Kuv nkag siab txog qhov kev ntshai thiab kev ntxhov siab uas ib tug niam lossis txiv xav thaum lawv pom ib yam dab tsi txawv txawv ntawm lawv tus menyuam lub cev. Tshwj xeeb tshaj yog thaum ib tug menyuam mos tshiab tshwm sim cov xim xiav-ntshav ntawm lawv daim tawv nqaij, nws tuaj yeem ua rau txhawj xeeb heev. Qhov mob no yog qhov peb hu ua "Blueberry Muffin Rash." Lub npe no yuav zoo li txawv txawv, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws vim tias muaj ntau yam ua rau muaj teeb meem loj tom qab nws.
Qhov 'blueberry muffin rash' no yog dab tsi?
Hais yooj yim xwb, qhov no yog ib yam mob ntawm daim tawv nqaij uas tuaj yeem cuam tshuam rau cov menyuam mos thiab cov menyuam mos. Nws hu ua 'blueberry muffin rash' vim tias cov pob ntawd zoo li cov pob xiav-ntsuab ntawm daim blueberry muffin. Lawv tuaj yeem tshwm sim ua cov voj voog lossis ua cov pob loj ntawm daim tawv nqaij.
Qhov tseem ceeb yog tias cov pob no tsis yog nyob rau ntawm daim tawv nqaij, tab sis zoo li tau tsim tob hauv daim tawv nqaij . Qhov no tsis yog pob khaus ib txwm muaj.
Muaj peb qho laj thawj tseem ceeb uas ua rau cov pob no tshwm sim:
1. Kev tsim cov ntshav sab nraud ntawm cov pob txha: Feem ntau, peb cov ntshav yog tsim tawm hauv cov pob txha. Txawm li cas los xij, vim muaj qee yam mob, cov qe ntshav pib sib sau ua ke thiab tsim cov pawg sab nraud ntawm cov pob txha, xws li hauv daim tawv nqaij. Cov pawg ntawm cov qe ntshav no yog cov uas tshwm sim ua cov pob.
2. Los ntshav rau hauv daim tawv nqaij (Purpura): Hom kab xim av no tuaj yeem tshwm sim thaum ntshav ntws mus rau hauv daim tawv nqaij vim yog kev puas tsuaj rau cov hlab ntsha lossis qhov tsis muaj zog ntawm cov txheej txheem ntshav txhaws.
3. Kev Kis Kab Mob Qog (Metastasis): Hauv qee hom mob qog noj ntshav, cov qog mob qog noj ntshav tuaj yeem kis mus rau ntawm daim tawv nqaij los ntawm lwm qhov ntawm lub cev thiab ua rau muaj pob zoo li no.
Feem ntau cov mob uas ua rau peb yam no tsis tshua muaj. Tsis tas li ntawd, koj tus menyuam feem ntau yuav muaj lwm cov tsos mob nrog rau cov pob no. Cov pob no yuav tsis kho nws tus kheej. Yog li ntawd, 'mob pob khaus blueberry muffin' yog ib qho cim qhia tias koj tus menyuam xav tau kev kho mob tam sim ntawd.
Cov yam tseem ceeb uas ua rau qhov no yog dab tsi?
Tsis txhob txhawj, peb yuav tham meej meej txog cov pawg tseem ceeb ntawm cov laj thawj uas cuam tshuam rau qhov no, ib qho zuj zus.
Kab mob TORCH
TORCH yog ib lo lus luv rau ntau pawg kab mob uas cuam tshuam rau tus menyuam hauv plab lossis tus menyuam mos hauv plab. Cov kab mob no tuaj yeem kis tau los ntawm niam mus rau tus menyuam thaum cev xeeb tub, thaum yug menyuam, lossis tom qab yug los.
TORCH sawv cev rau:
- T - Toxoplasmosis
- O - Lwm yam kab mob - piv txwv li mob syphilis, mob qaib ntxhw, parvovirus B19
- R- Mob qoob qhuag
- C - Cytomegalovirus (CMV)
- H - Kab mob Herpes simplex (HSV)
Nrog rau cov kab mob no, tus menyuam kuj tseem yuav muaj lwm cov tsos mob xws li kub taub hau, nyuaj noj mov, mob ntshav qab zib, qhov hnyav thaum yug los qis, tsis hnov lus zoo, thiab mob siab loj heev.
Qhov no qhia tau tias nws tseem ceeb npaum li cas rau kev mus ntsib kws kho mob raws sijhawm thiab ua qhov kev kuaj mob tsim nyog thaum cev xeeb tub. Los ntawm qhov no, koj tuaj yeem paub ua ntej seb koj puas muaj cov kab mob no lossis koj puas muaj kev tiv thaiv kab mob rau lawv.
Qee Cov Qog Nqaij thiab Mob Cancer
Qee hom mob qog noj ntshav thaum yau kuj tuaj yeem ua rau muaj qhov 'blueberry muffin rash' no. Cov no yog cov mob tsis tshua muaj.
- Histiocytosis
- Kab mob ntshav dawb (leukemia)
- Mastocytosis
- Neuroblastoma
- Kab mob Rhabdomyosarcoma
- Kev puas siab puas ntsws myeloproliferative - Qhov no feem ntau tshwm sim rau cov menyuam yaus uas muaj Down syndrome.
Cov mob no tuaj yeem nrog cov tsos mob xws li qaug zog heev, kub taub hau, poob phaus, ntsej muag daj ntseg (vim yog ntshav tsis txaus), cov qog ntshav o, thiab ua pa nyuaj.
Lwm yam teeb meem ntsig txog kev tsim cov ntshav (Extramedullary Hematopoiesis)
Raws li peb tau tham ua ntej lawm, cov pob no kuj yog los ntawm extramedullary hematopoiesis. Qee yam uas ua rau qhov no yog:
- Kab mob hemolytic ntawm tus menyuam mos: Cov qe ntshav liab ntawm tus menyuam mos tawg sai sai vim muaj ntau yam xws li ABO ntshav tsis sib xws ntawm niam thiab tus menyuam.
- Kab mob spherocytosis uas los ntawm noob caj noob ces: Ib qho mob uas los ntawm noob caj noob ces uas ua rau muaj kev hloov pauv ntawm cov duab ntawm cov qe ntshav liab.
- Kab mob ntshav ntws tsis sib npaug ntawm cov menyuam ntxaib uas sib koom tib lub tsev menyuam.
Cov kws kho mob nrhiav tau qhov ua rau muaj qhov teeb meem tiag tiag li cas?
Koj tus menyuam tus kws kho mob yuav xub kuaj koj tus menyuam kom zoo zoo thiab xyuas seb puas muaj lwm yam tsos mob. Tom qab ntawd, lawv yuav pom zoo kom kuaj ntau zaus kom paub qhov ua rau mob.
| Kev Ntsuas | Nws Tshawb Xyuas Dab Tsi? |
|---|---|
| Kev kuaj ntshav | Kev suav cov ntshav tag nrho (CBC), kev kuaj mob rau cov kab mob thiab lwm yam kev txawv txav ntawm cov ntshav. |
| Kev kuaj zis | Cov cim qhia txog qee yam kev kis kab mob thiab tej yam mob. |
| Kev tho qhov txha nraub qaum/Kev tho qhov nraub qaum | Kuaj xyuas cov kua dej hauv lub hlwb (CSF) kom pom cov cim qhia tias muaj kev kis kab mob. |
| Kev kuaj tawv nqaij | Txhawm rau kuaj xyuas cov kab mob leukemia lossis lwm cov kab mob qog noj ntshav. |
| Kev kuaj mob pob txha | Nrhiav kev kuaj mob leukemia, lwm yam kev txawv txav ntawm cov ntshav, kev kis kab mob, thiab mob qog noj ntshav. |
| Kev kuaj mob ultrasound ntawm lub plab | Kuaj xyuas seb puas muaj mob siab thiab mob po loj thiab cov qog nqaij hlav xws li neuroblastoma. |
Yog tias xav tias muaj kab mob TORCH, tus kws kho mob kuj tseem yuav pom zoo kom kuaj mob rau leej niam.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Nco ntsoov tias, kev kho mob rau 'blueberry muffin rash' yog kho qhov mob uas ua rau nws. Yog li ntawd, vim tias cov pob no yog ib qho tsos mob, peb yuav tsum kho qhov mob uas ua rau muaj tsos mob.
Piv txwv li:
- Yog tias qhov ua rau yog kab mob TORCH, tshuaj tua kab mob, tshuaj tua kab mob, lossis tshuaj tiv thaiv kab mob yuav raug muab.
- Yog tias qhov ua rau yog mob qog noj ntshav xws li neuroblastoma, kev phais mob, chemotherapy, immunotherapy, lossis kev kho mob hluav taws xob yuav tsim nyog.
Pab neeg kho mob ntawm koj tus menyuam yuav piav qhia txog txoj kev npaj kho mob zoo tshaj plaws rau koj tus menyuam, yog li tsis txhob yig los tham nrog lawv txog tej lus nug lossis kev txhawj xeeb uas koj muaj.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Cov lus teb rau qhov no tsuas yog "Tam sim ntawd!"
Yog koj pom ib qho chaw xiav-ntsuab lossis ib lub pob zoo li no ntawm koj tus menyuam lub cev, tsis txhob tsis quav ntsej nws. Yog tias koj tus menyuam twb tau txais kev kho mob hauv tsev kho mob lawm, qhia rau tus kws kho mob lossis tus nais tam sim ntawd. Yog tias koj nyob hauv tsev, tam sim ntawd coj koj tus menyuam mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws hauv tsev kho mob.
Txawm hais tias qhov mob no tsis tshua muaj los, nws tuaj yeem yog ib qho cim qhia tias muaj qee yam loj heev tshwm sim rau koj tus menyuam lub cev. Qhov no tuaj yeem ua rau ntshai heev, tab sis qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thiab ua sai sai. Pab pawg kho mob yuav nrhiav qhov ua rau thiab muab kev kho mob zoo tshaj plaws rau koj tus menyuam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Blueberry Muffin Rash tsis yog tsuas yog pob khaus ntawm daim tawv nqaij xwb, nws tuaj yeem yog ib qho tsos mob ntawm ib qho mob hnyav.
- Ib qho tshwj xeeb yog tias cov pob no zoo li tsim sab hauv daim tawv nqaij, tsis yog nyob rau saum nws.
- Yog koj pom cov pob no ntawm koj tus menyuam daim tawv nqaij, tsis txhob ncua sijhawm thiab qhia rau kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob.
- Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev qhia kho mob thiab kev kuaj mob kom zoo thaum cev xeeb tub kom tiv thaiv lossis nrhiav tau cov kab mob xws li TORCH thaum ntxov.
- Tham nrog koj pab neeg kho mob txog koj qhov kev kuaj mob thiab txoj kev npaj kho mob. Lawv yuav muab kev txhawb nqa uas koj thiab koj tus menyuam xav tau.
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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