Vim li cas cov ntshav hauv lub cev thiaj li txo qis sai sai? Cia peb tham txog Aplastic Crisis

Koj puas tau pom lossis hnov ​​txog ib qho mob uas qee tus neeg, tshwj xeeb tshaj yog cov menyuam yaus, cia li poob ntshav hnyav heev, nkees heev, thiab qee zaum tuaj yeem ua rau tuag taus? Qhov ntawd yog ib qho ntawm cov mob hnyav uas peb yuav tham txog hnub no, hu ua aplastic crisis . Txawm hais tias lub npe no yuav zoo li ntshai me ntsis, yog tias peb paub txog nws, peb tuaj yeem daws qhov mob no tau zoo.

Qhov teeb meem aplastic no yog dab tsi tiag?

Hais yooj yim xwb, qhov teeb meem aplastic yog thaum cov pob txha hauv peb lub cev tsis tsim cov qe ntshav liab tshiab lawm. Tam sim no koj yuav xav tias, "Yog li ntawd, yuav ua li cas yog tias cov qe ntshav liab tsis tsim?" Cov qe ntshav liab no yog cov uas nqa oxygen thoob plaws peb lub cev. Yog li thaum lawv tsis tsim, cov qe ntshav liab hauv lub cev yuav txo qis heev, ua rau muaj ntshav tsis txaus . Qhov no yog ib qho mob uas tuaj yeem ua rau tuag taus.

Feem ntau cov neeg uas muaj teeb meem ntshav tsis txaus (aplastic crisis) yuav raug tus kab mob no. Qhov ua rau muaj qhov teeb meem no yog tus kab mob hu ua Parvovirus B19 . Tsis txhob xav tsis thoob, txawm hais tias tus kab mob no cuam tshuam rau ntau tus neeg, tab sis tus kab mob no tsuas yog tshwm sim thaum cov neeg uas muaj teeb meem ntshav tsis txaus kis tus kab mob no. Tus mob no feem ntau tshwm sim rau cov menyuam yaus, tshwj xeeb tshaj yog cov menyuam mos. Tab sis muaj xov xwm zoo, muaj kev kho mob rau qhov no xws li kev hloov ntshav thiab kev txhaj tshuaj immunoglobulin (IVIG) rau hauv cov hlab ntshav .

Qhov no puas yog ib yam kab mob uas cuam tshuam rau txhua tus?

Tsis yog, tsis yog li ntawd. Zoo li kuv tau hais ua ntej lawm, Parvovirus B19 yog ib hom kab mob uas pom ntau heev. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj tus kab mob no yuav muaj teeb meem aplastic crisis. Qhov no tsuas yog tshwm sim thaum ib tus neeg uas muaj kab mob ntshav kis tus kab mob Parvovirus B19 xwb.

Cov menyuam mos, cov menyuam mos, thiab cov menyuam yaus uas muaj mob ntshav liab yog cov muaj feem yuav muaj mob no. Cov neeg uas muaj lwm yam mob uas ua rau cov ntshav liab puas tsuaj thiab mob ntshav liab kuj muaj feem yuav muaj mob ntshav liab ntau dua yog tias lawv kis tus kab mob parvovirus B19. Ib txhia ntawm cov mob no suav nrog:

• Kab mob Spherocytosis uas los ntawm noob caj noob ces
• Kab mob Hemoglobin C
• Thalassemia
• G6PD deficiency syndrome
• Kev tsis txaus ntawm Pyruvate Kinase
• Kab mob ntshav tsis txaus los ntawm tus kheej
• Kab mob ntshav qab zib thaum hmo ntuj uas tshwm sim los ntawm kev tso zis tsis tu ncua
• Kev kuaj mob Elliptocytosis los ntawm noob caj noob ces

Yog tias koj lossis koj tus menyuam muaj hom kab mob ntshav no, nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas qhov no tshwj xeeb.

Cov tsos mob ntawm aplastic crisis yog dab tsi?

Cov neeg laus, nrog rau cov menyuam yaus thiab cov menyuam mos, uas muaj teeb meem aplastic, feem ntau muaj cov tsos mob ntsig txog kev tsis muaj ntshav txaus. Cov menyuam mos thiab cov menyuam yaus me yuav chim siab lossis chim siab dua li niaj zaus. Piv txwv li, yog tias koj tus menyuam quaj ntau heev, tsis nyiam dab tsi, lossis zoo li npau taws txhua lub sijhawm, qhov no yuav yog ib qho cim ntawm qee yam zoo li no.

Nov yog qee cov tsos mob tseem ceeb:

• Qaug zog: Xav tias nkees heev, ua tsis tau dab tsi.
• Kub taub hau: Qhov kub ntawm lub cev yuav ncav cuag 38 degrees Celsius (101 degrees Fahrenheit) lossis siab dua.
• Kiv taub hau: Nws zoo li koj lub taub hau tig, thiab koj ob lub qhov muag tej zaum yuav xiav.
• Ua tsis taus pa / ua tsis taus pa: Ua tsis taus pa txawm tias txav me ntsis los xij, xav tias nkees heev thaum nce ntaiv.
• Lub plawv dhia tsis xwm yeem lossis ceev: Lub plawv dhia yuav nrawm dua li qub, lossis nws yuav tsis dhia li, tab sis tej zaum yuav tsis xwm yeem.
• Xim daj ntseg: Daim tawv nqaij, daim di ncauj, cov pos hniav, lossis cov rau tes yuav daj ntseg dua li niaj zaus. Qhov no yog xim uas pom thaum tsis muaj ntshav.

Yog tias koj pom ib lossis ntau yam ntawm cov tsos mob no, tshwj xeeb tshaj yog tias koj lossis koj tus menyuam muaj teeb meem ntshav, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd .

Vim li cas qhov teeb meem aplastic no thiaj tshwm sim? Dab tsi yog qhov ua rau?

Lo lus "aplastic" txhais tau hais tias muaj ib yam dab tsi hauv koj lub cev tsis ua haujlwm lawm. Qhov ntawd yog qhov tshwm sim hauv qhov teeb meem aplastic no. Koj cov pob txha tsis tuaj yeem tsim cov qe ntshav liab zoo. Qhov laj thawj rau qhov ntawd yog Parvovirus B19 uas kuv tau hais ua ntej. Tus kab mob no ncaj qha rau cov qe ntshav liab tsis tau loj hlob uas tseem tsis tau loj hlob. Nws ua rau lawv puas tsuaj.

Peb lub cev tau txais cov khoom xws li cov qe ntshav liab, qee cov qe ntshav dawb, thiab cov ntshav los ntawm cov pob txha. Yog li thaum cov qe ntshav liab tsis tsim tas li, koj yuav muaj mob ntshav tsis txaus . Xav txog, qhov no yog qhov tshwm sim thaum peb lub cev lub chaw tsim cov ntshav tsis ua haujlwm tam sim ntawd.

Tej yam teeb meem uas yuav tshwm sim ntawm tus mob no yog dab tsi?

Kev puas tsuaj ntawm cov qe ntshav dawb (aplastic crisis) tuaj yeem ua rau muaj ntau yam teeb meem, tshwj xeeb tshaj yog rau cov neeg uas muaj mob ntshav liab (sickle cell anemia ). Cov no kuj yog qhov teeb meem loj heev.

• Kev kub ntxhov vaso-occlusive ntev (VOC):VOC yog ib qho mob sai sai, mob hnyav uas tshwm sim rau cov neeg uas muaj mob sickle cell anemia. Qhov mob no tuaj yeem kav ntev dua vim yog qhov teeb meem aplastic.
• Myocarditis: Qhov no yog kev o ntawm cov leeg nqaij plawv, uas yog ib qho mob zoo li o.
• Kev cais cov qe ntshav dawb hauv lub qhov zis: Cov qe ntshav liab tsis zoo li qub raug kaw hauv lub qhov zis, ua rau lub qhov zis loj dua.
• Glomerulonephritis: Qhov no yog ib yam kab mob raum uas, yog tias tsis kho kom zoo, tuaj yeem ua rau lub raum tsis ua haujlwm.

Yog vim li ntawd peb thiaj hais tias nws tseem ceeb heev uas yuav tsum paub txog qhov xwm txheej no.

Cov kws kho mob paub qhov no li cas?

Thaum koj lossis koj tus menyuam muaj cov tsos mob no, thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob ua ntej. Tom qab ntawd nws yuav kuaj lub cev. Tsis tas li ntawd, yuav muaj ntau yam kev kuaj mob los xyuas kom meej tias koj muaj mob:

• Kev suav cov ntshav tag nrho (CBC): Qhov no xyuas seb muaj pes tsawg cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv lub cev. Thaum muaj teeb meem aplastic crisis, cov qe ntshav liab tsawg heev.
• Tus lej ntawm cov hlwb reticulocyte: Cov hlwb reticulocytes yog cov qe ntshav liab uas tseem tsis tau loj hlob. Qhov kev kuaj no ntsuas seb cov hlwb pob txha tsim cov qe ntshav liab tshiab pes tsawg. Hauv qhov teeb meem aplastic crisis, tus lej no kuj tsawg heev.
• Kev kuaj mob Parvovirus B19: Qhov kev kuaj no yog ua los xyuas kom meej tias koj puas tau kis tus kab mob no.

Tom qab cov kev kuaj no, tus kws kho mob tuaj yeem qhia tau tseeb tias qhov no puas yog qhov teeb meem aplastic tiag lossis lwm yam.

Cov kev kho mob rau qhov no yog dab tsi?

Txoj kev kho mob tseem ceeb rau qhov teeb meem aplastic yog kev hloov ntshav . Qhov no txhais tau tias muab ntshav los ntawm sab nraud. Qhov no tuaj yeem kho tau sai sai cov qe ntshav liab uas qis hauv lub cev. Tsis tas li ntawd, kev kho mob hu ua Intravenous Immunoglobulin (IVIG) . Qhov no yog muab rau hauv lub cev los ntawm txoj hlab ntsha (IV).

Feem ntau cov neeg mob yuav zoo li qub hauv 10 txog 14 hnub tom qab pib kho mob. Lwm yam zoo yog tias thaum ib tug neeg tau kis tus kab mob parvovirus B19 lawm, lawv yuav tiv thaiv tau tus kab mob mus tas li. Qhov no txhais tau tias kev pheej hmoo ntawm kev mob aplastic los ntawm tus kab mob no yuav raug txo qis heev.

Puas muaj ib txoj hauv kev los tiv thaiv kev kub ntxhov aplastic?

Nws yeej nyuaj me ntsis hais. Vim tias, qhov teeb meem aplastic tshwm sim thaum ib tus neeg uas muaj teeb meem ntshav kis tus kab mob parvovirus B19 . Parvovirus B19 yog ib hom kab mob uas pom ntau heev, thiab tseem tsis tau muaj tshuaj tiv thaiv kab mob no.

Tiam sis, rau koj thiab koj tus menyuamYog tias koj muaj teeb meem ntshav xws li sickle cell anemia, nws yog ib qho tseem ceeb uas yuav tsum nug koj tus kws kho mob seb koj ua tau dab tsi los txo koj txoj kev pheej hmoo ntawm kev kis tus kab mob parvovirus B19. Piv txwv li, tej yam yooj yim xws li nyob deb ntawm cov chaw muaj neeg coob coob thiab ntxuav koj txhais tes ntau zaus tuaj yeem muab qee qhov kev tiv thaiv.

Yuav muaj dab tsi tshwm sim tom qab qhov xwm txheej no? (Kev kwv yees)

Kev kwv yees yog qhov tshwm sim uas koj xav tias yuav tshwm sim rau koj tus mob. Cov neeg uas muaj teeb meem aplastic feem ntau yuav zoo li qub hauv 10 txog 14 hnub tom qab pib kho mob. Txawm li cas los xij, qee tus neeg yuav rov muaj teeb meem aplastic dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob thiab ua raws li koj tus kws kho mob cov lus qhia.

Kuv yuav tsum saib xyuas kuv tus kheej li cas? / Kuv yuav tsum saib xyuas kuv tus menyuam li cas?

Kev mob ntshav tsis txaus (aplastic crisis) tsuas yog ib qho ntawm ntau yam teeb meem uas tuaj yeem tshwm sim nrog cov kab mob ntshav xws li sickle cell anemia . Tej zaum koj yuav tsis tuaj yeem tiv thaiv parvovirus B19, tab sis muaj tej yam uas koj tuaj yeem ua tau los tswj koj txoj kev noj qab haus huv tag nrho:

• Mus kuaj mob tsis tu ncua: Los ntawm kev sib cuag nrog koj tus kws kho mob tsis tu ncua, koj tuaj yeem txheeb xyuas cov teeb meem loj ua ntej lawv tshwm sim.
• Txo koj txoj kev pheej hmoo ntawm kev kis kab mob: Tham nrog koj tus kws kho mob txog cov hau kev los tiv thaiv koj tus kheej ntawm cov kab mob xws li mob khaub thuas thiab mob khaub thuas.
• Noj zaub mov kom zoo: Noj zaub mov kom sib npaug thiab haus dej li 8-10 khob ib hnub.
• Kev Ua Si: Kev ua si tsis tu ncua tuaj yeem ua rau koj lub siab thiab kev noj qab haus huv zoo dua. Tab sis, maj mam ua, so thaum koj nkees, thiab nco ntsoov haus dej ntau.

Cov no pab kom koj lub cev tiv thaiv kab mob muaj zog thiab pab kom koj noj qab nyob zoo.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Kev kub ntxhov ntawm aplastic yog ib qho xwm txheej ceev hauv kev kho mob.

Yog tias koj lossis koj tus menyuam muaj teeb meem ntshav xws li sickle cell anemia , thiab koj muaj kev hloov pauv sai sai hauv koj txoj kev noj qab haus huv, xws li xav tias tsis muaj zog lossis nkees heev , koj yuav tsum mus ntsib koj tus kws kho mob tam sim ntawd, tsis txhob ncua sijhawm. Thaum koj pib kho mob sai npaum li cas, qhov zoo dua.

Kuv yuav tsum nug tus kws kho mob li cas?

Yog koj lossis koj tus menyuam muaj teeb meem aplastic, koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Thaum twg kuv/kuv tus menyuam mam li zoo dua?
• Muaj feem ntau npaum li cas uas kuv/kuv tus menyuam yuav muaj teeb meem zoo li no dua?
• Muaj tej yam dab tsi uas kuv yuav tsum tau ceev faj tshwj xeeb thaum kuv tseem muaj tus mob no?

Nws yog ib qho tseem ceeb heev uas yuav tsum nug cov lus nug zoo li no thiab tshem tawm koj cov kev tsis ntseeg.

Puas yog aplastic crisis thiab aplastic anemia zoo ib yam?

Yog, txawm hais tias ob qho mob no cuam tshuam nrog kev txo qis ntawm cov qe ntshav liab, muaj qhov sib txawv ntawm ob qho no.

Kev puas tsuaj ntawm cov qe ntshav liab yog qhov poob qis sai sai, ua rau cov qe ntshav liab tsawg zuj zus .

Kab mob ntshav tsis txaus (aplastic anemia) yog ib yam mob uas maj mam tshwm sim zuj zus. Hauv qhov no, tsis yog cov qe ntshav liab xwb tab sis kuj tseem muaj lwm hom qe ntshav (cov qe ntshav dawb, cov platelets) uas yuav txo qis.

Hais yooj yim xwb, Aplastic Crisis yog ib qho teeb meem ib ntus xwb, thiab mob hnyav heev. Aplastic Anemia yog ib qho teeb meem uas tshwm sim rau cov pob txha ntev.

Thaum kawg, cov lus coj mus tsev

Zoo, yog li kuv vam tias koj tam sim no nkag siab zoo dua txog yam peb tau tham txog hnub no, Aplastic Crisis. Qhov no yog ib qho teeb meem loj heev uas tuaj yeem cuam tshuam rau cov neeg uas muaj kab mob ntshav xws li Sickle Cell Anemia . Qhov tshwm sim yog tias koj lossis koj tus menyuam lub pob txha tsis tsim cov qe ntshav liab, ua rau muaj ntshav tsis txaus uas tuaj yeem ua rau tuag taus.

Kev mob Aplastic tuaj yeem yog ib qho kev paub txaus ntshai vim tias cov tsos mob tuaj yeem tshwm sim sai sai thiab hnyav heev. Zoo hmoo, cov kws kho mob tuaj yeem kho nws los ntawm kev hloov ntshav thiab tshuaj.

Yog tias koj lossis koj tus menyuam muaj teeb meem ntshav uas ua rau koj lossis koj tus menyuam muaj feem yuav muaj teeb meem aplastic, nug koj tus kws kho mob seb cov tsos mob twg yuav qhia tau tias muaj teeb meem. Tej zaum koj yuav tsis tuaj yeem tiv thaiv tau teeb meem aplastic, tab sis koj yuav paub tias yuav ua li cas yog tias nws tshwm sim. Qhov kev paub ntawd yog qhov tseem ceeb tshaj plaws.

Kev Kub Ntxhov Aplastic , Cov Qog Ntshav Liab, Cov Pob Txha, Kab Mob Ntshav Tsis Txaus, Parvovirus B19, Kab Mob Ntshav Tsis Txaus Sickle Cell