Antimitochondrial antibody
Ko nga pungarehu antimitochondrial (AMA) he matū (paturopi) e hangai ana ki te mitochondria. Ko te mitochondria tetahi waahanga nui o nga ruma. Ko ratou te puna kaha i roto i nga ruma. Ma te awhina i nga kamera e mahi tika.
Ka korerohia e tenei tuhinga te whakamatautau toto i whakamahia hei ine i te nui o te AMA kei roto i te toto.
He tauira toto e hiahiatia ana. Ko te nuinga o nga wa ka tangohia mai i te uaua. Ko te tikanga e kiia ana he venipuncture.
Ka kii pea to kaiwhakarato hauora kia kaua e kai, kia inu ranei kia tae atu ki te 6 haora i mua o te whakamatautau (i te nuinga o te wa i te po kotahi).
Ka whakauruhia te ngira ki te utu toto, ka rongo etahi i nga mamae taumaha. Ko etahi pea ka werohia, ka ngau ranei te kare. Muri iho, tera pea ka puta te pupuhi.
Akene ka hiahiatia e koe tenei whakamatautau mena he tohu kino to ate. Ko tenei whakamatautau ka whakamahia hei tohu i te cholangitis biliary tuatahi, i kiia i mua ko te bilier cirrhosis (PBC).
Ka taea hoki te whakamatautau hei whakaatu i te rereketanga i waenga i te cirrhosis e pa ana ki te pungarehu me nga raru o te ate na etahi atu take penei i te aukati, i te mate ateititis viral, i te cirrhosis waipiro ranei.
Te tikanga, kaore he raupaparorohiko.
He mea nui tenei whakamatautau mo te taatai i te PBC. Tata ki nga taangata katoa e mate ana te ahua ka whakamatautau pai. He mea onge ka whai hua te tangata kaore nei he mate. Heoi, ko etahi taangata he whakamatautau pai mo te AMA kaore ano he tohu o te mate ate ka haere ki te PBC i roto i te waa.
Mea varavara, e ite-atoa-hia mai te mau faahopearaa iino na roto i te tahi atu mau ma‘i ate e te tahi mau ma‘i autoimmune.
He iti noa nga tuponotanga mo te whakaheke toto engari ka uru ki roto:
- Te whakaheke toto
- Te maarere, te ahua marama ranei
- Hematoma (whakaheke toto i raro o te kiri)
- Mate (he morearea pea ka pakaru te kiri)
- Whakamatautau toto
Beuers U, Gershwin ME, Gish RG, et al. Te huri i te nomenclature mo te PBC: Mai i te 'cirrhosis' ki te 'cholangitis'. Clin Res Hepatol Gastroenterol. 2015; 39 (5): e57-e59. PMID: 26433440 www.ncbi.nlm.nih.gov/pubmed/26433440.
Chernecky CC, Berger BJ. A. I roto i: Chernecky CC, Berger BJ, eds. Nga Whakamatau Laboratory me nga Huarahi Taatari. 6 ed. St Louis, MO: Elsevier Saunders; 2013: 84-180.
Eaton JE, Lindor KD. Ko te cirrhosis biliary tuatahi. I roto i: Feldman M, Friedman LS, Brandt LJ, eds. Ko te mate huringa o Sleisenger me te Fordtran's Gastrointestinal me te ate: Pathophysiology / Tohu / Whakahaere. 10 o nga ra. Philadelphia, PA: Elsevier Saunders; 2016: chap 91.
Kakar S. cholangitis biliary tuatahi. I roto i: Saxena R, ed. Tikanga Hepatic Mahi: He Tohu Whakatata. Ed 2 Philadelphia, PA: Elsevier; 2018: chap 26.
Zhang J, Zhang W, Leung PS, et al. Kei te haere tonu te whakaohooho o nga pūtau B motuhake-autoantigen i te hiranga biliary tuatahi. Hepatology. 2014; 60 (5): 1708-1716. PMID: 25043065 www.ncbi.nlm.nih.gov/pubmed/25043065.