Pākuʻi pale mānoanoa paheʻe

ʻO ka anti-smooth muscle antibody kahi hōʻike i ke koko e ʻike i ke alo o nā mea ʻāpala e kūʻē i nā mākala mālie. He mea maikaʻi ka antibody i ka hana ʻana i kahi diagnostical o ka autoimmune hepatitis.

Pono kahi laʻana koko. Lawe ʻia kēia ma o ke aa. Kapa ʻia ke kaʻina hana he venipuncture.

ʻAʻole pono nā kapuaʻi kūikawā e hoʻomākaukau ai no kēia hōʻike.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe wale nō he prick a i ʻole sensation stinging paha. Ma hope, aia paha kekahi ʻōkā.

Pono paha ʻoe i kēia hōʻike inā loaʻa nā hōʻailona o kekahi mau maʻi ate, e like me ka maʻi hepitis a me ka cirrhosis. Hiki i kēia mau kūlana ke hoʻonāukiuki i ke kino e hana i nā antibodies e kūʻē i nā mākala mālie.

ʻAʻole ʻike pinepine ʻia nā mea ʻāpana anti-ʻoluʻolu i nā maʻi ʻē aʻe ma mua o ka autoimmune hepatitis. No laila, he mea kōkua ke hana i ke kuhi. Mālama ʻia ka hepatitis autoimmune me nā lāʻau immunosuppressive. Loaʻa ka poʻe me ka hepatitis autoimmune i nā autoantibodies ʻē aʻe. Pākuʻi ʻia kēia mau mea:

• Nā kinikini antinuclear.
• Pākuʻi anti-actin.
• Anati-hoʻoheheʻe ʻia antigen / ate pākeke (anti-SLA / LP) nā mea pale mū holapū.
• Hiki ke loaʻa nā mea ʻē aʻe ʻē aʻe, ʻoiai ke hele ʻole nā ​​anti-paheʻe pale ʻaoʻao.

ʻO ke kuhi a me ka mālama ʻana i ka hepatitis autoimmune e koi paha i kahi biopsy ate.

ʻO ka maʻamau, ʻaʻohe mea ʻino i kēia manawa.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO kahi hōʻoia maikaʻi ma muli o:

• ʻO ka maʻi hepatitis autoimmune maʻamau
• Cirrhosis
• Mononucleosis maʻi maʻi

Kōkua pū ka hoʻokolohua e hoʻokaʻawale i ka hepatitis autoimmune mai ka systemic lupus erythematosus.

ʻO nā pōpilikia e pili ana i ke kahe ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• 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)

• Hōʻaʻo koko
• Nā ʻano o nāʻiʻo puʻupuʻu

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.

Ferri FF. Nā waiwai Laboratory a me ka wehewehe ʻana i nā hopena. I: Ferri FF, hoʻoponopono. ʻO ka hoʻāʻo maikaʻi a Ferri: Kahi Alakaʻi kūpono i ka lāʻau lapaʻau Laboratory Clinical a me ke kiʻi Diagnostic. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: 129-227.

Manns MP, Lohse AW, Vergani D. Autoimmune hepatitis - Hoʻohou 2015. J Hepatol. 2015; 62 (1 Hōʻawi): S100-S111. PMID: 25920079 www.ncbi.nlm.nih.gov/pubmed/25920079.