Kuphatikiza

Chowonjezera ndi kuyesa magazi komwe kumayesa zochitika za mapuloteni ena m'magawo amwazi wamagazi anu.

Njira yothandizirayi ndi gulu la mapuloteni pafupifupi 60 omwe ali m'madzi am'magazi kapena pamaselo ena. Mapuloteniwa amagwira ntchito ndi chitetezo cha mthupi lanu ndipo amatenga gawo limodzi kuteteza thupi ku matenda, ndikuchotsa maselo akufa ndi zinthu zakunja. Nthawi zambiri, anthu amatha kulandira kuchepa kwa mapuloteni ena othandizira. Anthuwa amatha kudwala matenda ena kapena matenda omwe amadzichitira okha.

Pali mapuloteni asanu ndi anayi akulu othandizira. Amatchedwa C1 kudzera C9. Nkhaniyi ikufotokoza mayeso omwe amayesa zochitika zonse zothandizira.

Muyenera kuyesa magazi. Izi nthawi zambiri zimatengedwa kudzera mumtsempha. Njirayi imatchedwa venipuncture.

Palibe kukonzekera kwapadera.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupindika.

Ntchito zowonjezera zonse (CH50, CH100) zimayang'ana zochitika zonse zothandizirana. Nthaŵi zambiri, mayesero ena omwe ali okhudzana ndi matenda omwe akuganiziridwa amayamba kaye. C3 ndi C4 ndizo zowonjezera zomwe zimayesedwa nthawi zambiri.

Mayeso othandizira amatha kugwiritsidwa ntchito kuwunika anthu omwe ali ndi vuto lodziyimira palokha. Amagwiritsidwanso ntchito kuwona ngati chithandizo cha matenda awo chikugwira ntchito. Mwachitsanzo, anthu omwe ali ndi lupus erythematosus yogwira akhoza kukhala ndi zochepera kuposa zachilendo zama protein othandizira a C3 ndi C4.

Ntchito zowonjezera zimasiyana mthupi lonse. Mwachitsanzo, mwa anthu omwe ali ndi nyamakazi ya nyamakazi, ntchito yothandizirana m'magazi imatha kukhala yachilendo kapena yayikulu kuposa yachibadwa, koma yotsika kwambiri kuposa yachibadwa mumadzimadzi olowa.

Anthu omwe ali ndi matenda am'magazi omwe amabwera chifukwa cha mabakiteriya komanso mantha nthawi zambiri amakhala ndi C3 yotsika kwambiri komanso zinthu zomwe zimadziwika kuti njira ina. C3 nthawi zambiri imakhalanso ndi matenda a fungus komanso matenda ena opatsirana monga malungo.

Zotsatira zodziwika bwino za mayesowa ndi izi:

• Mulingo wokwanira wamagazi: mayunitsi 41 mpaka 90 a hemolytic
• Mulingo wa C1: 14.9 mpaka 22.1 mg / dL
• Magawo C3: 88 mpaka 201 mg / dL
• Magulu a C4: 15 mpaka 45 mg / dL

Chidziwitso: mg / dL = mamiligalamu pa desilita imodzi.

Chidziwitso: Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pama laboratories osiyanasiyana. Lankhulani ndi wothandizira zaumoyo wanu za tanthauzo la zotsatira zanu zoyeserera.

Zitsanzo pamwambapa zikuwonetsa muyeso wamba wazotsatira zamayesowa. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana.

Ntchito zowonjezera zowonjezera zitha kuwoneka mu:

• Khansa
• Matenda ena
• Zilonda zam'mimba

Kuchepetsa ntchito zowonjezera kumawoneka mu:

• Matenda a chiwindi
• Glomerulonephritis
• Cholowa cholowa angioedema
• Chiwindi
• Kukaniza kukweza impso
• Lupus nephritis
• Kusowa zakudya m'thupi
• Njira lupus erythematosus
• Kawirikawiri timakwaniritsa zoperewera

Zowopsa zomwe zimakhudza kukoka magazi ndizochepa, koma zimatha kuphatikiza:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

"The complement cascade" ndi zochitika zingapo zomwe zimachitika m'magazi. Kutuluka kumatsegulira mapuloteni othandizira. Zotsatira zake ndi zida zowukira zomwe zimapanga mabowo m'mimba mwa mabakiteriya, ndikuwapha.

Phatikizani kuyesa; Gwiritsani ntchito mapuloteni

• Kuyezetsa magazi

Chernecky CC, Berger BJ. C. Mu: Chernecky CC, Berger BJ, olemba. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 266-432.

Holers VM. Kuphatikiza ndi omwe amalandila: kuzindikira kwatsopano ku matenda amunthu. Annu Rev Immunol. 2014; 3: 433-459. PMID: 24499275 www.ncbi.nlm.nih.gov/pubmed/24499275. (Adasankhidwa)

Merle NS, Mpingo SE, Fremeaux-Bacchi V, Roumenina LT. Onjezerani dongosolo gawo I - njira zoyeserera ndi kuwongolera. Kutsogolo Immunol. 2015; 6: 262. PMID: 26082779 www.ncbi.nlm.nih.gov/pubmed/26082779.

Pezani nkhaniyi pa intaneti Merle NS, Noe R, Halbwachs-Mecarelli L, Fremeaux-Bacchi V, Roumenina LT. Kuthandizira gawo lachiwiri: gawo loteteza chitetezo. Kutsogolo Immunol. 2015; 6: 257. PMID: 26074922 www.ncbi.nlm.nih.gov/pubmed/26074922. (Adasankhidwa)

Morgan BP, Harris CL. Kuphatikizana, cholinga chothandizira matenda opatsirana komanso otupa. Nat Rev Mankhwala Osokoneza bongo. 2015; 14 (2): 857-877. PMID: 26493766 www.ncbi.nlm.nih.gov/pubmed/26493766. (Adasankhidwa)