Ingabe ngezinye izikhathi uba nobuhlungu bamalunga obuvela ngaphandle kwesizathu, ukukhathala okuqhubekayo, noma izinkinga zesikhumba? Mhlawumbe udokotela wakho wenze ukuhlolwa kwe-ANA wathi kuqinisekisiwe? Uma kunjalo, kunethuba elihle lokuthi uzocelwa ukuthi wenze lokhu kuhlolwa kwegazi okukhethekile okubizwa ngokuthi iphaneli ye-ENA ngokulandelayo. Abantu abaningi bayesaba kancane uma bezwa leli gama. Kodwa ungakhathazeki. Namuhla, sizoxoxa ngakho konke ngale phaneli ye-ENA kalula kakhulu.
Iyini ngempela iphaneli ye-ENA?
Kalula nje, iphaneli ye-ENA iyisivivinyo esikhethekile esihlola igazi lethu. Ngokuyinhloko ibheka amaprotheni akhethekile (esiwabiza ngalawa ma-antibodies ) egazini lethu ahlasela noma asebenza ngokumelene nezingxenye zomzimba wethu ezinempilo.
Cabanga ngakho, umzimba wethu ufana nezwe. Kukhona ibutho elivikela leli lizwe. Lelo butho liyisimiso sethu somzimba sokuzivikela . Amasosha akuleli butho angama-antibodies . Ngokuvamile, la masosha alwa nezitha zangaphandle, okungukuthi, amagciwane afana namagciwane, futhi asivikele ezifweni.
Kodwa ngezinye izikhathi, ibutho lethu lenza iphutha bese liqala ukuhlasela abantu abalungile ezweni lakithi, amangqamuzana aphilile emzimbeni wethu. Yilokho esikubiza ngokuthi isifo sokuzivikela komzimba . Lokho okwenziwa yiphaneli ye-ENA ukubheka izinhlobo ezithile "zamasosha" (ama-antibodies) egazini lethu ahlasela ngephutha.
Kufanele ngilwenze nini lolu vivinyo lwe-ENA?
Akuwona wonke umuntu ozodinga lokhu kuhlolwa. Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho engase acele lokhu kuhlolwa:
- Uma ukuhlolwa kwe-ANA kukuhle: Uma unezimpawu zesifo sokuzivikela komzimba (isib. ubuhlungu bamalunga, ukukhathala, ukuqubuka kwesikhumba) futhi uke waba nokuhlolwa kwe-ANA (Antinuclear Antibody) okuhle esikhathini esidlule, ungase ucelwe ukuthi wenze le phaneli ye-ENA njengesinyathelo esilandelayo.
- Ngesikhathi sokukhulelwa: Uma une-lupus futhi ukhulelwe, udokotela wakho angase akuncome lokhu kuhlolwa. Lokhu kungenxa yokuthi amanye ama-antibodies kamama angawela i-placenta futhi athinte ingane. Lokhu kungathinta nokusebenza kwenhliziyo yengane. Ngakho-ke lokhu kuhlolwa kukusiza ukuthi uqaphele lokhu kusenesikhathi.
Yiziphi izinhlobo zezifo ezifunwa yiphaneli ye-ENA?
Izinhlobo zama-antibodies ezifunwa yiphaneli ye-ENA zihlotshaniswa nezifo eziningana ezithile zokuzivikela komzimba. Kodwa khumbula, umphumela omuhle kulolu vivinyo akusho ukuthi unesifo 100%. Lesi yisinyathelo esisodwa esibalulekile enkambisweni yokuxilonga.
| Izifo ezivame ukuhambisana nazo | Kalula nje... |
|---|---|
| I-Lupus (i-Systemic Lupus Erythematosus/SLE) | Isifo esithinta izingxenye ezahlukene zomzimba (isikhumba, amalunga, izinso, ubuchopho). |
| Isifo SikaSjögren | Isimo esibangela kakhulu amehlo nomlomo owomile. |
| Isifo Sezicubu Ezixubile (i-MCTD) | Isimo esihlanganisa izimpawu zezifo eziningana, njenge-lupus kanye ne-scleroderma. |
| I-Scleroderma (i-Scleroderma/i-Systemic Sclerosis) | Isimo sezokwelapha esiphawulwa kakhulu ukuqina nokuqina kwesikhumba. |
| I-Polymyositis kanye ne-Dermatomyositis | Izimo ezibangela ubuthakathaka bemisipha nokuvuvukala. |
Ungalungiselela kanjani ukuhlolwa? Yini ongayilindela?
Lezi yizindaba ezinhle kakhulu. Akukho ukulungiselela okukhethekile okudingekayo kwephaneli ye-ENA. Ungadla, uphuze, futhi uphuze imithi yakho njengokujwayelekile.
Ukuhlolwa kuhilela ukuthatha isampula encane yegazi emthanjeni osengalweni yakho, njengokuhlolwa kwegazi okuvamile. Ungase uzwe ubuhlungu obuncane lapho inaliti ifakwa futhi ikhishwa. Uma wesaba izinaliti, kungcono ukuhlala kude. Ukuhlolwa kuzothatha isikhathi esingaphansi komzuzu. Isampula yegazi bese ithunyelwa elabhorethri ukuze ihlolwe.
Ingabe kukhona ingozi kulokhu?
Lokhu kuhlolwa okuphephile kakhulu, kodwa njenganoma yikuphi ukuhlolwa kwegazi, izinto ezincane zingenzeka.
- Ungase uzizwe unesiyezi kancane uma ukhishwa igazi lakho.
- Indawo lapho inaliti ifakwe khona ingase ibe luhlaza okwesibhakabhaka (i-hematoma).
- Akuvamile kakhulu ukuthi kube nokutheleleka.
Ungayiqonda kanjani imiphumela yokuhlolwa?
Umbiko wakho ungase ubonise imiphumela njengeMihle , Engemihle , noma Emngceleni .
- Okubi: Lokhu kusho ukuthi ama-antibodies athile ahlolwe awekho egazini lakho, noma ambalwa kakhulu.
- Okuhle: Lokhu kusho ukuthi i-antibodies eyodwa noma ngaphezulu ezihlolwe itholakale egazini lakho.
- Umngcele: Lokhu kusho ukuthi umphumela usezingeni eliphakathi lapho kungenakwenzeka ukusho ngokuqinisekile ukuthi muhle noma mubi.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese uchaza okukulo mbiko wokuhlolwa, kunokuzama ukukuqonda wedwa. Uzothatha izimpawu zakho, eminye imiphumela yokuhlolwa, kanye nalo mbiko we-ENA ndawonye ukuze kufinyelelwe esiphethweni esinembile.
Ingabe i-ENA positive isho ukuthi ngine-lupus?
Lutho neze. Umphumela owodwa omuhle kuphaneli ye-ENA akusho ukuthi unesifo esithile njenge-lupus. Isibonelo, i-antibody eqinisekile kumuntu one-Sjögren's syndrome ingase ibe nemiphumela emihle nakumuntu one-lupus. Ngakho-ke, ukuxilongwa kufana nokuxazulula iphazili. Iphaneli ye-ENA iyingcezu eyodwa nje yaleyo phazili.
Uyini umehluko phakathi kokuhlolwa kwe-ANA kanye ne-ENA?
Lokhu kuyinto edida abantu abaningi. Ake siqonde lokhu ngesibonelo esilula.
Cabanga ngokuhlolwa kwe-ANA njengendlela evamile yokubuza ukuthi, "Ubani ongaphakathi?" ngokungqongqoza emnyango wendlu. Kukutshela kuphela ukuthi kukhona umuntu ongaphakathi noma cha. Kuwukuhlolwa kokuhlola okunikeza umbono ocacile wokuthi ungaba nenkinga yokuzivikela komzimba noma cha.
Iphaneli ye-ENA ifana nokuvula umnyango, ukungena, bese uthi, "O, nangu uNimal, uKamala, uSunil ngaphakathi," bese ubheka igama eliqondile lomuntu. Okusho ukuthi, ngemva kokuba ukuhlolwa kwe-ANA kutholakale ukuthi kunegciwane, kwenziwa ukuhlolwa ukuze kutholakale ukuthi iyiphi i-antibody ethile eyibangela.
Kunini lapho udinga ukubonana nodokotela?
- Uma usuthole umbiko wakho wokuhlolwa, qiniseka ukuthi uhlangana nodokotela wakho ukuze nixoxe ngawo. Ungesabi ukubuza noma yimiphi imibuzo onayo mayelana nemiphumela.
- Uma indawo lapho igazi lidonswa khona ibuhlungu kakhulu, ivuvukele, ibomvu, ikhipha ubomvu, noma uma unomkhuhlane, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
Iphaneli ye-ENA iyisivivinyo esibaluleke kakhulu esisiza odokotela ukuthi baxilonge izifo ezibangelwa amasosha omzimba. Ulwazi olunikezayo, uma luhlanganiswa nezimpawu zakho, lunikeza isithombe esicacile sempilo yakho. Ngakho-ke, uma ucelwa ukuba wenze lesi sivivinyo, ungakhathazeki. Kuyisinyathelo nje ongazithatha ukuze uzisize.
Umlayezo Wokuya Nawe Ekhaya
- Iphaneli ye-ENA iwukuhlolwa kwegazi okubheka izinhlobo ezithile zama-antibodies ahlobene nezifo zokuzivikela komzimba.
- Lokhu kuhlolwa kuvame ukwenziwa kubantu abahlolwe i-ANA futhi abanezimpawu zezifo ezizimele.
- Umphumela wokuhlolwa kwe-ENA omuhle awusho ukuthi unesifo esithile. Kuyisinyathelo esisodwa kuphela enkambisweni yokuxilonga.
- Xoxa njalo ngemiphumela yokuhlolwa kwakho nodokotela wakho ukuze uyiqonde futhi wazi ukuthi yiziphi izinyathelo okufanele uzithathe ngokulandelayo.
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