So wo duruyɛfo aka ANCA nhwehwɛmu bi ho asɛm akyerɛ wo? (ANCA Test) Momma yensua eyi ho ade tiawa.

Ɛtɔ mmere bi a, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ mogya mu nhwehwɛmu a, wuntumi nhu nea ɛkyerɛ anaa nea ɛrehwehwɛ, ɛnte saa? ANCA sɔhwɛ no yɛ din a ɛte saa a wonnim no mu biako. Nanso biribiara nni hɔ a enti ɛsɛ sɛ wusuro anaasɛ wohaw wo ho esiane sɛ wote din yi ara kwa nti. Ɛnnɛ, yɛbɛka nea ɛhwehwɛ, nea enti a wɔreyɛ, ne nea nea efi mu ba no kyerɛ ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne ANCA sɔhwɛ yi?

ANCA nhwehwɛmu yɛ nhwehwɛmu a wɔfa wo mogya. Ɛhwɛ titiriw sɛ biribi a wɔfrɛ no antineutrophil cytoplasmic antibodies ( ANCA tiawa) wɔ wo mogya mu anaa.

Afei ebia woresusuw nea saa din no yɛ ho. Momma yɛnkyekyɛ mu kakra na yɛnte ase.

Fa no sɛ yɛn nipadua te sɛ ɔman. Asraafo dɔm bi wɔ hɔ a wɔbɛbɔ ɔman yi ho ban. Saa asraafo dɔm no ne yɛn nipadua mu ahoɔden a ɛko tia nyarewa no . Wɔfrɛ ɔsraani soronko bi a ɔwɔ asraafo dɔm yi mu neutrophils . Wɔn adwuma ne sɛ wɔbɛko atia atamfo te sɛ mmoawa ne mmoawa a wɔhyɛn yɛn nipadua mu na wɔbɔ yɛn ho ban fi nyarewa ho.

Nanso ɛtɔ mmere bi a yɛn nipadua no mu tumi a ɛko tia nyarewa no nkɔ yiye. Yɛn ankasa ahobammɔ fi ase tow hyɛ yɛn ankasa nkwammoaa pa so. Eyi ne ɔkwan a yɛfrɛ no autoantibodies , protein ahorow a wɔyɛ tia yɛn ankasa nipadua.

ANCA yɛ autoantibody a ɛte saa no mu biako. Nea ANCA yi yɛ ne sɛ ɛtow hyɛ mogya mu nkwammoaa fitaa a wɔfrɛ no neutrophils a ɛbɔ yɛn ho ban no so. Enti ANCA nhwehwɛmu no susuw sɛ ebia autoantibodies bi wɔ wo mogya mu a ɛyɛ adwuma tia yɛn ankasa nipadua, na sɛ ɛte saa a, emu dodow ahe na ɛwɔ hɔ.

Dɛn nti na oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ ANCA nhwehwɛmu yi?

Mpɛn pii no oduruyɛfo bi hyɛ sɛ wɔnyɛ nhwehwɛmu yi sɛ wosusuw sɛ tebea bi a wɔfrɛ no vasculitis bi wɔ hɔ a .

Vasculitis ahorow atitiriw pii wɔ hɔ a ɛne autoantibodies a wɔfrɛ no ANCA wɔ abusuabɔ. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, nhwehwɛmu yi betumi aboa ma woasi so dua.

Mogya ntini a ɛho ahonhon betumi ama mogya a ɛkɔ akwaa atitiriw te sɛ koma, ahurututu, ne asaabo mu no asɛe. Enti, ɛho hia paa sɛ wohu saa tebea horow yi ntɛm na wɔsa.

So ANCA ahorow bi wɔ hɔ?

Yiw, ANCA ahorow atitiriw abien na ɛwɔ hɔ. Ebia wɔbɛka eyinom ho asɛm wɔ wo sɔhwɛ amanneɛbɔ mu.

1. cANCA: Eyi tow hyɛ protein bi a wɔfrɛ no proteinase 3 (PR3) so .

2. pANCA: Eyi tow hyɛ protein bi a wɔfrɛ no myeloperoxidase (MPO) so .

Sɛ wuhu saa ahorow abien yi mu nea ɛwɔ wo nipadua mu a, ɛbɛboa wo duruyɛfo ma wahu ntini mu yare ko a wowɔ no pɛpɛɛpɛ.

Sɛnea wɔyɛ sɔhwɛ no na wosiesie wɔn ho

Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Ɛho nhia sɛ woyɛ biribi titiriw biara de asiesie wo ho ama eyi. Nanso, ɛtɔ mmere bi a wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu afoforo pii nka nhwehwɛmu yi ho. Wɔ tebea horow a ɛtete saa mu no, ebia wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew 8 kosi 12, a wunni hwee sɛ aduan ne nsu. Wo duruyɛfo bɛma wo akwankyerɛ pɔtee a ɛfa eyi ho.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Eyi te sɛ mogya mu nhwehwɛmu ara pɛ. Wɔde simma kakraa bi na ɛyɛ.

• Ɔyarehwɛfo anaa oduruyɛfo bɛpaw ntini a ɛfata afi wo nsa a ɛbɛn wo nsateaa mu de atwe mogya.
• Wɔde aduru a wɔde kum mmoawa siesie saa beae no.
• Afei wɔde ade ketewaa bi hyɛ ntini no mu na wɔboaboa mogya dodow a ɛho hia ano gu afiri bi mu. Ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra bere a wode ade no ahyɛ mu no, nanso ɛyɛ bere tiaa mu de.
• Sɛ wɔtwe mogya no wie a, woyi ade no, wɔde kotoku bi gu beae no so na wɔde nhyɛso gu so. Afei wɔde plaster ketewaa bi gu beae no so.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wɔtwe mogya wie a, wubetumi ayɛ wo dwumadi ahorow a wotaa yɛ no. Nanso oduruyɛfo no bɛka akyerɛ wo sɛ fa plaster no to hɔ nnɔnhwerew kakraa bi. Ebia ɔbɛka akyerɛ wo nso sɛ kwati apɔw-mu-teɛteɛ a emu yɛ den saa da no.

Bere tenten ahe na egye ansa na amanneɛbɔ no aba? Dɛn na nea efi mu ba no ka?

Esiane sɛ ANCA sɔhwɛ no yɛ sɔhwɛ titiriw nti, ebetumi agye nna kakraa bi anaa dapɛn biako ansa na woanya nea efi mu ba. Sɛ amanneɛbɔ no ba wie a, wo duruyɛfo no bɛkyerɛkyerɛ nea ɛkyerɛ ma wo no mu.

• Sɛ nea efi mu ba ne Negative a:

Wei kyerɛ sɛ wunni ANCA autoantibodies biara wɔ wo mogya mu. Ɛno kyerɛ sɛ ɛnyɛ den koraa sɛ wubenya ANCA-associated autoimmune vasculitis. Eyi yɛ asɛmpa.

• Sɛ nea efi mu ba no yɛ Positive a:

Eyi kyerɛ sɛ wowɔ autoantibodies a wɔfrɛ no ANCA wɔ wo mogya mu. Eyi kyerɛ sɛ ebia wowɔ autoimmune vasculitis yare bi.

Nanso adeɛ a ɛho hia paa a ɛsɛ sɛ wokae wɔ ha ne sɛ, ɛnam sɛ ANCA nhwehwɛmu no yɛ papa nti, ɛnsi so dua 100% sɛ wowɔ vasculitis.

Nea ɛbɛyɛ na oduruyɛfo no ahu yare no yiye no, obesusuw nneɛma afoforo pii ho:

• Dɛn ne wo yare no ho sɛnkyerɛnne?
• Dɛn na wohuu bere a wɔreyɛ nipadua mu nhwehwɛmu no?
• Dɛn na efi mogya ne nsu mu nhwehwɛmu afoforo mu ba?
• Ɛtɔ mmere bi a, wobetumi aka akyerɛ wo sɛ yɛ biopsy, a nea ɛka ho ne sɛ wubeyi ntini ketewaa bi afi akwaa bi a ɛka no mu na woahwehwɛ mu.

Enti, nsuro sɛ wubesusuw amanneɛbɔ no nkutoo ho. Onipa a obetumi ate amanneɛbɔ yi ase yiye ne wo duruyɛfo. Ɔbɛka biribiara abom na waba awiei a edi mu sen biara wɔ wo tebea no ho.