A châng chuan Doctor-in thisen test ti tûra a tih che hian eng nge a awmzia leh eng nge a zawn tih i hre thei lo a ni lawm ni? ANCA test hi chutiang hming hriat loh zinga mi a ni. Mahse he hming i hriat vang mai maia hlauhthawn leh lungkham tur a awm lo. Vawiin hian eng nge a zawn tih te, engvangin nge a tih tih te, a result awmzia te chu awlsam takin i hriatthiam theih tur angin kan sawi dawn a ni.
A awlsam zawngin, he ANCA test hi eng nge ni?
ANCA test hi i thisen sample lakna a ni. I thisenah antineutrophil cytoplasmic antibodies ( ANCA a tawi zawngin) tih hming pu thil a awm leh awm loh a enfiah ber a ni.
Tunah chuan chu hming chu eng nge ni tih i ngaihtuah mai thei. Tlemin han ṭhen darh ila, hrethiam ila.
Kan taksa hi ram ang maiin han ngaihtuah teh. He ram humhalh tur hian sipai a awm a. Chu sipai chu kan immune system a ni . He sipaiah hian sipai chi khat bik chu neutrophils an ti a . An hna chu kan taksaa lut hrik leh bacteria ang chi hmelma te do a, natna laka min humhim hi a ni.
Mahse a chang chuan kan immune system a kal sual thin. Kanmahni defense te hian kan cell tha tak tak te chu kan rawn bei tan thin. Hei hi autoantibodies , kan taksa laka protein siam chhuah kan tih dan chu a ni.
ANCA hi chutiang autoantibody pakhat chu a ni. He ANCA hian a tih chu min vengtu thisen var neutrophils an tih te hi a bei a ni. Chuvangin ANCA test hian i thisenah hian kan taksa ngeia thawk thei autoantibodies a awm em tih a teh a, a awm a nih chuan engzat nge awm tih a teh bawk.
Engvangin nge doctor chuan he ANCA test hi ti turin a hrilh ang che?
Doctor chuan vasculitis an tih natna an rinhlelh chuan he test hi a ti tlangpui thin .
A awlsam zawngin sawi ila, vasculitis tih hi kan taksa chhunga thisen kalna kawng (thisen kalna kawng) a inflammation a ni. Tui pipe a lo hring ang maiin a chhunga tui luang chhuak harsa tak a ni. Thisen kalna kawng a lo hring chuan thisen kal a tikhawlo a, kan taksa peng hrang hrang a chhiat phah thei a ni. Hei hi autoimmune disease a ni a, keimahni immune system hnathawh avanga lo awm tihna a ni.
Autoantibodies nena inzawm vasculitis chi hrang hrang a awm a, chu chu ANCA an ti a. Heng symptoms te hi i neih chuan he test hian a nemnghet thei a ni.
| ANCA nena inzawm Vasculitis chi hrang hrang | Hming hlui |
|---|---|
| Granulomatosis a awm a, polyangiitis a awm bawk | Wegener-a granulomatosis a ni |
| Microscopic hmanga polyangiitis a awm | - . |
| Eosinophilic granulomatosis a awm a, polyangiitis a awm bawk | Churg-Strauss natna a ni |
Thisen kalna kawng a hring hian taksa peng lian tak tak, thinlung, lung leh kal (kidney) te thisen pekna a tichhe thei a ni. Chuvangin heng natnate hi hriat hmasak leh enkawl hmasak a pawimawh hle.
ANCA chi hrang hrang a awm em?
Ni e, ANCA hi chi hnih lian tak a awm. Hengte hi i test report-ah tarlan a ni mai thei.
1. cANCA: Hei hian proteinase 3 (PR3) an tih chu a bei a.
2. pANCA: Hei hian protein pakhat myeloperoxidase (MPO) an tih chu a bei a.
Heng chi hnih zingah hian eng chi nge i taksaah i neih tih hriat hian i doctor chuan eng chi nge vasculitis i neih tih chiang takin a hriat theih nan a pui ang.
Test lak dan leh inbuatsaih dan
Hei hi kalphung awlsam tak a ni. Hemi atana inbuatsaih tur hian thil danglam bik tih a ngai lo. Mahse, a chang chuan i doctor chuan he test nen hian thisen test dang engemaw zat a order ang. Chutiang hunah chuan darkar 8 atanga darkar 12 chhung chaw nghei tura tih i ni thei a, chaw leh tui chauh lo chu engmah nei lovin. I doctor chuan hemi chungchangah hian thupek chiang tak a pe ang che.
Test neih chhung hian eng nge thleng?
Hei hi thisen test neih ang mai a ni. Minute tlemte chhungin a zo tawh.
- Nurse emaw doctor emaw chuan i elbow bula i kut atang hian thisen lakna tur vein tha tak a thlang ang.
- Chu hmun chu disinfectant hmanga tihfai a ni.
- Chumi hnuah chuan thisen zam chhungah hian needle te tak te dahin thisen mamawh zat chu tube-ah an la khawm a ni. Needle i dah dawnin stinging sensation tlem i nei thei a, mahse rei lo te chhung atan a ni.
- Thisen an lak zawh chuan needle chu lakchhuah a ni a, a hmun chungah cotton chi khat dahin pressure pek a ni. Tichuan plaster te tak te chu a hmunah an hnawih a.
Test zawhah eng nge thleng?
Thisen lak zawhah i hna pangngai i thawk thei tawh ang. Mahse doctor chuan darkar engemaw zat plaster chu bun reng turin a hrilh ang che. Chumi ni chuan exercise hahthlak tak tak lo turin a hrilh thei bawk che a ni.
I thisen laksak hi a him hle. A tam zawkah chuan needle dahna hmun chu a sen deuh thei a, chu chu ni khat emaw ni hnih emaw chhungin a mah chauhin a bo tlangpui. A tlem hle a, vein chu a hring deuh thei. Chutiang a nih chuan tui lum takah i hnim chuan hahdamna i hmu thei ang.
Report a thlen theih nan eng chen nge a ngaih? Results hian eng nge a sawi?
ANCA test hi specialized test a nih avangin result hmuh nan ni engemaw zat emaw kar khat emaw a ngai thei. Report a lo luh veleh i doctor chuan i tan eng nge a awmzia a hrilhfiah ang che.
- A result chu Negative a nih chuan:
Hei hian i thisenah ANCA autoantibodies i nei lo tihna a ni. Chumi awmzia chu ANCA-associated autoimmune vasculitis i vei a rinawm loh hle tihna a ni. Hei hi chanchin lawmawm tak a ni.
- A result chu Positive a nih chuan:
Hei hian i thisenah ANCA an tih autoantibodies i nei tihna a ni. Hei hian autoimmune vasculitis natna i nei thei tih a tilang a ni.
Mahse hetah hian i hriat reng tur pawimawh ber chu ANCA test a positive vang mai mai hian vasculitis i nei tih 100% in a nemnghet lo.
Diagnosis dik tak siam theih nan doctor chuan thil dang engemaw zat a ngaihtuah ang:
- I symptoms te chu engte nge ni?
- Taksa enfiahnaah eng nge hmuh?
- Thisen leh zun test dangte result eng nge ni?
- A châng chuan, biopsy tihsak i ni thei a, chu chu taksa peng natna aṭanga tissue te tak te la chhuakin, enfiah a ngai a ni.
Chuvangin, report chauh ngaihtuah hlau suh. He report hrethiam thei tur ber chu i doctor hi a ni. Engkim a dah khawm ang a, i dinhmun chungchangah thutlukna dik ber a siam ang.
Take-Home Thuchah a ni
- ANCA test hi thisen test bik a ni a, keimahni taksa hriselna (immune system) atanga natna thenkhat, vasculitis ang chi te hriatchhuahna a ni.
- Hei hi test awlsam leh him tak a ni a, thisen test pangngai ang bawkin. Inbuatsaihna bik a ngai lo.
- Test result 'positive' a nih chuan lungngai suh. Chumi ringawt chuan natna i neih leh neih loh a hril thei lo.
- I report chungchang te, a awmzia te, leh a hnua i tih tur te chu i doctor nen zalen takin sawiho rawh. Engkim a hrilhfiah ang che.











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