Koj puas tau muaj ntshav txhaws tam sim ntawd, lossis muaj teeb meem thaum cev xeeb tub thiab tus kws kho mob tau kuaj ntshav? Koj puas txhawj xeeb thaum daim ntawv tshaj tawm hais tias 'Lupus Anticoagulant positive'? Koj puas ntshai thaum koj pom lo lus 'lupus' thiab xav tias qhov no yog lupus? Lub npe no yeej ua rau neeg tsis meej pem me ntsis. Yog vim li ntawd ntau tus neeg thiaj nkag siab yuam kev txog nws. Cia peb piav qhia txog txhua yam teeb meem txog qhov no hnub no.
Lupus Anticoagulant yog dab tsi tiag?
Hais yooj yim xwb, qhov no yog ib hom tshuaj tiv thaiv kab mob uas tuaj yeem muaj nyob hauv peb cov ntshav.
Xav txog peb lub cev lub cev tiv thaiv kab mob zoo li ib pab tub rog uas tiv thaiv lub teb chaws. Thaum ib tug kab mob lossis ib yam dab tsi phem nkag mus rau hauv lub cev los ntawm sab nraud, pab tub rog no paub tus yeeb ncuab ntawd thiab tsim ib pawg tub rog tshwj xeeb, hu ua cov tshuaj tiv thaiv kab mob, los rhuav tshem nws. Qhov no yog qhov feem ntau tshwm sim.
Tiam sis, qee zaum peb lub cev tiv thaiv kab mob tsis ua haujlwm zoo. Es tsis txhob tawm tsam cov neeg txawv teb chaws, nws pib tawm tsam peb cov hlwb noj qab haus huv . Yog li ntawd lupus anticoagulant (LA) yog ib qho tshuaj tiv thaiv kab mob uas tsim los ntawm kev ua yuam kev thiab ua rau peb lub cev puas tsuaj.
Cov tshuaj LA antibody no, nrog rau ob lwm cov tshuaj antibody, tuaj yeem ua rau muaj mob hu ua Antiphospholipid Syndrome (APS) . Qhov no yog ib hom kab mob autoimmune. Lub ntsiab lus tseem ceeb ntawm qhov no yog tias qhov kev pheej hmoo ntawm cov ntshav txhaws hauv cov hlab ntsha ntawm lub cev yog siab dua li tus neeg ib txwm.
Yog li ntawd, vim li cas qhov no thiaj hu ua 'lupus'? Qhov no puas yog tib yam kab mob li lupus?
Qhov no yog qhov uas ntau tus neeg tsis meej pem thiab ntshai. Txawm hais tias muaj ib feem 'lupus' hauv lub npe, lupus yog ob yam sib txawv: Lupus Anti-Coagulant (LA) thiab Lupus Disease. Nws yog ib zaj dab neeg nthuav heev uas lub npe no tau los txog li cas.
Cov tshuaj tiv thaiv kab mob no tau tshawb pom thawj zaug ntau xyoo dhau los thaum cov kws tshawb fawb tau kuaj cov ntshav ntawm cov neeg mob lupus. Yog li lawv xav tias nws yog ib yam dab tsi tshwj xeeb rau cov neeg mob lupus.
Lawv kuj tau pom tias cov qauv ntshav uas muaj cov tshuaj tiv thaiv no siv sijhawm ntev dua li qub kom khov hauv vitro. 'Anticoagulant' txhais tau tias 'tiv thaiv cov ntshav khov.' Yog li, lawv hu nws ua 'lupus anticoagulant', txhais tau tias 'ib yam dab tsi hauv lub cev ntawm cov neeg mob lupus uas tiv thaiv cov ntshav khov.'
Txawm li cas los xij, ob qho kev xav ntawd tom qab ntawd tau pom tias tsis yog. Qhov tseeb, qhov sib txawv yog qhov tseeb. Qhov tshuaj tiv thaiv no ua rau hauv lub cev yog ua kom cov ntshav khov ntxiv, tsis yog tiv thaiv nws!
Yuav kom daws qhov kev tsis meej pem no, saib lub rooj hauv qab no.
| Qhov tseeb | Tshuaj tiv thaiv kev coagulant ntawm lupus (LA) | Kab mob Lupus (SLE) |
|---|---|---|
| Xwm | Ib qho tshuaj tiv thaiv kab mob hauv cov ntshav. | Ib yam kab mob autoimmune nyuaj uas cuam tshuam rau ntau yam kabmob hauv lub cev. |
| Cov nyhuv tseem ceeb | Ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws. | Ntau lub cev muaj peev xwm raug cuam tshuam, xws li daim tawv nqaij, pob qij txha, raum, lub plawv, thiab lub hlwb. |
| Kev Sib Raug Zoo | Muaj LA tsis tau txhais hais tias koj muaj lupus, tab sis qee tus neeg uas muaj lupus yuav muaj LA. | LA tsuas yog ib qho kev tshawb pom uas tej zaum yuav cuam tshuam nrog lupus. |
Vim li cas qee yam zoo li no tshwm sim rau peb lub cev?
Qhov no yog vim peb lub cev tiv thaiv kab mob ua yuam kev. Cov tshuaj LA antibodies no tawm tsam cov protein uas txuas nrog ib hom roj hu ua phospholipids ntawm sab nraud ntawm peb cov cell. Qhov kev tawm tsam no ua rau cov cell puas tsuaj, ua rau lawv lo ua ke thiab ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.
Cov kws tshaj lij tseem tsis tau paub meej tias vim li cas lub cev tiv thaiv kab mob thiaj pib tsim cov tshuaj tiv thaiv kab mob tsis zoo no. Lawv ntseeg tias tej zaum yuav yog vim muaj tej yam caj ces, tej yam cuam tshuam ib puag ncig, lossis lwm yam mob sib kis.
LA positive txhais li cas? Nws yuav cuam tshuam li cas rau kuv?
Muaj LA nyob rau hauv koj cov ntshav txhais tau tias koj muaj feem yuav mob hu ua antiphospholipid syndrome (APS). Ntawm no, 'muaj feem yuav mob'Lo lus "yuav" tseem ceeb heev. Nws tsis tau txhais hais tias nws yuav tshwm sim tiag tiag.
Txawm hais tias cov tshuaj LA antibody muaj nyob hauv cov ntshav los xij, tseem muaj ntau tus neeg uas tseem noj qab nyob zoo thoob plaws lawv lub neej yam tsis muaj cov ntshav txhaws lossis teeb meem.
Yog li ntawd, tsis txhob ntshai thaum koj pom qhov no hauv koj daim ntawv qhia. Txawm li cas los xij, nws yog ib qho tseem ceeb rau koj tus kws kho mob kom paub txog qhov no thiab saib xyuas koj. Vim tias koj muaj feem yuav muaj cov ntshav txhaws ntau dua li lwm tus, nws yog ib qho kev txawj ntse kom paub txog nws.
Cov kev kho mob rau qhov no yog dab tsi?
Tseem tsis tau muaj kev kho mob uas yuav tshem tawm cov tshuaj LA antibody no tawm ntawm lub cev tag nrho. Tab sis muaj kev kho mob zoo heev los tswj qhov kev puas tsuaj uas nws tuaj yeem ua rau, uas yog kev tsim cov ntshav txhaws.
Yog tias koj tsis muaj tsos mob, uas txhais tau tias koj tsis tau muaj ntshav txhaws ua ntej, koj tus kws kho mob yuav txiav txim siab saib koj yam tsis muab tshuaj rau koj.
Txawm li cas los xij, yog tias koj tau muaj ntshav txhaws ua ntej lossis tau kuaj pom tias muaj APS, kev kho mob tseem ceeb yog tshuaj anticoagulants lossis tshuaj thinning ntshav . Cov tshuaj xws li warfarin thiab heparin raug muab los txo qhov kev pheej hmoo ntawm cov ntshav txhaws. Qee zaum, cov tshuaj xws li corticosteroids kuj raug muab los txo qhov ua haujlwm ntau dhau ntawm lub cev tiv thaiv kab mob.
Tag nrho cov kev kho mob no yog koj tus kws kho mob txiav txim siab, suav nrog ntau yam xws li koj tus mob, hnub nyoog, thiab lwm yam kab mob.
Thaum twg kuv yuav tsum mus ntsib kws kho mob? Xwm txheej ceev yog dab tsi?
Thaum nyob nrog qhov xwm txheej no, nws yog ib qho tseem ceeb heev kom paub qhov txawv ntawm cov xwm txheej ib txwm muaj thiab cov xwm txheej ceev.
| Lub cib fim | Yuav ua li cas |
|---|---|
| Kev soj ntsuam dav dav | Mus rau lub tsev kho mob raws sijhawm teem tseg kom kuaj mob raws li tus kws kho mob hais. Lawv yuav kuaj ntshav seb cov tshuaj noj puas raug thiab puas muaj lwm yam kev hloov pauv. |
| Xwm txheej ceev (mus rau ETU tam sim ntawd) |
|
Cov cim qhia txog kev txhaws ntshav
- Ceg (Thrombosis ntawm cov leeg ntshav tob - DVT): o tuaj sai sai, liab, sov so, thiab mob ib ceg.
- Kab mob ntsws embolism: Ua pa luv luv tam sim ntawd, mob hauv siab (tshwj xeeb tshaj yog thaum ua pa), hnoos tawm ntshav.
- Mob stroke: ib sab ntawm lub ntsej muag poob qis, poob ib sab caj npab, nyuaj hais lus.
Yog tias muaj cov tsos mob no tshwm sim, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tshuaj tiv thaiv kev coagulant ntawm tus kab mob Lupus (LA) tsis yog tus kab mob lupus nws tus kheej. Nws tsuas yog ib hom tshuaj tiv thaiv kab mob hauv cov ntshav xwb.
- Muaj LA nyob hauv koj cov ntshav txhais tau tias koj muaj feem yuav mob ntshav txhaws ntau dua. Qhov ntawd tsis tau txhais hais tias nws yuav tshwm sim tiag tiag.
- Tsis txhob ntshai tom qab pom daim ntawv qhia. Tab sis nco ntsoov nrog koj tus kws kho mob tham txog qhov no thiab ua raws li nws cov lus qhia.
- Lub hom phiaj tseem ceeb ntawm kev kho mob yog tiv thaiv kom cov ntshav tsis txhob txhaws. Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob zoo tshaj plaws rau koj.
- Nco ntsoov ceev faj txog cov cim qhia tias muaj ntshav txhaws (o ntawm ob txhais ceg, mob hauv siab, ua pa nyuaj). Yog tias muaj cov tsos mob zoo li no tshwm sim, mus rau ETU tam sim ntawd.
- Nws yog ib qho ib txwm muaj uas koj yuav ntshai thiab ntxhov siab thaum koj xav tias qee yam uas koj tsis pom hauv koj lub cev yuav ua rau koj raug mob. Tsis txhob nyob hauv kev ntshai, ua neej nrog kev paub thiab kev xav. Koj tus kws kho mob tuaj yeem pab koj ntawm txoj kev ntawd.
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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