Febrile / li-agglutin tse batang

Li-agglutinin ke lisireletsi tse etsang hore lisele tse khubelu tsa mali li kopane.

• Cold agglutinins e sebetsa maemong a batang a batang.
• Febrile (mofuthu) li-agglutinin li sebetsa maemong a tloaelehileng a mocheso oa 'mele.

Sengoloa sena se hlalosa teko ea mali e sebelisetsoang ho metha boemo ba lithibela-mafu tsena maling.

Ho hlokahala sampole ea mali.

Ha ho na litokisetso tse khethehileng.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba ikutloa feela ho hlaba kapa ho hlaba. Kamora moo, ho kanna ha ba le ho tsitsipana moo nale e kentsoeng.

Teko ena e etsoa ho fumana ts'oaetso e itseng le ho fumana sesosa sa haemolytic anemia (mofuta oa phokolo ea mali o hlahang ha lisele tse khubelu tsa mali li senngoa). Ho tseba hore na ho na le li-agglutinins tse futhumetseng kapa tse batang ho ka thusa ho hlalosa hore na hobaneng ha hemolytic anemia e etsahala le kalafo e tobileng.

Liphetho tse tloaelehileng ke tsena:

• Li-agglutinins tse futhumetseng: ha ho na tlhaselo ea lihlooho kapa ka tlase ho 1:80
• Cold agglutinins: ha ho na tlhaselo ea lihlooho kapa ka tlase ho 1:16

Mehlala e kaholimo ke litekanyo tse tloaelehileng bakeng sa liphetho tsa liteko tsena. Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li leka liteko tse fapaneng. Bua le ngaka ea hau ka se boleloang ke sephetho sa hau sa liteko.

Sephetho se sa tloaelehang (se setle) se bolela hore ho ne ho na le li-agglutin ka har'a sampole ea mali.

Mofuthu oa agglutinins o ka hlaha le:

• Ts'oaetso, ho kenyelletsa brucellosis, lefu la rickettsial, tšoaetso ea salmonella le tularemia
• Maloetse a ho ruruha
• Lymphoma
• Sesebelisoa sa lupus erythematosus
• Ts'ebeliso ea meriana e meng, ho kenyelletsa methyldopa, penicillin le quinidine

Cold agglutinins e ka hlaha ka:

• Ts'oaetso, joalo ka mononucleous le mycoplasma pneumonia
• Pox pox (varicella)
• Tšoaetso ea Cytomegalovirus
• Kankere, ho kenyeletsoa lymphoma le multiple myeloma
• Listeria monocytogenes
• Sesebelisoa sa lupus erythematosus
• Waldenstrom macroglobulinemia

Likotsi li nyane empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Hematoma (mali a bokellanang ka tlasa letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

Haeba ho belaelloa lefu le amanang le batang agglutinin, motho o hloka ho futhumala.

Cold agglutinins; Karabelo ea Weil-Felix; Teko ea Widal; Li-agglutinins tse futhumetseng; Li-Agglutinins

• Teko ea mali

Baum SG, Goldman DL. Mycoplasma tšoaetso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 301.

Michel M, Jäger U. Ho ipolaea ha hemolytic anemia. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 46.

Quanquin NM, Cherry JD. Mycoplasma le tšoaetso ea ureaplasma. Ka: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, bahlophisi. Buka ea Feigin le Cherry ea Pediatric Infectious Diseases. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 196.