Paukū maʻi maʻi autoimmune
ʻO kahi papa maʻi maʻi ate autoimmune kahi hui o nā hoʻokolohua e hana ʻia e nānā no ka maʻi ake autoimmune. ʻO kahi maʻi ake ake autoimmune ke kumu o ka pale ʻana o ke kino i ke ake.
Aia kēia mau hoʻāʻo:
- Pākuʻi anti-ate / kidney microsomal
- Nā anti-mitochondrial antibodies
- Nā mea pale kūʻē kūʻē
- Anati-ʻoluʻolu nā kinona kūpili
- ʻO Serum IgG
Pākuʻi ʻia paha ka panela i nā hoʻokolohua ʻē aʻe. ʻO ka manawa pinepine, nānā ʻia nā pae protein immune i ke koko.
Lawe ʻia kahi laʻana koko mai kahi aa koko.
Hoʻouna ʻia ka laʻana koko i ka lab no ka hoʻāʻo ʻana.
ʻAʻole pono ʻoe e hana i nā hana kūikawā ma mua o kēia hōʻike.
Hiki paha iā ʻoe ke ʻeha iki a i ʻole ka ʻūlū ke hoʻokomo ʻia ke kui kele e huki i ke koko. Ma hope, aia paha kekahi ʻōkā.
ʻO nā maʻi Autoimmune kahi kumu o ka maʻi ate. ʻO ka maʻi maʻamau o kēia mau maʻi he hepatitis autoimmune a me cholangitis biliary mua (i kapa ʻia ʻo cirrhosis biliary mua.
Kōkua kēia hui o nā hoʻokolohua i kāu mea mālama ola e ʻike i ka maʻi maʻi ate.
Nā ʻĀina ʻo PROTEIN:
E loli ka pae maʻamau no nā pae protein i ke koko me kēlā me kēia keʻena hoʻokolohua. E ʻoluʻolu e nānā me kāu mea hoʻolako no nā pae maʻamau i kāu keʻena kikoʻī.
ANTIBODIES:
ʻO nā hopena maikaʻi ʻole ma nā mea ʻino āpau he maʻamau.
Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
Hōʻike nā hiʻohiʻona ma luna i nā ana maʻamau no nā hopena no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.
ʻAʻole pololei nā hōʻike koko no nā maʻi autoimmune. Hiki iā lākou ke loaʻa nā hopena maikaʻi ʻole maikaʻi (loaʻa ʻoe i ka maʻi, akā maikaʻi ʻole ka hoʻāʻo) a me nā hopena maikaʻi maikaʻi ʻole (ʻaʻohe ou maʻi, akā maikaʻi ka hoʻāʻo).
ʻO kahi hōʻoia nawaliwali a haʻahaʻa titer maikaʻi paha no ka maʻi autoimmune ʻaʻole pinepine ma muli o kekahi maʻi.
ʻO kahi hōʻoia maikaʻi ma ka panela he hōʻailona paha ia o ka maʻi hematitis autoimmune a i ʻole nā maʻi maʻi autoimmune.
Inā maikaʻi ka hoʻāʻo no ka anti-mitochondrial antibodies, loaʻa paha iā ʻoe i ka cholangitis biliary mua. Inā kiʻekiʻe nā proteins immune a haʻahaʻa ʻo albumin, loaʻa paha iā ʻoe ka cirrhosis ate a i ʻole ka hepatitis hana mau.
ʻO nā pilikia iki mai ke kaʻi ʻia ʻana o ke koko:
- Kahe nui ke koko
- Pāleʻale a ʻoluʻolu paha
- Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
- Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
Paʻa hōʻike maʻi maʻi ate - autoimmune
- Akepaʻa
Bowlus C, Assis DN, Goldberg D. ʻO ke kolamu a me ka lua sclerosing cholangitis. I: Sanyal AJ, Boyter TD, Lindor KD, Terrault NA, eds. ʻO Zakim lāua ʻo Boyer's Hepatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 43.
ʻO Czaja AJ. ʻO ka hepatitis autoimmune. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 90.
ʻO Eaton JE, Lindor KD. ʻO ka cirrhosis biliary mua. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 91.
ʻO Pawlotsky JM. ʻO ka maʻi maʻi maʻi maʻi a me ka maʻi hepitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 149.