Koj tus menyuam puas muaj cov pob zoo li no? Cia peb kawm txog Neonatal Lupus!

Nws yog ib qho ib txwm muaj uas koj yuav ntshai me ntsis yog tias koj pom qee cov pob liab ntawm koj tus menyuam mos lub cev, lossis yog tias tus kws kho mob hais ib yam dab tsi txog koj tus menyuam lub plawv dhia. Qee zaum cov no tuaj yeem tshwm sim los ntawm tus mob hu ua Neonatal Lupus. Hnub no, peb yuav tham txog qhov no kom ntxaws me ntsis, ib yam li koj yuav tham nrog ib tug phooj ywg.

Lupus rau menyuam mos yog dab tsi?

Hais yooj yim xwb, Neonatal Lupus yog ib yam mob uas tuaj yeem cuam tshuam rau tus menyuam hauv plab (fetus) lossis tom qab yug los (menyuam mos). Feem ntau, nws ua rau muaj kev hloov pauv ib ntus, tsis muaj teeb meem, xws li pob khaus ntawm daim tawv nqaij. Cov no feem ntau ploj mus ua ntej tus menyuam muaj ib xyoos. Txawm li cas los xij, qee zaum Neonatal Lupus tuaj yeem cuam tshuam rau lub plawv ntawm tus menyuam.

Qhov teeb meem txaus ntshai tshaj plaws uas tuaj yeem tshwm sim hauv qhov no yog "autoimmune congenital heart block." Yog li ntawd, "Neonatal Lupus" no tiv thaiv tus menyuam lub plawv tsis dhia zoo. Qhov kev thaiv plawv no tuaj yeem ua rau tuag taus yog tias nws hnyav tshaj plaws, tab sis feem ntau nws tuaj yeem kho tau.

Yog tias koj tus menyuam tau kuaj pom tias muaj tus kab mob Neonatal Lupus, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia ntawm pab neeg saib xyuas koj tus menyuam kom zoo. Lawv yuav piav qhia txog seb qhov kev kuaj mob yuav cuam tshuam li cas rau koj tus menyuam thiab seb puas yuav tsum tau kho mob.

Qhov no puas muaj feem cuam tshuam nrog tus kab mob lupus hauv cov neeg laus (Systemic Lupus Erythematosus - SLE)?

Tsis yog, tsis txhob xav tias ob yam no sib txawv. Neonatal Lupus tsis yog tib yam kab mob li Systemic Lupus Erythematosus (SLE), uas peb feem ntau hu ua lupus. Nws yog ib yam mob sib txawv nrog nws tus kheej ua rau thiab kev kho mob.

Kab mob Lupus rau cov menyuam mos yog tshwm sim los ntawm qee hom tshuaj tiv thaiv kab mob, xws li anti-SSA, anti-SSB, thiab anti-U1-RNP, uas kis tau los ntawm niam mus rau tus menyuam los ntawm lub tsev menyuam. Cov tshuaj tiv thaiv kab mob no yog cov protein uas ua yuam kev tawm tsam cov hlwb noj qab haus huv hauv peb lub cev. Feem ntau, cov tshuaj tiv thaiv kab mob no tsis cuam tshuam rau tus menyuam uas loj hlob hauv plab. Tab sis qee zaum, lawv tuaj yeem tawm tsam tus menyuam cov hlwb noj qab haus huv, tshwj xeeb tshaj yog cov hlwb plawv.

Kab mob Lupus rau cov menyuam mos tsuas yog tshwm sim rau cov menyuam mos uas lawv niam muaj cov tshuaj tiv thaiv kab mob no xwb. Qhov no feem ntau txhais tau tias leej niam muaj kab mob autoimmune. Piv txwv li, Sjögren's syndrome, SLE, lossis kab mob sib xyaw ua ke. Txawm li cas los xij, qee zaum cov tshuaj tiv thaiv kab mob no tuaj yeem muaj nyob hauv lub cev yam tsis muaj tsos mob. Qee zaum, Neonatal Lupus yuav yog thawj qhov cim qhia tias leej niam muaj ib lossis ntau cov tshuaj tiv thaiv kab mob no thiab tias nws yuav muaj kab mob autoimmune yav tom ntej.

Nco ntsoov tias, yog tias koj muaj tus kab mob autoimmune, nws tsis tau txhais hais tias koj tus menyuam yuav muaj tus kab mob Neonatal Lupus. Qhov tseeb, nws muaj feem ntau dua uas koj tus menyuam yuav tsis muaj tus kab mob Neonatal Lupus. Tab sis, qhov no yog ib yam dab tsi uas koj yuav tsum paub txog thiab tham nrog koj tus kws kho mob txog.

Qhov teeb meem no feem ntau tshwm sim li cas?

Kab mob Lupus rau cov menyuam mos tsis yog ib qho mob uas tsis tshua muaj. Nws qhov teeb meem loj tshaj plaws, uas yog kab mob autoimmune congenital heart block, cuam tshuam tsawg dua 2% ntawm cov menyuam mos uas yug los ntawm cov niam uas muaj cov tshuaj tiv thaiv rau anti-SSA, anti-SSB, lossis anti-U1-RNP. Txawm li cas los xij, yog tias koj tau muaj kab mob autoimmune congenital heart block hauv koj cev xeeb tub yav dhau los, koj muaj feem yuav muaj dua hauv koj cev xeeb tub tom ntej.

Cov tsos mob ntawm '(Neonatal Lupus)' yog dab tsi?

Qhov cim qhia meej tshaj plaws yog pob khaus ntawm daim tawv nqaij. Qhov no tuaj yeem pom thaum yug los, lossis nws tuaj yeem tshwm sim hauv ob peb lub hlis thawj zaug ntawm lub neej. Cov pob khaus no yog ib ntus xwb thiab tsis muaj teeb meem. Nws zoo li lub voj voog nrog ntug xim (feem ntau yog liab). Txhua lub voj voog muaj qhov chaw meej (piv txwv li, xim tawv nqaij ib txwm muaj).

Feem ntau koj yuav pom cov qhov txhab no ntawm koj tus menyuam lub taub hau thiab lub ntsej muag. Txawm li cas los xij, lawv kuj tuaj yeem tshwm sim ntawm lub hauv siab, caj npab, thiab ceg. Cov qhov txhab no zoo ib yam li cov uas pom hauv tus mob hu ua "subacute cutaneous lupus." Yog vim li ntawd lawv thiaj hu ua "neonatal lupus."

Tseem muaj lwm cov tsos mob uas ib ntus xwb thiab tsis ua rau muaj teeb meem dab tsi li. Lawv yog:

• Cov qe ntshav liab tsawg dua (anemia).
• Cov platelets qis (cov hlwb uas pab kom cov ntshav khov) (thrombocytopenia).
• Cov qe ntshav dawb tsawg (neutropenia).
• Cov qib enzyme siab nce siab.

Tag nrho cov tsos mob no ploj mus thaum cov tshuaj tiv thaiv kab mob los ntawm leej niam raug tshem tawm tag nrho ntawm lub cev ntawm tus menyuam. Feem ntau lawv zoo dua ntawm 6 thiab 9 lub hlis.

Neonatal Lupus thiab Heart Block

Raws li peb tau hais ua ntej lawm, Neonatal Lupus tuaj yeem ua rau muaj teeb meem loj heev hu ua autoimmune congenital heart block. Qhov no yog teeb meem nrog lub plawv hluav taws xob ntawm tus menyuam. Lub plawv dhia ntawm tus menyuam raug tswj los ntawm cov hluav taws xob uas mus ncig thoob lub plawv. Hauv Neonatal Lupus, cov tshuaj tiv thaiv kab mob los ntawm leej niam tawm tsam ib pawg ntawm cov hlwb uas tswj cov haujlwm hluav taws xob ntawm lub plawv, hu ua AV node.

Qee zaum qhov no tsuas yog ua rau muaj kev hloov me me hauv tus menyuam lub plawv dhia (lub plawv thaiv theem ib lossis theem ob). Tej zaum cov no yuav ploj mus tom qab yug los. Txawm li cas los xij, qee tus menyuam mos tuaj yeem muaj lub plawv thaiv theem peb, lossis lub plawv thaiv tag nrho, vim yog Neonatal Lupus.

Qhov no yog thaum cov teeb liab hluav taws xob los ntawm cov chav sab saud ntawm lub plawv tsis tuaj yeem hla mus rau cov chav sab hauv qab. Thaum cov teeb liab no raug thaiv tag, lub plawv dhia tsis sib xws, ua rau nws nyuaj rau tus menyuam lub plawv los tso ntshav txaus rau lub cev. Kev thaiv lub plawv theem peb yog hom mob hnyav tshaj plaws. Qee zaum nws tuaj yeem ua rau tuag taus ua ntej lossis tom qab yug los.

Feem ntau qhov mob plawv thaiv tshwm sim ntawm 18 thiab 24 lub lis piam ntawm cev xeeb tub. Cov kws kho mob tuaj yeem kuaj pom thaum cev xeeb tub los ntawm kev mloog tus menyuam lub plawv dhia. Yog tias lub plawv dhia qeeb dua li qhov xav tau (hu ua bradycardia), nws yuav yog ib qho cim qhia tias lub plawv thaiv.

Dab tsi yog cov ua rau muaj tus kab mob Lupus rau menyuam mos?

Raws li peb tau hais ua ntej lawm, Neonatal Lupus yog tshwm sim los ntawm cov tshuaj tua kab mob uas hla los ntawm niam mus rau tus menyuam los ntawm lub placenta. Cov kws tshawb fawb tau txuas cov hom tshuaj tua kab mob tshwj xeeb no rau Neonatal Lupus:

• `(Anti-Sjögren's-syndrome-related antigen A (anti-SSA/Ro))`
• `(Anti-Sjögren's-syndrome-related antigen B (anti-SSB/La))`
• `(Anti-U1 ribonucleoprotein (anti-U1-RNP))`

Cov '(antibodies)' no pom muaj nyob rau hauv cov neeg uas muaj ntau yam kab mob autoimmune, xws li '(Sjögren's syndrome)', '(SLE)', '(rheumatoid arthritis)' thiab '(mixed connective tissue disease)'. Txawm li cas los xij, cov '(antibodies)' no kuj tuaj yeem pom muaj nyob rau hauv cov neeg uas tsis muaj tsos mob lossis cov neeg uas tsis tau kuaj pom tias muaj tus kab mob.

Thaum cov tshuaj tiv thaiv kab mob no nkag mus rau hauv lub cev ntawm tus menyuam, lawv tuaj yeem ua rau muaj kev hloov pauv ib ntus lossis mus tas li. Cov kws tshawb fawb tseem tsis tau nkag siab tag nrho tias cov tshuaj tiv thaiv kab mob no ua rau muaj kev hloov pauv no li cas. Tab sis lawv paub tias qhov kev hloov pauv loj tshaj plaws thiab mus tas li yog rau tus menyuam lub siab .

Thaum nkag mus rau hauv lub plawv, cov tshuaj tiv thaiv no pib ua rau muaj kev o, uas ua rau muaj cov nqaij caws pliav. Cov nqaij caws pliav no thaiv cov teeb liab hluav taws xob, tiv thaiv tus menyuam lub plawv kom tsis txhob ua haujlwm zoo. Hauv cov xwm txheej phem tshaj plaws, qhov no tuaj yeem ua rau muaj kev pheej hmoo rau kev noj qab haus huv thaum cev xeeb tub lossis ua rau muaj teeb meem loj tom qab yug los.

Yuav kuaj mob li cas rau tus kab mob "Neonatal Lupus" no?

Cov kws kho mob kuaj mob Neonatal Lupus thaum cev xeeb tub lossis tom qab yug me nyuam tas. Yog tias lawv pom tias tus menyuam lub plawv dhia qeeb dua li qhov xav tau, lawv yuav ua qhov kev kuaj echocardiogram ntawm tus menyuam hauv plab. Qhov no yog kev kuaj mob uas muaj kev nyab xeeb, tsis mob, thiab tsis mob. Nws tuaj yeem saib cov qauv thiab kev ua haujlwm ntawm tus menyuam lub plawv.

Daim '(fetal echocardiogram)' no yuav qhia txog kev hloov pauv uas qhia txog '(Neonatal Lupus)'. Yog tias yog li ntawd, koj tus kws kho mob yuav qhia koj txog qhov hnyav ntawm tus mob thiab yam uas yuav tshwm sim yav tom ntej. Lawv kuj tseem yuav kuaj koj cov ntshav seb puas muaj cov '(antibodies)' tshwj xeeb.

Qee zaum, cov tsos mob ntawm Neonatal Lupus, xws li cov tawv nqaij mob, tsuas yog tshwm sim tom qab tus menyuam yug los. Yog tias qhov no tshwm sim, pab pawg kho mob yuav kuaj lub cev kom paub seb puas muaj lwm yam ua rau muaj cov mob no. Lawv kuj tseem yuav kuaj koj, koj tus menyuam, lossis koj ob leeg rau cov tshuaj tiv thaiv kab mob los pab kuaj mob.

Koj tus kws kho mob yuav kuaj koj tus mob Neonatal Lupus yog tias muaj ob qho mob no:

• Yog tias koj thiab/lossis koj tus menyuam muaj mob "(zoo)" rau "(anti-SSA)" thiab/lossis "(anti-SSB)" thiab/lossis "(anti-U1-RNP)".

thiab

• Yog tias koj tus menyuam muaj tsawg kawg ib qho tsos mob ntawm "Neonatal Lupus".

Yuav kho tus menyuam mos Lupus li cas?

Kev kho mob nyob ntawm seb qhov mob hnyav npaum li cas. Tsis tas yuav kho mob rau cov qhov txhab ntawm daim tawv nqaij, cov qe ntshav tsis zoo, lossis cov enzymes siab. Cov teeb meem no feem ntau yuav ploj mus lawv tus kheej hauv tsawg dua ib xyoos.

Txawm li cas los xij, cov menyuam mos uas yug los muaj lub plawv thaiv yuav tsum tau muaj lub tshuab ua kom lub plawv dhia ruaj khov thaum yug los lossis thaum yau. Qhov no yog ib qho kev phais mob los cog ib lub cuab yeej los pab lawv lub plawv dhia kom zoo. Pab neeg kho mob ntawm koj tus menyuam yuav qhia koj ntxiv txog qhov no.

Muaj qee qhov kev tshawb fawb tau qhia tias kev noj qee yam tshuaj thaum cev xeeb tub tuaj yeem txo qhov kev pheej hmoo ntawm koj tus menyuam txoj kev mob plawv. Yog tias koj tau kuaj pom tias muaj tus kab mob autoimmune, lossis yog tias koj kuaj pom tias muaj qee yam tshuaj tiv thaiv kab mob, koj tus kws kho mob yuav pom zoo kom koj noj tshuaj hu ua hydroxychloroquine thaum cev xeeb tub. Ua li ntawd yuav pab tiv thaiv koj tus menyuam ntawm cov teeb meem loj tshaj plaws ntawm Neonatal Lupus.

Yuav ua li cas thiaj paub tias tus menyuam mos uas muaj tus kab mob Neonatal Lupus yuav muaj mob dab tsi?

Koj tus menyuam txoj kev xav nyob ntawm seb tus kab mob Lupus rau menyuam mos cuam tshuam li cas rau nws lub cev. Rau cov menyuam mos uas tsuas muaj daim tawv nqaij, siab, thiab/lossis cov ntshav tsis zoo xwb, qhov kev xav zoo heev. Txhua yam yuav tsum rov qab zoo li qub thaum 6 txog 9 lub hlis.

Txawm li cas los xij, yog tias lub plawv thaiv tshwm sim, qhov kev xav yuav txawv heev. Lub plawv thaiv qee zaum tuaj yeem ua rau tuag taus ua ntej lossis tom qab yug los. Ntau tus menyuam mos uas muaj lub plawv thaiv yuav xav tau lub tshuab pacemaker tas mus li thaum yau.

Muaj ob peb tug menyuam mos uas muaj tus kab mob Neonatal Lupus tom qab ntawd tuaj yeem tsim tus mob autoimmune zoo li no:

• Mob pob qij txha idiopathic rau cov menyuam yaus
• Kab mob psoriasis
• Kab mob thyroid autoimmune
• Kab mob ntshav qab zib hom 1

Txhua tus menyuam mos txawv. Kab mob Lupus rau menyuam mos tej zaum yuav muaj feem cuam tshuam me ntsis rau lub neej ntawm koj tus menyuam. Lawv pab neeg kho mob yuav muab cov ntaub ntawv ntxiv rau koj txog yam uas yuav tshwm sim thiab yuav npaj li cas.

Puas tuaj yeem tiv thaiv tau tus kab mob Lupus rau cov menyuam mos?

Tsis muaj ib txoj kev twg los tiv thaiv cov tshuaj tiv thaiv kab mob kom tsis txhob hla lub placenta thaum koj cev xeeb tub. Txawm li cas los xij, koj tuaj yeem tiv thaiv kev puas tsuaj loj rau lub plawv ntawm koj tus menyuam, lossis tsawg kawg npaj ua ntej rau txhua yam kev kho mob uas koj tus menyuam yuav xav tau tom qab yug los. Yog tias koj kuaj pom tias muaj anti-SSA, anti-SSB, lossis anti-U1-RNP, koj tus kws kho mob yuav pom zoo cov hauv qab no:

• Kev noj qee yam tshuaj thaum ntxov cev xeeb tub thiab thaum cev xeeb tub tuaj yeem pab tiv thaiv tus menyuam kom tsis txhob mob plawv.
• Kev kuaj mob plawv thaiv (fetal echocardiograms) txij li thaum cev xeeb tub li ntawm 16 lub lis piam.
• Saib xyuas tus menyuam lub plawv ua haujlwm thaum lub hlis thawj zaug ntawm lub neej. Qhov no yog los xyuas seb puas muaj cov cim qhia tias lub plawv tsis ua haujlwm (yog tias lawv tseem tsis tau tshwm sim), vim tias qee tus menyuam tsis qhia cov cim qhia txog ob peb lub lis piam tom qab yug los.

Thaum twg kuv yuav tsum nrhiav kev pab kho mob?

Nws yog ib qho tseem ceeb uas yuav tsum ua raws li lub sijhawm kuaj mob thiab teem caij uas pab neeg kho mob ntawm koj tus menyuam muab. Lawv yuav qhia koj tias yuav tsum coj koj tus menyuam mus kuaj mob thiab saib xyuas ntau npaum li cas.

Nws tseem ceeb heev rau kev saib xyuas koj txoj kev noj qab haus huv. Yog tias koj kuaj pom tias muaj cov tshuaj tiv thaiv kab mob tab sis tsis muaj cov cim lossis cov tsos mob ntawm tus kab mob autoimmune, koj tus kws kho mob yuav xa koj mus rau tus kws kho mob rheumatologist, tus kws kho mob uas tshwj xeeb hauv kev mob pob qij txha thiab cov kab mob cuam tshuam. Qhov no yog vim muaj lub sijhawm uas koj yuav muaj tus kab mob autoimmune nquag hauv ob peb xyoos tom ntej. Koj tus kws kho mob yuav piav qhia txog yam koj tuaj yeem xav tau thiab saib xyuas koj ze ze kom koj tuaj yeem tau txais kev kho mob tam sim ntawd.

Kuv yuav tsum nug kuv tus menyuam tus kws kho mob li cas?

Cov lus nug no yuav pab koj kawm paub ntxiv txog Neonatal Lupus tom qab kuaj pom tias muaj:

• Neonatal Lupus yuav cuam tshuam li cas rau kuv cev xeeb tub/kuv tus menyuam?
• Muaj cov kev kho mob twg?
• Kev kwv yees yog li cas?
• Muaj feem ntau npaum li cas uas tus kab mob Neonatal Lupus yuav cuam tshuam rau kev xeeb tub yav tom ntej?

Cov neeg laus puas tuaj yeem muaj "Neonatal Lupus"?

Tsis yog, Neonatal Lupus tsis yog kev kuaj mob rau cov neeg laus. Nws tsuas yog kuaj pom rau cov menyuam hauv plab thiab cov menyuam mos xwb. Neonatal Lupus tsis zoo ib yam li cov neeg laus lupus.

Kab mob Systemic Lupus Erythematosus (SLE), uas peb feem ntau hu ua lupus, yog ib yam kab mob autoimmune uas cuam tshuam rau cov menyuam yaus thiab cov neeg laus. SLE yog kab mob systemic, txhais tau tias nws cuam tshuam rau tag nrho lub cev thiab xav tau kev kho mob thiab kev saib xyuas mus ib txhis.

Kab mob Lupus rau cov menyuam mos tsuas yog cuam tshuam rau ob peb lub hlis thawj zaug ntawm tus menyuam lub neej xwb. Nws tsis loj hlob tom qab thaum yau lossis thaum laus.

Txawm li cas los xij, tus kab mob Neonatal Lupus tuaj yeem muaj cov teebmeem mus sij hawm ntev rau tus neeg lub cev, txawm tias nws tsis tau kuaj pom txog thaum yug los. Qhov teeb meem loj tshaj plaws yog lub plawv thaiv, uas tuaj yeem xav tau lub tshuab pacemaker mus tas li. Qee qhov kev tshawb fawb qhia tias cov menyuam mos uas muaj tus kab mob Neonatal Lupus yuav muaj kev pheej hmoo ntau dua ntawm kev muaj cov kab mob autoimmune tom qab hauv lub neej.

Yog tias koj muaj tus kab mob Lupus thaum koj tseem yog menyuam yaus, nrog koj tus kws kho mob tham kom paub seb koj yuav tsum tau saib xyuas lossis kuaj mob li cas thaum koj loj hlob tuaj.

Thaum koj cev xeeb tub thiab tau txais kev kuaj mob menyuam mos zoo li no, nws tuaj yeem ua rau koj ntxhov siab thiab txhawj xeeb. Nws tuaj yeem nyuaj heev uas tsis paub tias yuav muaj dab tsi tshwm sim thaum koj cev xeeb tub mus ntxiv. Tsis muaj dab tsi tsis ncaj ncees lawm nrog kev qhia koj qhov kev ntshai thiab kev txhawj xeeb rau koj pab neeg kho mob. Lawv yuav ua txhua yam uas lawv ua tau los pab koj nkag siab txog qhov xwm txheej thiab koj tuaj yeem ua dab tsi los pab koj cev xeeb tub kom noj qab nyob zoo.

Yog tias koj tus menyuam raug kuaj pom tias muaj tus kab mob tom qab yug los, tej zaum lawv yuav tsum tau saib xyuas thoob plaws thawj lub hlis ntawm lub neej kom paub tseeb tias lawv lub plawv ua haujlwm zoo. Lawv kuj tseem yuav muaj cov qhov txhab ntawm daim tawv nqaij uas kav ntev li ntau lub hlis. Pab neeg kho mob ntawm koj tus menyuam yuav piav qhia txog yam uas yuav tshwm sim thiab muab kev txhawb nqa rau koj thiab tag nrho tsev neeg.

Tej yam uas peb yuav tsum nco ntsoov los ntawm zaj dab neeg no

Zoo, yog li cia peb rov hais dua qee qhov tseem ceeb tshaj plaws txog Neonatal Lupus uas peb tau tham txog:

• Neonatal Lupus yog ib yam mob uas tshwm sim rau cov menyuam mos tshiab vim yog cov tshuaj tiv thaiv tshwj xeeb uas kis los ntawm niam mus rau tus menyuam.
• Qhov no tsis zoo ib yam li lupus (SLE) uas tshwm sim rau cov neeg laus.
• Feem ntau, cov tsos mob tsuas yog ib ntus xwb thiab tsis muaj teeb meem dab tsi, xws li cov qhov txhab ntawm daim tawv nqaij. Cov no yuav kho tau hauv 6-9 lub hlis.
• Txawm li cas los xij, qee tus menyuam mos tuaj yeem muaj tus mob hnyav hu ua congenital heart block, uas tej zaum yuav xav tau lub pacemaker.
• Yog tias leej niam muaj tus kab mob autoimmune, lossis yog tias nws muaj cov tshuaj tiv thaiv tshwj xeeb (anti-SSA, anti-SSB), nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov no nrog tus kws kho mob thaum cev xeeb tub.
• Feem ntau cov menyuam mos yuav zoo tag nrho los ntawm qhov mob no. Yog tias muaj teeb meem plawv, lawv tuaj yeem kho tau.
• Yog koj muaj lus nug lossis kev tsis ntseeg, tsis txhob ntshai nug tus kws kho mob. Lawv yeej npaj siab pab koj.

`Cov menyuam mos uas muaj mob Lupus, cov menyuam mos uas yug tshiab, cov kab mob rau cov menyuam mos, lub plawv thaiv, kev tiv thaiv kab mob ntawm lawv tus kheej, cov tshuaj tiv thaiv rau niam, pob khaus tawv nqaij