Ese muganga wawe yakubwira ibyerekeye ikizamini cya ANCA? (Ikizamini cya ANCA) Reka tubyige mu buryo bworoshye.

Hari igihe muganga akubwira gupima amaraso, ntushobora kumenya icyo bivuze cyangwa icyo ashaka, si byo se? Ikizamini cya ANCA ni kimwe mu bizwi cyane. Ariko nta mpamvu yo gutinya cyangwa guhangayika bitewe nuko wumvise iri zina. Uyu munsi, turaganira ku cyo risa, impamvu rikorwa, n'icyo ibisubizo bivuze mu buryo bworoshye cyane ushobora gusobanukirwa.

Mu magambo make, iki kizamini cya ANCA ni iki?

Ikizamini cya ANCA ni ikizamini gifata icyitegererezo cy'amaraso yawe. Gisuzuma cyane cyane niba hari ikintu cyitwa antineutrophil cytoplasmic antibodies ( ANCA mu magambo ahinnye) mu maraso yawe.

Noneho ushobora kuba wibaza iryo zina. Reka tubicemo gato hanyuma tubisobanukirwe.

Tekereza ko umubiri wacu umeze nk'igihugu. Hari ingabo zo kurinda iki gihugu. Izo ngabo ni ubudahangarwa bwacu bw'umubiri . Ubwoko bwihariye bw'umusirikare muri izi ngabo bwitwa neutrophils . Akazi kabo ni ukurwanya abanzi nka mikorobe na bagiteri binjira mu mibiri yacu bikaturinda indwara.

Ariko rimwe na rimwe ubudahangarwa bwacu bw'umubiri bugenda nabi. Ubwirinzi bwacu butangira kwibasira uturemangingo twacu twiza. Uku ni ko twita autoantibodies , poroteyine zikorerwa ku mibiri yacu.

ANCA ni imwe muri izo antibody. Icyo iyi ANCA ikora ni ukwibasira uturemangingo tw’amaraso tw’umweru twitwa neutrophils tuturinda. Bityo ikizamini cya ANCA gipima niba hari antibody mu maraso yawe zikora ku mubiri wacu, kandi niba ari byo, ni zingahe muri zo.

Kuki muganga yakubwira gukora iki kizamini cya ANCA?

Ubusanzwe muganga ategeka iki kizamini iyo akeka ko afite indwara yitwa vasculitis .

Hari ubwoko bwinshi bw'ingenzi bwa vasculitis bufitanye isano na autoantibodies yitwa ANCA. Niba ufite kimwe muri ibi bimenyetso, iki kizamini gishobora kugufasha kwemeza ko ari byo.

Kubyimba kw'imitsi y'amaraso bishobora kwangiza uburyo amaraso anyura mu ngingo z'ingenzi nk'umutima, ibihaha n'impyiko. Kubwibyo, ni ngombwa cyane gusuzuma no kuvura izi ndwara vuba.

Ese hari ubwoko bwa ANCA?

Yego, hari ubwoko bubiri bw'ingenzi bwa ANCA. Ubu bwoko bushobora kuvugwa muri raporo y'ibizamini byawe.

1. cANCA: Ibi byibasira poroteyine yitwa poroteyine 3 (PR3) .

2. pANCA: Ibi byibasira poroteyine yitwa myeloperoxidase (MPO) .

Kumenya ubwoko bw'imitsi muri ubwo bwoko bubiri ufite mu mubiri wawe bizafasha muganga wawe kumenya neza ubwoko bw'imitsi itera amaraso mu mubiri wawe.

Uburyo bwo gukora ikizamini no kwitegura

Ubu buryo bworoshye cyane. Nta kintu na kimwe kidasanzwe ukeneye gukora kugira ngo witegure. Ariko, hari igihe muganga wawe agutegeka ibindi bipimo byinshi by'amaraso hamwe n'iki gipimo. Muri ibyo bihe, ushobora gusabwa kwiyiriza ubusa amasaha 8 kugeza kuri 12, nta kindi urimo uretse ibiryo n'amazi gusa. Muganga wawe azaguha amabwiriza yihariye kuri ibi.

Ni iki kibaho mu gihe cy'ikizamini?

Ibi ni nko gupimwa amaraso. Bikorwa mu minota mike.

• Umuforomo cyangwa umuganga azahitamo umutsi ukubereye mu kuboko kwawe hafi y'inkokora yawe kugira ngo akuremo amaraso.
• Aho hantu hasukurwa hakoreshejwe umuti wica udukoko.
• Hanyuma urushinge ruto rushyirwa mu mutsi hanyuma amaraso akenewe agashyirwa mu muyoboro. Ushobora kumva urimo kuruma gato iyo urushinge rushyizwemo, ariko ni iby'igihe gito.
• Iyo amaraso amaze gukurwa, urushinge rurakurwaho, agace k'ipamba gashyirwa hejuru y'aho hashyizwe hanyuma hagashyirwa igitutu. Hanyuma hagashyirwa plaster nto aho hashyizwe.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gukurwamo amaraso, ushobora gukora imirimo yawe isanzwe. Ariko muganga azakubwira kugumana plaster amasaha make. Ashobora kandi kukubwira kwirinda gukora imyitozo ngororamubiri iremereye uwo munsi.

Bifata igihe kingana iki kugira ngo raporo igere? Ibisubizo bivuga iki?

Kubera ko ikizamini cya ANCA ari ikizamini cyihariye, bishobora gufata iminsi mike cyangwa icyumweru kugira ngo ubone ibisubizo. Raporo imaze kuboneka, muganga wawe azagusobanurira icyo bisobanura kuri wowe.

• Niba igisubizo ari kibi:

Ibi bivuze ko nta antibodies za ANCA ufite mu maraso yawe. Ibyo bivuze ko bishoboka cyane ko utagira vasculitis iterwa na ANCA. Iyi ni inkuru nziza.

• Niba igisubizo ari cyiza:

Ibi bivuze ko ufite uturemangingo twitwa ANCA mu maraso yawe. Ibi bigaragaza ko ushobora kuba ufite indwara ya vasculitis y’umubiri.

Ariko ikintu cy'ingenzi ugomba kwibuka hano ni uko kuba ikizamini cya ANCA cyaragaragaye ko ari ubwandu ntabwo byemeza 100% ko ufite vasculitis.

Kugira ngo umuganga amenye neza indwara, azazirikana ibindi bintu byinshi:

• Ibimenyetso byawe ni ibihe?
• Ni iki cyabonetse mu isuzuma ry'umubiri?
• Ni ibihe bisubizo by'ibindi bipimo by'amaraso n'inkari?
• Hari igihe ushobora gusabwa gukora biopsy, ikubiyemo gufata agace gato k'urugingo rwangiritse ukagasuzuma.

Rero, ntugatinye gutekereza kuri raporo gusa. Umuntu mwiza wo gusobanukirwa iyi raporo ni umuganga wawe. Azahuza byose maze agere ku mwanzuro mwiza ku bijyanye n'uburwayi bwawe.