Puas muaj tej lub sij hawm koj mob pob qij txha uas tsis muaj laj thawj, qaug zog tas li, lossis muaj teeb meem ntawm daim tawv nqaij? Tej zaum koj tus kws kho mob tau kuaj ANA thiab hais tias nws yog qhov zoo? Yog tias yog, muaj feem ntau uas koj yuav raug hais kom ua qhov kev kuaj ntshav tshwj xeeb no hu ua ENA panel tom ntej. Muaj ntau tus neeg ntshai me ntsis thaum lawv hnov lub npe no. Tab sis tsis txhob txhawj. Hnub no, peb yuav tham txog txhua yam txog ENA panel no yooj yim heev.
Lub vaj huam sib luag ENA yog dab tsi tiag?
Hais yooj yim xwb, lub ENA panel yog ib qho kev kuaj tshwj xeeb uas kuaj peb cov ntshav. Nws feem ntau nrhiav cov protein tshwj xeeb (peb hu cov no ua cov tshuaj tiv thaiv kab mob ) hauv peb cov ntshav uas tawm tsam lossis ua haujlwm tawm tsam cov khoom noj qab haus huv ntawm peb lub cev.
Xav txog nws, peb lub cev zoo li ib lub tebchaws. Muaj ib pab tub rog uas tiv thaiv lub tebchaws no. Pab tub rog ntawd yog peb lub cev tiv thaiv kab mob. Cov tub rog hauv pab tub rog no yog cov tshuaj tiv thaiv kab mob . Feem ntau, cov tub rog no tawm tsam cov yeeb ncuab sab nraud, uas yog, cov kab mob xws li cov kab mob thiab cov kab mob me me, thiab tiv thaiv peb ntawm cov kab mob.
Tiam sis qee zaum, peb cov tub rog ua yuam kev thiab pib tawm tsam cov neeg zoo hauv peb lub tebchaws, cov hlwb noj qab haus huv hauv peb lub cev. Qhov ntawd yog qhov peb hu ua tus kab mob autoimmune . Qhov uas pawg neeg ENA ua yog nrhiav qee hom "tub rog" (antibodies) hauv peb cov ntshav uas tawm tsam los ntawm kev ua yuam kev.
Kuv yuav tsum ua qhov kev xeem ENA no thaum twg?
Tsis yog txhua tus neeg yuav xav tau qhov kev kuaj no. Muaj ntau yam laj thawj tseem ceeb uas ua rau koj tus kws kho mob yuav xaj qhov kev kuaj no:
- Yog tias qhov kev kuaj ANA yog qhov zoo: Yog tias koj muaj cov tsos mob ntawm tus kab mob autoimmune (piv txwv li, mob pob qij txha, qaug zog, tawv nqaij ua pob) thiab koj tau muaj qhov kev kuaj ANA (Antinuclear Antibody) zoo yav dhau los, koj yuav raug hais kom ua qhov kev ntsuam xyuas ENA no ua kauj ruam tom ntej.
- Thaum cev xeeb tub: Yog tias koj muaj mob lupus thiab koj cev xeeb tub, koj tus kws kho mob yuav pom zoo kom kuaj qhov no. Qhov no yog vim qee cov tshuaj tiv thaiv kab mob ntawm leej niam tuaj yeem hla lub placenta thiab cuam tshuam rau tus menyuam. Qhov no kuj tuaj yeem cuam tshuam rau tus menyuam lub plawv ua haujlwm. Yog li qhov kev kuaj no pab koj paub txog qhov no thaum ntxov.
Pawg neeg ENA saib xyuas hom kab mob twg?
Cov hom tshuaj tiv thaiv kab mob uas lub ENA panel nrhiav yog txuam nrog ntau yam kab mob autoimmune tshwj xeeb. Tab sis nco ntsoov, qhov tshwm sim zoo ntawm qhov kev kuaj no tsis tau txhais hais tias koj muaj tus kab mob 100%. Qhov no tsuas yog ib kauj ruam tseem ceeb hauv cov txheej txheem kuaj mob.
| Feem ntau muaj kab mob cuam tshuam | Hais yooj yim xwb... |
|---|---|
| Kab mob Lupus (Systemic Lupus Erythematosus/SLE) | Ib yam kab mob uas cuam tshuam rau ntau qhov ntawm lub cev (tawv nqaij, pob qij txha, raum, hlwb). |
| Kab mob Sjögren | Ib yam mob uas feem ntau ua rau qhov muag thiab qhov ncauj qhuav. |
| Kab Mob Sib Txuas Sib Xyaws (MCTD) | Ib yam mob uas muaj cov tsos mob ntawm ntau yam kab mob sib xyaw ua ke, xws li lupus thiab scleroderma. |
| Kab mob Sclerosis (Systemic Sclerosis) | Ib yam mob uas nws cov tsos mob tseem ceeb yog ua rau daim tawv nqaij tuab thiab tawv. |
| Polymyositis thiab Dermatomyositis | Cov mob uas ua rau cov leeg tsis muaj zog thiab o. |
Yuav npaj li cas rau qhov kev xeem? Yuav tsum tau tos li cas?
Qhov no yog xov xwm zoo tshaj plaws. Tsis tas yuav npaj tshwj xeeb rau lub vaj huam sib luag ENA. Koj tuaj yeem noj, haus, thiab noj koj cov tshuaj li qub.
Qhov kev kuaj no suav nrog kev kuaj ntshav me me los ntawm cov leeg ntshav hauv koj txhais caj npab, ib yam li kev kuaj ntshav ib txwm muaj. Tej zaum koj yuav hnov mob me ntsis thaum koj ntxig thiab tshem tawm cov koob. Yog tias koj ntshai cov koob, nws yog qhov zoo tshaj plaws kom nyob deb. Kev kuaj yuav siv sijhawm tsawg dua ib feeb. Tom qab ntawd cov ntshav kuaj raug xa mus rau chav kuaj mob kom kuaj.
Puas muaj kev pheej hmoo hauv qhov no?
Qhov no yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev, tab sis zoo li lwm yam kev kuaj ntshav, tej yam me me kuj tuaj yeem tshwm sim tau.
- Thaum koj cov ntshav raug rho tawm, koj yuav xav tias kiv taub hau me ntsis.
- Thaj chaw uas koob txhaj rau hauv yuav tig xiav (hematoma).
- Tsis tshua muaj, yuav muaj kev kis kab mob.
Yuav nkag siab cov txiaj ntsig ntawm kev xeem li cas?
Koj daim ntawv qhia yuav qhia cov txiaj ntsig zoo li Zoo , Tsis Zoo , lossis Ciam Teb .
- Tsis Zoo: Qhov no txhais tau tias cov tshuaj tiv thaiv kab mob tshwj xeeb uas tau kuaj tsis muaj nyob hauv koj cov ntshav, lossis muaj ob peb tug xwb.
- Zoo: Qhov no txhais tau tias ib lossis ntau dua ntawm cov tshuaj tiv thaiv kab mob uas tau kuaj pom hauv koj cov ntshav.
- Kab ciam teb: Qhov no txhais tau tias qhov tshwm sim yog nyob rau theem nruab nrab uas nws tsis tuaj yeem hais tseeb tias nws yog qhov zoo lossis tsis zoo.
Qhov tseem ceeb tshaj plaws yog nrog koj tus kws kho mob tham thiab piav qhia txog yam uas nyob hauv daim ntawv qhia kev kuaj no, es tsis txhob sim nkag siab nws ntawm koj tus kheej. Nws yuav coj koj cov tsos mob, lwm cov txiaj ntsig ntawm kev kuaj, thiab daim ntawv qhia ENA no ua ke los txiav txim siab kom raug.
Puas yog ENA zoo txhais tau tias kuv muaj mob lupus?
Yeej tsis yog li ntawd. Ib qho txiaj ntsig zoo ntawm ENA vaj huam sib luag tsis tau txhais hais tias koj muaj ib yam kab mob tshwj xeeb xws li lupus. Piv txwv li, ib qho tshuaj tiv thaiv kab mob uas zoo rau ib tus neeg uas muaj Sjögren's syndrome kuj tseem yuav zoo rau ib tus neeg uas muaj lupus. Yog li ntawd, kev kuaj mob zoo li kev daws teeb meem. Lub vaj huam sib luag ENA tsuas yog ib daim ntawm qhov kev ua si ntawd xwb.
Qhov txawv ntawm kev kuaj ANA thiab ENA yog dab tsi?
Qhov no yog ib yam uas ua rau ntau tus neeg tsis meej pem. Cia peb nkag siab qhov no nrog ib qho piv txwv yooj yim.
Xav txog qhov kev xeem ANA ua ib txoj hauv kev dav dav los nug, "Leej twg nyob hauv?" los ntawm kev khob qhov rooj ntawm lub tsev. Nws tsuas qhia koj seb puas muaj leej twg nyob hauv. Nws yog kev kuaj mob uas muab lub tswv yim ntxhib ntawm seb koj puas muaj teeb meem autoimmune.
Lub vaj huam sib luag ENA zoo li qhib lub qhov rooj, nkag mus, thiab hais tias, "Auj, muaj Nimal, Kamala, Sunil nyob hauv," thiab tom qab ntawd nrhiav lub npe tseeb ntawm tus neeg. Ntawd yog, tom qab qhov kev kuaj ANA yog qhov zoo, kev kuaj mob raug ua kom paub tseeb tias cov tshuaj tiv thaiv tshwj xeeb twg ua rau nws.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
- Thaum koj tau txais koj daim ntawv qhia txog kev kuaj mob, nco ntsoov mus ntsib koj tus kws kho mob los tham txog nws. Tsis txhob ntshai nug cov lus nug uas koj muaj txog cov txiaj ntsig.
- Yog tias qhov chaw uas koj rho ntshav mob heev, o, liab, muaj kua qaub tawm, lossis yog tias koj kub taub hau, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd .
Lub vaj huam sib luag ENA yog ib qho kev kuaj mob tseem ceeb heev uas pab cov kws kho mob kuaj mob autoimmune. Cov ntaub ntawv uas nws muab, thaum muab ua ke nrog koj cov tsos mob, muab ib daim duab meej txog koj txoj kev noj qab haus huv. Yog li, yog tias koj raug hais kom ua qhov kev kuaj mob no, tsis txhob ntshai. Nws tsuas yog ib kauj ruam uas koj tuaj yeem ua los pab koj tus kheej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub vaj huam sib luag ENA yog kev kuaj ntshav uas nrhiav cov hom tshuaj tiv thaiv kab mob tshwj xeeb uas cuam tshuam nrog cov kab mob autoimmune.
- Qhov kev kuaj no feem ntau ua rau cov neeg uas muaj qhov kev kuaj ANA zoo thiab cov neeg uas muaj cov tsos mob ntawm cov kab mob autoimmune.
- Qhov kuaj ENA zoo tsis tau txhais hais tias koj muaj ib yam kab mob tshwj xeeb. Nws tsuas yog ib kauj ruam hauv txoj kev kuaj mob xwb.
- Ib txwm tham txog koj cov txiaj ntsig kuaj nrog koj tus kws kho mob kom nkag siab lawv thiab paub tias yuav ua li cas tom ntej.
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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