Rheumatoid factor (RF)

ʻO Rheumatoid factor (RF) kahi hoʻāʻo o ke koko e ana i ka nui o ka RF antibody i ke koko.

ʻO ka hapanui o nā manawa, huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.

I nā pēpē a i ʻole nā ​​keiki ʻōpio, hiki ke hoʻohana ʻia kahi mea ʻoi i kapa ʻia he lancet e hou i ka ʻili.

• Hōʻiliʻili ke koko i loko o kahi kīʻaha kīʻaha liʻiliʻi i kapa ʻia he pipette, a i ʻole ma kahi pāheʻe a i ʻole ka papa hoʻāʻo.
• Hoʻokomo ʻia kahi bandage ma luna o kahi e kū ai ke kahe ʻana o ke kahe.

ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e hana i nā hana kūikawā ma mua o kēia hōʻike.

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

Hoʻohana pinepine ʻia kēia ho'āʻo e kōkua i ke kuhi diagnostic rheumatoid arthritis a i ʻole Sjögren syndrome.

Hōʻike pinepine ʻia nā hopena ma kekahi o nā ala ʻelua:

• ʻO ka waiwai, ma lalo o 15 IU / mL
• ʻO Titer, maʻamau ma lalo o 1:80 (1 a 80)

Inā ʻoi aku ka hopena ma luna o ka pae maʻamau, maikaʻi ia. ʻO kahi helu haʻahaʻa (hopena maikaʻi ʻole) ʻo ia hoʻi ʻaʻohe ou rheumatoid arthritis a Sjögren syndrome paha. Eia nō naʻe, loaʻa i kekahi poʻe i loaʻa kēia mau ʻano he RF maikaʻi ʻole a haʻahaʻa paha.

Hiki ke loli iki nā pae waiwai maʻamau i 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 hopena maʻamau ʻo ia hoʻi he maikaʻi ka hoʻāʻo, ʻo ia hoʻi kahi kiʻekiʻe o RF i ʻike ʻia i kou koko.

• ʻO ka hapanui o ka poʻe me ka rheumatoid arthritis a i ʻole Sjögren syndrome he mau hōʻike RF maikaʻi.
• ʻO ke kiʻekiʻe o ka pae, ʻo ka ʻoi aku ka nui o kahi o kēia mau ʻano i loaʻa. Aia kekahi mau hoʻokolohua ʻē aʻe no kēia mau maʻi e kōkua i ka hōʻoia ʻana.
• ʻAʻole nā ​​kānaka me kahi kiʻekiʻe o RF e loaʻa i ka rheumatoid arthritis a i ʻole Sjögren syndrome.

Pono pū kāu mea hāʻawi e hana i kahi hōʻike koko ʻē aʻe (anti-CCP antibody), e kōkua ai i ka diagnose rheumatoid arthritis (RA). ʻOi aku ka kikoʻī ʻo Anti-CCP antibody no RA ma mua o RF. ʻO kahi hōʻoia maikaʻi no ka maʻi antibody CCP ʻo ia hoʻi ʻo RA ka hōʻoia pololei.

ʻO nā kānaka me nā maʻi aʻe e loaʻa paha i nā kiʻekiʻe kiʻekiʻe o RF:

• Hepatitis C
• ʻO ka lupus erythematosus ʻōnaehana
• Dermatomyositis a me polymyositis
• ʻO Sarcoidosis
• Cryoglobulinemia hoʻohuihui
• Maʻi maʻi hoʻopili

Hiki ke ʻike ʻia nā pae kiʻekiʻe ma mua o ka maʻamau i ka poʻe me nā pilikia olakino ʻē aʻe. Eia nō naʻe, ʻaʻole hiki ke hoʻohana ʻia kēia mau pae RF kiʻekiʻe e ʻike pono i kēia mau ʻano ʻē aʻe:

• ʻO ka maʻi ʻaʻai, hepatitis, influenza, mononucleosis infectious, a me nā maʻi viral ʻē aʻe
• Nā maʻi puʻupaʻa kekahi
• Endocarditis, tuberculosis, a me nā maʻi bacteria
• Nā maʻi Parasite
• Leukemia, myeloma maha, a me nā maʻi ʻaʻai ʻē aʻe
• Maʻi maʻi maʻi
• Maʻi maʻi ʻōiwi

I kekahi mau hihia, ʻo ka poʻe olakino a ʻaʻohe pilikia olakino ʻē aʻe e loaʻa ka pae RF kiʻekiʻe ma mua o ka maʻamau.

• Hōʻaʻo koko

Aletaha D, Neogi T, Silman AJ, et al. 2010 Rheumatoid arthritis classification kritika: kahi koleke ʻAmelika o Rheumatology / European League e kūʻē i ka Rheumatism i hana pū ʻia. ʻO Ann Rheum Dis. 2010; 69 (9): 1580-1588. PMID: 20699241 www.ncbi.nlm.nih.gov/pubmed/20699241.

Andrade F, Darrah E, Rosen A. Autoantibodies i ka rheumatoid arthritis. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 56.

Hoffmann MH, Trouw LA, Steiner G. Autoantibodies i ka rheumatoid arthritis. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 99.

ʻO Mason JC. Nā maʻi Rheumatic a me ka ʻōnaehana cardiovascular. I: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 94.

ʻO Pisetsky DS. ʻO ka hoʻokolohua ʻana o ka hale hana ma nā maʻi rumatika. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 257.

von Mühlen CA, Fritzler MJ, Chan EKL. Lapaʻau a me keʻena hoʻokolohua loiloi o ka ʻōnaehana rheumatic maʻi. 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 52.