Rheumatoid chinhu (RF)

Rheumatoid factor (RF) kuongororwa kweropa kunoyera huwandu hwerobhoti muropa.

Kazhinji yenguva, ropa rinotorwa kubva mutsinga iri mukati megokora kana kumashure kweruoko.

Mune vacheche kana vana vadiki, chishandiso chakapinza chinonzi lancet inogona kushandiswa kubaya ganda.

• Ropa rinoungana mutubhu tudiki girazi kanonzi pipette, kana kuti kanopinda pasiraidhi kana bvunzo.
• Bhandeji rinoiswa pamusoro penzvimbo iyi kumisa kubuda kweropa.

Kazhinji yenguva, haufanire kutora matanho akakosha pasati pabvunzo iyi.

Unogona kunzwa kurwadziwa kushoma kana kurumwa kana tsono yaiswa. Iwe unogona zvakare kunzwa kumwe kurovera panzvimbo iyi mushure mekudhonzwa kweropa.

Iyi bvunzo inowanzo shandiswa kubatsira kuongorora rheumatoid arthritis kana Sjögren syndrome.

Mhedzisiro inowanzo kutaurwa mune imwe yenzira mbiri:

• Kukosha, zvakajairika zvisingasviki gumi nemashanu IU / mL
• Titer, yakajairwa isingasviki 1:80 (1 kusvika 80)

Kana mhedzisiro iri pamusoro peyakajairika chikamu, zvakanaka. Nhamba yakaderera (yakaipa mhedzisiro) kazhinji zvinoreva kuti hauna rheumatoid arthritis kana Sjögren syndrome. Nekudaro, vamwe vanhu vane mamiriro aya vachiri neyakaipa kana yakaderera RF.

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako wezvehutano nezve zvinorehwa nemimwe miedzo yako.

Mhedzisiro isingawanzo zvinoreva kuti bvunzo yakanaka, zvinoreva kuti nhanho yepamusoro yeRF yakaonekwa muropa rako.

• Vazhinji vanhu vane rheumatoid arthritis kana Sjögren syndrome vane yakanaka RF bvunzo.
• Iyo yepamusoro iyo nhanho, ingangoita imwe yeaya mamiriro aripo. Kune zvekare kumwe kuyedzwa kwezvinetso izvi zvinobatsira kuti kuongororwa.
• Haasi munhu wese ane yakakwira nhanho yeRF ane rheumatoid arthritis kana Sjögren syndrome.

Wako mupi anofanirawo kuita imwe ongororo yeropa (anti-CCP antibody), kubatsira kuongorora rheumatoid arthritis (RA). Anti-CCP antibody yakanangana neRA kupfuura RF. Chiyero chakanaka cheCCP antibody zvinoreva RA ingangove iri chaiyo kuongororwa.

Vanhu vane hosha dzinotevera vanogona zvakare kuve nematanho epamusoro eRF:

• Hepatitis C
• Systemic lupus erythematosus
• Dermatomyositis uye polymyositis
• Sarcoidosis
• Yakavhenganiswa cryoglobulinemia
• Yakasanganiswa inobatanidza tishu chirwere

Yakakwira-kupfuura-yakajairwa nhanho dzeRF inogona kuonekwa kune vanhu vane mamwe matambudziko ekurapa. Zvisinei, aya mazinga epamusoro eRF haakwanise kushandiswa kuongorora aya mamwe mamiriro:

• AIDS, hepatitis, furuwenza, hutachiona mononucleosis, uye zvimwe hutachiona hutachiona
• Zvimwe zvirwere zveitsvo
• Endocarditis, tibhii, uye zvimwe hutachiona hutachiona
• Utachiona hwehutachiona
• Leukemia, akawanda myeloma, uye mamwe kanzira
• Chirwere chemapapu chisingaperi
• Chirwere chechiropa chisingaperi

Mune zvimwe zviitiko, vanhu vane hutano uye vasina rimwe dambudziko rekurapa vanozove neyakaipfuura-yakajairwa RF nhanho.

• Kuongorora ropa

Aletaha D, Neogi T, Silman AJ, et al. 2010 Rheumatoid arthritis classification zviyero: American College yeRheumatology / European League Kurwisa Rheumatism kubatirana danho. Ann Rheum Dis. 2010; 69 (9): 1580-1588. PMID: 20699241 www.ncbi.nlm.nih.gov/pubmed/20699241.

Andrade F, Darrah E, Rosen A. Autoantibodies mune rheumatoid arthritis. Mune: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley uye Firestein's Bhuku reRheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: chits. 56.

Hoffmann MH, Trouw LA, Steiner G. Autoantibodies mu rheumatoid arthritis. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 99.

Mason JC. Rheumatic hosha uye yemoyo system. Mune: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 94.

Pisetsky DS. Kuongororwa kwerabhoritari muzvirwere zve rheumatic. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 257.

von Mühlen CA, Fritzler MJ, Chan EKL. Clinical uye rabhoritari ongororo yehurongwa hwe rheumatic hosha. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits. 52.