Ngaba ngamanye amaxesha ukhe ube neentlungu zamalungu eziphuma ngaphandle kwesizathu, ukudinwa okungapheliyo, okanye iingxaki zolusu? Mhlawumbi ugqirha wakho wenze uvavanyo lwe-ANA waza wathi lulungile? Ukuba kunjalo, kukho ithuba elihle lokuba uza kucelwa ukuba wenze olu vavanyo lwegazi lukhethekileyo olubizwa ngokuba yi-ENA panel ngokulandelayo. Abantu abaninzi bayoyika kancinci xa besiva eli gama. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngayo yonke into malunga nale ENA panel ngokulula.
Yintoni kanye kanye iphaneli ye-ENA?
Ngamafutshane, iphaneli ye-ENA luvavanyo olukhethekileyo olujonga igazi lethu. Ngokuyintloko ikhangela iiproteni ezikhethekileyo (esizibiza ngokuba zezi zi-antibodies ) egazini lethu ezihlasela okanye ezisebenza nxamnye namalungu aphilileyo omzimba wethu.
Cinga nje, imizimba yethu ifana nelizwe. Kukho umkhosi okhusela eli lizwe. Loo mkhosi sisistim sethu sokuzikhusela . Amajoni akulo mkhosi zii-antibodies . Ngokwesiqhelo, la majoni alwa neentshaba zangaphandle, oko kukuthi, iintsholongwane ezifana neentsholongwane kunye neebhaktheriya, kwaye asikhusela kwizifo.
Kodwa ngamanye amaxesha, umkhosi wethu wenza impazamo uze uqalise ukuhlasela abantu abalungileyo kwilizwe lethu, iiseli eziphilileyo emizimbeni yethu. Yiloo nto siyibiza ngokuba sisifo sokuzikhusela komzimba . Oko kwenziwa yiphaneli ye-ENA kukukhangela iintlobo ezithile "zamajoni" (ii-antibodies) egazini lethu ezihlasela ngempazamo.
Ndifanele ndilwenze nini olu vavanyo lwe-ENA?
Ayinguye wonke umntu oya kuludinga olu vavanyo. Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angayiyalela olu vavanyo:
- Ukuba uvavanyo lwe-ANA lubonisa ukuba unayo: Ukuba uneempawu zesifo sokuzikhusela komzimba (umz., iintlungu zamalungu, ukudinwa, ukurhawuzelela kolusu) kwaye ukhe wavavanywa i-ANA (Antinuclear Antibody) kwixesha elidlulileyo, unokucelwa ukuba wenze le panel ye-ENA njengenyathelo elilandelayo.
- Ngexesha lokukhulelwa: Ukuba une-lupus kwaye ukhulelwe, ugqirha wakho unokucebisa olu vavanyo. Oku kungenxa yokuba ezinye zee-antibodies zikamama zinokuwela i-placenta zize zichaphazele umntwana. Oku kunokuchaphazela nokusebenza kwentliziyo yomntwana. Ngoko ke olu vavanyo lukunceda ukuba uqaphele oku kwangethuba.
Zeziphi iintlobo zezifo ezijongwa yiphaneli ye-ENA?
Iintlobo zee-antibodies ezijongwa yiphaneli ye-ENA zinxulunyaniswa nezifo ezithile zokuzikhusela komzimba. Kodwa khumbula, iziphumo ezilungileyo kolu vavanyo azithethi ukuba unesifo nge-100%. Eli linyathelo elinye elibalulekileyo kwinkqubo yokuxilonga.
| Izifo ezihlala zidibene nazo | Kalula nje... |
|---|---|
| I-Lupus (i-Systemic Lupus Erythematosus/SLE) | Isifo esichaphazela iindawo ezahlukeneyo zomzimba (ulusu, amalungu, izintso, ubuchopho). |
| Isifo sikaSjögren | Ingxaki ebangela ukuba amehlo nomlomo wome. |
| Isifo seMixed Connective Tissue Disease (MCTD) | Imeko edibanisa iimpawu zezifo ezahlukeneyo, ezifana ne-lupus kunye ne-scleroderma. |
| I-Scleroderma (iScleroderma/iSystemic Sclerosis) | Ingxaki yempilo ephawu layo eliphambili kukutyeba nokuqina kolusu. |
| I-Polymyositis kunye ne-Dermatomyositis | Iimeko ezibangela ubuthathaka bemisipha nokudumba. |
Ungazilungiselela njani uvavanyo? Yintoni onokuyilindela?
Ezi zezona ndaba zimnandi. Akukho lungiselelo likhethekileyo lifunekayo kwiphaneli ye-ENA. Ungatya, usele, kwaye uthathe amayeza akho njengesiqhelo.
Olu vavanyo lubandakanya ukuthatha isampuli encinci yegazi emthanjeni osengalweni yakho, njengovavanyo lwegazi oluqhelekileyo. Usenokuziva iintlungu ezincinci xa inaliti ifakwa kwaye isuswa. Ukuba uyoyika iinaliti, kungcono uhlale kude. Uvavanyo luza kuthatha umzuzu ongaphantsi. Emva koko isampuli yegazi ithunyelwa kwilabhoratri ukuze ivavanywe.
Ngaba kukho umngcipheko koku?
Olu luvavanyo olukhuselekileyo kakhulu, kodwa njengalo naluphi na uvavanyo lwegazi, izinto ezincinci zinokwenzeka.
- Usenokuziva unesiyezi kancinci xa kutsalwa igazi lakho.
- Indawo apho inaliti ifakwe khona inokuba luhlaza okwesibhakabhaka (i-hematoma).
- Kunqabile kakhulu ukuba kubekho usulelo.
Ungaziqonda njani iziphumo zovavanyo?
Ingxelo yakho ingabonisa iziphumo njengeZilungileyo , Ezimbi , okanye Ezisemdeni .
- Okubi: Oku kuthetha ukuba ii-antibodies ezithile ezivavanyiweyo azikho egazini lakho, okanye zimbalwa kakhulu.
- I-positive: Oku kuthetha ukuba i-antibodies enye okanye ezingaphezulu ezivavanyiweyo zifunyenwe egazini lakho.
- Umda: Oku kuthetha ukuba isiphumo sikwinqanaba eliphakathi apho kungenakwenzeka ukuqiniseka ukuba silungile okanye asilunganga.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho uze uchaze ukuba yintoni ekule ngxelo yovavanyo, endaweni yokuzama ukuyiqonda wedwa. Uza kuthatha iimpawu zakho, ezinye iziphumo zovavanyo, kunye nale ngxelo ye-ENA kunye ukuze afikelele kwisigqibo esichanekileyo.
Ngaba i-ENA positive ithetha ukuba ndine-lupus?
Akunjalo konke konke. Isiphumo esinye esihle kwiphaneli ye-ENA akuthethi ukuba unesifo esithile esifana ne-lupus. Umzekelo, i-antibody e-positive kumntu onesifo sikaSjögren inokuba ne-positive kumntu onesifo sika-lupus. Ke ngoko, ukuxilongwa kufana nokusombulula iphazili. Iphaneli ye-ENA yinxalenye nje yaloo phazili.
Yintoni umahluko phakathi kovavanyo lwe-ANA kunye nolwe-ENA?
Le yinto edida abantu abaninzi. Masiyiqonde le nto ngomzekelo olula.
Cinga ngovavanyo lwe-ANA njengendlela eqhelekileyo yokubuza, "Ngubani ongaphakathi?" ngokungqongqoza emnyango wendlu. Lukuxelela kuphela ukuba kukho umntu ongaphakathi okanye hayi. Luvavanyo lokuhlola olunika umbono ocacileyo wokuba unokuba nengxaki yokuzikhusela komzimba okanye hayi.
Iphaneli ye-ENA ifana nokuvula ucango, ungene, uze uthi, "Owu, nanku uNimal, uKamala, uSunil ngaphakathi," uze ujonge igama lomntu ngqo. Oko kukuthi, emva kokuba uvavanyo lwe-ANA lubonise ukuba lukhona, kwenziwa uvavanyo lokufumanisa ukuba yeyiphi kanye kanye i-antibody ethile eyibangelayo.
Udinga nini ukubona ugqirha?
- Wakuba ufumene ingxelo yovavanyo lwakho, qiniseka ukuba udibana nogqirha wakho ukuze nixoxe ngayo. Musa ukoyika ukubuza nayiphi na imibuzo onayo malunga neziphumo.
- Ukuba indawo apho igazi litsalwa khona ibuhlungu kakhulu, idumbile, ibomvu, ikhupha ubovu, okanye ukuba unomkhuhlane, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko .
Iphaneli ye-ENA luvavanyo olubaluleke kakhulu olunceda oogqirha ukuba baxilonge izifo ezibangelwa kukuzikhusela komzimba. Ulwazi olulunikayo, xa ludityaniswe neempawu zakho, lunika umfanekiso ocacileyo wempilo yakho. Ngoko ke, ukuba uceliwe ukuba wenze olu vavanyo, ungoyiki. Linyathelo nje onokulithatha ukuze uzincede.
Umyalezo Wokuya Ekhaya
- Iphaneli ye-ENA luvavanyo lwegazi olujonga iintlobo ezithile zee-antibodies ezinxulumene nezifo zokuzikhusela komzimba.
- Olu vavanyo ludla ngokwenziwa kubantu abafumene uvavanyo lwe-ANA oluqinisekileyo kwaye abaneempawu zezifo ezizikhuselayo emzimbeni.
- Iziphumo zovavanyo lwe-ENA ezibonisa ukuba unayo azithethi ukuba unesifo esithile. Linyathelo elinye kuphela kwinkqubo yokuxilonga.
- Soloko uxoxa ngeziphumo zovavanyo lwakho nogqirha wakho ukuze uziqonde kwaye wazi amanyathelo omawuwathathe ngokulandelayo.
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