Kev kuaj Coombs ncaj qha yog siv los kuaj cov tshuaj tiv thaiv kab mob uas daig rau saum npoo ntawm cov qe ntshav liab. Ntau yam kab mob thiab tshuaj tuaj yeem ua rau qhov no tshwm sim. Cov tshuaj tiv thaiv no qee zaum ua rau cov qe ntshav liab thiab ua rau ntshav ntshav.
Dab tsi yog qhov sib txawv ntawm qhov kev xeem ncaj qha thiab tsis ncaj rau Coombs?
Kev kuaj Coombs ncaj qha yog ua tiav ntawm cov qauv ntawm cov qe ntshav liab los ntawm lub cev. Nws kuaj pom cov tshuaj tiv thaiv kab mob uas twb txuas rau cov qe ntshav liab. Qhov indirect Coombs kuaj yog ua tiav ntawm cov qauv ntawm cov kua hauv cov ntshav (serum).
Thaum twg qhov kev xeem Coombs ncaj qha ua tiav?
Direct Coomb's Test
Ntawm no yog qhov kev sim uas ua tiav ntawm tus menyuam yug tshiab cov ntshav, feem ntau nyob rau hauv qhov chaw ntawm tus menyuam yug tshiab nrog jaundiceQhov kev sim no tab tom nrhiav rau "hloov txawv teb chaws" cov tshuaj tiv thaiv uas twb tau ua raws li tus menyuam mos cov qe ntshav liab (rbcs), qhov ua rau hemolysis.
Vim li cas Coombs kuaj ua tiav thaum cev xeeb tub?
Qhov kev kuaj tsis ncaj rau Coombs feem ntau ua kom pom cov tshuaj tiv thaiv kab mob hauv tus neeg tau txais lossis cov neeg pub ntshav ua ntej kev hloov pauv. Kev kuaj txhawm rau txiav txim siab seb tus poj niam puas muaj Rh-positive lossis Rh-negative ntshav(Rh antibody titre) ua tiav thaum cev xeeb tub. Yog tias nws yog Rh-negative, cov kauj ruam tuaj yeem tiv thaiv tus menyuam.
Cov kev xeem ncaj qha Coombs ua haujlwm li cas?
Rau qhov kev sim Coombs ncaj qha, ntshav tau los ntawm cov leeg ntawm koj txhais caj npab thiab tom qab ntawd "ntxuav" kom cais koj cov qe ntshav liab. Cov qe ntshav liab yog ces incubated (ua ke nyob rau hauv ib qho chaw tswj) nrog ib tug tshuaj hu ua Coombs 'reagent.