid Arthritis Inotongerwa
Rheumatoid factor is an autoantibody (kazhinji IgM) inosungirirwa kune Fc nzvimbo yeGG antibodies. Autoantibodies ndiwo mapuroteni anobudiswa nehurumende, asi panzvimbo yekurwisa zvinhu zvekunze, vanorwisa muviri wematumbu. Kana chiremba wako achifungidzira kuti iwe unogona kuva nerheumatoid arthritis , rheumatoid factor test ichava zvirokwazvo pakati pekutanga kuongororwa kwakaedzwa.
Mavambo ekutanga (kuongororwa) kuratidza kuti autoantibodies aisanganiswa ne rheumatoid arthritis yakagadzirwa muma1940s. Pakutanga, izvi zvaive zvirongwa zvegullutination umo sarum kubva kuRheumatoid arthritis varwere yakaratidzwa kuti inokonzera kusagadzikana kwemakwai masero matsvuku eropa akanga atsigirwa nehuroti anti-sheep erythrocyte antibodies. Pakanga pane zvigadziriswa zvakagadziridzwa zvakagadzirwa kuhutachiona agglutination test, kunyanya kushandura IgG-akavharidzirwa mabhesi emashizha emakwai. Pakupedzisira, iyo ELISA (enzyme-inogadziriswa immunosorbent assay) kuongororwa kwerhumatoid factor yakagadzirwa, uyewo nephelometry.
Mu agglutination miedzo, kubatana kunoratidza chiratidzo chakanaka. Serial dilutions inogona kuve yakagadzirwa nemuenzaniso wokuenzanisa kuti uone iyo titer. Iyo inonzi inoratidza kuti yakawanda inogona kuderedzwa sei pamberi pechirwere chemukoko chisingaoneki (hachidimbu).
Mukutsvaga kweephelometry, sampuro yeropa inosanganiswa nemasikirwo ekutadzisa kukanganisa.
Chiedza chinopfurikidza kuburikidza nemuenzaniso kuti uone kuwanda kwegore.
Kunzwisisa zvabuda
Kazhinji, iyo yakarongeka yakawanda yehutachiona hunokonzerwa nechiitiko inonzi ichiti:
- Pasingapfuuri 40-60 u / mL
- Pasi pa1:80 (titer)
Cherechedza: Maabara ekusiyana akasiyana-siyana anogona kuenzanisa muitiro wekuedza kana chikwata chekuedza chinoshandiswa, saka tevera mitsva uye mararamiro akaenzana anopiwa nehistory yako chaiye.
Migumisiro ye rheumatoid factor test inogona kuvhiringidza varwere veArthritis. Chokutanga uye chinonyanya kukosha, chinhu chakakosha kuziva ndechekuti rumatoid factor test ndiyo imwe chete yeruzivo inoshandiswa kugadzirisa kuongorora. A definitive diagnosis haina kumbobvira yakagadzirirwa chete pamigumisiro yechiratidzo chechirwere chemukoko. Pano pane mamwe mazano anokosha pamusoro pemuedzo wepachikafu unofanirwa kuziva iwe:
- Rheumatoid chinhu inogona kuva yakanaka kune vanhu vane utano (muna 1% yevaduku uye kusvika ku5% yevaya vanopfuura makore makumi manomwe).
- Rheumatoid chinhu inogona kuva yakanaka mune zvisiri zvirwere zverthritis zvirwere uye mamiriro (semuenzaniso, zvirwere, kenza) kana muhutamatic zvimwe kunze kwerheumatoid arthritis (semuenzaniso, Sjogren's syndrome kana lupus ).
- Rheumatoid chinhu inogona kuonekwa muropa kusvika kusvika makore gumi vasati vanyora zviratidzo zveArthritis zviratidzo . Zvisinei, mune rimwe boka revarwere vese rheumatoid arthritis, rhumatoid factor inowanikwa mushure mekuonekwa kwezviratidzo.
- Rheumatoid arthritis varwere vane chirwere cherhumatoid (chinopisa) chinowanzova nechirwere chinotyisa, nepo varwere vasina kunaka kwerhumumidhi chechi (seronegative) vane zvirwere zvishoma uye zvishoma nezvishoma mapfupa.
- Vanenge 20 muzana yevanhu vanoonekwa kuti vane rheumatoid arthritis vanoita zvakaipa kune rheumatoid iyo yose munguva yezvirwere zvavo.
Clinical Relevance of the Results
Rumatoid factor factor test iyo inotanga kusina kunaka inogona kuchinja zvakare, asi kukiriniki kwechiitiko ichocho chinoramba chiri mubvunzo. Maererano naScott Zashin, MD, rheumatologist kubva kuDallas, Texas (scottzashinmd.com) uye munyori weArthritis Pas Pain - Chishamiso cheNADF Blockers uye mubati wenhengo yangu yechipiri bhuku rinonzi Natural Arthritis Treatment , "Rheumatologists haisi kutevera rheumatoid factor kamwe kana kuongororwa kwe rheumatoid arthritis inoshandiswa.Izvo zvichiti, pane zvakaitika kwandiri, hutachiona chechirwere chemukoko chinogona kuchinja zvimwe nechirwere chechirwere , asi izvo hazvisi sechirwere chinoshandiswa nedzimwe mimwe miedzo, yakadai seyerythrocyte sedimentation rate , C- reactive protein (CRP) , uye mune zvimwe zviitiko zvimwe zviratidzo zvinogona kuwanikwa muongororo dzeVECTRA , dzinoshandiswa kuongorora chirwere chepachirwere muchirwere chemahythritis. "
Sources:
Kelley's Textbook yeRheumatology. Ninth Edition. Autoantibodies muRheumatoid Arthritis. Chitsauko 56. Felipe Andrade et al. p. 804.
Primer paRheumatic Diseases. Chinyorwa chegumi nemitatu. Yakabudiswa neArthritis Foundation. Chitsauko 6. Rheumatoid Arthritis. Rheumatoid Factors. p. 126.
Rheumatoid Factor (RF). MedlinePlus. Ivandudzwa 4/20/2013.
https://www.nlm.nih.gov/medlineplus/article/003548.htm