Rheumatoid factor (RF)

Rheumatoid factor (RF) ke teko ea mali e lekanyang palo ea lesole la mmele la RF maling.

Boholo ba nako, mali a huloa mothapong o kahare ho setsoe kapa ka morao ho letsoho.

Ho masea kapa ho bana ba banyenyane, sesebelisoa se bohale se bitsoang lancet se ka sebelisoa ho phunya letlalo.

• Mali a bokella ka har'a khalase e nyane ea khalase e bitsoang pipette, kapa mokokotlong oa li-slide kapa tsa liteko.
• Ho tlamisoa bandage sebakeng seo ho emisa ho tsoa mali.

Boholo ba nako, ha o hloke ho nka mehato e khethehileng pele ho tlhahlobo ena.

U ka utloa bohloko bo bonyenyane kapa motsu ha nale e kentsoe. U kanna oa utloa ho phatloha hampe setšeng kamora hore mali a huloe.

Hangata tlhahlobo ena e sebelisoa ho thusa ho fumana lefu la ramatiki kapa lefu la Sjögren.

Liphetho hangata li tlalehoa ka e 'ngoe ea litsela tse peli:

• Boleng, bo tloaelehileng bo ka tlase ho 15 IU / mL
• Titer, e tloaelehileng ka tlase ho 1:80 (1 ho isa ho 80)

Haeba sephetho se kaholimo ho boemo bo tloaelehileng, se nepahetse. Palo e tlase (sephetho se fosahetseng) hangata e bolela hore ha o na ramatiki ea lefu la masapo kapa Sjögren syndrome. Leha ho le joalo, batho ba bang ba nang le maemo ana ba ntse ba na le RF e mpe kapa e tlase.

Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Bua le mofani oa tlhokomelo ea bophelo mabapi le moelelo oa sephetho sa hau sa liteko.

Sephetho se sa tloaelehang se bolela hore tlhahlobo e nepahetse, ho bolelang hore boemo bo phahameng ba RF bo fumanoe maling a hau.

• Batho ba bangata ba nang le ramatiki ea lefu la masapo kapa Sjögren syndrome ba na le liteko tse ntle tsa RF.
• Ha boemo bo phahame, ho ka etsahala hore e 'ngoe ea maemo ana e be teng. Hape ho na le liteko tse ling bakeng sa mathata ana tse thusang ho etsa hore motho a fumanoe.
• Ha se motho e mong le e mong ea nang le boemo bo phahameng ba RF ea nang le ramatiki kapa lefu la Sjögren.

Mofani oa hau o lokela ho etsa tlhahlobo e 'ngoe ea mali (anti-CCP antibody), ho thusa ho fumana ramatiki ea ramatiki (RA). Antibody ea CCP e totobetse haholo bakeng sa RA ho feta RF. Teko e nepahetseng bakeng sa lesole la mmele la CCP e bolela hore RA mohlomong ke tlhatlhobo e nepahetseng.

Batho ba nang le mafu a latelang le bona ba ka ba le maemo a phahameng a RF:

• Hepatitis C
• Sesebelisoa sa lupus erythematosus
• Dermatomyositis le polymyositis
• Sarcoidosis
• Cryoglobulinemia e tsoakiloeng
• Maloetse a kopaneng a lisele

Methati e phahameng ho feta e tloaelehileng ea RF e ka bonoa ho batho ba nang le mathata a mang a bongaka. Leha ho le joalo, maemo ana a phahameng a RF a ke ke a sebelisoa ho fumana maemo ana a mang:

• AIDS, lefu la sebete, ntaramane, mononucleosis e tšoaetsanoang le mafu a mang a vaerase
• Maloetse a mang a liphio
• Endocarditis, lefuba le mafu a mang a baktheria
• Mafu a likokoana-hloko
• Lefuemia, myeloma e mengata le mefuta e meng ea mofetše
• Boloetse bo sa foleng ba matšoafo
• Boloetse bo sa foleng ba sebete

Maemong a mang, batho ba phetseng hantle 'me ba se na bothata bo bong ba bongaka ba tla ba le boemo bo phahameng ho feta bo tloaelehileng ba RF.

• Teko ea mali

Aletaha D, Neogi T, Silman AJ, le al. Mekhahlelo ea 2010 ea ramatiki ea ramatiki: American College of Rheumatology / European League Against Rheumatism morero o kopanetsoeng. Ann Rheum Dis. 2010; 69 (9): 1580-1588. PMID: 20699241 www.ncbi.nlm.nih.gov/pubmed/20699241.

Andrade F, Darrah E, Rosen A. Autoantibodies ka ramatiki ea ramatiki. Ka: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, bahlophisi. Kelley le Firestein's Bookbook ea Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 56.

Hoffmann MH, Trouw LA, Steiner G. Autoantibodies ka ramatiki ea ramatiki. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, bahlophisi. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 99.

Mason JC. Matšoao a ramatiki le tsamaiso ea pelo. Ka: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 94.

Pisetsky DS. Liteko tsa laboratori ho mafu a rheumatic. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 257.

von Mühlen CA, Fritzler MJ, Chan EKL. Tlhatlhobo ea bongaka le ea laboratori ea mafu a rheumatic system. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 52.