Mea Kākau: Robert Simon
Lā O Ka Hana: 18 Iune 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
Autoimmune Hepatitis (Lupoid hepatitis)
Wikiō: Autoimmune Hepatitis (Lupoid hepatitis)

Anter

He aha ka hōʻailona anti-smooth muscle antibody (ASMA)?

Kuhi kahi hōʻailona anti-smooth muscle antibody (ASMA) i nā mea ʻino e hoʻouka i nā mākala mālie. Pono kēia hōʻike i kahi laʻana koko.

Kuhi kou ʻōnaehana pale i nā mea i kapa ʻia he antigens e hoʻopōʻino paha i kou kino.Uhi ʻia nā virus a me nā koʻohune me nā antigens. Ke ʻike ka ʻōnaehana pale ʻea i kahi antigen, hana ia i kahi protein i kapa ʻia he antibody e hoʻouka iā ia.

Kū hoʻokahi kēlā me kēia antibody, a pale aku kēlā me kēia i ke ʻano antigen wale nō. I kekahi manawa hana kuhi hewa kou kino i nā autoantibodies, ʻo ia nā mea ʻino e hōʻeha i nā kino olakino ponoʻī o kou kino. Inā hoʻomaka kou kino e hoʻouka iā ia iho, hiki iā ʻoe ke hoʻomohala i kahi maʻi autoimmune.

Nānā kahi hoʻāʻo ASMA i hoʻokahi ʻano o ka autoantibody nāna e hoʻouka i ka mākala mānoanoa. ʻIke ʻia nā anti-malimile ʻeleʻele i nā maʻi maʻi ake autoimmune e like me cholangitis biliary mua a me ka hepatitis autoimmune (AIH).

ʻO ka hepatitis autoimmune

Inā loaʻa ʻoe i ka maʻi maʻi akepaʻa, malia paha e hana kāu kauka olakino i kahi hōʻike ASMA. Hiki i ka hoʻāʻo ke kōkua e ʻike inā he AIH hana paha kāu.


ʻO nā Virus ke kumu pinepine o ka maʻi hepatitis ma ke ao holoʻokoʻa. ʻO AIH kahi ʻokoʻa. Hana ʻia kēia ʻano maʻi maʻi ate ke hoʻouka aku kāu ʻōnaehana pale maʻi i kou mau hunaola ate. He kūlana mau ʻo AIH a hiki i ka hopena i ka cirrhosis, a i ʻole ka scarring, o ke akepaʻa a i ʻole ka hopena o ke ake.

ʻO nā hōʻailona AIH a me nā hōʻailona me:

  • ate akea, i kapa ʻia he hepatomegaly
  • ʻōpū o ka ʻōpū, a i ʻole ka pehu ʻana
  • palupalu ma luna o ke ake
  • mimi ʻeleʻele
  • noho humuhumu keʻokeʻo

ʻO nā hōʻailona hou aʻe:

  • melemele o ka ʻili a me nā maka, a i ʻole ka jaundice
  • ʻūlili
  • luhi
  • nalo ʻai ʻole
  • nausea
  • ka luaʻi
  • ʻeha pū
  • ʻoluʻolu o ka ʻōpū
  • ʻāwīwī o ka ʻili

Pehea e hana ai i ka hoʻāʻo anti-paheʻe i ka antibody muscle?

ʻAʻole pono ʻoe e hana i kekahi mea e hoʻomākaukau ai no kahi hōʻike ASMA.

Hiki iā ʻoe ke hoʻokolohua ma a:

  • haukapila
  • hale hana kino
  • hale hana hoʻokolohua

No ka hoʻokō ʻana i ka hōʻike ASMA, e loaʻa i kahi loea mālama ola kahi laʻana koko mai iā ʻoe.


ʻO ka maʻamau, hāʻawi ʻoe i kahi laʻana koko i ke ala penei:

  1. Hoʻopili ke kauka olakino i kahi kāʻei paʻa i kou lima luna. Kū kēia i ke kahe o ke koko, e ʻike hou ʻia kou mau uaua, a maʻalahi hoʻi e hoʻokomo i ka nila.
  2. Ma hope o ko lākou loaʻa ʻana i kou aa, hoʻomaʻemaʻe ka ʻoihana olakino i kou ʻili me ka antiseptic a hoʻokomo i kahi nila me kahi Tube e hoʻopili e hōʻiliʻili i ke koko. Ke hele nei ke kui kele, ʻike paha ʻoe i kahi pinching pōkole a i ʻole stinging sensation. Hiki paha iā ʻoe ke hōʻoluʻolu iki ke kau ka ʻoihana olakino i ka nila i kou aa.
  3. Ma hope o ka hōʻiliʻili ʻana o ka ʻoihana i lawa i kou koko, e hemo lākou i ke kāʻei elima mai kou lima aku. Lawe lākou i ke kui kele a kau i ka gauze a i ʻole kahi ʻāpana o ka pulupulu ma luna o ka pūnaewele o ka ʻoki a hoʻopili i ka kaomi. E hoʻopaʻa lākou i ka gauze a i ʻole ka pulupulu me kahi wahī.

Ma hope o ka hemo ʻana o ka nila, ʻike paha ʻoe i kahi kani ʻana o ka nila. ʻAʻole manaʻo ka poʻe he nui i kekahi mea. Kūpono ʻole ka ʻoluʻolu koʻikoʻi.


He aha nā pilikia?

Lawe ka hōʻike ASMA i kahi makaʻu liʻiliʻi. Aia paha he liʻiliʻi o ka palapū ma ka kahua o ka nila. Ke noi nei i ke kaomi ma ka pūnaewele puncture no mau minuke ma hope o ka hoʻopau ʻana o ka ʻoihana mālama ola i ka nila.

Hiki i kekahi poʻe ke makaʻu i ka kahe hoʻomau ʻana ma hope o ka wehe ʻana o ka ʻoihana i ka nila. E haʻi i ka luna hoʻokolohua inā ʻoe e lawe i nā mea lahilahi o ke koko a i ʻole he pilikia me ka kahe ʻana o ke kō a me ke kāpili ʻana.

I nā hihia kakaikahi ma hope o kou hāʻawi ʻana i kahi laʻana koko, hiki ke kū i ka mumū o ka aa. ʻIke ʻia kēia ʻano he phlebitis. E mālama iā ia, hoʻopili i kahi kaomi mahana i nā manawa he nui i ka lā.

I nā hihia kakaikahi loa, ke kiʻi ʻia ke koko e hopena i:

  • kahe nui ke koko
  • ʻālohilohi a maʻule paha
  • he hematoma, ʻo ia ka hōʻiliʻili o ke koko ma lalo o ka ʻili
  • kahi maʻi i ke kahua o ka nila

He aha ke ʻano o nā hopena hōʻike?

Nā hopena maʻamau

ʻO nā hopena maʻamau ka manaʻo ʻaʻole ʻike ʻia nā ASMA koʻikoʻi i kou koko. Hōʻike ʻia paha ka hopena ma ke ʻano he titer. ʻO kahi titer maikaʻi ʻole, a i ʻole nā ​​pae maʻamau, i manaʻo ʻia he dilution ma lalo o 1:20.

Nā hopena maʻamau

Kuhi ʻia nā pae ʻike ASMA ma ke ʻano he titer.

ʻOi aku ka nui o nā hopena AMSA ma mua a i ʻole ka like o ka dilution o 1:40.

Me nā maʻi ake autoimmune, kahi hōʻike e hoʻi maikaʻi ai no ASMAs ma muli paha o:

  • maʻi hepatitis C maʻi mau
  • maʻi mononucleosis infectious
  • kekahi maʻi ʻaʻai

ʻO kahi ho'āʻo antibody F-actin, i hoʻohui ʻia me kahi hōʻike ASMA, hiki ke hoʻomaikaʻi i ka hiki ke ʻike i ka hepatitis autoimmune ma luna o nā kūlana ʻē aʻe.

No ka mea e koi ana nā hopena hōʻike i ka wehewehe ʻana, keu hoʻi e pili ana i nā hoʻokolohua ʻē aʻe i hana ʻia paha, he mea nui e kamaʻilio me kāu kauka e pili ana i kāu mau hopena kikoʻī.

ʻO kahi kuhi o ka hepatitis autoimmune ʻo ia hoʻi ke kuhi hewa nei kāu ʻōnaehana pale pale i nā mea pale e hoʻouka i nā hunaola olakino i kou ake.

Hiki i kēlā me kēia mea ke loaʻa i ka hepatitis autoimmune, akā ʻoi aku ka nui o nā wahine ma mua o nā kāne, e like me ka National Institute of Diabetes and Digestive and Kidney Diseases.

Hiki i ka hepatitis Autoimmune ke hopena i:

  • luku ʻia o ke akepaʻa
  • cirrhosis
  • maʻi ʻaʻai ate
  • hoka ʻole o ke ake
  • ka pono no ka hoʻoliʻiliʻi ate

E kūkākūkā mau ʻoe i kāu mau nīnau e pili ana i nā hopena hōʻike me kāu kauka. Inā pono, hiki iā lākou ke hoʻoholo i kāu koho koho maikaʻi loa.

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