Anti-Smooth Muscle Antibody (ASMA)
Anter
- He aha ka hōʻailona anti-smooth muscle antibody (ASMA)?
- ʻO ka hepatitis autoimmune
- Pehea e hana ai i ka hoʻāʻo anti-paheʻe i ka antibody muscle?
- He aha nā pilikia?
- He aha ke ʻano o nā hopena hōʻike?
- Nā hopena maʻamau
- Nā hopena maʻamau
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:
- 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.
- 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.
- 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.