Nws yog ib qho ib txwm rau cov ntshav kom khov thiab tsis txhob los ntshav thaum peb raug mob. Qhov tseeb, nws yog ib qho kev tiv thaiv ntawm peb lub cev. Txawm li cas los xij, yog tias cov ntshav khov tsim nyob rau hauv cov leeg ntawm lub cev tsis tu ncua yam tsis muaj laj thawj, nws yog ib qho teeb meem uas yuav tsum txhawj xeeb. Tshwj xeeb tshaj yog tias koj pheej poob cev xeeb tub thaum cev xeeb tub, qhov ua rau muaj qhov mob no hu ua Antiphospholipid Syndrome (APS), uas peb yuav tham txog hnub no.
APS yog dab tsi yooj yim?
Hais yooj yim xwb, Antiphospholipid Syndrome (APS) yog ib yam mob uas ua rau koj lub cev muaj feem yuav tsim cov ntshav txhaws ntau dua li qub. Cov kws kho mob qee zaum hu nws ua Antiphospholipid antibody syndrome.
Cov ntshav txhaws no tuaj yeem ua rau muaj teeb meem loj heev, txawm tias ua rau tuag taus, xws li mob stroke . Qhov mob no kuj ua rau muaj kev pheej hmoo ntawm kev poob menyuam thiab lwm yam teeb meem thaum cev xeeb tub.
APS yog ib yam kab mob autoimmune . Xav txog seb, peb muaj ib lub cev tiv thaiv kab mob hauv peb lub cev zoo li ib pab tub rog. Peb hu nws ua lub cev tiv thaiv kab mob. Nws txoj haujlwm yog los tiv thaiv peb ntawm cov kab mob thiab cov kab mob uas ua rau muaj kab mob. Tab sis hauv tus kab mob autoimmune no, qhov tshwm sim yog tias peb lub cev tiv thaiv kab mob pib tawm tsam cov hlwb zoo hauv peb lub cev.
Cov tsos mob ntawm tus mob no yog dab tsi?
Ib txhia neeg uas muaj APS yuav muaj cov pob dub ntawm lawv daim tawv nqaij uas zoo li lub vas. Qhov no hu ua livedo reticulitis hauv kev kho mob. Txawm li cas los xij, feem ntau cov neeg uas muaj APS tsis muaj tsos mob dab tsi txog thaum lawv muaj cov ntshav txhaws lossis muaj teeb meem thaum cev xeeb tub.
Cov no yog cov tsos mob uas yuav tshwm sim yog tias cov ntshav txhaws. Koj yuav tsum ceev faj heev txog cov no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob hauv siab | Nws tuaj yeem yog los ntawm cov ntshav txhaws hauv lub plawv lossis lub ntsws. |
| Ua pa nyuaj (ua tsis taus pa) | Nws tuaj yeem tshwm sim, tshwj xeeb tshaj yog, los ntawm cov ntshav txhaws hauv lub ntsws (pulmonary embolism). |
| Mob taub hau ntau zaus | Tej zaum yuav muaj teeb meem nrog cov hlab ntsha uas mus rau lub hlwb. |
| Mob tam sim ntawd | Mob tam sim ntawd rau ntawm caj npab, ceg, nraub qaum, caj dab, lossis lub puab tsaig. |
| O los yog liab | Nws tuaj yeem yog los ntawm cov ntshav txhaws, tshwj xeeb tshaj yog nyob rau ntawm caj npab lossis ceg. |
| Mob plab | Nws tuaj yeem tshwm sim los ntawm cov ntshav txhaws hauv cov hlab ntsha uas muab ntshav mus rau cov kabmob plab. |
Qhov tseem ceeb tshaj plaws: Kev ntshav txhaws yog qhov xwm txheej ceev uas ua rau tuag taus. Yog tias koj muaj kev xav tias koj muaj ntshav txhaws, mus rau chav kho mob ceev hauv tsev kho mob (ETU) ze tshaj plaws tam sim ntawd.
Ntxiv rau cov tsos mob no, APS kuj tseem tuaj yeem ua rau muaj qee cov tsos mob uas peb tsis pom lossis tsis hnov.
- Cov ntshav platelet txo qis.
- Kab mob ntshav tsis txaus.
- Kev tsis zoo ntawm lub plawv valve.
Vim li cas qhov no thiaj tshwm sim?
Kab mob Antiphospholipid Syndrome tshwm sim thaum koj lub cev tiv thaiv kab mob pib ua yuam kev ib hom tshuaj tiv thaiv kab mob txawv txawv. Feem ntau, cov tshuaj tiv thaiv kab mob yog cov protein tshwj xeeb uas nrhiav thiab rhuav tshem cov kab mob thiab cov tshuaj ua xua uas nkag mus rau hauv peb lub cev. Lawv zoo li cov neeg hlau tiv thaiv.
Tiam sis rau ib tug neeg uas muaj APS, cov tshuaj tiv thaiv kab mob no, uas yog tsim los ntawm lub cev tiv thaiv kab mob, tawm tsam cov protein uas txuas nrog phospholipids (ib hom rog) hauv peb cov hlwb. Qhov kev tawm tsam no ua rau cov phospholipids puas tsuaj, ua rau lawv yuav lo ua ke thiab ua rau cov ntshav txhaws.
Muaj peb hom tshuaj tiv thaiv kab mob tseem ceeb uas ua rau muaj APS:
- tshuaj tiv thaiv kab mob lupus
- Anticardiolipin
- Tshuaj tiv thaiv B2 glycoprotein 1
Ib tug neeg uas muaj APS tej zaum yuav muaj ib, ob, lossis tag nrho peb yam ntawm cov tshuaj tiv thaiv no. Tab sis qhov xav tsis thoob ntxiv yog tias qee tus neeg yuav muaj cov tshuaj tiv thaiv no tab sis yeej tsis muaj tsos mob ntawm APS. Cov kws tshaj lij tseem tsis tau paub meej tias dab tsi ua rau peb lub cev tiv thaiv kab mob ua cov tshuaj tiv thaiv tsis zoo no.
Leej twg muaj feem yuav mob no tshaj?
Txhua tus neeg yeej muaj peev xwm mob APS tau. Txawm li cas los xij, tej zaum koj yuav muaj feem yuav mob ntau dua me ntsis yog tias koj:
- Yog koj yog ib tug poj niam .
- Yog tias koj muaj hnub nyoog ntawm 30 thiab 40 xyoo .
- Yog tias koj muaj lwm yam kab mob autoimmune, xws li lupus lossis rheumatoid arthritis.
- Yog tias ib tug ntawm koj tsev neeg (niam txiv, yawg koob yawm txwv) muaj APS.
Muaj teeb meem dab tsi tshwm sim vim yog APS?
Kab mob Antiphospholipid syndrome tuaj yeem ua rau muaj teeb meem loj heev, qee zaum ua rau tuag taus. Cov teeb meem loj tshaj plaws tshwm sim thaum cov ntshav txhaws thiab thaiv cov hlab ntsha uas xa cov ntshav mus rau koj lub cev cov kab mob tseem ceeb.
- Lub hlwb: mob stroke
- Lub plawv: Mob plawv nres (thrombosis)
- Lub ntsws: Kev thaiv cov hlab ntsha hauv lub ntsws (pulmonary embolism)
- Lub raum: Kev puas tsuaj rau lub raum
Yog koj cev xeeb tub, cov ntshav txhaws uas thaiv cov as-ham mus rau hauv lub placenta yuav ua rau koj rho menyuam. Nws kuj tseem ua rau muaj kev pheej hmoo ntawm preeclampsia, uas yog ib qho mob uas ua rau muaj ntshav siab thaum cev xeeb tub.
Kab mob Catastrophic antiphospholipid syndrome (CAPS) yog ib qho teeb meem tsis tshua muaj tab sis loj heev ntawm APS. Nws yog ib qho mob uas cov ntshav txhaws tsim nyob rau hauv ntau lub cev ntawm lub cev rau ib hnub. Kwv yees li ib nrab ntawm cov neeg uas muaj tus mob no tuag. Txawm li cas los xij, CAPS tshwm sim rau tsawg dua 1% ntawm cov neeg uas muaj APS.
Feem ntau APS tsis cuam tshuam rau koj lub neej. Txawm li cas los xij, yog tias cov ntshav txhaws ua rau lub cev tseem ceeb puas tsuaj, tshwj xeeb tshaj yog nyob rau hauv qhov mob zoo li CAPS, nws tuaj yeem ua rau tuag taus.
Tus kws kho mob yuav kuaj mob no li cas kom meej?
Feem ntau kuaj pom tias muaj APS tom qab cov ntshav txhaws lossis tom qab rho menyuam ntau zaus. Qee tus neeg yuav muaj cov tshuaj antiphospholipid tab sis tsis muaj tsos mob.
Tus kws kho mob yuav kuaj xyuas seb koj puas muaj APS los ntawm kev kuaj ntshav . Lawv yuav coj koj cov ntshav mus kuaj seb puas muaj peb hom tshuaj tiv thaiv kab mob uas tau hais ua ntej lawm. Yuav kom paub tseeb tias muaj tus kab mob no, tsawg kawg ib qho kev kuaj ntshav yuav tsum yog ob zaug, sib nrug ntau tshaj peb lub hlis.
Cov kev kho mob rau qhov no yog dab tsi?
Koj tus kws kho mob yuav pom zoo kom siv cov tshuaj uas txo qhov kev pheej hmoo ntawm cov ntshav txhaws. Cov tshuaj kho mob feem ntau yog cov tshuaj ua kom cov ntshav nyias, lossis cov tshuaj tiv thaiv kev coagulation .
| Hom tshuaj | Yuav ua li cas siv thiab ua haujlwm |
|---|---|
| Kev kho mob dav dav | |
| Heparin | Qhov no yog tshuaj txhaj rau hauv cov hlab ntsha (IV) uas pab yaj cov ntshav txhaws yog tias koj nyob hauv tsev kho mob. |
| Warfarin | Qhov no yog ib lub tshuaj uas koj noj los ntawm qhov ncauj. Nws ua rau cov ntshav nyias thiab tiv thaiv cov ntshav txhaws tshiab kom tsis txhob tsim. |
| Tshuaj aspirin | Koj tus kws kho mob yuav pom zoo kom noj tshuaj aspirin tsawg tsawg kom tiv thaiv cov ntshav txhaws hauv koj cov hlab ntsha. |
| Cov kev kho mob siv thaum cev xeeb tub | |
| Enoxaparin | Qhov no yog ib qho tshuaj txhaj uas muab rau hauv qab daim tawv nqaij. Feem ntau pom zoo kom noj nrog rau cov tshuaj aspirin tsawg tsawg kom tiv thaiv kev nchuav menyuam. |
| Cov tshuaj immunoglobulin txhaj rau hauv cov hlab ntsha (IVIG) | Txoj kev kho mob no, uas muab rau hauv cov hlab ntsha, tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab txo qhov kev pheej hmoo ntawm kev rho menyuam. |
| Cov tshuaj Corticosteroids | Cov tshuaj no txo qhov mob hauv lub cev thiab tswj kev ua haujlwm ntau dhau ntawm lub cev tiv thaiv kab mob. |
Yog koj cev xeeb tub, qhov kev kho mob no muaj kev nyab xeeb rau koj thiab koj tus menyuam, yog li tsis tas yuav txhawj txog nws.
Cia peb kuj paub txog cov kev mob tshwm sim ntawm cov tshuaj ua kom cov ntshav nyias.
Thaum koj noj cov tshuaj ua kom cov ntshav nyias, koj lub cev yuav los ntshav ntau dua. Yog li koj yuav tsum ceev faj txog cov tsos mob no. Yog tias koj muaj ib qho ntawm cov no , nrog koj tus kws kho mob tham tam sim ntawd.
- Los ntshav ntawm cov pos hniav lossis qhov ntswg yam tsis muaj laj thawj .
- Los ntshav ntau dua li qub thaum muaj hli.
- Ntuav xim liab dawb los yog xim kas fes av .
- Ntshav liab ci ntsa iab hauv cov quav los yog cov quav dub uas muaj kua nplaum .
- Mob plab hnyav los yog mob taub hau hnyav .
- Kev hloov pauv sai sai hauv kev pom kev .
- Tsis muaj kev xav dab tsi tam sim ntawd hauv caj npab lossis ceg .
Tej yam yuav tsum xav txog thaum nyob nrog APS
Qhov tseem ceeb tshaj plaws thaum nyob nrog APS yog tiv thaiv cov ntshav txhaws. Rau qhov no, nws yog ib qho tseem ceeb uas yuav tsum noj cov tshuaj uas ua rau cov ntshav nyias.
Tsis tas li ntawd xwb, nws tseem ceeb heev rau kev tswj hwm lwm yam mob uas ua rau koj muaj feem yuav ntshav txhaws. Yog tias koj muaj ib qho ntawm cov mob no, nrog koj tus kws kho mob tham thiab tswj lawv:
- Kab mob ntshav qab zib
- Ntshav siab
- Cov roj cholesterol ntau
- Kev rog dhau
- Lwm cov kab mob autoimmune
Kev haus luam yeeb ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws, tshwj xeeb tshaj yog rau ib tus neeg uas muaj mob zoo li APS.
Koj puas yuav tsum tau ceev faj txog zaub mov thiab dej haus?
Cov neeg uas muaj APS feem ntau tsis tas yuav ua raws li kev noj zaub mov tshwj xeeb. Txawm li cas los xij, yog tias koj noj tshuaj Warfarin , koj yuav tsum ceev faj txog cov khoom noj uas muaj vitamin K ntau (zaub ntsuab tsaus xws li spinach). Kev noj ntau cov khoom noj uas muaj vitamin K ntau ib zaug tuaj yeem ua rau koj muaj feem yuav ntshav txhaws. Yog li ntawd, nug koj tus kws kho mob kom tau lus qhia.
Thiab, nug koj tus kws kho mob txog kev haus cawv. Cawv ua rau cov ntshav nyias, yog li kev sib xyaw nrog cov tshuaj uas ua rau cov ntshav nyias tuaj yeem ua rau muaj txiaj ntsig ntau dua.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj noj cov tshuaj ua kom cov ntshav nyias, koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom kuaj ntshav kom paub tseeb tias koj cov ntshav txhaws nyob hauv qhov ntau thiab tsawg uas tsim nyog.
Yog tias koj vam tias yuav cev xeeb tub, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham ua ntej thiab tau txais lus qhia.
Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?
Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd:
- Kuv xav tias koj muaj ntshav txhaws.Yog tias nws tshwm sim.
- Yog tias muaj cov tsos mob ntawm cov ntshav txhaws tshwm sim.
- Yog tias koj los ntshav tsis tu ncua .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Antiphospholipid Syndrome (APS) yog ib yam mob uas ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws vim tias koj lub cev tiv thaiv kab mob tawm tsam koj lub cev.
- Qhov no tsis muaj dab tsi yuav ntshai, thiab tuaj yeem tswj tau zoo nrog kev kho mob kom zoo (tshwj xeeb tshaj yog cov tshuaj ua kom cov ntshav nyias).
- Txawm hais tias kev rho menyuam thiab lwm yam teeb meem tuaj yeem tshwm sim thaum cev xeeb tub los xij, nws muaj peev xwm yug tau cov menyuam noj qab haus huv nyob rau hauv kev saib xyuas kho mob kom zoo.
- Yog tias koj muaj cov tsos mob ntawm cov ntshav txhaws, xws li mob hauv siab, ua pa nyuaj, lossis o ntawm ceg, xav tias qhov no yog xwm txheej ceev thiab mus rau tsev kho mob tam sim ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej thiab mus kuaj mob tsis tu ncua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus