Koj tus kws kho mob puas tau hais kom koj mus kuaj G6PD? Los yog koj puas tab tom nrhiav kev kuaj no vim koj tus me nyuam muaj mob daj ntseg thiab nws tsis ploj mus? Tej zaum koj nyuam qhuav hnov lo lus G6PD. Nws yog ib txwm muaj kev ntshai me ntsis vim tias lub npe txawv me ntsis. Tab sis tsis txhob ntshai dab tsi. Hnub no, peb yuav tham txog qhov kev kuaj G6PD no thiab qhov tsis txaus G6PD uas ua rau nws yooj yim heev uas koj tuaj yeem nkag siab.
Cia peb xub saib seb, G6PD yog dab tsi?
Zoo, cia peb pib nrog ib qho piv txwv yooj yim heev. Xav txog tias cov qe ntshav liab hauv koj lub cev zoo li cov tsev me me. Hauv cov tsev no, txoj haujlwm tseem ceeb ntawm kev thauj cov pa oxygen tshwm sim. Tam sim no, yuav tsum muaj 'tus neeg saib xyuas' los tiv thaiv cov tsev no, kom lawv muaj zog. Yog li, muaj ib tus neeg ua haujlwm tshwj xeeb hu ua G6PD uas tiv thaiv peb cov tsev hu ua cov qe ntshav liab thiab pab kom lawv noj qab nyob zoo.
Hais txog kev kho mob, G6PD yog lub npe luv rau cov enzyme glucose-6-phosphate dehydrogenase . Ib qho enzyme yog ib qho protein uas pab peb lub cev ua ntau yam txheej txheem tshuaj lom neeg kom raug. Lub luag haujlwm tseem ceeb ntawm cov enzyme G6PD no yog los tiv thaiv peb cov qe ntshav liab ntawm qee cov tshuaj lom neeg (hu ua reactive oxygen species) uas tuaj yeem ua rau lawv puas tsuaj.
Yog li, yog tias ib tug neeg lub cev tsis muaj txaus ntawm tus neeg zov no, lossis enzyme hu ua G6PD, peb hu nws tias G6PD deficiency . Qhov no yog genetic, txhais tau tias nws tau txais los ntawm noob caj noob ces. Ib tug neeg uas muaj qhov tsis txaus no muaj cov qe ntshav liab me ntsis tsis muaj zog. Nws zoo li lub tsev tsis muaj tus neeg zov. Tom qab ntawd, thaum raug rau qee yam, cov qe ntshav liab no pib tawg thiab raug rhuav tshem sai sai. Thaum lub cev tsis tuaj yeem tsim cov qe ntshav liab tshiab thiab cov qub raug rhuav tshem sai dua, ib qho mob hu ua anemia tshwm sim. Thaum cov qe ntshav liab tawg ua li no, peb hu nws tias hemolytic anemia .
Yog li, thaum twg koj yuav tsum ua qhov kev kuaj G6PD?
Feem ntau, cov neeg uas muaj G6PD deficiency tsis muaj tsos mob dab tsi li. Lawv ua neej nyob li qub. Txawm li cas los xij, tsuas yog thaum lawv raug rau qee yam 'ua rau' uas tus mob hemolytic anemia uas peb tau tham txog ua ntej tshwm sim thiab cov tsos mob tshwm sim.
Tam sim no cia peb saib seb cov teeb meem no yog dab tsi.
| Cov yam ua rau muaj cov tsos mob | Ib qho lus piav qhia yooj yim txog qhov no |
|---|---|
| Qee qhov kev kis kab mob | Kev ntxhov siab hauv lub cev uas tshwm sim los ntawm kev kis kab mob los ntawm cov kab mob lossis cov kab mob tuaj yeem ua rau cov qe ntshav liab tawg sai dua. |
| Taum pauv Fava | Qhov no yog qhov ua rau muaj tus mob no feem ntau. Ib txhia neeg tuaj yeem muaj cov tsos mob los ntawm kev noj cov taum fava lossis txawm tias nqus lawv cov paj ntoos. Qhov no kuj hu ua 'favism'. |
| Qee cov tshuaj | Txawm li cas los xij, tsis yog txhua yam tshuaj tuaj yeem ua rau mob hnyav dua, xws li qee cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob malaria, thiab cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs). Yog li ntawd, yog tias koj muaj G6PD deficiency, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob ua ntej noj tshuaj. |
Yog li ntawd, thaum koj raug rau yam uas ua rau koj mob li ntawd, koj yuav muaj cov tsos mob ntawm tus kab mob hemolytic anemia. Thaum ntawd tus kws kho mob yuav hais kom koj mus kuaj G6PD. Saib seb cov tsos mob no puas zoo li koj paub.
| Cov tsos mob | Qhov no txhais li cas? |
|---|---|
| Tsaus muag tam sim ntawd (syncope) | Thaum lub hlwb tsis tau txais oxygen txaus, ces yuav tsis nco qab li. |
| Xav tias nkees heev (Fatigue) | Thaum cov qe ntshav liab uas nqa oxygen thoob plaws lub cev txo qis, koj yuav xav tias nkees dhau los ua tsis tau tej haujlwm ib txwm muaj. |
| Xav tias koj lub plawv dhia ceev heev | Lub plawv yuav tsum ua haujlwm hnyav dua kom nqus cov ntshav sai dua thiab muab cov pa oxygen rau lub cev uas nws xav tau. |
| Ua pa nyuaj (ua tsis taus pa) | Thaum cov pa oxygen hauv cov ntshav txo qis, koj yuav xav tias ua tsis taus pa thiab xav tias tsaus muag. |
| Cov zis liab los yog xim av | Thaum muaj cov qe ntshav liab ntau heev tawg, lawv cov ntsiab lus raug tso tawm hauv cov zis, ua rau cov zis hloov xim. |
| Daim tawv nqaij daj ntseg | Thaum cov ntshav qis dua, daim tawv nqaij poob nws cov xim liab thiab ua daj ntseg. |
| Tawv nqaij thiab qhov muag daj (jaundice) | Thaum cov qe ntshav liab tawg, ib yam khoom daj hu ua bilirubin yuav sib sau ua ke hauv lub cev. Qhov no yog qhov ua rau daim tawv nqaij thiab lub qhov muag dawb tig daj. |
Vim li cas thiaj yuav tsum kuaj G6PD rau cov menyuam yaus?
Kab mob daj ntseg feem ntau tshwm sim rau cov menyuam mos. Feem ntau, nws yuav ploj mus nws tus kheej hauv ob peb hnub mus rau ob lub lis piam. Txawm li cas los xij, yog tias qee tus menyuam muaj kab mob daj ntseg ntau tshaj ob lub lis piam thiab tsis pom qhov ua rau mob, koj tus kws kho mob yuav pom zoo kom kuaj G6PD.
Tsis tas li ntawd xwb, yog koj paub tias muaj ib tug neeg hauv koj tsev neeg muaj G6PD deficiency, nws yog ib lub tswv yim zoo kom kuaj qhov no tom qab tus menyuam yug los. Ua li ntawd, koj tuaj yeem paub txog qhov no ua ntej thiab ua tib zoo saib xyuas.
Tus kab mob G6PD tsis muaj zog ntau npaum li cas?
Qhov no yog ib qho mob caj ces uas pom ntau heev hauv ntiaj teb. Nws ntseeg tias muaj ntau tshaj 400 lab tus tib neeg thoob ntiaj teb muaj tus mob no. Txawm li cas los xij, raws li peb tau hais ua ntej, feem ntau ntawm cov neeg no yuav tsis muaj tsos mob dab tsi thoob plaws lawv lub neej.
Cov tsos mob ntawm G6PD deficiency feem ntau tshwm sim rau cov txiv neej dua li cov poj niam, thiab feem ntau tshwm sim rau cov neeg Esxias, African, lossis Mediterranean.
Yuav ua li cas thiaj kuaj tau G6PD?
Qhov no yog ib qho kev kuaj ntshav yooj yim heev, ib txwm muaj. Tsis muaj dab tsi yuav tsum ntshai li cas los xij. Nws siv sijhawm tsawg dua tsib feeb.
- Muab ib rab koob me me ntxig rau hauv cov leeg ntshav ntawm tus neeg mob caj npab thiab coj cov ntshav mus kuaj.
- Tom qab ntawd cov splinter raug tshem tawm thiab ib daim plaster me me raug siv.
Muaj ib txhia neeg ntshai me ntsis koob (qhov no hu ua trypanophobia). Yog tias koj ntshai qhov no, qhia rau tus kws tu mob uas tab tom rho koj cov ntshav. Lawv yuav pab koj. Koj tuaj yeem ntsia mus rau lwm qhov, ua pa qeeb qeeb, lossis coj ib tug phooj ywg lossis ib tug neeg hauv tsev neeg nrog koj thaum lub sijhawm rho cov ntshav.
Yuav ua li cas ua qhov kev xeem no rau cov menyuam mos
Vim tias nws nyuaj rau kom tau ntshav los ntawm tus menyuam txhais tes, yuav muab cov ntshav coj los ntawm pob taws ntawm lawv ko taw. Ua tib zoo, siv ib rab koob me me los tho ib qho chaw me me ntawm pob taws thiab sau ob peb tee ntshav. Tom qab ntawd muab ib daim ntaub qhwv me me rau ntawm qhov chaw ntawd. Tus menyuam yuav hnov qhov mob me ntsis, tab sis qhov no yuav ploj mus sai sai. Tej zaum yuav muaj qhov mob me ntsis, tab sis qhov no yuav zoo li qub hauv ib lossis ob hnub.
Kuv puas yuav tsum npaj ua ntej qhov kev xeem?
Qhov no yog ib qho teeb meem tseem ceeb heev. Yog lawm, muaj qee yam uas yuav tsum tau ceev faj txog.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ntxiv).
- Qee cov tshuaj thiab cov khoom noj tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm qhov kev kuaj no. Yog li koj tus kws kho mob yuav qhia koj kom tsis txhob noj cov taum fava lossis tsum tsis txhob noj qee cov tshuaj uas muaj sulfa rau ob peb hnub.
- Feem ntau, tsis tas yuav yoo mov ua ntej qhov kev kuaj no.
Nov yog qee yam tseem ceeb heev: Yog tias koj muaj cov tsos mob ntawm kev tsis muaj zog ntawm cov ntshav liab (piv txwv li, daj ntseg, qaug zog) rau hnub uas koj kuaj koj tus mob, koj tus kws kho mob yuav ncua qhov kev kuaj mus rau lwm hnub. Qhov no yog vim tias thaum koj muaj cov tsos mob, cov qe ntshav liab uas tsis muaj G6PD feem ntau raug rhuav tshem. Qhov ntawd tsuas yog tso cov qe ntshav noj qab haus huv hauv koj cov ntshav. Yog tias koj ua qhov kev kuaj thaum lub sijhawm ntawd, koj yuav tau txais cov txiaj ntsig cuav uas hais tias koj qib G6PD yog qhov ib txwm muaj.
Puas muaj kev pheej hmoo nrog qhov kev kuaj no?
Qhov no yog kev kuaj mob uas muaj kev pheej hmoo tsawg heev. Ib yam li lwm yam kev kuaj ntshav,
- Ib qho qhov txhab me me uas tau ntxig koob.
- Ib qho mob me me
- Tsis tshua muaj, los ntshav los yog muaj kab mob
Tej yam zoo li ntawd yuav tshwm sim tau, tab sis feem ntau cov no yuav zoo tag nrho hauv ib lossis ob hnub.
Daim ntawv qhia txog kev xeem hais li cas?
Yog koj daim ntawv qhia tias koj tus kab mob G6PD qis, nws txhais tau tias koj muaj G6PD deficiency. Tab sis nws tsis tau txhais hais tias koj muaj tus kab mob hemolytic anemia. Muaj ntau tus neeg nyob tsis muaj tsos mob dab tsi. Qhov tseem ceeb tshaj plaws yog kom nyob deb ntawm cov yam ua rau muaj tsos mob.
Tej zaum ib txhia poj niam yuav muaj cov G6PD qis dua li qub me ntsis. Qhov no txhais tau tias lawv yog tus 'nqa' rau G6PD deficiency. Hais yooj yim xwb, lawv muaj ob qho tib si gene rau G6PD deficiency thiab gene noj qab nyob zoo hauv lawv cov gene. Cov neeg no feem ntau tsis muaj tsos mob. Tab sis lawv tuaj yeem xa cov gene mus rau lawv cov menyuam.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Muaj coob tus neeg uas muaj G6PD deficiency nyob tau zoo yam tsis muaj teeb meem dab tsi. Tab sis yog tias koj muaj cov tsos mob ntawm cov ntshav tsis txaus (hemolytic anemia), thiab cov tsos mob ntawd suav nrog:
- Yog tias nws hnyav dhau ua rau koj ua tsis tau koj tej dej num txhua hnub
- Yog tias nws kav ntev tshaj 24-48 teev
Mus ntsib koj tus kws kho mob tam sim ntawd. Yog tias mob hnyav heev, tej zaum koj yuav tau mus pw hauv tsev kho mob kom tau kev kho mob. Yog tias muaj xwm txheej ceev, koj yuav tsum mus rau Chav Kho Mob Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- G6PD yog ib qho enzyme tseem ceeb uas tiv thaiv peb cov qe ntshav liab.
- Qhov tsis muaj cov enzyme no (G6PD deficiency) yog ib qho mob caj ces.
- Muaj ntau tus neeg muaj tus mob no tab sis tsis qhia cov tsos mob.
- Kev raug cov tshuaj xws li taum fava, qee yam tshuaj, thiab kev kis kab mob tuaj yeem ua rau cov qe ntshav liab tawg, ua rau muaj ntshav tsis txaus.
- Kev kuaj G6PD yog kev kuaj ntshav yooj yim uas ua los kuaj pom tus mob no.
- Yog tias koj muaj G6PD deficiency, qhov tseem ceeb tshaj plaws yog kom paub tias koj cov teeb meem yog dab tsi thiab zam lawv.
- Qhov tseem ceeb tshaj plaws: Yog tias koj muaj G6PD deficiency, nco ntsoov qhia rau koj tus kws kho mob ua ntej sau cov tshuaj tshiab.
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