He aha ka Rheumatoid Factor? Ke Kumu, nā Pae & nā Hōʻike

ʻO ka rheumatoid factor he antibody i hana ʻia e kāu ʻōnaehana pale i ka wā e hoʻouka hewa ai i kāu mau ʻiʻo olakino ponoʻī. E noʻonoʻo e like me ka ʻōnaehana palekana o kou kino e huikau ana a hana i nā mea kaua iā ia iho. Kōkua kēia hoʻāʻo koko i nā kauka e hoʻomaopopo i ka mea e hana nei i ka ʻeha hui, ka ʻoʻoleʻo, a i ʻole ka pehu āu e ʻike nei.

He aha ka rheumatoid factor?

ʻO ka rheumatoid factor (RF) he protein i hana ʻia e kāu ʻōnaehana pale i ka wā e manaʻo ai e like me nā ʻiʻo o kou kino i nā mea komo malihini. Ma ke ʻano maʻamau, pale nā antibodies iā ʻoe mai nā maʻi a me nā mea ʻino. Eia naʻe, kuhikuhi nā antibodies RF i kāu mau protein olakino ponoʻī, ʻo ia hoʻi ka immunoglobulin G.

Hiki ke hana ʻia kēia pane autoimmune i nā kūlana like ʻole, ʻaʻole wale nō ka rheumatoid arthritis. Huikau ke kino i ka mea nona a me ka mea ʻole. Hōʻike ka loaʻa ʻana o RF i loko o kou koko e hana nui ana a i ʻole ua kuhi hewa ʻia kāu ʻōnaehana pale i kekahi ʻano.

He mea nui e ʻike ʻaʻole ʻo ka loaʻa ʻana o RF e manaʻo maʻalahi he rheumatoid arthritis kāu. Nui ka poʻe me RF ʻaʻole i loaʻa nā pilikia hui, ʻoiai kekahi poʻe me ka rheumatoid arthritis he pae RF maʻamau.

No ke aha e hana ʻia ai ka hoʻāʻo rheumatoid factor?

Kauoha nā kauka i nā hoʻāʻo RF ke loaʻa iā ʻoe nā hōʻailona e hōʻike ana i kahi maʻi autoimmune e pili ana i kou mau hui a i ʻole nā ʻōkana ʻē aʻe. ʻO ke kumu maʻamau e kōkua i ka hōʻoia ʻana i ka rheumatoid arthritis, ʻoiai ke loaʻa iā ʻoe ka ʻeha hui mau, ka ʻoʻoleʻo i ke kakahiaka, a i ʻole ka pehu ʻana i nā hui he nui.

Hiki i kāu kauka ke hoʻohana i kēia hoʻāʻo e nānā i ka maikaʻi o kāu lapaʻau inā loaʻa iā ʻoe kahi maʻi autoimmune. Hiki ke loli nā pae RF i ka manawa, a kōkua ka nānā ʻana i kēia mau loli i nā hoʻoholo lapaʻau.

I kekahi manawa, he ʻāpana ka hoʻāʻo RF o kahi loiloi ākea ke loaʻa iā ʻoe ka luhi i wehewehe ʻole ʻia, ke kuni, a i ʻole nā ​​hōʻailona ʻē aʻe e hōʻike ana i kahi kaʻina autoimmune. Hāʻawi ka hoʻāʻo i hoʻokahi ʻāpana o ka puʻupuʻu diagnostic, me kāu mau hōʻailona, ​​ka hoʻokolokolo kino, a me nā hoʻāʻo koko ʻē aʻe.

He aha ke kaʻina hana no ka hoʻāʻo ʻana i ka rheumatoid factor?

He huki koko maʻalahi ka hoʻāʻo RF e lawe ana i kekahi mau minuke. E hoʻomaʻemaʻe kahi loea mālama ola i kou lima me kahi antiseptic a hoʻokomo i kahi nila liʻiliʻi i loko o kahi vein, maʻamau i kou wahi kuʻekuʻe. E ʻike ʻoe i kahi ʻūlū wikiwiki ke komo ka nila.

E hele ana ka laʻana koko i loko o kahi paipu liʻiliʻi a hoʻouna ʻia i kahi hale hana no ka loiloi. He maʻalahi a haʻahaʻa ka pilikia o ke kaʻina holoʻokoʻa. Hiki i ka hapa nui o nā kānaka ke hoʻi i kā lākou hana maʻamau ma hope koke iho.

Hiki iā ʻoe ke ʻike i ka ʻeha iki a i ʻole ka palupalu ma ke kahua nila, akā hoʻoponopono maʻamau kēia i loko o hoʻokahi a ʻelua paha lā. He kakaikahi loa nā pilikia koʻikoʻi mai nā huki koko.

Pehea e hoʻomākaukau ai no kāu hoʻāʻo rheumatoid factor?

ʻAʻole pono ka hoʻomākaukau kūikawā no ka hoʻāʻo RF. Hiki iā ʻoe ke ʻai maʻamau ma mua o ka hoʻāʻo ʻana a lawe i kāu mau lāʻau maʻamau ke ʻole e haʻi pololei kāu kauka iā ʻoe. Hana kēia i mea maʻalahi e komo i kāu papa manawa maʻamau.

Eia naʻe, he mea kōkua ke haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hoʻāʻo ʻōnaehana immune, ʻoiai ʻaʻole maʻamau kēia me ka hoʻāʻo RF.

E ʻaʻahu i nā lole ʻoluʻolu me nā lima lima e hiki ke ʻōwili maʻalahi. ʻO ka noho ʻana i ka wai ma mua o ka hoʻāʻo ʻana hiki ke maʻalahi i ka mea mālama ola e ʻimi i kahi vein maikaʻi no ka huki koko.

Pehea e heluhelu ai i kāu mau hopena rheumatoid factor?

Hōʻike ʻia nā hopena RF ma ke ʻano he helu me nā pae kuhikuhi e ʻokoʻa iki ana ma waena o nā laboratories. Ma ke ʻano maʻamau, ua manaʻo ʻia nā pae ma lalo o 20 international units per milliliter (IU/mL) he maʻamau, ʻoiai ʻo nā pae ma luna o kēia paepae e hōʻike ana i ke alo o ka rheumatoid factor.

ʻAʻole pono ka manaʻo o nā pae RF kiʻekiʻe i ka maʻi ʻoi aku ka koʻikoʻi. Loaʻa i kekahi poʻe me nā pae RF kiʻekiʻe loa nā hōʻailona maʻalahi, ʻoiai ʻo nā poʻe ʻē aʻe me nā pae i hoʻokiʻekiʻe ʻia e ʻike i nā pilikia hui nui. Hoʻomaopopo kāu kauka i kēia mau hopena me kāu mau hōʻailona a me nā hopena hoʻokolohua ʻē aʻe.

He mea nui nō hoʻi ka manawa o kāu mau hopena. Hiki ke loli nā pae RF, a hāʻawi kahi hoʻokolohua hoʻokahi i kahi kiʻi wale nō. Hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo hou ʻana a i ʻole ka hana koko hou e kiʻi i kahi kiʻi maopopo o ka mea e hana nei i loko o kou kino.

Pehea e mālama ai i nā pae rheumatoid factor maʻamau ʻole?

Inā kiʻekiʻe kāu mau pae RF, pili ke ala i ke ʻano o nā hōʻailona āu a me ke ʻano e hiki ke hoʻoulu i ka hoʻokiʻekiʻe. No ka rheumatoid arthritis, pili ka mālama ʻana i ka mālama ʻana i ka mumū a me ka pale ʻana i kou mau hui mai ka pōʻino.

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻoluʻolu i kāu ʻōnaehana pale nui, e like me nā lāʻau antirheumatic e hoʻololi ana i ka maʻi (DMARDs) a i ʻole biologics. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā pae RF i ka manawa e hoʻomaikaʻi ana i kāu mau hōʻailona a me ka pale ʻana i ka pōʻino hui.

Hiki i nā loli o ke ola ke kākoʻo i kāu mālama ʻana. Kōkua ka hoʻoikaika kino maʻamau i ka mālama ʻana i ka maʻalahi o ka hui a me ka ikaika o ka ʻiʻo. Hiki i ka meaʻai kaulike i waiwai i nā meaʻai anti-inflammatory ke kōkua i ka hōʻemi ʻana i ka mumū holoʻokoʻa i kou kino.

He aha ke kiʻekiʻe rheumatoid factor maikaʻi loa?

ʻO ke kiʻekiʻe RF maikaʻi loa ma lalo o 20 IU/mL, i manaʻo ʻia ʻo ka pae maʻamau no ka hapa nui o nā laboratories. Eia naʻe, hiki ke ʻokoʻa iki ka

He mea pono e hoʻomaopopo i ka loaʻa ʻana o kekahi poʻe olakino i nā pae RF kiʻekiʻe iki me ka ʻole o ka maʻi. Hiki nō hoʻi i ka makahiki ke hoʻopili i nā pae RF, me nā mākua ʻelemakule i kekahi manawa e hōʻike ana i nā pae kiʻekiʻe ʻoiai ke olakino lākou.

Ke nānā nui nei kāu kauka i nā ʻano i ka wā ma mua o kahi helu hoʻokahi. Inā paʻa kāu mau pae RF a maikaʻi kou manaʻo, he mea hōʻoluʻolu kēia inā ʻaʻole i loko pono nā helu i ka pae kuhikuhi.

He aha nā mea pilikia no ka rheumatoid factor kiʻekiʻe?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i nā pae RF kiʻekiʻe, a ʻo ka hoʻomaopopo ʻana iā lākou e kōkua iā ʻoe a me kāu kauka e wehewehe pololei i kāu mau hopena.

Eia nā mea pilikia nui e makaʻala ai:

• ʻO ka moʻolelo ʻohana o ka rheumatoid arthritis a i ʻole nā ​​maʻi autoimmune ʻē aʻe
• He wahine (ʻoi aku ka maʻi o nā wahine i ka hoʻomohala ʻana i nā maʻi RF-positive)
• ʻO ka makahiki ma luna o 65 (hiki i nā pae RF ke piʻi maoli me ka ʻelemakule)
• Puhi a i ʻole ka mōʻaukala o ka puhi ʻana
• Nā maʻi maʻi, ʻoi aku ka maʻi bacteria a i ʻole nā ​​maʻi viral
• Nā maʻi autoimmune ʻē aʻe e like me ka lupus a i ʻole ka maʻi Sjögren
• Nā maʻi mumū mau e pili ana i ke ake a i ʻole nā ​​māmā

ʻO ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa ana iā ʻoe nā pae RF kiʻekiʻe a i ʻole ka rheumatoid arthritis. Nui ka poʻe me nā mea pilikia he nui ʻaʻole i loaʻa kēia mau maʻi, ʻoiai kekahi poʻe me ka ʻole o nā mea pilikia maopopo.

ʻOi aku ka maikaʻi o ka loaʻa ʻana o nā pae rheumatoid factor kiʻekiʻe a haʻahaʻa paha?

ʻOi aku ka maikaʻi o nā pae RF haʻahaʻa no kou olakino. Hōʻike nā pae RF maʻamau a haʻahaʻa paha ʻaʻole e hana ana kāu ʻōnaehana pale i nā antibodies e kūʻē i kāu mau ʻiʻo ponoʻī, e hōʻemi ana i ka pilikia o ka pōʻino hui e pili ana i ka autoimmune a me nā pilikia ʻē aʻe.

Hōʻike nā pae RF kiʻekiʻe i ka hana autoimmune i hoʻonui ʻia, hiki ke alakaʻi i ka mumū mau a me ka pōʻino o nā ʻiʻo i ka wā. Eia naʻe, ʻaʻole maʻalahi ka pilina – noho olakino kekahi poʻe me nā pae RF kiʻekiʻe no nā makahiki.

ʻO ka mea nui e pili ana i ka pili ʻana o kāu mau pae RF i kāu mau hōʻailona a me ke olakino holoʻokoʻa. E noʻonoʻo kāu kauka i nā hopena RF me kāu hoʻokolokolo kino, nā hōʻailona, ​​a me nā hoʻokolohua koko ʻē aʻe e hoʻoholo ai inā pono ka lāʻau lapaʻau.

He aha nā pilikia e hiki ke loaʻa i ka rheumatoid factor haʻahaʻa?

ʻAʻole pili pinepine ka loaʻa ʻana o nā pae RF haʻahaʻa a maʻamau paha me nā pilikia. ʻO ka ʻoiaʻiʻo, ʻo nā pae RF haʻahaʻa ka mea a mākou e manaʻo ai e ʻike i nā kānaka olakino. Hōʻike kēia i ka hana maʻamau o kāu ʻōnaehana pale a ʻaʻole e hoʻouka i kāu mau ʻiʻo ponoʻī.

Eia naʻe, he mea nui e hoʻomaopopo i ka loaʻa ʻana o kekahi poʻe me ka rheumatoid arthritis i nā pae RF maʻamau – ua kapa ʻia kēia he seronegative rheumatoid arthritis. Inā loaʻa iā ʻoe nā hōʻailona hui akā nā pae RF maʻamau, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou e kāpae i nā ʻano arthritis ʻē aʻe.

ʻAʻole pale nā pae RF haʻahaʻa iā ʻoe mai ka hoʻomohala ʻana i nā ʻano pilikia hui ʻē aʻe a i ʻole nā ​​maʻi autoimmune. E noʻonoʻo kāu kauka i kāu kiʻi lapaʻau piha, ʻaʻole wale i kāu mau hopena RF, i ka wā e loiloi ai i kou olakino.

He aha nā pilikia e hiki ke loaʻa i ka rheumatoid factor kiʻekiʻe?

Hiki ke hoʻopili ʻia nā pae RF kiʻekiʻe me kekahi mau pilikia, ʻoi aku ka nui ke ʻāpana lākou o kahi maʻi autoimmune ikaika e like me ka rheumatoid arthritis. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe e hana pū me kāu kauka e pale a mālama pono iā lākou.

ʻO nā pilikia maʻamau e pili ana i ka pōʻino hui a me ka deformity inā ʻaʻole i mālama ʻia ka mumū. Hiki i ka hoʻouka ʻana o kāu ʻōnaehana pale i nā ʻiʻo hui ke luku mālie i ka cartilage a me ka iwi, e alakaʻi ana i ka ʻeha, ka ʻoʻoleʻo, a me ka nalowale o ka hana.

Eia nā pilikia ʻē aʻe e pono ai e makaʻala:

• Nā pilikia cardiovascular (ʻoi aku ka pilikia o ka maʻi puʻuwai me ka mumū mau)
• Nā pilikia o ka māmā, me ka ʻeha a i ʻole ka mumū o ka ʻiʻo māmā
• Nā pilikia o ka maka e like me ka maloʻo a i ʻole ka mumū
• Hoʻonui ʻia ka pilikia o ka maʻi, ʻoiai inā e lawe ana i nā lāʻau e kāohi ana i ka ʻōnaehana pale
• Luhi a me ka hoʻemi ʻia o ka maikaʻi o ke ola mai ka mumū mau
• Osteoporosis (hoʻemi ʻia ka iwi) mai ka mumū mau a i ʻole kekahi mau lāʻau

Hoʻemi nui ka ʻike mua a me ka mālama ʻana i ka pilikia o kēia mau pilikia. He mea maikaʻi loa nā lāʻau lapaʻau hou i ka mālama ʻana i ka mumū a me ka pale ʻana i kou mau ami a me nā ʻōkana mai ka pōʻino.

I ka manawa hea e ʻike ai au i ke kauka no nā hopohopo e pili ana i ka rheumatoid factor?

Pono ʻoe e ʻike i ke kauka inā e ʻike ana ʻoe i ka ʻeha mau o nā ami, ka ʻoʻoleʻo, a i ʻole ka pehu ʻana e mau ana ma mua o kekahi mau pule. ʻO ka ʻoʻoleʻo o ke kakahiaka e lawe ana ma mua o hoʻokahi hola e hoʻomaikaʻi ai he mea hopohopo loa ia a pono e loiloi ʻia e ka lāʻau lapaʻau.

ʻO nā hōʻailona ʻē aʻe e pono ai e hoʻokomo i ke kipa ʻana i ke kauka, ʻo ia ka luhi ʻole, nā kuni haʻahaʻa, a i ʻole nā pilikia o nā ami e pili ana i nā ami he nui i ke ʻano like (nā ami like ma nā ʻaoʻao ʻelua o kou kino). Hiki i kēia mau hiʻohiʻona ke hōʻike i kahi maʻi autoimmune e pono ai ka loiloi.

Inā ʻike mua ʻoe he kiʻekiʻe nā pae RF, he mea nui ka hahai mau ʻana me kāu kauka inā maikaʻi ʻoe. Hiki i ka mālama mua ʻana ke pale i nā pilikia a kōkua iā ʻoe e mālama i ka maikaʻi o ke ola.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka rheumatoid factor

Q.1 He mea maikaʻi anei ka hoʻāʻo ʻana i ka rheumatoid factor no ka ʻike ʻana i ka rheumatoid arthritis?

He mea kōkua ka hoʻāʻo ʻana i ka RF no ka ʻike ʻana i ka rheumatoid arthritis, akā ʻaʻole ia he mea kūpono i kāna iho. Ma kahi o 70-80% o ka poʻe me ka rheumatoid arthritis he kiʻekiʻe nā pae RF, ʻo ia hoʻi he 20-30% he pae maʻamau ʻoiai ke loaʻa nei ka maʻi. Eia kekahi, ʻaʻole i loaʻa i kekahi poʻe me ka RF kiʻekiʻe ka rheumatoid arthritis.

Hoʻohana kāu kauka i nā hopena RF me kāu mau hōʻailona, ka nānā kino, a me nā hoʻokolohua koko ʻē aʻe e hana i kahi maʻi. ʻO ka hui pū ʻana o nā ʻike lapaʻau a me nā hoʻokolohua lab e hāʻawi i kahi kiʻi pololei loa ma mua o kekahi hoʻokolohua hoʻokahi.

Q.2 Ua hōʻino anei ka rheumatoid factor kiʻekiʻe i nā hono?

ʻAʻole i hōʻino pololei nā pae RF kiʻekiʻe i nā hono, akā hōʻike lākou e hoʻouka ana kāu ʻōnaehana pale i kāu mau ʻiʻo ponoʻī. Hoʻokumu kēia kaʻina autoimmune i ka mumū mau, hiki ke hōʻino mālie i nā hono inā ʻaʻole i mālama ʻia.

ʻO ka mumū i hana ʻia e ke kūlana autoimmune ma lalo iho ka mea e hōʻino maoli ai i nā hono. ʻOi aku ka RF i kahi hōʻailona a i ʻole hōʻailona o kēia kaʻina ma mua o ke kumu pololei o ka pōʻino.

Q.3 Hiki ke loli nā pae rheumatoid factor i ka manawa?

ʻAe, hiki ke loli nā pae RF i ka manawa, ʻoi aku hoʻi me ka mālama ʻana. Nui ka poʻe e ʻike i ka emi ʻana o kā lākou pae RF i ka wā e mālama maikaʻi ʻia ai ko lākou kūlana autoimmune me ka lāʻau lapaʻau. Eia naʻe, mālama kekahi poʻe i nā pae kiʻekiʻe ʻoiai e hoʻomaikaʻi ana kā lākou mau hōʻailona.

Hiki i kāu kauka ke nānā i nā pae RF i kēlā me kēia manawa e nānā i ka maikaʻi o kāu lapaʻau ʻana, akā ʻoi aku ka mea nui o ka hoʻomaikaʻi ʻana i nā hōʻailona a me nā ʻike o ka nānā kino ma mua o ka helu RF pololei.

Q.4 He aha nā kūlana ʻē aʻe e hiki ke hoʻoulu i ka rheumatoid factor kiʻekiʻe?

Nui nā kūlana ma waho o ka rheumatoid arthritis e hiki ke hoʻoulu i nā pae RF kiʻekiʻe. Aia kēia mau mea i nā kūlana autoimmune ʻē aʻe e like me ka lupus, Sjögren's syndrome, a me ka maʻi ʻiʻo pili hui. Hiki i nā maʻi maʻi maʻi, ka maʻi ate, a me kekahi mau maʻi māmā ke hoʻonui i nā pae RF.

Loaʻa i kekahi poʻe mākua olakino i nā pae RF kiʻekiʻe iki me ka ʻole o ka maʻi. ʻO ia ke kumu e noʻonoʻo ai kāu kauka i kāu mau hōʻailona a me nā hopena hoʻokolohua ʻē aʻe me kāu mau pae RF i ka wā e hana ai i kahi maʻi.

Q.5 Pono anei wau e hopohopo inā ua kiʻekiʻe iki kaʻu rheumatoid factor?

ʻAʻole pono ka piʻi iki ʻana o ka pae RF i mea e hopohopo koke ai, ʻoiai inā ʻaʻohe ou hōʻailona o ka ʻeha hui a i ʻole nā maʻi autoimmune ʻē aʻe. Nui ka poʻe me nā pae RF i piʻi iki ʻaʻole loa e loaʻa nā pilikia olakino koʻikoʻi.

Eia naʻe, pono e kūkākūkā me kāu kauka a nānā paha i ka manawa. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha hui mau, ka ʻoʻoleʻo, a i ʻole ka pehu ʻana, ʻoi aku ka mea nui e noiʻi hou me nā hoʻokolohua hou a me ka nānā ʻana.