Ponavljani spontani pobacaji

ASA MAR metodom -nema
antitela
Antispermatozoidna antitijela, OK to je isto

IMMUNO CAP * EllA tm
System *

Cardiolipin IgG Well: 3.1 GPL-U/ml
Ovo su antikardiolipinska antitijela,

beta2-Glycoprotein I IgG
Well: 0.5 U/ml
ovo nisam radila, ali sam negdje procitala hmm, nabla je cini mi se pominjala, ali ne znam zasta je. Svejedno, u redu je

Referentne vrednosti

negativan <7 U/ml
sumnjiv 7-10
pozitivan >10

Symphony Well: 0.1 Ratio , negativan
-U1RNP
-SS-A/Ro
-SS-B/La
-Centromere B
-Scl-70
-Jo-1
-Sm

Referentne vrednosti
negativan <0.7 Ratio
sumnjiv 0.7-1.0 Ratio
pozitivan >1.0 Ratio
ovo nemam pojma sta je

Ja sam imunologiju radila na Inst. za reumatologiju na uput, i to je jedna od rijetkih analiza koje nisam platila Antikardiolipinska, antifosfolipidna, lupus antikoagulans i neka antimikrozomalna At
Antitreoidna antitijela nisam nikad ni radila jer su hormoni stitnjace u redu, cak je TSH manji od dva, sto je kao pozeljno.

sad videh ori da si ovde odrovorila.
meni i dalje nije jasno da li sam ja sve uradila? od ovih tvojih sa spiska...
a sa mog spiska:

-U1RNP
-SS-A/Ro
-SS-B/La
-Centromere B
-Scl-70
-Jo-1
-Sm

ovo je bas zagonetka... da li neka devojka zna sta je sta?
nablaaaaaaa de siiii

evo nadjoh nesto o ovome ali i dalje ne kapiram sta je.
-U1RNP

-SS-A/Ro -Sjögren's syndrome (pronounced /ˈʃoʊɡrənz/) (also known as "Mikulicz disease," and "Sicca syndrome"^[1]) is an autoimmune disorder in which immune cells attack and destroy the exocrine glands^[2] that produce tears and saliva.

-SS-B/La- Autoantibodies from systemic rheumatic disorders have becomeuseful reagents in molecular biology. SS-B/La, a major targetof autoantibodies in lupus and Sjogren's syndrome, has beenidentified as a 46 kDa protein component of a ribonucleoprotein(RNP) particle implicated in the maturation of RNA polymeraseIII transcripts.

-Centromere B-Centromere protein B is an autoantigen protein of the cell nucleus. A mutation in this gene can result in a greater chance of having lung cancer.

-Scl-70-lupus, scleroderma or other rheumatic disease.
-Jo-1-Anti-Jo1 is an antibody.^[1][2] More specifically, it is an anti-nuclear antibody.
Inflammatory myopathy is a form of myopathy that can be associated with the anti-nuclear antibody Jo-1.^[1] It encompasses three related diseases: polymyositis, dermatomyositis, and inclusion-body myositis.
-Sm-Sm proteins, snRNPs, the spliceosome and messenger RNA splicing


Research continued during the 1970s and early 1980s. The smith antigen was found to be a complex of ribonucleic acid (RNA) molecules and multiple proteins. A set of uridine-rich small nuclear RNA (snRNA) molecules was part of this complex, and given the names U1, U2, U4, U5 and U6. Four of these snRNAs (U1, U2, U4 and U5) were found to be tightly bound to several small proteins, which were named SmB, SmD, SmE, SmF, and SmG in decreasing order of size. SmB has an alternatively spliced variant, SmB', and a very similar protein, SmN
replaces SmB'/B in certain (mostly neural) tissues. SmD was later
discovered to be a mixture of three proteins, which were named SmD1, SmD2 and SmD3. These nine proteins (SmB, SmB', SmN, SmD1, SmD2, SmD3, SmE, SmF and SmG) became known as the Sm core proteins, or simply Sm proteins. The snRNAs are complexed with the Sm core proteins and with other proteins to form particles in the cell's nucleus called small nuclear ribonucleoproteins, or snRNPs. By the mid 1980s, it became clear that these snRNPs help form a large (4.8 MD molecular weight) complex, called the spliceosome, around pre-mRNA, excising portions of the pre-mRNA called introns and splicing the coding portions (exons) together.^[2] After a few more modifications, the spliced pre-mRNA becomes messenger RNA (mRNA) which is then exported from the nucleus and translated into a protein by ribosomes.

Anti-nuclear antibody



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Anti-nuclear antibodies (ANAs, also known as anti-nuclear factor or ANF) are antibodies directed against contents of the cell nucleus.^[1]
They are present in higher than normal numbers in autoimmune
disease. The ANA test measures the pattern and amount of autoantibody
which can attack the body's tissues as if they were foreign material.
Autoantibodies are present in low titers
in the general population, but in about 5% of the population, their
concentration is increased, and about half of this 5% have an autoimmune disease.

Contents [hide] 1 ANA test 2 Associated diseases 2.1 Sensitivity 3 ANA classification 4 History 5 See also 6 References 7 External links

//

[edit] ANA test


One can check for the presence of ANAs in blood serum by means of a
laboratory test. There are also additional tests that allow one to test
for individual ANAs. The general ANA test is usually one of two types:
indirect immunofluorescence or ELISA.
The indirect immunofluoresence is considered to be the more accurate of
the two, but the ELISA version is gaining popularity because of its
lower cost.
[edit] Associated diseases


The normal titer of ANA is 1:40 or less. Higher titers are
indicative of an autoimmune disease. The presence of ANA is indicative
of lupus erythematosus (present in 80-90% of cases), though they also appear in some other auto-immune diseases such as Sjögren's syndrome (60%), rheumatoid arthritis, autoimmune hepatitis, scleroderma and polymyositis & dermatomyositis (30%), and various non-rheumatological conditions associated with tissue damage. ANA are also directed to the nuclear pore complex in primary biliary cirrhosis. Other conditions with high ANA titre include Addison disease, Idiopathic thrombocytopenic purpura (ITP), Hashimoto's, Autoimmune hemolytic anemia, Type I diabetes mellitus, Mixed connective tissue disorder.
[edit] Sensitivity


The following table list the sensitivity
of different types of ANAs for different diseases, in this case what
percentage of those with the disease have the ANA. Some ANAs appear in
several types of disease, resulting in lower specificity of the test.
ANA typeTarget antigenSensitivitySLEDrug-induced LEDiffuse systemic sclerosisLimited SclerodermaSjögren syndromeInflammatory myopathyAll ANAs(by indirect IF)Anti-dsDNAAnti-SmAnti-histoneU1 RNPScl-70Anti-centromereSS-A (Ro)SS-B (La)Jo-1

Various	>95	>95	70-90	70-90	50-80	40-60
DNA	40-60	-	-	-	-	-
Core proteins of snRNPs	20-30	-	-	-	-	-
Histones	50-70	>95	-	-	-	-
snRNP	30-40	-	15	10	-	-
Type I topoisomerase	-	-	28-70	10-18	-	-
Centromeric proteins	-	-	22-26	90	-	-
RNPs	30-50	-	-	-	70-95	10
RNPs	10-15	-	-	-	60-90	-
Histidine-tRNA ligase	-	-	-	-	-	25
- = less than 5% sensitivity Unless else specified in boxes, then ref is: [2]

[edit] ANA classification


Following detection of a high titer of ANAs (e.g. 1:160), various subtypes are determined.^[3] This is typically done on cells of the HEp-2 cell line. Examples include:

• Anti-ENA (Extractable nuclear antigen)
  
  
  
  • Anti-Ro (SS-A)
    
  • Anti-La (SS-B)
    
  • Anti-Sm (Smith antigen)
    
  • Anti-nRNP (nuclear ribonucleoproteins)
    
  • Anti Scl-70 (topoisomerase I)
    
  • Anti-Jo
    
  
  


• Anti-gp-210 (nuclear pore gp-210)
  
• Anti-p62 (Nucleoporin 62)
  
• Anti-dsDNA (double-stranded DNA)
  
• Anti-centromere
  

Antibodies: autoantibodies

Anti-nuclear antibody	PBC: Anti-gp210 · Anti-p62 · Anti-sp100 ENA: Anti-topoisomerase/Scl-70 · Anti-Jo1 · ENA4Anti-Sm, Anti-nRNP, Anti-Ro, Anti-La) Anti-centromere Anti-dsDNA (
Anti-mitochondrial antibody	Anti-cardiolipin
Anti-cytoplasm antibody	Anti-neutrophil cytoplasmic · Anti-actin/smooth muscle · Antimicrosomal antibody
Cell membrane	Anti-ganglioside · Anti-GBM
Extracellular	Anti-thrombin · Lupus anticoagulant · Anti-transglutaminase · RA (Rheumatoid factor/anti-IgG, Anti-citrullinated peptide)
Multiple locations	Anti-phospholipid · Anti-apolipoprotein

iz ovoga zakljucujem da su meni prva dva odradjena: antinuklear i anticardiolipin.
znaci ostaje mi da uradim antifosfolipidna, lupus antikoagulans i antimikrozomalna At???

-Centromere B-Centromere protein B is an autoantigen protein of the cell nucleus. A mutation in this gene can result in a greater chance of having lung cancer.
Ovo bi mogla biti antinuklearna antitijela.

-SS-B/La- Autoantibodies from systemic rheumatic disorders have becomeuseful reagents in molecular biology. SS-B/La,
a major targetof autoantibodies in lupus and Sjogren's syndrome, has
beenidentified as a 46 kDa protein component of a
ribonucleoprotein(RNP) particle implicated in the maturation of RNA
polymeraseIII transcripts.
Antitijela kod l sistemskih reumatskih bolesti , u koje spada i lupus eritematodes. Sad, da li je to isto sto i lupus antikoagulans, nemam pojma.


Ne mogu bas da se snadjem sa ovim svim, neno...Ti si to sad bolje izucila od mene. Pa uradi antifosfolipidna i LAC i ATIII. Meni ova antimikrozomalna niko nije ni pogledao.

Bebko, ti si imala, ako sam dobro shvatila dve biohemijske i jedan missed, kao i ja. Interesuje me sta ti je Ljubic odradio od analiza?
Jel' isto nije pronadjen uzrok? Ne sumnjaju ninasta?

evo me, Orli,malo kasnim
Imala sam missed i tri biohemijske
a Ljubic mi je dao da uradim analize posle druge biohemijske i to:

-autoimuna antitela
antinuklearna,antifosfolipidna(sa antikardiolipinskim), antimikrozomalna,antitiroglobulinska,cirkulisuci imuno kompleksi

-trombofilije(protrombinsko vreme,aPtt,trombinsko vreme,faktor V, faktor I,fibrinoliza, LAC s,LAC c,protein C,AT III) i lupus antikoagulans

-histeroskopija sa nalazima infekcija,kao i SE i Le

-kariotipizaciju oba partnera

-kao i mikrobiolosko ispitivanje oba partnera na CMV,HSV,Listeriae, Brucella

i nista nisu otkrili jer je sve u granicama referentnih vrednosti.
Zato sam i dobila odgovor od njih da treba samo pokusavati i biti uporan...

imam ja sad jedno glupo pitanje
kakva je razlika izmedju missed i biohemijske? ja ne znam sta je moja bila... niko mi to nije rekao niti napisao... a spontani je bio u 6toj nedelji, bez kiretaze...

Neno, biohemijska je kada ti je beta pozitivna ali ubrzo pocne da pada. Ja sam imala jednu biohemijsku, beta je bila pozitivna, ali ne u vrednosti koja se ocekuje i posle par dana je pocela da pada. Po mom misljenju, Ori je sada imala biohemijsku.
Missed, je kada se plod vidi na UZ, ali u odredjenom trenutku prestane da se razvija (prestane srce da kuca), nazalost i to sam iskusila.

uh ja sam opet neki mix.
beta 14 dpo bila 41.5, pa posle 5 dana na uz vidjen mesak: "u kavumu uterusa GM promera 6.5 mm bez jasnog embrionalnog odjeka. Nalaz bi odgovarao trudnoci od 3 nedelje."
posle jos 2 dana , znaci negde 21 dpo beta 123! tu sam vec poela da se brinem, jer se nije duplirala pravilno...
a onda posle jos 5 dana (dakle negde 26 dpo) beta je pala na 18! i sutradan sam dobila!

sta je sad to-biohemijska?

Joooooj, stvarno neki mix!

Neno, onda je to bio blighted ovum.

sta je sad pa to?

Prazan mesak. Pa to znaci da se embrion prestao da razvija vrlo rano i ostao samo prazan gestacioni mesak. Missed je kad se vidi i embrion na UZ ali je mali i ne razvija se,
A biohemijska je samo biohemijski potvrdjena,betom, a po implantaciji odmah stao rast verovatno, pa se na UZ ne vidi nista.
U pravu je uporna, iako nije uradjen UZ, ovo kod mene je bila biohemijska. Kao i prvi put, a drugi put sam imala missed

cao nova sam na forumu i malo je ruzna tema,al eto s nekim moram podjeliti i ovo svoje ruzno iskustvo.imala sam tri spontana pobacaja i razno razne nalaze sam izvadila doktori neki su katastrofalni,da vise covjek vise nezna ko zna od njih zna svoj posao ili kome da pacijent danas da vjeruje.samo da kaem da tek poslije treceg spontanog su mi rekli da idem vaditi sve moguce i nemoguce,jer sve do treceg spontanog se vodi pod slucajno se desi i moze se svakom desiti.evo javite se da razgovaramo

zaboravila sam napisati da su mi hormoni stitne problem koji su doktori otkrili tek poslije treceg spontanog a dotad nitko nista.

Cajo, dobrodosla
Nemam sad puno vremena, cujemo se ovih dana

zdravo,
nova sam na forumu pa nisam bas sigurna kako cu s esnaci sa ovim pisanjem poruka.
Naime imala sam 2 spontana pobacaja,prvi u avgustu,drugi prosle sedmice.
Nakon prvog sam radila nalayz ureaplasma,micoplasma,hlamidija,Torch nalaz i sve ok.
Ponovo isti uzrok-plod se prestao razvijati.Nije bas slucajno sigurna sam ali nasi ginekolozi to smatraju tz.prirodnom selekcijom .Ovdje sam nasla mnoge pretrage koje se rade sto me je inace ohrabrilo posto mi jos niko U Bl nije rekao sta i gdje treba da ispitam pa sam odlucila da sama krenem u akciju.
Nestrpljivo cekam vase misljenje.

Maco dobrodošla na Kutak!
Žao mi je što su ti se tako završile obe trudnoće...to je baš deprimirajuće.U kojoj nedelji?
Ja mislim da su tvoji lekari upravu,ali se slažem sa tobom da treba da odradiš neke dodatne pretrage.
Proveri progesteron,viruse,i možda neka od antitela...
Nemam iskustva sa spontanim,ali pretpost.da ne bi bilo na odmet to da proveriš.
Nadam se da će se javiti još neka od devojaka ,pa će ti pomoći.

Hvala na dobrodoslici Mala parzis,
Ovdje zaista ima mnogo toga korisnog za procitati i naravno izmjeniti misljenja.
Poslije ovih stresnih situacija ovo je mjesto gdje shvatis da nisi sam sa bilo kakvim problemom...
Nestrpljivo cekam razmjenu iskustava,na zalost losih ali to je tako...

Da zaboravih t i reci da je zadnji plod prestao da se razvija u 8-9 nedjelji,kiretazu sam uradila u 13.pozdrav

Maco,nigde nisi sam,pogotovu na ovakvom Kutku.Kad devojke vide ovde novosti,pisaće ti,sigurno.
Da,biće da je razlog samo loša kombinacija,čim je do 10.otišao...
opet kažem,neko moje,laičko mišljenje.
Samo napred!

zdravo,
treba mi stucna pomoc za moj problem.
Imala sam 2 spontana pobacaja,u avgustu 2009 i evo sad ponovo u martu.
U oba slucaja plod je prestao da se razvija,prosli put nisu mi rekli kada ,kiretazu sam u radila u 12.nedjelji.Sada u 8-9 nedjelji,kiretazu sam uradila u 13.Radila sam nalaz ureaplazme,mikoplazme,hlamidija,bris cerviksa i TORCH-ok su.Mozete li mi reci sta treba ispitati posto ginekolozi ovdje smatraju prirodnom selekcijom i ne daju mi bilo kakve dalje pretrage .