Amanqatha / ii-agglutin ezibandayo

Ii-Agglutinins zintsholongwane ezibangela ukuba iiseli ezibomvu zegazi zidibane.

• Ii-agglutinins ezibandayo ziyasebenza kumaqondo obushushu abandayo.
• Amanqatha (ashushu) ama-agglutinin ayasebenza kumaqondo obushushu omzimba aqhelekileyo.

Eli nqaku lichaza uvavanyo lwegazi olusetyenziselwa ukulinganisa inqanaba lezi ntsholongwane egazini.

Isampulu yegazi iyafuneka.

Akukho lungiselelo lukhethekileyo.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetheka apho inaliti yafakwa khona.

Olu vavanyo lwenziwa ukufumanisa usulelo oluthile kunye nokufumana unobangela we-hemolytic anemia (uhlobo lwe-anemia olwenzeka xa kutshatyalaliswa iiseli ezibomvu zegazi). Ukwazi ukuba kukho i-agglutinins efudumeleyo okanye ebandayo kunokunceda ukucacisa ukuba kutheni i-hemolytic anemia isenzeka kwaye inyanga ngqo.

Iziphumo eziqhelekileyo zezi:

• I-agglutinins eshushu: akukho agglutination kwiiters kwi okanye ngaphantsi kwe-1: 80
• I-Cold agglutinins: akukho agglutination kwiiters okanye ngaphantsi kwe-1: 16

Imizekelo engentla yimilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iziphumo ezingaqhelekanga (ezintle) zithetha ukuba bekukho ii-agglutinins kwisampulu yegazi lakho.

I-agglutinins eshushu inokwenzeka nge:

• Usulelo, kubandakanya i-brucellosis, isifo se-rickettsial, usulelo lwe-salmonella, kunye ne-tularemia
• Ukudumba kwesifo
• KwiLymphoma
• Inkqubo ye lupus erythematosus
• Ukusetyenziswa kwamayeza athile, kubandakanya i-methyldopa, ipenicillin, kunye nequinidine

I-Cold agglutinins inokwenzeka nge:

• Usulelo, njenge-mononucleous kunye ne-mycoplasma pneumonia
• Inkuku yenkukhu (varicella)
• Usulelo lweCytomegalovirus
• Umhlaza, kubandakanya i-lymphoma kunye ne-myeloma ezininzi
• IListeria monocytogenes
• Inkqubo ye lupus erythematosus
• IWaldenstrom macroglobulinemia

Iingozi zincinci kodwa zinokubandakanya:

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

Ukuba kurhanelwa isifo esibandayo kwi-agglutinin ebandayo, umntu lowo kufuneka agcinwe efudumele.

Ii-agglutinins ezibandayo; Impendulo kaWeil-Felix; Uvavanyo lweWidal; Ii-agglutinins ezifudumeleyo; Ii-Agglutinins

• Uvavanyo lwegazi

IBaum SG, iGoldman DL. Mycoplasma usulelo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 301.

UMichel M, uJäger U.I-anemia ye-hemolytic ezenzekelayo. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 46.

I-Quanquin NM, iCherry JD. Mycoplasma kunye ureaplasma usulelo. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 196.