Ke manaʻo nei ʻoe i kekahi manawa he ʻoʻoleʻa iki, ʻeha, a pehu i kou mau hono ke ala ʻoe i ke kakahiaka? Ke hele ʻoe e ʻike i ke kauka i ia manawa, hiki iā ia ke kauoha iā ʻoe e hana i kahi hoʻāʻo koko. I waena o lākou, hiki iā ia ke noi iā ʻoe e hana i kahi "hoʻāʻo RF." Makaʻu iki kekahi poʻe ke lohe lākou i kēia inoa. Inā ʻōlelo ka hōʻike "RF positive," manaʻo lākou he hōʻailona ia o kahi maʻi weliweli. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka Rheumatoid Factor (RF), no ke aha i hana ʻia ai kēia hoʻāʻo, a me ka mea a ka hōʻike e ʻōlelo ai ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Rheumatoid Factor (RF)?
E noʻonoʻo ua like ko kākou kino me kahi ʻāina me kahi ʻōnaehana pale maikaʻi. Kāhea mākou i kēia ʻōnaehana pale ʻo ka ʻōnaehana pale . Aia nā koa kūikawā i loko o kēia ʻōnaehana, a mākou e kapa nei he antibodies . ʻO kā lākou hana ka ʻimi, hopu, a luku i nā ʻenemi e komo mai ana i loko o ko kākou kino mai waho, e like me nā germs a me nā allergens. Ua like ia me nā robots pale i loko o ko kākou kino.
Akā i kekahi manawa, hele hewa iki ko kākou ʻōnaehana pale kino. Ke hana nui iki ia, a i ʻole ma muli o ka kuhihewa ʻana, nānā ia i ko kākou mau ʻāpana olakino a me nā ʻiʻo a manaʻo, "Auē... he ʻenemi kēia." I nā manawa e like me kēia, hana ko kākou kino i kahi ʻano antibody kūikawā e hiki ke hoʻouka i ko kākou mau ʻiʻo olakino. ʻO kekahi antibody i hana ʻia ma ke kuhihewa ua kapa ʻia ʻo Rheumatoid Factor (RF) .
I ka ʻōlelo maʻalahi, ʻo RF kahi antibody i hana ʻia e ka ʻōnaehana pale e hiki ke hoʻouka i nā ʻāpana olakino o ko mākou kino ponoʻī. Ke nui loa kēia mau mea i loko o ke kino, ʻo ia hoʻi, ke piʻi ka pae o RF, hiki iā ia ke hōʻino i nā ʻāpana like ʻole o ko mākou kino, ʻoiai nā hono. Kāhea mākou i kēlā mau kūlana he mau maʻi autoimmune .
He aha nā hōʻailona e hiki ke kū mai ke piʻi aʻe nā pae RF?
ʻOiai he kiʻekiʻe nā pae RF o kou kino, ʻaʻole ia he manaʻo e loaʻa mau ana iā ʻoe nā hōʻailona. Loaʻa paha i kekahi poʻe nā pae RF kiʻekiʻe me ke kumu ʻole a i ʻole me ka ʻole o nā hōʻailona. Eia nō naʻe, inā kiʻekiʻe kāu mau pae RF ma muli o kahi maʻi, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:
E hoʻomanaʻo, e pili ana kēia mau hōʻailona i ka ʻāpana o ko kākou kino e hoʻouka ʻia e ka ʻōnaehana pale hewa.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha | ʻEha ma nā hono, ʻoi aku hoʻi ma nā lima, nā wāwae, nā pulima lima, a me nā kuli. ʻOi aku ka ʻino o kēia ʻeha a me ka ʻoʻoleʻa o nā hono i kekahi manawa i ke kakahiaka. |
| Ka mumū | Ua pehu ke ami ʻeha. Hiki paha iā ʻoe ke manaʻo i ka mehana ke hoʻopā ʻoe i ka wahi. |
| ʻOle ke kala ʻili | Hiki ke lilo ka ʻili a puni nā hono pehu i ʻulaʻula a poni paha. |
| Luhi pinepine | Ke luhi mau nei, ʻoiai ma hope o ka hiamoe maikaʻi a me ka hana ʻole ʻana. |
| Kuni pinepine | Ke wela nei me ke kumu ʻole, a i ʻole ke loaʻa mau nei ke kuni haʻahaʻa. |
He aha ka hoʻāʻo koko RF? No ke aha e hana ʻia ai?
He hoʻāʻo koko maʻalahi loa ka hoʻāʻo RF e ana i ka nui o ka Rheumatoid Factor i loko o kahi hāpana o kou koko. ʻAʻole hiki i kēia hoʻāʻo wale nō ke hoʻoholo pono inā he maʻi kūikawā kou. Eia nō naʻe, hiki iā ia ke hāʻawi i kāu kauka i kahi hōʻailona koʻikoʻi, a i ʻole hōʻailona paha, i kā lākou ʻimi ʻana e ʻike i ke kumu o kāu mau hōʻailona.
I nā hihia hea e kauoha ai ke kauka i kēia hoʻokolohua?
ʻO ka maʻamau, ma hope o ka hoʻolohe ʻana o ke kauka i kāu mau hōʻailona a nānā iā ʻoe, e kauoha ʻo ia i kēia hoʻāʻo RF inā kānalua ʻo ia i kahi maʻi autoimmune.
| Māhele maʻi | Nā kūlana olakino i manaʻo ʻia |
|---|---|
| Nā maʻi Autoimmune | |
| Nā ʻano o ka rumatika | ʻO ka ʻArthritis Rheumatoid, ʻO ka ʻArthritis Idiopathic ʻŌpio |
| Nā maʻi pili ʻē aʻe | ʻO ka maʻi Sjögren (maloʻo o nā kelepa salivary a me nā waimaka), lupus, Scleroderma (mānoanoa o ka ʻili) |
| Nā maʻi maʻi mau | |
| Nā maʻi a me nā bacteria | Hepatitis C, Tuberculosis (TB), Infective endocarditis |
Pehea e hoʻomākaukau ai no kēia hoʻāʻo koko?
ʻO kēia ka mea maikaʻi loa. ʻAʻohe hoʻomākaukau kūikawā e pono ai no kēia hoʻāʻo koko RF. Hiki iā ʻoe ke lawe i kēia hoʻāʻo ʻoiai ʻoe e ʻai ana a inu ana ma ke ʻano maʻamau a e hana ana i kāu mau hana o kēlā me kēia lā. E haʻi aku ke kauka iā ʻoe e hele i kahi lab a hāʻawi i kekahi koko a hana i ka hoʻāʻo.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
Ua like kēia me nā hoʻāʻo koko maʻamau āu i loaʻa ai ma mua. He maʻalahi loa ia.
1. E koho ke kauka phlebotomist ma ka lab i kahi aa koko kūpono e huki ai i ke koko mai, ma kou kuʻekuʻe lima a i ʻole ke kua o kou lima.
2. E hoʻomaʻemaʻe pono i ka wahi me ka lāʻau hoʻomaʻemaʻe.
3. A laila, kau lākou i kahi mea e like me ke kaula laholio ma ka lima o luna a hoʻopaʻa iki iā ia. ʻO kēia ka mea e ʻike maopopo ai nā aʻa koko.
4. A laila, hoʻokomo pono ʻia kahi nila liʻiliʻi i loko o ke aʻa a hōʻiliʻili ʻia ka nui o ke koko e pono ai i loko o kahi ʻōmole liʻiliʻi. Ke hoʻokomo ʻia ka nila, e ʻike ʻoe i kahi ʻeha iki, akā he mau kekona wale nō ia.
5. Ma hope o ke kaha ʻia ʻana o ke koko, wehe ʻia ke kui a kau ʻia kahi ʻāpana palaki liʻiliʻi a pulupulu paha ma ia wahi a paʻa pono.
ʻO ia wale nō. He mau minuke wale nō ka lōʻihi o ke kaʻina hana holoʻokoʻa. Inā makaʻu ʻoe i nā nila, e haʻi mua i nā limahana lab. E kōkua lākou iā ʻoe e ʻoluʻolu.
Pehea e hoʻomaopopo ai i ka hōʻike RF?
E hoʻouna ʻia ke koko i ka lab a e loaʻa iā ʻoe ka hōʻike i hoʻokahi a ʻelua paha lā. Mai hopohopo ke ʻike ʻoe i nā waiwai. E nānā kākou i kāna ʻōlelo.
Hoʻohana pinepine ʻia nā pae RF ma nā anakahi no ka milliliter (U/mL).
- Maʻamau/Maiʻole: Pono ka pae RF o ke kanaka olakino ma lalo o 20 U/mL . Inā he haʻahaʻa ka waiwai o ka hōʻike ma mua o kēia waiwai, ua kapa ʻia hoʻi ʻo "Maiʻole." He mea maikaʻi ka maikaʻi ʻole. ʻO ia hoʻi, ʻaʻohe pae kiʻekiʻe o nā antibodies RF i loko o kou koko.
- Kiʻekiʻe/Maikaʻi: Inā ʻoi aku kou pae RF ma mua o 20 U/mL , ua kapa ʻia ʻo "Maikaʻi." ʻO ke ʻano kēia, ʻoi aku ka nui o nā antibodies RF i loko o kou koko ma mua o ka maʻamau.
Eia nō naʻe, e hoʻomanaʻo i kēia: ʻO ka hoʻāʻo RF "maikaʻi" ʻaʻole ia he manaʻo he Rheumatoid Arthritis kou a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. He hōʻailona wale nō ia e kōkua i kāu kauka e hana i kahi hōʻailona.
ʻO kekahi poʻe olakino, ʻoiai i ko lākou ʻelemakule ʻana, hiki ke loaʻa i nā pae RF kiʻekiʻe me ka ʻole o nā hōʻailona. Eia kekahi, hiki i kekahi poʻe maʻi Rheumatoid Arthritis ke loaʻa i nā pae RF "maikaʻi ʻole."
No laila, e hōʻoia e lawe i kāu hōʻike RF i kāu kauka lapaʻau. E hoʻohālikelike ʻo ia me kāu mau hōʻailona, nā mea i loaʻa i ka hoʻokolokolo kino, a, inā pono, nā hopena hoʻāʻo ʻē aʻe (e.g., anti-CCP test, ESR, CRP) e hiki ai i kahi hopena pololei e pili ana i kou kūlana.
Leka Lawe-Home
- ʻO ka Rheumatoid Factor (RF) kahi antibody a kā mākou ʻōnaehana pale e hana hewa ai a hiki ke hoʻouka i ko mākou kino ponoʻī.
- ʻO ka hoʻāʻo koko RF kahi hoʻāʻo koko maʻalahi a nā kauka e hoʻohana ai i ka ʻike ʻana i nā maʻi autoimmune e like me ka arthritis.
- ʻAʻole pono kēia hoʻāʻo i kahi hoʻomākaukau kūikawā.
- Mai makaʻu i ka ʻoiaʻiʻo ua kiʻekiʻe ka pae RF i loko o ka hōʻike ("Positive"). ʻAʻole ia wale nō ke manaʻo he maʻi kou.
- E hōʻoia e ʻike i kāu kauka no ka wehewehe piha ʻana i ke ʻano o kāu hōʻike a me ka mea e hana ai ma hope. Mai ho'āʻo e nānā iā ʻoe iho ma muli o kāu mea i heluhelu ai ma ka pūnaewele.
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