ʻO Cryoglobulins

ʻO nā Cryoglobulins he mau mea ʻino i lilo i paʻa a i ʻole gel-like i nā mahana haʻahaʻa i ka hale hana. Hōʻike kēia ʻatikala i ka hoʻokolohua koko i hoʻohana ʻia e nānā iā lākou.

I loko o ke keʻena hoʻokolohua, puka mai nā cryoglobulins mai ka hopena i ke koko ke hoʻomaʻalili ʻia ke ʻano o ke koko ma lalo o 98.6 ° F (37 ° C). Hoʻopau hou lākou ke hoʻomehana ʻia ka hāpana.

Hele mai ʻo Cryoglobulins i ʻekolu mau ʻano nui, akā i ka 90% o nā hihia, he hepatitis ke kumu C. ʻO ka maʻi i loaʻa ai nā cryoglobulins i kapa ʻia ʻo cryoglobulinemia. Hiki i nā Cryoglobulins ke hoʻoulu i nā kīʻaha koko, i kapa ʻia ʻo vasculitis. Hoʻokumu pū paha lākou i ka mumū i ka puʻupaʻa, nā aʻa, nā hono, nā akemāmā a me ka ʻili.

Ma muli o ka maʻalahi o ka mahana, paʻakikī nā cryoglobulins e ana pono. Pono e hōʻiliʻili ʻia ke kiko o ke koko i kahi ala kūikawā. E hana wale ʻia ka hoʻāʻo ma nā laboratories i hoʻolako ʻia no ia.

Kuhi ʻia ke koko mai kahi aa. Hoʻohana ʻia kahi aa i loko o ka kuʻe lima a i ʻole ka hope o ka lima i ka nui o nā hihia. ʻAʻole pono e huki ʻia ke koko mai kahi catheter i loaʻa heparin i loko. Hoʻomaʻemaʻe ʻia ka pūnaewele me nā lāʻau make-germ (antiseptic). Hoʻopili ka mea mālama ola i kahi kāʻei elastis a puni ka lima luna e hoʻopili i ka kaomi i ka wahi a pehu ke aʻa me ke koko.

A laila, hoʻokomo mālie ka mea hāʻawi i kahi nila i ke aa. Hōʻiliʻili ke koko i loko o kahi kīʻaha ea a i ʻole ka paipu e pili ana i ka nila. Wehe ʻia ke kāʻei elastik mai kou lima aku. Pono e mahana ka ipu i ka lumi a i ʻole ka mahana o ke kino, ma mua o ka hoʻohana ʻia. ʻO nā ipu i ʻoi aku ka anuanu ma mua o ka mahana o ka lumi ʻaʻole e hāʻawi i nā hopena pololei.

Ke hōʻiliʻili ʻia ke koko, hemo ka nila, a uhi ʻia ka pūnaewele puncture e hoʻōki i ke kahe ʻana o ke kahe.

Hiki paha iā ʻoe ke kāhea i mua e noi i kou koko e huki ʻia e kahi ʻenehana keʻena hana i ʻike i ka hōʻiliʻili ʻana i ke koko no kēia hōʻike.

ʻIke kekahi poʻe i ka hōʻoluʻolu ke hoʻokomo ʻia ka nila. Ma hope, aia paha kekahi ʻōkā.

Hana pinepine ʻia kēia hōʻike ke loaʻa i kekahi kanaka nā ʻōuli o ke ʻano e pili ana i nā cryoglobulins. Pili nā cryoglobulins me cryoglobulinemia. Kū kekahi lākou i nā ʻano ʻē aʻe e hoʻopili i ka ʻili, nā hono, nā puʻupaʻa, a me nā ʻōnaehana.

ʻO ka maʻamau, ʻaʻohe cryoglobulins.

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 ka laʻana ma luna i ke 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.

Hōʻike paha kahi hōʻike maikaʻi:

• Hepatitis (ʻo ia hoʻi ʻo ka hepatitis C)
• Mononucleosis maʻi maʻi
• Leukemia
• Lymphoma
• Macroglobulinemia - kumu
• Myeloma lehulehu
• Rheumatoid arthritis
• ʻO ka lupus erythematosus ʻōnaehana

Nā kūlana hou aʻe ma lalo o kahi e hōʻike ʻia ai ka hōʻike me nā nephrotic syndrome.

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
• ʻO Cryoglobulinemia o nā manamana lima

Chernecky CC, Berger BJ. Cryoglobulin, qualitative - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 403.

De Vita S, Gandolfo S, Quartuccio L. Cryoglobulinemia. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 171.

ʻO McPherson RA, Riley RS, Massey D. ʻOihana loiloi o ka hana immunoglobulin a me ka palekana humoral. 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 46.