Kab mob autoimmunity yog dab tsi? Vim li cas peb lub cev thiaj tig tawm tsam peb?

Koj puas tau hnov ​​​​tias peb lub cev tiv thaiv kab mob, cov tub rog uas yuav tsum tiv thaiv peb ntawm kab mob, qee zaum ua phem thiab tawm tsam peb? Nws txawv txawv, puas yog? Tab sis nws yog qhov tseeb. Nws zoo li tus dev zov hauv peb lub tsev tsis paub peb thiab tuaj tom peb. Qhov no yog qhov hu ua autoimmunity hauv kev kho mob. Cia peb tham txog qhov no hauv txoj kev yooj yim, yooj yim to taub hnub no.

Lub Cev Tiv Thaiv Kab Mob - tus tiv thaiv zoo tshaj plaws ntawm peb lub cev yog dab tsi?

Hais yooj yim xwb, peb lub cev tiv thaiv kab mob zoo li ib pab tub rog hauv peb lub cev. Pab tub rog no muaj ntau tus tub rog sib txawv. Uas yog, nws muaj cov kab mob tshwj xeeb, ntau hom hlwb (tshwj xeeb yog cov hlwb ntshav dawb), thiab cov protein xws li cov tshuaj tiv thaiv kab mob .

Lawv txoj haujlwm tseem ceeb yog nrhiav cov yeeb ncuab uas nkag mus rau hauv lub cev los ntawm sab nraud. Ntawd yog:

• Cov kab mob
• Cov kab mob
• Cov nceb
• Lwm cov kab mob thiab cov khoom txawv teb chaws

Thaum cov yeeb ncuab no raug txheeb xyuas lawm, peb lub cev tiv thaiv kab mob yuav tawm tsam thiab rhuav tshem lawv. Los yog nws ua rau lawv lub zog tsis muaj zog. Qhov no yog vim li cas peb thiaj tsis mob ntau zaus. Txawm tias peb mob los xij, nws yog lub cev tiv thaiv kab mob no uas pab peb rov zoo sai. Lub tshuab no hauv peb lub cev puas zoo kawg nkaus?

Yog li, qhov kev tsis meej pem no txog autoimmunity yog dab tsi?

Tam sim no xav txog, peb lub zog tiv thaiv, lub cev tiv thaiv kab mob, pib tawm tsam nws cov tub rog, cov hlwb noj qab haus huv thiab cov nqaij ntawm peb lub cev, vim yog qhov yuam kev me me. Qhov ntawd yog qhov peb hu ua autoimmunity . "Auto" txhais tau tias "tus kheej." "Kev tiv thaiv kab mob" txhais tau tias kev tiv thaiv kab mob. Yog li koj nkag siab, qhov no yog qhov uas koj tus kheej lub cev tiv thaiv kab mob tawm tsam nws tus kheej.

Qhov no zoo li cov tub rog, uas yuav tsum tiv thaiv lub tebchaws, tua cov neeg tsis muaj txim hauv nws lub tebchaws yam tsis tau xav txog. Qhov uas tshwm sim yog tias qee qhov ntawm peb lub cev maj mam raug rhuav tshem.

Qhov uas tshwm sim hauv qhov no tsis yog hais tias lub cev tiv thaiv kab mob tsis muaj zog, tab sis nws mus yuam kev. Ntawd yog, nws tsis tuaj yeem paub qhov txawv ntawm "tus kheej" thiab "txawv teb chaws." Yog li ntawd, nws pib tsim cov tshuaj tiv thaiv , lossis, cia peb hais tias, "riam phom tsis nkag siab," tawm tsam nws lub cev, xav tias lawv yog "yeeb ncuab." Peb kuj hu cov autoantibodies no.

Vim li cas qhov no thiaj tshwm sim rau peb lub cev? Yog vim li cas?

Qhov ua rau muaj cov mob autoimmune no tseem tsis tau paub meej, tab sis cov kws tshawb fawb ntseeg tias kev sib xyaw ua ke ntawm ntau yam yuav ua lub luag haujlwm.

• Kev mob caj ces: Yog tias qee tus neeg muaj cov mob zoo li no hauv lawv tsev neeg, lawv kuj yuav muaj kev mob caj ces. Qhov no txhais tau tias peb cov noob caj ces yuav pab tau peb me ntsis. Tab sis peb tsis tuaj yeem hais tias nws tsuas yog tshwm sim los ntawm cov noob caj ces xwb.
• Tej yam uas ua rau peb mob: Tej zaum tej yam nyob hauv peb ib puag ncig, xws li kev kis kab mob, qee yam tshuaj, kev haus luam yeeb, lossis kev ntxhov siab ntau, tuaj yeem ua rau "thawj zaug" ntawm kev tiv thaiv kab mob autoimmune. Qhov no txhais tau tias ib tus neeg uas muaj kev pheej hmoo caj ces yuav muaj feem mob thaum lawv raug rau ib yam dab tsi nyob ib puag ncig zoo li no.
• Cov Tshuaj Hormones: Qee cov kab mob autoimmune feem ntau tshwm sim rau cov poj niam, yog li nws xav tias cov tshuaj hormones poj niam ua lub luag haujlwm.
• Qee qhov kev kis kab mob: Kuj tseem muaj ib txoj kev xav tias tom qab qee qhov kev kis kab mob los ntawm cov kab mob lossis cov kab mob viral, lub cev tiv thaiv kab mob yuav ua haujlwm tsis zoo me ntsis, thiab qhov mob no tuaj yeem pib.

Qhov tseem ceeb tshaj plaws yog qhov no tsis yog ib yam kab mob sib kis tau. Qhov ntawd txhais tau tias nws tsis tuaj yeem kis tau ntawm ib tus neeg mus rau ib tus neeg, txawm yog los ntawm kev kov lossis sib koom noj mov thiab haus dej. Tsis tas li ntawd, qhov no tsis yog koj qhov txhaum.

Cov kab mob autoimmune muaj hom dab tsi? Cia peb saib qee cov piv txwv.

Lawv hais tias muaj ntau tshaj 80 hom kab mob autoimmune. Qee hom paub zoo, qee hom tsis paub zoo. Cov kab mob no tuaj yeem cuam tshuam yuav luag txhua qhov ntawm lub cev. Cia peb saib qee qhov piv txwv uas pom ntau tshaj plaws.

• Kab Mob Ntshav Qab Zib Hom 1: Hauv qhov no, peb lub cev tiv thaiv kab mob rhuav tshem cov hlwb hauv lub txiav uas tsim cov tshuaj insulin . Insulin yog qhov tseem ceeb rau kev tswj peb lub cev cov piam thaj. Yog li thaum cov hlwb no raug rhuav tshem, insulin tsis tsim tawm lawm.
• Mob Pob Qij Txha Rheumatoid: Hauv qhov mob no, peb lub cev tiv thaiv kab mob tawm tsam cov pob qij txha. Cov pob qij txha yuav o, tawv, thiab mob. Raws li lub sijhawm dhau mus, cov duab ntawm cov pob qij txha yuav hloov pauv.
• Lupus (SLE - Systemic Lupus Erythematosus): Lupus yog ib yam kab mob autoimmune uas nyuaj heev uas tsis yog tsuas yog cuam tshuam rau ib qho chaw ntawm lub cev xwb, tab sis kuj cuam tshuam rau ntau lub cev, xws li daim tawv nqaij, pob qij txha, raum, hlwb, thiab lub plawv.
• Kab mob Multiple Sclerosis (MS): Hauv tus kab mob no, lub cev tiv thaiv kab mob tawm tsam lub plhaub tiv thaiv (myelin sheath) uas nyob ib puag ncig cov hlab ntsha hauv lub hlwb thiab tus txha caj qaum. Qhov no ua rau muaj teeb meem nrog kev xa cov lus los ntawm cov hlab ntsha.
• Hashimoto's Thyroiditis: Hauv qhov mob no, lub cev tiv thaiv kab mob tawm tsam lub qog thyroid, uas yog lub qog zoo li npauj npaim hauv peb lub caj dab. Qhov no ua rau cov tshuaj hormones thyroid tsawg zuj zus, ua rau hypothyroidism.
• Kab Mob Graves: Qhov no kuj yog ib yam kab mob autoimmune uas cuam tshuam rau cov qog thyroid. Txawm li cas los xij, hauv qhov no, cov qog thyroid ua haujlwm ntau dhau thiab tsim cov tshuaj hormones thyroid ntau dhau (hyperthyroidism).
• Kab Mob Plab Hnyuv (IBD):Qhov no suav nrog cov mob xws li Crohn's Disease thiab Ulcerative Colitis, uas ua rau mob o ntawm lub cev zom zaub mov, tshwj xeeb tshaj yog cov hnyuv.

Cov no tsuas yog ob peb yam piv txwv xwb. Cov tsos mob thiab cov teebmeem ntawm txhua yam kab mob no txawv.

Cov tsos mob ntawm tus mob no yog dab tsi?

Cov tsos mob ntawm tus kab mob autoimmune sib txawv heev nyob ntawm hom kab mob thiab qhov twg ntawm lub cev nws cuam tshuam. Txawm li cas los xij, muaj qee cov tsos mob uas pom tau hauv ntau yam kab mob autoimmune.

• Qaug zog thiab nkees nkees ntau zaus: Xav tias nkees txawm tias pw tsaug zog zoo los xij.
• Mob pob qij txha, o, thiab mob nqaij.
• Teeb meem ntawm daim tawv nqaij: Muaj ntau yam pob khaus, tawv nqaij liab, qee zaum muaj cov pob zoo li npauj npaim ntawm lub ntsej muag (zoo li hauv lupus).
• Mob plab los yog teeb meem zom zaub mov.
• Mob kub taub hau tsawg dua.
• Cov qog ntshav o.
• Kev tsis muaj zog ntawm ob txhais ceg lossis xav tias raug ntsaum khiav hla.
• Plaub hau poob.

Tsuas yog vim koj muaj ib lossis ob qho ntawm cov tsos mob no tsis tau txhais hais tias koj muaj tus kab mob autoimmune. Cov no kuj tuaj yeem tshwm sim los ntawm lwm yam yooj yim. Tab sis yog tias cov tsos mob no tseem muaj lossis hnyav zuj zus, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau txais kev qhia.

Ib qho ntxiv yog tias cov tsos mob ntawm cov kab mob autoimmune no tuaj yeem tshwm sim sai sai (flare-ups) thiab tom qab ntawd ploj mus ib ntus (remission). Yog li ntawd, txawm tias thaum tau txais kev kho mob, tus kab mob tuaj yeem ua rau hnyav zuj zus tuaj.

Tus kws kho mob kuaj mob li cas los ntawm tus kab mob autoimmune? (Kev kuaj mob)

Kev kuaj mob tus kab mob autoimmune qee zaum yuav nyuaj me ntsis vim tias cov tsos mob tsis meej thiab zoo ib yam li lwm yam kab mob.

Feem ntau, tus kws kho mob yuav ua tej yam zoo li no:

1. Yuav nug koj cov ntaub ntawv kom meej: koj muaj cov tsos mob dab tsi, koj tau muaj cov tsos mob ntawd ntev npaum li cas lawm, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov kab mob zoo sib xws.

2. Ua kev kuaj lub cev: Tshuaj xyuas lub cev.

3. Kev kuaj ntshav: Cov no tseem ceeb heev.

• Kev kuaj xws li ESR (Erythrocyte Sedimentation Rate) thiab CRP (C-Reactive Protein) los xyuas seb puas muaj kev o ntawm lub cev.
• Kev kuaj uas nrhiav cov tshuaj tiv thaiv kab mob tshwj xeeb, uas yog, cov tshuaj tiv thaiv uas tsim tawm tsam peb lub cev. Piv txwv li, kev kuaj ANA (Antinuclear Antibody) . Yog tias qhov no yog qhov zoo, ces yuav muaj tus mob autoimmune.
• Kuj tseem muaj kev kuaj tshuaj tiv thaiv kab mob tshwj xeeb rau qee cov kab mob autoimmune.

4. Lwm yam kev kuaj: Qee zaum X-rays, scans, thiab lwm yam, nyob ntawm lub cev uas cuam tshuam.Kuj tseem yuav ua tau kev kuaj duab lossis kev kuaj nqaij (uas yog kev siv ib daim nqaij me me thiab saib nws hauv qab lub tshuab microscope).

Tom qab ua tag nrho cov no, tus kws kho mob xaus lus.

Puas muaj kev kho rau qhov no? Yuav ua li cas tswj nws? (Kev Kho Mob & Kev Tswj Xyuas)

Txawm hais tias muaj ntau yam kab mob autoimmune uas kho tsis tau tag nrho los xij, muaj cov kev kho mob zoo uas tuaj yeem pab tswj tus kab mob, txo cov tsos mob, thiab ua rau lub neej yooj yim dua. Lub hom phiaj tseem ceeb ntawm kev kho mob yog:

• Kev txo cov tsos mob: Tswj cov yam xws li mob, o, thiab qaug zog.
• Kev tswj cov txheej txheem autoimmune: Nres lossis txo qhov kev tawm tsam ntawm lub cev tiv thaiv kab mob rau nws lub cev.
• Tiv thaiv lub cev lub peev xwm los tawm tsam cov kab mob tiag tiag: Tswj lub cev tiv thaiv kab mob kom txog thaum tsim nyog, yam tsis tas yuav tswj nws ntau dhau.
• Txo lossis tiv thaiv kev puas tsuaj rau cov kabmob.

Cov hauv qab no feem ntau yog siv los ua kev kho mob:

• Cov tshuaj tiv thaiv kev o: Cov tshuaj tua kab mob xws li NSAIDs (Cov tshuaj tsis yog steroidal Anti-inflammatory) txo qhov mob thiab o.
• Cov tshuaj Corticosteroids: Piv txwv li, Prednisolone. Cov no tuaj yeem tswj tau lub cev tiv thaiv kab mob thiab kev o sai sai. Txawm li cas los xij, lawv tuaj yeem ua rau muaj kev phiv thaum siv ntev, yog li ntawd lawv yuav tsum tau noj raws li tus kws kho mob qhia xwb.
• Cov Tshuaj Tiv Thaiv Kab Mob: Cov tshuaj no ua haujlwm los ntawm kev txo cov haujlwm ntawm lub cev tiv thaiv kab mob, tiv thaiv nws kom tsis txhob ua puas rau koj lub cev. Cov no kuj yuav tsum tau siv nyob rau hauv kev saib xyuas ntawm kws kho mob.
• Cov tshuaj siv los kho mob: Cov no yog cov kev kho mob tshiab, tsom mus rau qhov mob uas pab tswj tus kab mob los ntawm kev cuam tshuam tsuas yog qee qhov ntawm lub cev tiv thaiv kab mob. Cov no tuaj yeem kim dua me ntsis.
• Kev kho mob tshwj xeeb rau cov tsos mob: Piv txwv li, ntshav qab zib xav tau insulin. Mob pob qij txha tuaj yeem kho tau nrog kev kho lub cev.

Ntxiv rau kev siv tshuaj, kev hloov pauv hauv lub neej kuj tseem ceeb heev:

• Kev noj zaub mov kom sib npaug: khoom noj muaj txiaj ntsig thiab dej haus zoo.
• Kev tawm dag zog tsis tu ncua: Raws li qhov tsim nyog rau lub cev.
• Kev tswj kev ntxhov siab: Tej yam zoo li kev xav thiab yoga.
• Pw tsaug zog txaus.
• Tsis txhob haus luam yeeb.

Txog kev nyob nrog tus mob autoimmune

Nws yog ib qho ib txwm muaj kev tu siab thiab ntshai thaum koj paub tias koj muaj tus kab mob autoimmune, vim tias feem ntau ntawm cov no yog cov kab mob ntev, txhais tau tias lawv kav ntev.

Tiam sis nco ntsoov, koj tsis yog tib leeg xwb. Muaj ntau lab tus tib neeg thoob plaws ntiaj teb uas ua neej tau zoo nrog cov mob no.

Qhov tseem ceeb tshaj plaws yog:

• Tswj kev sib raug zoo nrog koj tus kws kho mob. Mus rau cov chaw kho mob raws li tau teem tseg, noj koj cov tshuaj raws li tau sau tseg, thiab qhia rau koj tus kws kho mob yog tias koj muaj lus nug dab tsi.
• Kawm txog koj tus mob. Ces koj mam li nkag siab tias yuav ua li cas nrog nws.
• Nrhiav kev txhawb nqa los ntawm tsev neeg thiab cov phooj ywg. Qhia rau lawv txog koj qhov teeb meem.
• Nws kuj yog ib qho kev pab zoo heev yog tias koj tuaj yeem koom nrog cov pab pawg txhawb nqa nrog cov neeg nyob rau hauv cov xwm txheej zoo sib xws.
• To taub tias tej zaum yuav muaj tej lub sij hawm uas cov tsos mob zuj zus tuaj (mob hnyav zuj zus) thiab tej lub sij hawm uas cov tsos mob txo qis (mob ploj mus). Npaj ua ntej rau qhov no.
• Saib xyuas koj txoj kev noj qab haus huv ntawm lub hlwb thiab. Yog tias tsim nyog, nrhiav kev pab tswv yim.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb rov xyuas cov ntsiab lus tseem ceeb tshaj plaws txog autoimmunity uas peb tau tham txog hnub no.

• Kev tiv thaiv kab mob tsis zoo yog thaum peb lub cev tiv thaiv kab mob tsis raug cai tawm tsam peb cov hlwb thiab cov nqaij noj qab haus huv.
• Qhov no tsis yog koj qhov txhaum, thiab nws tsis yog ib yam dab tsi uas koj tau ua. Thiab qhov no tsis yog ib yam kab mob sib kis tau.
• Muaj ntau hom kab mob autoimmune, uas tuaj yeem cuam tshuam rau ntau qhov ntawm lub cev.
• Cov tsos mob yuav txawv thiab tsis meej. Yog tias koj tsis paub meej lossis yog tias cov tsos mob tseem muaj, nws yog ib qho zoo uas yuav tsum nrhiav kev pab kho mob.
• Txawm hais tias muaj ntau yam kab mob autoimmune kho tsis tau tag nrho, muaj cov kev kho mob zoo uas tuaj yeem tswj cov tsos mob thiab txhim kho lub neej zoo.
• Nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob thaum ntxov thiab tau txais kev kho mob tas mus li thiab kom raug.
• Koj tsis yog tib tug neeg uas nyob hauv txoj kev no. Yog koj muaj lus qhia thiab kev txhawb nqa los ntawm kws kho mob zoo, koj yuav ua neej tau zoo nrog tus mob no.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob hauv tsev neeg lossis tus kws kho mob tshwj xeeb.

` Kev tiv thaiv kab mob autoimmune, lub cev tiv thaiv kab mob, cov kab mob autoimmune, cov kab mob autoimmune, lub cev tiv thaiv kab mob, Sri Lanka Health, Sinhala medical article