Fepuari / malulu agglutinins

Agglutinins o ni vailaʻau e mafua ai ona tete faʻatasi sela mumu.

• O malulu kulimi o loʻo faʻamalolosi ile vevela malulu.
• Fepoʻoaʻi (mafanafana) o loʻo faʻagaoioi ile vevela masani ole tino.

O lenei tusitusiga o loʻo faʻamatalaina ai le suʻega ole toto na faʻaaogaina e fua ai le maualuga o nei vailaʻau ile toto.

E manaʻomia se faʻataʻitaʻiga ole toto.

E leai se sauniuniga faʻapitoa.

A faʻaofi le nila e toso le toto, o nisi tagata e lagona le feololo tiga. O isi e naʻo se tuitui poʻo se tui e lagona. Mulimuli ane, atonu e i ai ni tuitui i le mea na tuʻuina ai le nila.

O lenei suʻega e faia e suʻesuʻe ai nisi faʻamaʻi ma saili le mafuaʻaga o le hemolytic anemia (o se ituaiga o anemia e tupu pe a faʻatamaʻia sela mumu toto). O le iloaina pe o iai ni mafanafana mafanafana pe malulu, e mafai ona fesoasoani e faʻamatala pe aisea ua tupu ai le hemolytic anemia ma faʻatonutonu togafitiga.

O faʻaiuga masani o:

• Faʻaputuga mafanafana: leai se faʻaputuputuina i titers i lalo ifo o le 1:80
• Malulu malulu: leai se faʻaputuputu i titers i lalo ifo o le 1:16

O faʻataʻitaʻiga i luga e masani ona fuaina mo iuga o nei suʻega. E masani ona fesuisuiaʻi vaega eseese o tau masani ile falefaigaluega eseese. O nisi fale suesue faʻaaoga eseese fuataga pe tofotofoina eseese faʻataʻitaʻiga. Talanoa i lau fomaʻi e uiga i au faʻamatalaga suʻega.

O se faʻaletonu (lelei) iʻuga o lona uiga sa i ai aglutinins i lou toto faʻataʻitaʻiga.

E mafai ona tupu faʻatasi ni mafanafana ma:

• O faʻamaʻi pipisi, e aofia ai le brucellosis, faʻamaʻi rickettsial, siama o le salmonella, ma le tularemia
• Faamai fulafula toto
• Lymphoma
• Systemic lupus erythematosus
• Faʻaogaina o nisi vailaʻau, aofia ai methyldopa, penicillin, ma quinidine

E mafai ona tupu faʻagutu malulu ile:

• Faamaʻi pipisi, pei o mononucleous ma mycoplasma niumonia
• Moa tanesusu (varicella)
• Siama Cytomegalovirus
• Kanesa, e aofia ai le lymphoma ma le tele myeloma
• Listeria monocytogenes
• Systemic lupus erythematosus
• Waldenstrom macroglobulinemia

O faʻalavelave e laʻititi ae ono aofia ai:

• Toto tele
• Faaseʻe pe lagona le mumu o le ulu
• Hematoma (toto faʻaputuputu i lalo o le paʻu)
• Faamaʻi (o se laʻititi tulaga lamatia soʻo se taimi le paʻu ua paʻu)

Afai e masalomia se faʻamaʻi e fesoʻotaʻi ma le malulu o le agglutinin, e manaʻomia e le tagata ona faʻamafanafana.

Maopoopo malulu; Tali a Weil-Felix; Suʻega lautele; Aglutinins mafanafana; Agglutinins

• Tofotofoga toto

Baum SG, Goldman DL. Mycoplasma faʻamaʻi pipisi. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 301.

Michel M, Jäger U. Autoimmune hemolytic anemia. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Faavae Autu ma Faʻataʻitaʻiga. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 46.

Quanquin NM, Cherry JD. Mycoplasma ma faʻamaʻi ureaplasma. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin ma Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Filatelefia, PA: Elsevier; 2019: chap 196