Tin, chak lohna te, ruh na te, vun lama harsatna te pawh i nei reng em? Hetiang hunah hian i doctor chuan ANA test ti turin a ti che a ni mai thei. He hming i hriat hian mi thenkhat chu an hlauthawng deuh a, "He test hi eng ang natna lian tak nge?" Mahse a takah chuan thisen test awlsam tak, routine tak a ni. Chuvangin vawiinah hian hemi chungchanga zawhna i neih zawng zawng hi i tichiang vek ang u. He ANA test hi eng nge a nih, engvangin nge tih a nih a, a result hian eng nge a sawi tak tak tih i en ang u.
A awlsam zawngin, he ANA test hi eng nge ni?
Hei hi hrethiam tur chuan ' antibodies ' tih hi eng nge a nih kan hriat hmasak a ngai a ni. Kan taksa hi ram a ni tih han ngaihtuah teh. Tichuan antibodies te chu chu ram defence force ang mai an ni . Heng antibody te hna chu pawn lam atanga lo chhuak hrik (bacteria, virus) ang chi hmelma te hriatchhuah leh do a, natna laka min humhim hi a ni.
Mahse, a chang chuan kan defense te hian tihsual tlemte an nei thin. Pawn lam atanga hmelma ni lovin, keimahni cell leh tissue hrisel tak takte chu hmêlma angin an ngai sual a ni. Tichuan, chu cell hrisel tak takte chu an bei tan ta a ni. Kan taksa ngeia bei sualtu heng antibodies te hi ‘autoantibodies’ kan ti thin .
Chuvangin, Antinuclear Antibody (ANA) test hi thisen test a ni a, i thisenah heng ‘autoantibodies’ te hi a awm em tih a enfiah thin. ‘Antinuclear’ tih awmzia chu ‘nucleus dodalna’ tihna a ni. Chumi awmzia chu heng autoantibodies te hian kan cells control center nucleus chu a bik takin an bei tihna a ni.
I taksaa heng autoantibodies te hi ‘ autoimmune disease’ i neih theihna tur chhinchhiahna a ni a, chu chu taksa immune system in a dodal thinna a ni Entir nan:
- Lupus natna (Systemic Lupus Erythematosus - SLE) natna hi a awm lo.
- Rheumatoid Arthritis natna a ni
- Scleroderma a ni
- Sjögren-a natna (Sjögren-a Syndrome) a ni
Eng ang symptom nge doctor-in he test hi a rawt ang?
Autoimmune natna hian symptom tam tak a nei a. A hnuaia symptoms pakhat emaw a aia tam emaw i neih rei tawh chuan i doctor chuan a chhan hriat nan ANA test neih a rawt thei ang.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Joint leh muscle natna | Zingkar ruh a nghet lo, a hring a, a na reng bawk. |
| Chau lutuk | Eng anga mut pawh nise nunna nei lo anga inhriatna. |
| Khawsik lo awm leh thin | Chhan bik nei lovin lum leh khawsik nei reng reng. |
| Butterfly Rash a ni | Hnar leh hnar sir zawng zawngah hian hnim hring, butterfly ang maia hring a lo lang thin (hei hi lupus symptom pawimawh tak a ni). |
| Ke ruh leh ke ruh (limbs) a natna (numbness) a awm | Kut emaw ke emaw a tingling emaw, a rilru a buai emaw. |
| Sam tlakchhamna | Sam tlakchhamna pangngai aia tam. |
| Eng laka sensitivity nei | Ni êng emaw êng êng tak hnuaia vun natna emaw, nuam lo emaw. |
Test neih hmaa hriat tur thil
He test hma hian thil danglam bik tih ngai a awm lo. Chaw nghei leh thil danglam bik tih a ngai lo. Mahse, tuna i damdawi ei zawng zawng (vitamin leh supplement te pawh tel) i doctor hnenah i hrilh a pawimawh hle. Damdawi thenkhat chuan ANA result a nghawng thei.
Engtin nge test hi i tih thin?
Hei hi kalphung awlsam tak a ni. Lab hian i kut chhunga vein pakhat atanga thisen sample te tak te an la thin. Hetiang kalphung hi minute tlemte chhungin tihfel a ni. Thisen lakna hmunah hian plaster te tak te an hnawih thin. Chumi hnuah chuan a pangngaiin i haw thei tawh ang. Thisen sample hi lab-ah endik a ni.
ANA result... Positive (+) a ni em? Dik lo (-)? Hei hian eng nge a awmzia?
Hei hi mi zawng zawng harsatna lian ber a ni.
- Negative (-) result: Hei hian i thisenah autoantibodies hmuh tur a awm lo tihna a ni. Hei hian autoimmune disease i neih a rinawm loh hle tihna a ni.
- Positive (+) result: Hei hian i thisenah autoantibodies hmuhchhuah a ni tihna a ni.
Mahse hetah hian hriat reng tur thil a awm.
A pawimawh ber chu ANA test positive i nih chuan autoimmune disease i nei tihna a ni hauh lo.
Dik tak chuan, mi hrisel, damdawi lam harsatna awm lo zinga 3% leh 15% inkar chuan ANA test positive an nei thei a ni. Damdawi thenkhat, virus infection , leh damdawi lam thil dang vang pawh a ni thei bawk.
Hei hian ANA test hi diagnosis-a a then pakhat chauh a ni tihna a ni. I doctor chuan i natna lan chhuah dân te, taksa enfiahna , leh a ṭûl chuan test dangte chu a thlunzawm a, thutlukna hnuhnung ber a siam ang.
| ANA result tichhe thei damdawi lam dinhmun | |
|---|---|
| ANA result tha tak pe thin natna (Autoimmune Diseases) . | |
| |
| ANA result tha tak thlen thei tur condition dang | |
|
ANA test a positive a nih chuan eng nge thleng leh ang?
ANA test a positive chuan i doctor chuan specialized blood test tlemte a nei leh ang a, chu chuan autoimmune disease eng nge i symptoms nena inmil chiah tih a hre thei ang. ANA test ah chuan "harsatna a awm mai thei" tih chauh a ni. Chu harsatna awmzia dik tak chu heng ang test dang hmangin a hriat theih a ni.
- Anti-dsDNA test: Hei hi lupus hriat theihna atana hman bik a ni.
- Anti-centromere test: Hei hian scleroderma natna a hriat theih nan a pui a ni.
- ENA panel: Hei hian a rualin autoantibodies chi hrang hrang engemaw zat a en a. Eng autoimmune disease nge i neih tih chiang zawkin a hriattir thei che a ni.
Chuvangin i ANA result chungchangah rinhlelhna engmah nei suh. I doctor nen zalen takin inbiakna nei la, eng nge i tih leh tur tih leh eng enkawlna nge i tih tur tih chiang takin sawi rawh.
Take-Home Thuchah a ni
- ANA test hi thisen test awlsam tak a ni a, thisenah hian kan taksa ngeia beitu protein 'autoantibodies' an tih te a enfiah thin.
- Test result positive chuan natna i nei tihna a ni ngai lo. Mi hrisel pawhin he result hi an hmu thei a ni.
- He test hi i doctor-in diagnosis a siamna atana a hmanraw pakhat chauh a ni. I symptoms leh test dangte pawh a pawimawh hle.
- I doctor chauh hian i result chungchang te, a awmzia te, a hnua i hmalakna tur te chu thurawn tha ber ber a pe thei che a, chuvangin anmahni biak pawh hlau suh.
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