Hōʻoia anti-HBs: he aha ia a pehea e maopopo ai i ka hopena

Anter

• No ke aha ia
• Hōʻike HBsAg
• Pehea e hana ai
• Ka hoʻomaopopo ʻana i nā hopena

Noi ʻia ka hōʻike anti-hbs e nānā inā loaʻa ka pale ʻana o ke kanaka i ka maʻi hepatitis B, inā loaʻa ma o ka lāʻau ʻana ʻana a i ʻole ka hōʻola ʻana i ka maʻi.

Hana ʻia kēia hōʻike ma ke kālailai ʻana i kahi hāpana koko liʻiliʻi kahi e nānā ʻia ai ka nui o nā mea ʻāpala e kūʻē i ka maʻi hepitis B i ke kahe o ke koko. i ke koko a no laila hoʻohana ʻia no ka ʻike pono.

No ke aha ia

Hoʻohana ʻia ka hōʻike anti-hbs e loiloi i ka hana ʻana o ke kino i nā mea ʻāpala e kūʻē i kahi protein i loaʻa ma ka ʻili o ka maʻi hepitis B, HBsAg. No laila, ma o ka hōʻike anti-hbs, hiki i ke kauka ke nānā inā ua pale ʻia ke kanaka e pili ana i ka maʻi hepitis B a i ʻole, ma o ke kanikau ʻana, me ka nānā ʻana inā he maikaʻi a hoʻomaʻamaʻa ʻia paha ka lapaʻau ʻana, ke ʻike ʻia ka maʻi ua hōʻoia ʻia ka maʻi hepitis B.

Hōʻike HBsAg

ʻOiai noi ʻia ka hōʻike anti-hbs i mea e hōʻoia ai i ka pale ʻana a me ka pane ʻana i ka lāʻau, noi ʻia ke kauka ʻo HBsAg e ke kauka e ʻike inā ua maʻi a ua pili paha ka mea me ka maʻi hepitis B. B.

ʻO ka HBsAg kahi protein i loaʻa ma ka ʻili o ka maʻi hepitis B a he mea pono ia no ke kuhi ʻana i ka maʻi hepitis B. ʻO ka maʻamau noi ʻia ka hoʻāʻo HBsAg me ka hoʻāʻo anti-hbs, no ka mea hiki ke nānā inā e holo nei ka maʻi ma ke kahe o ke koko a inā e hana ana ka meaola iā ia. Ke loaʻa ka maʻi hepa i ke kanaka, aia i loko o ka hōʻike he HBsAg hou, a he hopena nui ia no ke kauka, ʻoiai he mea kēia e hiki ai ke hoʻomaka i ka lāʻau. Hoʻomaopopo i ka mālama ʻia ʻana o ka maʻi hepitis B.

Pehea e hana ai

E hana ai i ka hoʻāʻo anti-hbs, ʻaʻole pono kahi hoʻomākaukau a hoʻokē ʻai paha a hana ʻia ia e ka hōʻiliʻili ʻana i kahi hāpana koko liʻiliʻi, i hoʻouna ʻia i ka hale hana no ka loiloi.

I loko o ke keʻena hoʻokolohua, hoʻomaka ke koko i kahi kaʻina hana serological analysis, kahi e hōʻoia ai i ke alo o nā mea ʻino kūʻē kūʻē i ka maʻi hepitis B. hana i kēia mau mea ʻino, hāʻawi i ka pale i ke kanaka no ke koena o kona ola.

ʻIke i ka wā hea e lawe ʻia ai ka lāʻau hepatitis B.

Ka hoʻomaopopo ʻana i nā hopena

ʻOkoʻa ka hopena o ka hoʻāʻo anti-hbs e like me ka nui o nā antibodies e kūʻē i ka maʻi hepatitis B i ke kahe o ke koko, me nā helu kūmole:

• ʻOi aku ka liʻiliʻi anti-hbs ma mua o 10 mUI / mL - mea hoʻohana hou ʻole. ʻAʻole lawa kēia hoʻopaʻapaʻa ʻana o nā mea pale e pale aku ai i ka maʻi, he mea nui ia e pale ʻia ka maʻi o ke kanaka i ka maʻi. Inā ua hana ʻia ka hōʻoia o ka maʻi hepitis B, hōʻike kēia kuhi ʻaʻohe lāʻau a ʻaʻole maikaʻi ka lāʻau a i ʻole i kāna pae mua;
• Ka noʻonoʻo ʻana o anti-hbs ma waena o 10 mUI / mL a me 100 mUI / mL - pau ʻole a i ʻole maikaʻi no ka lāʻau ʻana. Kuhi paha kēia noʻonoʻo i ka lāʻau ʻana o ke kanaka i ka maʻi hepatitis B a i ʻole ke mālama ʻia ʻana, a ʻaʻole hiki ke ʻike inā ua hoʻōla ʻia ka maʻi hepitis B. I kēia mau hihia, koi ʻia e hana hou i ka hōʻike ma hope o ka 1 mahina;
• Ka noʻonoʻo ʻana o anti-hbs ʻoi aku ma mua o 100 mIU / mL - reagent. Hōʻike kēia kuko i ka pale ʻana o ke kanaka i ka maʻi hepatitis B, ma o ka lāʻau ʻana ʻana a i ʻole ma o ka hōʻola ʻana i ka maʻi.

Ma waho aʻe o ka loiloi ʻana i ka hopena o ka hoʻāʻo anti-hbs, kālailai pū ke kauka i ka hopena o ka hoʻāʻo HBsAg. No laila, ke nānā nei i kahi kanaka i ʻike mua ʻia me ka maʻi hepatitis B, ʻo ka hopena maikaʻi ʻole o ka HBsAg a me ka anti-hbs hopena maikaʻi e hōʻike ana ua hoʻōla ʻia kēlā kanaka a ʻaʻohe mea hou e lele ana i ke koko. ʻO ke kanaka i loaʻa ʻole ka maʻi hepitis B he like nā hopena a me ka anti-hbs ʻoi aku ka nui ma mua o 100 mIU / mL.

I ka hihia o HBsAg a me nā anti-hbs maikaʻi, koi ʻia e hana hou i ka hoʻokolohua ma hope o 15 a 30 mau lā, no ka mea e hōʻike ʻia kahi hopena maikaʻi maikaʻi ʻole, hoʻokumu ʻia o nā complexes immune (immune complexes) a i ʻole ka maʻi maʻi e nā subtypes ʻokoʻa o ka hepatitis B mea hoʻomaʻi.