Nnwale ule na-apụtaghị ìhè: ihe ọ bụ na ihe ọ bụ maka

Ndinaya

• Kedu ka esi eme nyocha ahụ
• Gịnị si na ya pụta

Nnwale coomb bụ ụdị nyocha ọbara nke na-enyocha ọnụnọ nke nje kpọmkwem nke na-awakpo mkpụrụ ndụ ọbara uhie, na-akpata mbibi ha ma eleghị anya na-eduga na ọdịdị nke ụdị anaemia a maara dị ka hemolytic.

Enwere uzo abuo isi nke ule a, nke gunyere:

• Nyocha Ugwu Coombs: na-enyocha mkpụrụ ndụ ọbara uhie ozugbo, na-enyocha ihe ndị na-alụso ọrịa ọbara ọgụ na-akpata ma ọbara nje ndị a na-esite n’usoro mgbochi nke mmadụ ma ọ bụ na-enweta site na mmịnye ọbara. A na-emekarị ule a iji chọpụta autoemmune hemolytic anemias - Lee ihe mgbaàmà ndị nwere ike igosi hemolytic anemia;
• Ule Coombs na-anwale: na-enyocha ọbara ọbara, na-achọpụta ihe ndị na-alụso ọrịa ọgụ dị n’ebe ahụ, a na-achọkarịkwa ya n’ebe a na-amịnye ya, iji jide n’aka na ọbara a ga-enye ka ya na onye na-anabata ya kwekọọ.

Na mgbakwunye na anaemia, ule a nwekwara ike nyere aka ịchọpụta ọrịa ndị ọzọ metụtara mkpụrụ ndụ ọbara dịka leukemia, lupus, mononucleosis na nwa ebu n'afọ erythroblastosis, nke a makwaara dị ka ọrịa hemolytic nke nwa amụrụ ọhụrụ, yana ịchọpụta ihe ize ndụ nke mmeghachi omume mmịnye ọbara. Mụtakwuo maka erythroblastosis nwa ebu n’afọ.

Kedu ka esi eme nyocha ahụ

A na-eme nyocha Coombs site na ọbara, nke a ga-anakọtara na ụlọ nyocha nyocha. A na-eziga ọbara ahụ anakọtara na laabu, ebe a ga-eme nnwale Coombs kpọmkwem ma ọ bụ na-apụtachaghị ìhè, dabere na ebumnobi.

Na nnwale Coombs kpọmkwem, a na-agbakwunye Coombs reagent n'ọbara onye ọrịa, na-enye ohere iji anya nke ahụ na-alụso ọrịa ọgụ nwere ike jikọta ya na mkpụrụ ndụ ọbara uhie. Na nnwale Coombs na-apụtachaghị ìhè, a na-achịkọta ọbara ma mee ka ọ gbasaa, na-ekewa mkpụrụ ndụ ọbara uhie na ọbara, nke nwere ihe ndị na-alụso ọrịa ọgụ. N'ime ọbara ahụ, a na-agbakwunye mkpụrụ ndụ ọbara uhie 'nke akpọrọ' nke na-alụso ọrịa ọgụ iji chọpụta ma enwere autoantibodies dị na ọbara ahụ ma, n'ihi ya, n'ọbara onye ọrịa ahụ.

Iji mee ule Coombs, ọ dịghị nkwadebe dị mkpa, mana ụfọdụ ọgwụ nwere ike igbochi nsonaazụ ya, yabụ ọ dị mkpa ịgwa dọkịta banyere ojiji ya ka e wee nye nduzi na nkwụsịtụ ya.

Gịnị si na ya pụta

Ihe si na nnwale Coombs pụta bụ ihe na-adịghị mma mgbe enweghị mgbochi na-akpata mbibi nke ụwa uhie, ọ bụ ya mere eji ewere ya dị ka nsonaazụ nkịtị.

Agbanyeghị, mgbe nsonaazụ ahụ dị mma, ọ pụtara na enwere antibody n'ime ọbara ya, ya mere, ọ bụrụ na nsonaazụ ahụ dị mma na Coombs na-anwale ya pụtara na onye ahụ nwere ike ịnwe ọrịa dịka:

• Autoimmune hemolytic anaemia;
• Ofufe Ọrịa site Mycoplasma sp.;
• Ọrịa;
• Ọrịa leukemia;
• Lupus erythematosus;
• Mononucleosis.

N'ihe banyere ule Coombs na-apụtaghị ìhè, nsonaazụ dị mma pụtara na onye ahụ nwere antibody nke nwere ike ibute nsị mgbe ọ na-enweta ụdị ọbara ọzọ, ya mere, ọ dị mkpa ịkpachara anya mgbe ị na-amịnye ọbara.

N'ọnọdụ ọ bụla, ọ dị mkpa mgbe niile na dọkịta na-arịọ maka nyocha ahụ na-enyocha nsonaazụ ya, ebe ụfọdụ ndabere nke onye ahụ nwere ike ịgbanwe nsonaazụ ya.