Njengomntu onokuzibuza ukuba wena okanye othandekayo une- systemic lupus erythematosus (i-SLE okanye i-lupus), mhlawumbi ufumene okanye uyiva i-ANA-negative lupus ebhalwe kwiifom okanye phakathi koontanga. Ukuba kunjalo, unokuba uzibuza ukuba yintoni, impela, i-ANA-negative lupus. Kwaye kungcono, ngaba i-ANA-negative lupus ikhona?
I-ANA-Negative Lupus
Ngendlela elula, i-ANA-negative lupus yimeko apho u-ANA-okanye i- anti- nuclear anti- test-back is back negative, kodwa umntu ubonisa iimpawu ezihambelana nomntu ofumene i-lupus.
Uvavanyo lwe- ANA lisetyenziselwa ukukhenkcelela i-lupus, ungayixilongo.
Ngokuqhelekileyo, ukuba umntu uvavanya i-anti-nuclear antibody, ithetha kuphela ukuba umntu unokufumana i- lupus. Kufuneka iimvavanyo ezingaphezulu ukuqinisekisa ukuba umntu unayo i-lupus. Ezi zibandakanya iimvavanyo zakwaSm (Smith), uRo / SSA (i-Sjogren's syndrome A), iLa / SSB (i-Sjogren's syndrome B), kunye ne-RNP (ribonucleoprotein).
Ukuba uvavanyo lwe-ANA lubuyela kumbi, ke i-lupus ayikwazi ukuba khona, kwaye ngokuqhelekileyo, akukho mvavanyo efunekayo.
Kodwa kwiimeko ezinqabileyo, ezinye izigulane zibonakalisa iimpawu ezihambelana ne-lupus, ngokukodwa ezi zine, ezichaze ngokungathandabuzekiyo i-SLE:
- Isicatshulwa esiphezulu se-DNA esine-double-stranded antibody
- Anti-Sm (Smith)
- Isifo sesifo sentso
- Izifo zesikhumba ezibonakaliswe yi-Biopsy
Ukongezelela, iimvavanyo ze-antibody kunye neempawu zihamba ngesandla. Ama-antibodies kuphela ayifumene nesi sifo. Ukuba unayo yonke imimiselo echazwe ngentla apha, uza kuthi ufumane i-SLE.
Ukuba akusizo zonke ezine, kunanoma yiyiphi i-diagnostic, kukukhusela . Kucingelwa ukuba isigulane sinemipus, nangona uvavanyo lwe-ANA lubuya lubi.
Kodwa linda ...
Ngaba i-ANA-Negative Lupus ikhona?
Ukuvumelana ngokubanzi kukuba i-ANA-negative lupus ayiyithandabuzekiyo-kwaye ininzi ixesha elinikezelwa kwizigulane ezine-"lupus-like". Abanye oogqirha banokuthiwa " ukuxutywa kwezifo zesisifo ," " isifo esingaxhamliyo ," okanye "ifomus lupus" - okanye "i-lupus efihliweyo".
Ngamnye uqobo kwaye uchaze intsingiselo kwaye uchaza iintlobo ezahlukeneyo zokugula.
Ngamafutshane, uluntu lwezonyango aluvumelekanga ukuba ingaba i-ANA-negative lupus ikhona ngokwenene kwimeko yezokwelapha. Uninzi luyisebenzisa njengendlela yokuchazela ukugula okufana neepulus okanye i-lupus, kodwa ayikwazi ukungafumani ngokucacileyo njenge-lupus.
Faka enye indlela, ugqirha uMichael D. Lockshin, MD, ubhala:
Impendulo yombuzo, 'Ngaba i-ANA-negative lupus ikhona?' ngokuqinisekileyo 'yee', kunye nenani elikhulu leempahla, kunye neye, kunye nexesha. Enye impendulo kukuba umbuzo awubalulekanga. Akunakunzima ukuthetha ngokucacileyo ukuba isigulane esinikwe okanye esingenayo i-lupus. Oko kubalulekile ukuvavanya iimpawu zangoku, ukubeka iimpawu kwiimeko eziqhelekileyo ezibandakanya iimvavanyo zegazi, ubude beempawu, ezinye izifo, kunye neyeza, kunye nokuphuhlisa isicwangciso sonyango esekelwe kwingcaciso epheleleyo kunokuba uvavanyo lwegazi yedwa.
> Imithombo:
> ANA Negative Lupus I-Johns Hopkins I-Arthritis Centre. Julayi 2008.
> ANA Negative Lupus QJM: I-International Journal of Medicine. Umqulu 97, Inani le-5 Pp. 303-308.
> Ingaba i-ANA-negative lupus ikhona? Ziziphi ezinye iilbs eziyiluncedo xa zicinga ngolu xilongo, kwaye kuthekani ukuba zonke zizinto ezimbi? Buza i-Expert. UMichael D. Lockshin, MD. Julayi 2008.