Hōʻike protein protein Bence-Jones Quantitative
Ana kēia hōʻike i ke kiʻekiʻe o nā protein pono ʻole i kapa ʻia nā protein Bence-Jones i ka mimi.
Pono kahi laʻana mimi hoʻomaʻemaʻe. Hoʻohana ʻia ke ʻano hoʻomaʻemaʻe hopu i mea e pale aku ai i nā g germ mai ka peni a i ʻole ka puki mai ke komo ʻana i kahi mimi. No ka hōʻiliʻili ʻana i kou mimi, hāʻawi ka mea mālama ola iā ʻoe i kahi pahu hopu hoʻomaʻemaʻe kūikawā i loaʻa ka hopena hoʻomaʻemaʻe a me nā holoi holoi. E hāhai pono i nā ʻōkuhi i pololei nā hopena.
Hoʻouna ʻia ka laʻana i ka lab. Ma laila, hoʻohana ʻia kekahi o nā hana e ʻike i nā protein ʻo Bence-Jones. Hoʻokahi hana, i kapa ʻia immunoelectrophoresis, ʻo ia ka pololei loa.
Pili ka hōʻike i ka urination maʻamau wale nō, a ʻaʻohe pilikia.
ʻO nā proteins ʻo Bence-Jones kahi ʻāpana o nā antibodies maʻamau i kapa ʻia nā kaulahao māmā. ʻAʻole maʻamau kēia mau protein i ka mimi. I kekahi manawa, ke hana a kou kino i nā mea ʻino he nui loa, piʻi aʻe hoʻi ka pae o nā kaulahao māmā. Heʻuʻuku ka nui o nā protein Bence-Jones e kānana ʻia e nā puʻupaʻa. E ninini nā protein i ka mimi.
E kauoha paha kāu mea hāʻawi i kēia hōʻike:
- E kuhikuhi i nā kūlana e alakaʻi ai i ka protein i ka mimi
- Inā he nui kou protein i loko o kou mimi
- Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ʻaʻai koko i kapa ʻia he myeloma maha
ʻO kahi hopena maʻamau ʻaʻole loaʻa i nā protein Bence-Jones i loko o kāu mimi.
ʻAʻole loaʻa iki nā protein ʻo Bence-Jones i ka mimi. Inā lākou, pili pinepine ia me ka myeloma maha.
Loaʻa paha kahi hopena maʻamau ma muli o:
- Kahi buildup maʻamau o nā protein i loko o nā aʻa a me nā ʻokena (amyloidosis)
- Kāhea ʻia ka maʻi ʻaʻa koko e like me leukemia lymphocytic mau
- Ka maʻi ʻaʻai Lymph ʻōnaehana (lymphoma)
- Kūkulu i loko o ke koko o kahi protein i kapa ʻia M-protein (monoclonal gammopathy o ke ʻano ʻike ʻole ʻole; MGUS)
- Hoka kōpaʻa paʻa
ʻAʻohe pilikia me kēia hōʻike.
Nā kaulahao māmā Immunoglobulin - mimi; ʻO ka protein Urine Bence-Jones
- ʻŌnaehana mimi kāne
Chernecky CC, Berger BJ. Protein electrophoresis - mimi. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 920-922.
ʻO Riley RS, ʻo McPherson RA. Ninaninau maʻamau o ka mimi. 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 28.
Rajkumar SV, Dispenzieri A. mau myeloma a me nā maʻi e pili pū ana. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 101.