Cudurka rheumatoid (RF)

Rheumatoid factor (RF) waa baaritaan dhiig oo cabbira xaddiga antibiyootigga RF ee dhiigga ku jira.

Inta badan, dhiig ayaa laga soo qaataa xididka ku yaal gudaha xusulka ama dhabarka gacanta.

Dhallaanka ama carruurta yaryar, qalab fiiqan oo loo yaqaan 'lancet' ayaa loo isticmaali karaa in lagu mudo maqaarka.

• Dhiiggu wuxuu ku ururiyaa tuubbo yar oo dhalo ah oo loo yaqaanno 'pipe', ama ku soo duub ama aaladda wax lagu baaro.
• Faashad ayaa la dul dhigayaa meesha si loo joojiyo wax dhiig bax ah.

Inta badan, uma baahnid inaad qaaddo tallaabooyin gaar ah baaritaankaan ka hor.

Waxaa laga yaabaa inaad dareento xanuun yar ama qaniinyo markii cirbadda la gelinayo. Waxa kale oo laga yaabaa inaad dareento xoogaa jug ah goobta ka dib markii dhiigga lagaa qaado.

Tijaabadani waxaa badanaa loo isticmaalaa in lagu caawiyo baaritaanka cudurka rheumatoid arthritis ama Sjögren syndrome.

Natiijooyinka waxaa badanaa lagu soo wargaliyaa laba dariiqo midkood:

• Qiime, caadi ka yar 15 IU / mL
• Mawduuc, caadi ka yar 1:80 (1 ilaa 80)

Haddii natiijadu ka sarreyso heerka caadiga ah, waa wax togan. Tiro yar (natiijo taban) badanaa waxay la micno tahay inaadan qabin rheumatoid arthritis ama Sjögren syndrome. Si kastaba ha noqotee, dadka qaar ee qaba xaaladahan ayaa wali leh RF xun ama hooseeya.

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal bixiyahaaga daryeelka caafimaadka macnaha natiijooyinkaaga gaarka ah ee baaritaanka.

Natiijo aan caadi ahayn ayaa ka dhigan in baaritaanka uu yahay mid wanaagsan, taas oo macnaheedu yahay heer sare oo RF ah ayaa lagu arkay dhiiggaaga.

• Dadka badankood ee qaba xanuunka loo yaqaan 'rheumatoid arthritis' ama 'Sjögren syndrome' waxay leeyihiin baaritaano wanaagsan oo RF ah.
• Heerka sare, ayay u badan tahay in mid ka mid ah xaaladahaas uu jiro. Waxa kale oo jira baadhitaano kale oo ku saabsan cilladahaas kuwaas oo ka caawiya samaynta cudurka.
• Ma aha in qof kasta oo qaba heer sare oo RF ah uu qabo rheumatoid arthritis ama Sjögren syndrome.

Bixiyahaagu sidoo kale waa inuu sameeyaa baaris kale oo dhiig ah (anti-CCP antibody), si looga caawiyo baaritaanka rheumatoid arthritis (RA). Anti-CCP antibody ayaa gaar uga ah RA marka loo eego RF. Tijaabada saxda ah ee loo yaqaan 'CCP antibody' micnaheedu waa RA ayaa laga yaabaa inuu yahay cilad sax ah.

Dadka qaba cudurada soo socda sidoo kale waxay yeelan karaan heerar sare oo ah RF:

• Cagaarshowga C
• Nidaamka lupus erythematosus
• Dermatomyositis iyo polymyositis
• Sarcoidosis
• Isku-darka cryoglobulinemia
• Cudurka unugyada isku dhafan ee isku dhafan

Heerarka-ka-caadiga caadiga ah ee RF waxaa laga yaabaa in lagu arko dadka qaba dhibaatooyinka kale ee caafimaad. Si kastaba ha noqotee, heerarkan sare ee RF looma isticmaali karo in lagu baaro xaaladahan kale:

• AIDS, cagaarshow, hargab, mononucleosis infekshan, iyo infekshanno kale oo fayras ah
• Cudurada kelyaha qaarkood
• Endocarditis, qaaxada, iyo infekshannada kale ee bakteeriyada
• Infekshannada dulinka
• Leukemia, myeloma badan, iyo kansarro kale
• Cudurka sanbabada ee joogtada ah
• Cudurka beerka ee joogtada ah

Xaaladaha qaarkood, dadka caafimaadka qaba oo aan lahayn dhibaato caafimaad oo kale waxay yeelan doonaan heer RF-ka-ka-caadiga ah.

• Baaritaanka dhiigga

Aletaha D, Neogi T, Silman AJ, et al. Shuruudihii kala sooca ee loo yaqaan 'Rheumatoid arthritis' ee 2010: Kulliyadda Maraykanka ee Rheumatology / European League oo ka soo horjeedda hindisaha iskaashiga ee rheumatism. Ann Rheum Dis. 2010; 69 (9): 1580-1588. PMID: 20699241 www.ncbi.nlm.nih.gov/pubmed/20699241.

Andrade F, Darrah E, Rosen A. Autoantibodies ee rheumatoid arthritis. Gudaha: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley iyo Firestein's Buugga Buugga Rheumatology. 10aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 56.

Hoffmann MH, Trouw LA, Steiner G. Autoantibodies ee rheumatoid arthritis. Gudaha: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 99.

Mason JC. Cudurada rheumatic iyo nidaamka wadnaha. Gudaha: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 94.

Pisetsky DS. Tijaabada shaybaarka ee cudurada lafaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 257.

von Mühlen CA, Fritzler MJ, Chan EKL. Qiimeynta bukaan eegtada iyo sheybaarka ee cudurada rheumatic system. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 52.