Mafinya / ozizira ma agglutinins

Agglutinins ndi ma antibodies omwe amachititsa kuti maselo ofiira magazi agundane.

• Cold agglutinins amakhala otentha kuzizira.
• Febrile (ofunda) agglutinins amakhala otentha kutentha thupi.

Nkhaniyi ikufotokoza kuyesa magazi komwe kumagwiritsidwa ntchito kuyeza kuchuluka kwa ma antibodies m'mwazi.

Muyenera kuyesa magazi.

Palibe kukonzekera kwapadera.

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

Kuyesaku kumachitika kuti mupeze matenda ena ndikupeza chifukwa cha kuchepa kwa magazi m'thupi (mtundu wa kuchepa kwa magazi komwe kumachitika maselo ofiira akawonongedwa). Kudziwa ngati pali ma agglutinins ofunda kapena ozizira kungathandize kufotokoza chifukwa chake kuchepa kwa magazi m'thupi kumachitika ndikuchiritsa.

Zotsatira zodziwika ndi izi:

• Ma agglutinins ofunda: osakanikirana pamitengo kapena pansi pa 1:80
• Cold agglutinins: osakanikirana pamitengo kapena pansi pa 1:16

Zitsanzo pamwambapa ndizoyesa wamba pazotsatira za mayesowa. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa.

Zotsatira zosazolowereka (zabwino) zikutanthauza kuti munali ma agglutinin m'magazi anu.

Ma agglutinins ofunda amatha kuchitika ndi:

• Matenda, kuphatikiza brucellosis, rickettsial matenda, salmonella matenda, ndi tularemia
• Matenda otupa
• Lymphoma
• Njira lupus erythematosus
• Kugwiritsa ntchito mankhwala ena, kuphatikizapo methyldopa, penicillin, ndi quinidine

Cold agglutinins imatha kuchitika ndi:

• Matenda, monga mononucleous ndi mycoplasma chibayo
• Nthomba (varicella)
• Matenda a Cytomegalovirus
• Khansa, kuphatikizapo lymphoma ndi multipleeloma
• Listeria monocytogenes
• Njira lupus erythematosus
• Waldenstrom macroglobulinemia

Zowopsa ndizochepa koma zingaphatikizepo:

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

Ngati akuganiza kuti matenda omwe amapezeka ndi ozizira a agglutinin, munthuyo amafunika kuti azimva kutentha.

Ozizira ozizira; Kuyankha kwa Weil-Felix; Kuyesa kwakukulu; Ma agglutinins ofunda; Agglutinins

• Kuyezetsa magazi

[Adasankhidwa] Baum SG, Goldman DL. Mycoplasma matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 301.

Michel M, Jäger U. Kutulutsa magazi m'thupi mwadzidzidzi. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 46.

Quanquin NM, Cherry JD. Matenda a Mycoplasma ndi ureaplasma. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 196.