Kuyeza magazi kumagwiritsidwa ntchito kuthandiza kuthandizira matenda a nyamakazi ndi kuyang'anira matenda
Kodi kuyesa magazi kuli kofunika bwanji pozindikira kuti nyamakazi imatha ? Kodi ndi mayesero ati a magazi omwe amalamulidwa kawirikawiri komanso amadziwitsa chiyani za wodwala?
Komanso, pamene wodwalayo ali ndi zotsatira zoyezetsa magazi kwa zizindikiro za matenda a nyamakazi, koma ali ndi zizindikiro za matenda monga kupweteka, kufiira, kutentha, kutupa, ndi kuumitsa m'magulu awo - kodi mavitamini oipa amaletsa kugonana kwa nyamakazi?
Rheumatologists (madokotala omwe amadziwika kwambiri ndi matenda a nyamakazi ndi zofanana) amagwiritsa ntchito mayeso a magazi kuti athandizire kapena kusalongosola matenda opatsirana. Mwachitsanzo, ganizirani wodwalayo yemwe ali ndi mbiri ya miyezi itatu ya kuuma kwam'mawa kwa nthawi yaitali komwe kumayanjana ndi kupweteka ndi kutupa kwa mikanda kapena dzanja. Mu wodwala uyu, zotsatira zotsatizana za magazi zikhoza kulamulidwa kuti zithandize kutsimikizira kuti matenda a nyamakazi amapezeka :
- Chifuwa chachikulu
- Peptide anti-cyclic citrullinated antibody
- Mlingo wa erythrocyte
- Puloteni wothandizira
Kukhalapo kwa kachilombo ka HIV kapena kachirombo ka CCP mu wodwalayu kungathandize kutsimikizira kuti matenda a nyamakazi amapezeka. Komabe, mpaka 30 peresenti ya odwala matenda a nyamakazi sangakhale ndi ma antibodieswa, makamaka oyambirira matenda awo. Kuwonjezera pamenepo, kukhalapo kwa chifuwa chachikulu , makamaka pamtsika wochepa, si zachilendo kwa odwala omwe alibe ndipo sadzakhala ndi nyamakazi ya nyamakazi.
Wotsutsa-anti-CCP amatha kukhala ndi matenda a nyamakazi, kotero ngati wodwala ali ndi msinkhu wambiri, wodwala wopanda zizindikiro za nyamakazi zingathe kukhala ndi matendawa.
Mayeso ena awiri a magazi omwe amatchulidwa ndi mlingo wa sedimentation ndi CRP. Mayeso a magaziwa amayeza kutupa ndipo amadziwika kwambiri kwa odwala omwe ali ndi matenda a nyamakazi.
Mankhwala osadziwika sagonjetsa nyamakazi ya nyamakazi, koma odwalawo sangawonongeke mofanana poyerekeza ndi odwala omwe amatha kutupa. Izi ndi zoona makamaka pa CRP yakwezeka.
Mayeso a Antinuclear Antibody (ANA) ndi ofunika mu chitsanzo chathu wodwala kuti aone ngati ali ndi lupus erythematosus kapena SLE. Ngakhale kuti nthenda zochepa za ANA zimapezeka m'magazi a nyamakazi, ziwerengero za ANA muzitsanzo za odwala zimasonyeza kuti zingatheke kuti lupus ichitike, makamaka ngati anti-CCP ndi kachirombo ka mankhwala ndi zoipa.
Pa maulendo obwereza, ngati chifuwa chachikulu kapena kachilombo ka anti-CCP ndibwino, nthawi zambiri sichidalamulidwe. Koma mlingo wa sedimentation ndi CRP, nthawi zambiri amalamulidwa monga momwe angathandizire (kuwonjezera pa mbiri ya wodwalayo ndi kuyesa) kaya nyamakazi ikugwira ntchito kapena ayi.
Scott J. Zashin, MD, ndi pulofesa wothandizira pa yunivesite ya Texas Southwestern Medical School, Division of Rheumatology, ku Dallas, Texas. Dr. Zashin nayenso ndi dokotala wopita kuchipatala cha Presbyterian ku Dallas ndi Plano. Iye ndi mnzanga wa American College of Physicians ndi American College of Rheumatology ndi membala wa American Medical Association. Dr. Zashin ndi mlembi wa Arthritis Without Pain - The Miracle Anti Anti-TNF Blockers ndi wothandizira wa Matenda Achilengedwe.