Kuyesa kwa anti-HBs: ndichiyani komanso kuti mumvetse bwanji zotsatirazo

Zamkati

• Ndi chiyani
• Mayeso a HBsAg
• Zatheka bwanji
• Kumvetsetsa zotsatira

Kuyesa kwa anti-hbs kumafunsidwa kuti muwone ngati munthuyo ali ndi chitetezo chokwanira cha kachilombo ka hepatitis B, kaya kamapezeka kudzera mu katemera kapena pochiritsa matendawa.

Kuyesaku kumachitika pofufuza pang'ono magazi pomwe ma antibodies olimbana ndi kachilombo ka hepatitis B amayang'aniridwa m'magazi.Mwachizolowezi, mayeso a anti-hbs amafunsidwa limodzi ndi mayeso a HBsAg, omwe ndi mayeso omwe kachilombo kamapezeka m'magazi ndipo chifukwa chake amagwiritsidwa ntchito pofufuza.

Ndi chiyani

Kuyesa kwa anti-hbs kumagwiritsidwa ntchito poyesa kupanga kwa thupi ma antibodies motsutsana ndi protein yomwe ili pamwambapa kachilombo ka hepatitis B, HBsAg. Chifukwa chake, pogwiritsa ntchito mayeso a anti-hbs, dokotalayo amatha kuwona ngati munthuyo watemera katemera wa hepatitis B kapena ayi, kudzera mu katemera, kuphatikiza pakuwona ngati mankhwalawo ndi othandiza kapena achiritsidwa, pomwe matenda a matenda a chiwindi B anali anatsimikizira.

Mayeso a HBsAg

Pomwe mayeso a anti-hbs akufunsidwa kuti atsimikizire chitetezo chamthupi komanso kuyankha kwake kuchipatala, mayeso a HBsAg amafunsidwa ndi dokotala kuti adziwe ngati munthuyo ali ndi kachilomboka kapena adalumikizana ndi kachilombo ka hepatitis B. B.

HBsAg ndi mapuloteni omwe amapezeka pamwamba pa kachilombo ka hepatitis B ndipo ndi othandiza pozindikira matenda a hepatitis B. Nthawi zambiri mayeso a HBsAg amafunsidwa limodzi ndi anti-hbs test, chifukwa ndizotheka kuwunika ngati kachilomboka kamazungulira m'magazi komanso ngati chamoyocho chikuchita. Munthuyo ali ndi matenda a chiwindi a hepatitis B, lipotilo limakhala ndi reagent HBsAg, chomwe ndi chofunikira chofunikira kwa adotolo, popeza ndi momwe zimatheka kuyamba mankhwala. Mvetsetsani momwe matenda a hepatitis B amathandizidwira.

Zatheka bwanji

Kuti muchite mayeso a anti-hbs, palibe kukonzekera kapena kusala kudya kofunikira ndipo kumachitika potenga magazi pang'ono, omwe amatumizidwa ku labotale kuti akawunikenso.

Mu labotale, magazi amafufuza momwe serological imathandizira, momwe zimatsimikizira kupezeka kwa ma antibodies motsutsana ndi kachilombo ka hepatitis B. Ma antibodies awa amapangidwa atakumana ndi kachilomboka kapena chifukwa cha katemera, momwe thupi limalimbikitsidwira amapanga ma antibodies awa, omwe amapereka chitetezo kwa munthuyo moyo wake wonse.

Dziwani nthawi yomwe ayenera kulandira katemera wa hepatitis B.

Kumvetsetsa zotsatira

Zotsatira za kuyesa kwa anti-hbs zimasiyanasiyana kutengera kuchuluka kwa ma antibodies motsutsana ndi kachilombo ka hepatitis B m'magazi, potengera zomwe zili:

• Anti-hbs ndende zosakwana 10 mUI / mL - osasintha. Kuchuluka kwa ma antibodies sikokwanira kuteteza ku matendawa, ndikofunikira kuti munthuyo apatsidwe katemera wolimbana ndi kachilomboka. Ngati matenda a hepatitis B atadziwika kale, ndondomekoyi ikuwonetsa kuti kunalibe mankhwala ndipo chithandizo sichikugwira ntchito kapena chikuyamba;
• Kukhazikika kwa anti-hbs pakati pa 10 mUI / mL ndi 100 mUI / mL - osakwanira kapena okwaniritsa katemera. Kukula kumeneku kumatha kuwonetsa kuti munthuyo watemeredwa ndi kachilombo ka hepatitis B kapena akuchiritsidwa, ndipo sizingatheke kudziwa ngati chiwindi cha hepatitis B chachiritsidwa. Zikatero, ndikulimbikitsidwa kuti kuyesedwako kubwerezedwenso pakatha mwezi umodzi;
• Kukhazikika kwa anti-hbs wamkulu kuposa 100 mIU / mL - reagent. Kuchulukaku kumawonetsa kuti munthuyo ali ndi chitetezo chokwanira kutengera kachilombo ka hepatitis B, mwina kudzera mu katemera kapena kudzera kuchiritsa matendawa.

Kuphatikiza pa kuwunika zotsatira za mayeso a anti-hbs, adokotala amafufuzanso zotsatira za mayeso a HBsAg. Chifukwa chake, poyang'anira munthu yemwe wapezeka kale ndi matenda a chiwindi a B, zotsatira za HBsAg zosagwira komanso zotsutsana ndi hbs zikuwonetsa kuti munthuyo wachiritsidwa ndipo palibenso ma virus omwe akuyenda m'magazi. Munthu yemwe alibe hepatitis B amakhalanso ndi zotsatira zofananira komanso anti-hbs ndende yoposa 100 mIU / mL.

Pankhani ya HBsAg ndi anti-hbs, tikulimbikitsidwa kuti mubwereze mayeso pambuyo pa masiku 15 mpaka 30, chifukwa mwina atha kuwonetsa zotsatira zabodza, kupangidwa kwa malo achitetezo amthupi (ma immune immune) kapena matenda amitundu ingapo ya hepatitis B kachilombo.