Kodi mumamvanso kufooka nthawi zonse, kupweteka kwa mafupa, ndi mavuto a khungu? Mwina dokotala wanu wakupemphani kuti muchite mayeso a ANA nthawi ngati iyi. Mukamva dzinali, anthu ena amachita mantha pang'ono, akuganiza kuti, "Kodi mayesowa ndi a mtundu wanji wa matenda akuluakulu?" Koma kwenikweni ndi mayeso osavuta komanso a magazi wamba. Choncho tiyeni tiyankhe mafunso onse omwe muli nawo okhudza izi lero. Tiyeni tiwone kuti mayeso a ANA awa ndi otani, chifukwa chake amachitika, komanso zomwe zotsatira zake zikunenadi.
Mwachidule, kodi mayeso a ANA awa ndi otani?
Kuti timvetse izi, choyamba tiyenera kudziwa kuti ' ma antibodies ' ndi chiyani. Tangoganizani kuti thupi lathu ndi dziko. Kenako ma antibodies ali ngati asilikali a dzikolo . Ntchito ya ma antibodies amenewa ndi kuzindikira ndikulimbana ndi adani monga majeremusi (mabakiteriya, mavairasi) ochokera kunja ndikutiteteza ku matenda.
Koma nthawi zina chitetezo chathu chimalakwitsa pang'ono. M'malo mochita mdani wochokera kunja, amalakwitsa maselo ndi minofu yathu yathanzi kukhala mdani. Kenako amayamba kuukira maselo athanzi amenewo. Timatcha ma antibodies amenewa omwe amaukira matupi athu molakwika kuti 'autoantibodies' .
Kotero, mayeso a Antinuclear Antibody (ANA) ndi mayeso a magazi omwe amafufuza 'autoantibodies' awa m'magazi mwanu. 'Antinuclear' amatanthauza 'motsutsana ndi nucleus'. Izi zikutanthauza kuti ma autoantibodies awa amaukira makamaka nucleus, yomwe ndi malo olamulira maselo athu.
Kupezeka kwa ma autoantibodies amenewa m'thupi lanu ndi chizindikiro chakuti mwina muli ndi 'matenda a autoimmune ', vuto lomwe chitetezo cha mthupi chimadziukira chokha . Mwachitsanzo:
- Matenda a Lupus (Systemic Lupus Erythematosus - SLE)
- Matenda a Nyamakazi
- Scleroderma
- Matenda a Sjögren
Ndi zizindikiro ziti zomwe zingachititse dokotala kulangiza mayeso awa?
Matenda a autoimmune ali ndi zizindikiro zambiri. Ngati mwakhala ndi chimodzi kapena zingapo mwa zizindikiro zomwe zili pansipa kwa nthawi yayitali, dokotala wanu angakulangizeni kuti muyesedwe ndi ANA kuti mupeze chomwe chikuyambitsa.
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka kwa mafupa ndi minofu | Kuuma kwa mafupa m'mawa, kutupa, ndi kupweteka kosalekeza. |
| Kutopa | Kumva ngati wopanda moyo ngakhale utagona tulo tochuluka bwanji. |
| Malungo obwerezabwereza | Kukhala ndi kutentha thupi komanso kutentha thupi nthawi zonse popanda chifukwa chenicheni. |
| Ziphuphu za Gulugufe | Ziphuphu zofiira, zooneka ngati gulugufe zimaonekera m'masaya ndi m'mphuno (ichi ndi chizindikiro chachikulu cha lupus). |
| Kusanza m'miyendo | Kumva kuwawa kapena dzanzi m'manja kapena m'mapazi. |
| Kutaya tsitsi | Tsitsi limataya kwambiri kuposa masiku onse. |
| Kuzindikira kuwala | Kukwiya kapena kusasangalala pakhungu kukakhala padzuwa kapena kuwala kowala. |
Zinthu zoti mudziwe musanachite mayeso
Palibe chilichonse chapadera chomwe muyenera kuchita musanayese mayesowa. Simukuyenera kusala kudya kapena kuchita chilichonse chapadera. Komabe, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi zowonjezera ). Mankhwala ena amatha kusokoneza zotsatira za ANA.
Kodi mumayesa bwanji?
Iyi ndi njira yosavuta kwambiri. Labu imatenga magazi ochepa kuchokera mumtsempha womwe uli m'dzanja lanu. Njirayi imatha pakatha mphindi zochepa. Pulasitiki yaying'ono imayikidwa pamalo pomwe magazi adatengedwa. Pambuyo pake, mutha kupita kunyumba monga mwachizolowezi. Magazi amayesedwa mu labu.
Kodi zotsatira za ANA... Zabwino (+)? Zoipa (-)? Kodi izi zikutanthauza chiyani?
Ili ndiye vuto lalikulu lomwe aliyense ali nalo.
- Zotsatira zoyipa (-): Izi zikutanthauza kuti palibe ma antibodies omwe adapezeka m'magazi mwanu. Izi zikutanthauza kuti sizingatheke kuti muli ndi matenda odziteteza okha.
- Zotsatira zabwino (+): Izi zikutanthauza kuti ma antibodies odziteteza okha apezeka m'magazi anu.
Koma pali chinthu china chomwe muyenera kukumbukira apa.
Chofunika kwambiri ndichakuti mayeso abwino a ANA sikutanthauza kuti muli ndi matenda odziteteza okha.
Ndipotu, pakati pa 3% ndi 15% ya anthu athanzi omwe alibe matenda enaake akhoza kukhala ndi mayeso abwino a ANA. Izi zitha kuchitikanso chifukwa cha mankhwala ena, matenda opatsirana ndi mavairasi , ndi matenda ena.
Izi zikutanthauza kuti mayeso a ANA ndi gawo limodzi lokha la matenda. Dokotala wanu adzafika pamapeto pake pophatikiza zizindikiro zanu, kuyezetsa thupi , ndi mayeso ena ngati pakufunika kutero.
| Matenda omwe angakhudze zotsatira za ANA | |
|---|---|
| Matenda omwe nthawi zambiri amapereka zotsatira zabwino za ANA (Matenda Odziteteza Kuthupi) | |
| |
| Matenda ena omwe angayambitse zotsatira zabwino za ANA | |
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Ngati mayeso a ANA apezeka kuti ndi abwino, nchiyani chimachitika pambuyo pake?
Ngati mayeso a ANA apezeka kuti ali ndi kachilombo, dokotala wanu adzachita mayeso ena apadera a magazi kuti adziwe matenda enieni omwe amagwirizana ndi zizindikiro zanu. Mayeso a ANA amangonena kuti "pakhoza kukhala vuto." Mtundu weniweni wa vutoli umatsimikiziridwa ndi mayeso ena ngati awa.
- Mayeso a Anti-dsDNA: Iyi ndi mayeso omwe amagwiritsidwa ntchito makamaka pozindikira matenda a lupus.
- Kuyesa kwa Anti-centromere: Izi zimathandiza kuzindikira scleroderma.
- ENA panel: Iyi imayang'ana mitundu yosiyanasiyana ya ma autoantibodies nthawi imodzi. Ingakupatseni chithunzi chomveka bwino cha matenda omwe muli nawo a autoimmune.
Choncho musakayikire zotsatira za ANA yanu. Lankhulani momasuka ndi dokotala wanu ndipo mumvetse bwino zomwe mungachite kenako ndi chithandizo chomwe muyenera kumwa.
Uthenga Wopita Nawo Kunyumba
- Kuyesa kwa ANA ndi kuyesa magazi kosavuta komwe kumafufuza mapuloteni otchedwa 'autoantibodies' m'magazi omwe amaukira matupi athu.
- Kupezeka ndi zotsatira zabwino sikutanthauza kuti nthawi zonse muli ndi matendawa. Anthu athanzi amathanso kupeza zotsatira izi.
- Kuyeza kumeneku ndi chida chimodzi chokha chomwe dokotala wanu amagwiritsa ntchito pozindikira matenda. Zizindikiro zanu ndi mayeso ena ndizofunikiranso.
- Dokotala wanu yekha ndi amene angakupatseni upangiri wabwino kwambiri wokhudza zotsatira zanu, tanthauzo lake, ndi njira zomwe mungachite pambuyo pake, choncho musaope kulankhula naye.
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