Rheumatoid factor (RF)

Rheumatoid factor (RF) gwajin jini ne wanda yake auna adadin kwayar RF cikin jini.

Mafi yawan lokuta, ana daga jini daga jijiya wacce take a cikin gwiwar hannu ko bayan hannu.

A cikin jarirai ko ƙananan yara, ana iya amfani da kaifi mai mahimmanci wanda ake kira lancet don huda fata.

• Jinin yana tarawa a cikin ƙaramin bututun gilashi da ake kira bututun bututu, ko kan silaid ko tsiri gwajin.
• An sanya bandeji akan wurin don dakatar da duk wani zub da jini.

Mafi yawan lokuta, baku buƙatar ɗaukar matakai na musamman kafin wannan gwajin.

Kuna iya jin ɗan zafi ko harbi idan aka saka allurar. Hakanan zaka iya jin bugun jini a wurin bayan jinin ya ɗiba.

Ana amfani da wannan gwajin sau da yawa don taimakawa wajen gano cututtukan cututtukan rheumatoid ko Ciwon Sjögren.

Sakamakon sakamako yawanci ana bayar da rahoton ne ta ɗayan hanyoyi biyu:

• Darajar, al'ada ƙasa da 15 IU / mL
• Titer, al'ada ƙasa da 1:80 (1 zuwa 80)

Idan sakamakon ya wuce matakin al'ada, to tabbatacce ne. Lowananan lamba (sakamako mara kyau) galibi ana nufin ba ku da cututtukan zuciya na rheumatoid ko Ciwon Sjögren. Koyaya, wasu mutanen da suke da waɗannan sharuɗɗan har yanzu suna da mummunan RF.

Jeri na darajar yau da kullun na iya ɗan bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Yi magana da mai baka kiwon lafiya game da ma'anar takamaiman sakamakon gwajin ka.

Wani sakamako mara kyau yana nufin gwajin yana tabbatacce, wanda ke nufin an gano matakin RF mafi girma a cikin jininka.

• Yawancin mutane da ke fama da cututtukan zuciya na rheumatoid ko Sjögren ciwo suna da tabbatattun gwaje-gwajen RF.
• Matsayi mafi girma, mafi kusantar ɗayan waɗannan sharuɗɗan yana nan. Har ila yau, akwai wasu gwaje-gwaje don waɗannan rikice-rikice waɗanda ke taimakawa wajen gano asali.
• Ba kowa bane wanda ke da matakin RF mafi girma yana da cututtukan zuciya na rheumatoid ko Ciwan Sjögren.

Mai ba da sabis ɗinku ya kamata ya sake yin gwajin jini (anti-CCP antibody), don taimakawa wajen tantance cututtukan cututtukan rheumatoid (RA). Anti-CCP antibody ya fi takamaiman RA don RF. Gwajin tabbatacce don antibody na CCP yana nufin RA shine mai yiwuwa shine ainihin ganewar asali.

Mutanen da ke da cututtuka masu zuwa na iya samun matakan RF mafi girma:

• Ciwon hanta C
• Tsarin lupus erythematosus
• Dermatomyositis da polymyositis
• Sarcoidosis
• Cakuda cryoglobulinemia
• Cakuda cututtukan nama mai hade

Ana iya ganin matakan RF-fiye da al'ada cikin mutanen da ke da wasu matsalolin kiwon lafiya. Koyaya, waɗannan matakan RF mafi girma baza'a iya amfani dasu don tantance waɗannan sauran yanayin ba:

• AIDS, hepatitis, mura, cututtukan ƙwayoyin cuta na mononucleosis, da sauran cututtukan ƙwayoyin cuta
• Wasu cututtukan koda
• Endocarditis, tarin fuka, da sauran cututtukan ƙwayoyin cuta
• Kamuwa da cutar parasite
• Ciwon sankarar jini, myeloma da yawa, da sauran cututtukan daji
• Ciwon huhu na kullum
• Ciwon hanta na kullum

A wasu lokuta, mutanen da ke da lafiya kuma ba su da wata matsala ta likita za su sami matakin RF sama da na al'ada.

• Gwajin jini

Aletaha D, Neogi T, Silman AJ, et al. Sharuɗɗan rarrabuwa na Rheumatoid arthritis na 2010: Kwalejin Rheumatology na Amurka / Leagueungiyar Turai game da shirin haɗin gwiwar 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 a cikin cututtukan zuciya na rheumatoid. A cikin: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Littafin Kelley da Firestein na Rheumatology. 10 ed. Philadelphia, PA: Elsevier; 2017: babi na 56.

Hoffmann MH, Trouw LA, Steiner G. Autoantibodies a cikin cututtukan zuciya na rheumatoid. A cikin: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 99.

Mason JC. Cututtukan Rheumatic da tsarin zuciya da jijiyoyin jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 94.

Pisetsky DS. Gwajin gwaji a cikin cututtukan rheumatic. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 257.

von Mühlen CA, Fritzler MJ, Chan EKL. Bincike na asibiti da dakin gwaje-gwaje na cututtukan rheumatic. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 52.