Hōʻike nephelometry nui

ʻO ka nephelometry Quantitative kahi hōʻike lab e ana koke a pololei i nā pae o kekahi mau protein i kapa ʻia immunoglobulins i loko o ke koko. ʻO nā Immunoglobulins he mau mea ʻino e kōkua i ke kaua ʻana i ka maʻi.

Kuhi pololei kēia ho'āʻo i nā immunoglobulins IgM, IgG, a me IgA.

Pono kahi laʻana koko.

E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 4 mau hola ma mua o ka hoʻāʻo.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

Hāʻawi ka hōʻike i kahi ana wikiwiki a pololei o nā nui o nā immunoglobulins IgM, IgG, a me IgA.

Nā hopena maʻamau no nā immunoglobulins ʻekolu:

• IgG: 650 a 1600 milligrams per deciliter (mg / dL), a i ʻole 6.5 a 16.0 gram i kēlā me kēia lita (g / L)
• IgM: 54 a 300 mg / dL, a i ʻole 540 a 3000 mg / L
• IgA: 40 a 350 mg / dL, a i ʻole 400 a 3500 mg / L

Hōʻike nā laʻana ma luna i nā ana maʻamau no kēia mau hopena hōʻike. Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole.

ʻO kahi kiʻekiʻe o IgG ma muli o:

• ʻO ka maʻi maʻi a ʻōpala paha
• Hyperimmunization (ʻoi aku ma mua o ka helu maʻamau o nā antibodies kikoʻī)
• IgG mau myeloma (kahi ʻano maʻi ʻaʻai koko)
• Maʻi maʻi ate
• Rheumatoid arthritis

ʻO nā pae hōʻemi o IgG ma muli o:

• Agammaglobulinemia (haʻahaʻa loa o nā immunoglobulins, kahi maʻi kūpilikiʻi loa)
• Leukemia (maʻi 'aʻai koko)
• Myeloma maha (cancer o ka iwi iwi)
• Preeclampsia (ke koko kiʻekiʻe i ka wā hāpai)
• Hana me kekahi lāʻau chemotherapy

Hoʻonui ʻia nā pae o IgM ma muli o:

• Mononucleosis
• Lymphoma (maʻi 'aʻai o ka lymphʻaʻaʻa)
• Waldenström macroglobulinemia (maʻi ʻaʻai o nā aʻa koko keʻokeʻo)
• Myeloma lehulehu
• Rheumatoid arthritis
• Maʻi kīnā

ʻO nā pae hōʻemi o IgM ma muli o:

• Agammaglobulinemia (kākaʻikahi loa)
• Leukemia
• Myeloma lehulehu

Hoʻonui ʻia nā pae o IgA ma muli o:

• Nā maʻi kūlohelohe, keu hoʻi o ka gastrointestinal tract
• ʻO ka maʻi ʻōpū hoʻowali, e like me ka maʻi Crohn
• Myeloma lehulehu

ʻO nā pae hōʻemi o IgA ma muli o:

• Agammaglobulinemia (kākaʻikahi loa)
• Ka nele Igereditary IgA
• Myeloma lehulehu
• ʻO ka maʻi gut e alakaʻi i ka lilo o ka protein

Pono nā hōʻike ʻē aʻe e hōʻoia a hōʻoia paha i kekahi o nā kūlana i luna.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Nā immunoglobulins nui

• Hōʻaʻo koko

Abraham RS. ʻO ka loiloi o nā pane pale hana i nā lymphocytes. I: Rich RR, Fleisher TA, Shearer WT, Schroeder HW, Kakaʻu AJ, Weyand CM, hua. ʻO Immunology Haumāna: Nā Kumu a me nā Haʻawina. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 93.

ʻO McPherson RA. Nā polokina kikoʻī. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 19.