ʻO nā agglutinins hōʻuluʻulu / anuanu

ʻO nā Agglutinins he mau mea ʻūpili e hoʻopili pū i nā hunaola ʻulaʻula.

• Hoʻoikaika nā aglutinins anuanu i nā mahana anuanu.
• ʻEleu ʻo Fīhile (mehana) nā aglutinins i nā mahana o ke kino maʻamau.

Hōʻike kēia ʻatikala i ka hoʻāʻo ʻana o ke koko i hoʻohana ʻia e ana i ka pae o kēia mau mea ʻino i loko o ke koko.

Pono kahi laʻana koko.

ʻAʻohe hoʻomākaukau kūikawā.

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. A ma hope, aia paha kahi ʻōniʻoniʻo kahi i hoʻokomo ʻia ai ka nila.

Hana ʻia kēia hōʻoia e kuhikuhi i kekahi mau maʻi a loaʻa ke kumu o ka hemolytic anemia (kahi ʻano anemia e hana ʻia ke hoʻopau ʻia nā hunaola ʻulaʻula). ʻO ka ʻike inā he mahana a anuanu paha nā aglutinins hiki ke kōkua i ka wehewehe ʻana i ke kumu o ka hemolytic anemia e hana nei a kuhikuhi pololei i ka lāʻau.

Nā hopena maʻamau:

• Nā agglutinins mehana: ʻaʻohe hōʻuluʻulu i nā titers ma lalo a i ʻole 1:80
• ʻO nā aglutinins anuanu: ʻaʻohe hōʻuluʻulu i nā titers ma lalo a 1:16 paha

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

ʻO kahi hopena maʻamau (maikaʻi) ʻo ia hoʻi he mau aglutinins i kāu hāpana koko.

Hiki i nā aglutinins pumehana me:

• ʻO nā maʻi ʻino, e like me brucellosis, maʻi rickettsial, maʻi salmonella, a me tularemia
• Maʻi maʻi ʻōpū
• Lymphoma
• ʻO ka lupus erythematosus ʻōnaehana
• Hoʻohana o kekahi mau lāʻau, e like me methyldopa, penicillin, a me quinidine

Hiki ke hana i nā aglutinins anuanu me:

• Nā maʻi, e like me ka mononucleous a me ka mycoplasma pneumonia
• Pox moa (varicella)
• Maʻi maʻi Cytomegalovirus
• Ka maʻi ʻaʻai, me ka lymphoma a me ka myeloma maha
• Listeria monocytogenes
• ʻO ka lupus erythematosus ʻōnaehana
• Waldenstrom macroglobulinemia

Heʻuʻuku nā pōpilikia 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)

Inā manaʻo ʻia kahi maʻi e pili ana i ke aglutinin anu, pono e hoʻomehana ʻia ke kanaka.

ʻO nā aglutinins anuanu; Ka hopena ʻo Weil-Felix; Hōʻike laulā; Aglutinins pumehana; ʻO Agglutinins

• Hōʻaʻo koko

Baum SG, Goldman DL. Mycoplasma nā maʻi maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 301.

ʻO Michel M, Jäger U. Anemia hemolytic autoimmune. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 46.

Quanquin NM, Cherry JD. Mycoplasma a me nā maʻi ureaplasma. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 196.