Tijaabinta tijaabada borotiinka Bence-Jones

Tijaabadani waxay cabireysaa heerka borotiinada aan caadiga ahayn ee loo yaqaan Bence-Jones borotiinka ku jira kaadida.

Muunad kaadi-nadiif ah ayaa loo baahan yahay. Habka nadiif-ka-qabashada waxaa loo isticmaalaa in looga hortago jeermiska xubinta taranka ama xubinta taranka inay galaan sambalka kaadida. Si loo ururiyo kaadidaada, bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu ku siiyo xirmo gaara oo nadiif ah oo ay kujiraan xal nadiifin ah iyo masaxaad nadiif ah. Raac tilmaamaha si sax ah si natiijooyinka ay u noqdaan kuwo sax ah.

Muunada waxaa loo dirayaa shaybaarka. Halkaas, mid ka mid ah habab badan ayaa loo isticmaalaa in lagu ogaado borotiinnada Bence-Jones. Hal hab, oo loo yaqaan 'immunoelectrophoresis', ayaa ah midka ugu saxsan.

Tijaabadu waxay ku lug leedahay oo keliya kaadida caadiga ah, mana jiraan wax dhib ah.

Bins-Jones borotiinada ayaa qayb ka ah unugyada difaaca jirka ee joogtada ah ee loo yaqaan silsiladaha fudud. Barootiinadan caadi ahaan kuma jiraan kaadi ahaan. Mararka qaarkood, marka jirkaaga sameeyo unugyo badan oo difaaca jirka ah, heerka silsiladaha iftiinka sidoo kale wey kordhaan. Bins-Jones borotiinku way yar yihiin oo kelyaha ayaa sifeeya. Ka dib borotiinnada ayaa ku daadanaya kaadida.

Adeeg bixiyahaagu wuxuu dalban karaa baaritaankaan:

• Si loo ogaado xaaladaha keena borotiinka ku jira kaadida
• Haddii ay borotiin badani ku jirto kaadidaada
• Haddii aad leedahay astaamaha kansarka dhiigga ee loo yaqaan myeloma badan

Natiijo caadi ah micnaheedu maahan in borotiinada Bence-Jones aan laga helin kaadidaada.

Bins-Jones borotiinnada dhif ah ayaa laga helaa kaadida. Hadday yihiin, badanaa waxay la xiriiraan myeloma badan.

Natiijo aan caadi ahayn ayaa sidoo kale laga yaabaa inay sabab u tahay:

• Cillad aan caadi ahayn oo ah borotiinno ku jira unugyada iyo xubnaha jirka (amyloidosis)
• Kansarka dhiigga ee loo yaqaan 'lymphocytic leukemia chronic'
• Kansarka nidaamka qanjirada (lymphoma)
• Kordhinta dhiiga borotiinka loo yaqaan M-protein (monoclonal gammopathy oo ahmiyad aan la garanayn; MGUS)
• Kalyaha oo xumaada

Ma jiraan wax khatar ah oo ka imaan kara baaritaankaan.

Silsiladaha fudud ee Immunoglobulin - kaadida; Kaadi Bence-Jones protein

• Nidaamka kaadi-mareenka ragga

Chernecky CC, Berger BJ. Barootiinka electrophoresis - kaadi. Gudaha: Chernecky CC, Berger BJ, eds. Tijaabooyinka Shaybaarka iyo Nidaamyada Baadhista. 6aad ed. St Louis, MO: Elsevier Saunders; 2013: 920-922.

Riley RS, McPherson RA. Baadhitaanka aasaasiga ah ee kaadida. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 28.

Rajkumar SV, Dispenzieri A. Myeloma badan iyo xanuunno la xiriira. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: baab 101.