Yu dɔktɔ dɔn tɛl yu fɔ du Kappa Fri Layt Chen Tɛst? Ɔ ɛnibɔdi na yu famili dɔn gɛt dis tɛst? Di nem kin tan lɛk se i strenj smɔl. Bɔt nɔ wɔri. Dis na simpul blɔd tɛst we dɛn kin du bɔku tɛm ɛn i kin gi bɔku impɔtant tin dɛn. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan tide.
Fɔ tɔk am simpul wan, wetin na dis Kappa Fri Layt Chen Tɛst?
Dis na blɔd tɛst we de sho aw spɛshal prɔtin de na wi blɔd. Okay, mek wi simplify am likl mo.
Wi gɛt wan kayn sɛl na wi bɔdi we dɛn kɔl plasma sɛl . Dɛn pipul ya tan lɛk smɔl sojaman dɛn na wi bɔdi. Dɛn na wan kayn wayt blɔd sɛl. Dɛn men wok na fɔ fɛt di sik ɛn jem dɛn we de kam insay wi bɔdi.
dis plasma sεl dεm de mek wan kayn protin we dεn kכl "layt chen dεm." dis layt chen dεm kin kכmbayn wit כda kayn protin we dεn kכl "hεvi chen" fכ mek antibodi dεm , כ imyunoglobulin dεm . na dεn antibodi dεm ya de εp wi imyun sistεm fכ wok fayn fayn wan.
Bɔt sɔntɛnde, dɛn layt chen dɛn ya, we dɛn nɔ jɔyn wit dɛn ebi chen dɛn de, kin flɔt rawnd insay wi blɔd fɔ dɛnsɛf. Na dat wi de kɔl "fri layt chen."
Tu men kayn fri layt chen ya de:
1. Kappa layt chen dɛn
2. Lambda layt chen dɛn
Na nɔmal tin fɔ mek pɔsin we gɛt wɛlbɔdi gɛt sɔm pan dɛn tu kayn tin ya na in blɔd. Bɔt pan sɔm sik kɔndishɔn, kappa ɔ lambda, ɔ ɔl tu, kin tu ay ɔ tu smɔl. Na dat wi de luk fɔ insay dis tɛst. Dɔn bak, we dɛn de trit pɔsin we dɔn ɔlrɛdi gɛt plasma sɛl sik, dɛn kin yuz dis tɛst bak fɔ si if di tritmɛnt dɔn wok fayn.
Ustɛm dɛn fɔ du dis tɛst?
If yu gɛt sɔm sayn dɛn ɛn yu dɔktɔ tink se yu gɛt plasma sɛl disɔda, i kin ɔda fɔ du dis tɛst. Fɔ ɛgzampul, if yu dɔn de fil wik fɔ lɔng tɛm, yu bon dɛn de pen, ɔ yu de brus ɔltɛm, yu dɔktɔ go sɔprayz se yu gɛt dis sik ɛn tɛl yu fɔ du dis tɛst.
Dis tɛst rili impɔtant fɔ no di ɔndalayn mɛdikal kɔndishɔn.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Amyloidosis we dɛn kɔl am | Na sik we wan abnɔmal prɔtin kin gɛda na wi ɔgan dɛn, we kin mek dɛn tik ɛn ambɔg dɛn wok. |
| Mɔltipɛl Mayloma | Wan kansa we kin apin na di plasma sɛl dɛn. |
| MGUS (Monoclonal Gammopathy we nɔ gɛt ɛnitin fɔ du wit am) . | Pan ɔl we wan kayn prɔtin we nɔmal de na di blɔd, i nɔto kansa. Bɔt, risk de fɔ mek i tɔn to kansa tumara bambay. |
| Waldenström makroglobulinemia | Wan kayn blɔd kansa we nɔ kin bɔku. |
| Ɔda limfoma ɛn sik dɛn we gɛt fɔ du wit plasma sɛl | כda kכndyushכn dεm we di limf sεl dεm εn di plasma sεl dεm de gro abnכmal. |
Us sayn dɛn kin gɛt fɔ du wit dɛn sik ya?
If yu gɛt wan ɔ mɔ pan di sayn dɛn we de dɔŋ ya, dɔktɔ kin tɛl yu fɔ du dis tɛst.
- Paleness ɛn taya we kin kam bikɔs ɔf anemia .
- Brus ɔ blɔd we kin tek tumɔs fɔ stɔp frɔm simpul injuri.
- Bɔn pen , mɔ na di spayna, rib, ɛn hip.
- Bɔn lɛsin kin mek di bon dɛn brok izi wan.
- Fɔ taya ɔltɛm .
- Prɔblɛm dɛn na di kidni .
- Di an ɛn fut dɛn we de mek yu nɔ fil fayn ɔ we yu de fil swɛt .
- Di kɔlɔ we di skin kin chenj ɔ we gɛt pepul spat.
- Tɔng we de swel .
- Di sayn dɛm lɛk kɔnfyushɔn ɛn kɔnstipɛshɔn we kin kam bikɔs di blɔd kalsiɔm lɛvɛl go ɔp (Hypercalcemia) .
Aw yu kin rɛdi fɔ dis tɛst?
Fɔ tru, dis tɛst nɔ nid fɔ pripia bɔku spɛshal wan. Bɔku tɛm, yu kin jɔs du tin we nɔmal.
Bɔt pan sɔm spɛshal kes dɛm, yu dɔktɔ kin aks yu fɔ fast fɔ 8-12 awa bifo di tɛst. Ɔ dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn. So, i go fayn fɔ mek yu go to yu dɔktɔ bifo yu du di tɛst.
Wetin kin apin we yu tek di tɛst?
Dis na rili simpul we fɔ du tin we kin tek jɔs sɔm minit. We yu go na di lab, pɔsin we de stɔdi bɔt di blɔd go yuz smɔl nidul fɔ pul sɔm blɔd frɔm wan vein na yu an. Dɛn kin gɛda di blɔd insay wan smɔl tiub, ɛn dɛn kin pul di nidul. Dɔn dɛn kin put smɔl plasta ɔ band-ɛd na di say. Yu kin pul am afta sɔm awa.
No siriɔs risk nɔ de we kin apin. Jɔs lɛk ɛni blɔd tɛst, sɔm smɔl smɔl tin dɛn kin we kin mek pɔsin nɔ fil fayn. Yu kin fil lɛk se yu de swɛt smɔl we dɛn put di nidul insay. Afta dat, di say we dɛn put di nidul kin brus smɔl, i kin wund, ɔ i kin blɔd smɔl. Bɔt, dɛn tin ya kin dɔn insay wan ɔ tu dez.
Wetin di ripɔt se?
Dis na di pat we impɔtant pas ɔl. Bɔku tɛm, i kin tek ɛnisay frɔm sɔm dez to wan wik fɔ gɛt di ripɔt.
Di impɔtant tin na dat di nɔmal rɛnj kin difrɛn smɔl dipen pan di lab we de du di tɛst ɛn di we aw dɛn de yuz. So i bɛtɛ fɔ kɔmpia yu rizɔlt to di ‘rɛfrɛns rɛnj’ we de na yu ripɔt.
Di jɛnɛral aksepted rɛnj dɛm fɔ valyu dɛm na dɛn wan ya:
| Test Kɔmpɔnɛnt | Nɔmal Rɛnj |
|---|---|
| Kappa fri layt chen | 3,3 – 19,4 mg/L |
| Lambda fri layt chen dɛn | 5,71 – 26,3 mg/L |
| Kappa/Lambda rεshכn | 0.26 – 1.65. Di wan dɛn we de wok |
Wetin fɔ du if di tin dɛn we kin apin nɔ kin du?
If di valyu dɛm na yu ripɔt de ausayd dis nɔmal rɛnj, i kin sho se yu kin gɛt plasma sɛl dizayd, we wi bin dɔn tɔk bɔt.
Bɔt nɔto so i kin bi ɔltɛm. Sɔntɛnde, kidni sik , krɛse inflamɛns , ɔ ɔda imyun sistɛm disɔda kin mek di fri layt chen dɛn go ɔp. Insay dɛn kayn tin ya, i nɔ min se yu gɛt wan sik we dɛn kɔl plasma sɛl.
Di tin we impɔtant pas ɔl na, nɔ jɔs luk yu ripɔt ɛn kam fɔ no wetin fɔ du. Mek shɔ se yu sho am to yu dɔktɔ ɛn aks am fɔ di ditel dɛn. Na in go tink bɔt yu sik dɛn ɛn ɔl di ɔda tɛst ripɔt dɛn ɛn gi di kɔrɛkt kɔnklushɔn.
Mɛsej we dɛn kin kɛr go na os
- di Kappa Fri Layt Chen Tεst na simpul bכdi tεst we de mכsu di lεvεl dεm fכ tu spεshal tכp protin dεm (kappa εn lambda) na wi bכdi.
- if dis protin de hכy כ lכw, i kin bi sayn fכ sik dεm we de kכmכt frכm di plasma sεl, lεk mכltipl mayloma.
- Bɔt dɛn valyu ya kin chenj bak bikɔs ɔf di kidni sik ɔ ɔda prɔblɛm dɛn we de wit di imyun sistɛm.
- Dis na kwik tɛst we nɔ de briŋ ɛni siriɔs risk.
- Di tin we impɔtant pas ɔl: Sho yu tɛst rizɔlt ɔltɛm to yu dɔktɔ fɔ mek i no di kɔrɛkt tin ɛn advays am. Nɔ ɛva jomp to kɔnklushɔn fɔ yusɛf.
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