Ulwahlulo lomzimba lwemisipha

Ulwahlulo lwe-anti-smooth muscle luvavanyo lwegazi olufumanisa ubukho be-antibodies ngokuchasene nemisipha egudileyo. I-antibody iluncedo ekwenzeni isifo se-hepatitis sokuzimela komzimba.

Isampulu yegazi iyafuneka. Oku kungathathwa ngomthambo. Inkqubo ibizwa ngokuba yi-venipuncture.

Akukho manyathelo akhethekileyo afunekayo ukulungiselela olu vavanyo.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye banokuziva ngathi batyhafile okanye batyhafile. Emva koko, kunokubakho ukuthotywa okuthile.

Ungaludinga olu vavanyo ukuba uneempawu zezifo ezithile zesibindi, ezinje nge-hepatitis kunye nokuqina kwesibindi. Ezi meko zinokubangela ukuba umzimba wenze ii-antibodies ngokuchasene nemisipha egudileyo.

Amachiza omzimba a-anti-smooth muscle awasoloko ebonwa kwizifo ngaphandle kwe-autoimmune hepatitis. Ke ngoko kuyanceda ukwenza uxilongo. I-autoimmune hepatitis iphathwa ngamayeza anokukhusela umzimba. Abantu abane-hepatitis yokuzimela komzimba bahlala benamanye ama-autoantibodies. Oku kubandakanya:

• Iintsholongwane zenyukliya.
• Amachiza alwa ne-actin.
• Anti-enyibilikayo isibindi antigen / isibindi zepancreas (anti-SLA / LP).
• Ezinye ii-antibodies zinokubakho, nokuba ii-antibodies zemisipha ezichasayo azikho.

Ukuxilongwa kunye nokulawulwa kwe-hepatitis yokuzimela komzimba kunokufuna i-biopsy yesibindi.

Ngokwesiqhelo, akukho zintsholongwane zikhoyo.

Qaphela: Uluhlu lwamaxabiso aqhelekileyo luyahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho wezempilo malunga nentsingiselo yeziphumo zakho zovavanyo.

Uvavanyo oluqinisekileyo lunokubangelwa:

• Isifo sokuqina komzimba esinganyangekiyo esisebenzayo
• Isibindi
• I-mononucleosis echaphazelekayo

Uvavanyo luyanceda ukwahlula i-autoimmune hepatitis kwi-systemic lupus erythematosus.

Iingozi ezinxulunyaniswa nokutsalwa kwegazi zincinci, kodwa zinokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

• Uvavanyo lwegazi
• Iindidi zezihlunu zemisipha

ICzaja AJ. Ngokuzimela hepatitis. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 90.

UFerri FF. Iimpawu zelebhu kunye nokutolikwa kweziphumo. Ku: Ferri FF, ed. Olona vavanyo luhle lukaFerri: Isikhokelo esiSebenzayo kwiNyango yeLabhoratri yeLabhoratri kunye nokuTshekisha ukuFanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2019: 129-227.

Ilungu lePalamente yeMann, uLohse AW, uVergani D. I-hepatitis ezenzekelayo ye-Autoimmune-Hlaziya u-2015. J IHepatol. 2015; 62 (1 iSuppl): S100-S111. IINKCUKACHA: 25920079 www.ncbi.nlm.nih.gov/pubmed/25920079.