Agglutinins isku-dhafan / qabow

Agglutinins waa unugyo difaaca jirka oo keena unugyada dhiigga cas inay isku duubmaan.

• Agglutinins qabow ayaa ku shaqeeya heerkulka qabow.
• Agglutinins-ka diiran (firfircoon) ayaa ku shaqeeya heerkulka jirka ee caadiga ah.

Maqaalkani wuxuu sharxayaa baaritaanka dhiigga ee loo adeegsado in lagu cabbiro heerka unugyada difaaca jirka ee dhiigga ku jira.

Sambal dhiig ayaa loo baahan yahay.

Ma jiro diyaar garow gaar ah.

Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Ka dib, waxaa laga yaabaa in xoogaa wax lagu garaaco meesha irbadda la geliyay.

Tijaabadani waxaa loo sameeyaa in lagu baaro infekshannada qaarkood loona helo sababta dhiig-baxa hemolytic (nooc dhiig-yaraan ah oo dhacda marka unugyada dhiigga cas cas la burburiyo) Ogaanshaha inay jiraan agglutinins diiran ama qabow ayaa kaa caawin kara sharaxaadda sababta dhiig-baxa hemolytic uu u dhacayo iyo daaweynta tooska ah.

Natiijooyinka caadiga ah waa:

• Agglutinins diirran: malahan agglutination-ka xarfaha ama ka hooseeya 1:80
• Agglutinins qabow: wax agglutination ah oo ku jira titers ama ka hooseeya 1:16

Tusaalooyinka kor ku xusan waa cabbiraad guud oo ku saabsan natiijooyinka imtixaanadan. Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabiyaan shaybaarro kala duwan. Kala hadal dhakhtarkaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Natiijo aan caadi ahayn (togan) ayaa macnaheedu yahay inay jiraan agglutinins-ka saamiga dhiiggaaga.

Agglutinins diirran ayaa ku dhici kara:

• Caabuqyada, oo ay ku jiraan brucellosis, cudurka rickettsial, infekshanka salmonella, iyo tularemia
• Cudurka caloosha ee caabuqa leh
• Lymphoma
• Nidaamka lupus erythematosus
• Isticmaalka daawooyinka qaarkood, oo ay ku jiraan methyldopa, penicillin, iyo quinidine

Agglutinins qabow ayaa ku dhici kara:

• Infekshannada, sida mononucleous iyo mycoplasma pneumonia
• Busbuska (busbuska)
• Infekshanka Cytomegalovirus
• Kansarka, oo ay ku jiraan lymfoma iyo myeloma badan
• Listeria monocytogenes
• Nidaamka lupus erythematosus
• Waldenstrom macroglobulinemia

Khataraha waa yar yihiin laakiin waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Hematoma (dhiig ku ururaya maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Haddii cudur la xiriiro agglutinin qabow laga shakiyo, qofku wuxuu u baahan yahay in lagu diiriyo.

Agglutinins qabow; Falcelinta Weil-Felix; Imtixaanka dillaaca; Agglutinins diiran; Agglutinins

• Baaritaanka dhiigga

Baum SG, Goldman DL. Mycoplasma caabuqyada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 301.

Michel M, Jäger U. Dhiig-yaraanta hemolytic. Gudaha: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Mabaadi'da Aasaasiga ah iyo Tababarka. 7aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 46.

Quanquin NM, Cherry JD. Cudurka Mycoplasma iyo ureaplasma. Gudaha: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin iyo Cherry ee Buugga Cudurada faafa ee cudurada caruurta. 8aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 196.