Koj lub cev tiv thaiv kab mob yog ib qho kev tiv thaiv zoo heev. Tab sis qee zaum lub cev no tuaj yeem ua haujlwm txawv me ntsis. Qee zaum nws tuaj yeem ua haujlwm ntau dhau thiab ua rau peb lub cev puas tsuaj, lossis qee zaum nws xav tau kev pab tawm tsam cov yeeb ncuab xws li cov hlwb qog noj ntshav. Hauv cov xwm txheej zoo li no, peb tab tom tham txog kev kho mob tshwj xeeb uas pab peb lub cev tiv thaiv kab mob thiab tswj nws cov haujlwm. Ntawd yog photopheresis.
Hais yooj yim xwb, photopheresis yog dab tsi?
Kev siv lub teeb los hloov cov qe ntshav dawb, hu ua lymphocytes. Cov qe ntshav no, hu ua lymphocytes, yog cov tub rog tseem ceeb ntawm peb lub cev tiv thaiv kab mob. Lawv yog cov uas rhuav tshem cov khoom xws li cov qe ntshav qog, cov kab mob me me, thiab cov kab mob me me. Yog li, yog tias muaj teeb meem nrog cov lymphocytes no, kev kho mob photopheresis muaj txiaj ntsig zoo heev.
Xav txog nws li no. Lawv muab ib feem ntawm koj cov ntshav, muab tso rau hauv lub tshuab, thiab cais tsuas yog cov qe ntshav dawb hu ua lymphocytes. Tom qab ntawd, lawv sib tov nrog cov tshuaj tshwj xeeb thiab tso rau lub teeb UV, uas hloov txoj kev uas cov qe ntshav ntawd ua haujlwm. Thaum kawg, cov qe ntshav kho no raug muab rov qab rau hauv koj lub cev nrog rau lwm cov ntshav.
Los ntawm txoj kev no, peb tuaj yeem ua kom peb lub cev tiv thaiv kab mob muaj zog, lossis tswj nws yog tias nws ua haujlwm tsis xav tau. Hauv lwm lo lus, kev kho mob no muaj peev xwm 'tig lub pob qhib thiab kaw' lub cev tiv thaiv kab mob raws li qhov xav tau.
Kev kho mob no siv rau cov mob twg?
Photopheresis yog ib hom kev kho mob tiv thaiv kab mob. Uas yog, nws yog ib txoj kev kho mob los ntawm kev siv peb lub cev tiv thaiv kab mob. Muaj ntau yam kev siv tseem ceeb rau nws.
| Mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Cov kab mob T-cell lymphoma (CTCL) | Qhov no yog ib hom mob qog ntshav uas tsis tshua muaj thiab cuam tshuam rau daim tawv nqaij. Kev kho mob Photopheresis thawj zaug tau qhia ua kev kho mob rau tus kab mob no. Thaum cov lymphocytes uas tau kho rov qab los rau hauv lub cev, lawv pab rhuav tshem cov hlwb qog ntshav. |
| Kab mob Graft piv rau Host (GVHD) | Tom qab ib yam dab tsi zoo li kev hloov pob txha, cov hlwb tshiab tau txais tuaj yeem pib tawm tsam koj lub cev zoo li nws yog 'yeeb ncuab.' Kev kho mob no tuaj yeem nres lossis tswj qhov kev tawm tsam tsis xav tau ntawd. |
| Kev tsis lees txais kev hloov pauv ntawm lub cev | Tom qab hloov cov noob caj noob ces loj, xws li lub ntsws, lub siab, lossis lub plawv, lub cev tiv thaiv kab mob yuav tsis lees txais cov noob caj noob ces tshiab. Kev kho mob no pab tiv thaiv qhov ntawd. |
Lwm yam mob nkeeg
Ntxiv rau cov mob tseem ceeb no, cov kws kho mob yuav pom zoo kom siv photopheresis rau ntau yam mob ntxiv.
- Kab mob Crohn
- Kab mob eczema (Atopic dermatitis)
- Kab mob Scleroderma
- Psoriasis, ib yam kab mob ntawm daim tawv nqaij
- Kab mob ntshav qab zib hom 1
Peb yuav tsum npaj li cas ua ntej kho mob?
Koj tus kws kho mob yuav piav qhia qhov no rau koj. Feem ntau, lawv yuav hais kom koj saib xyuas cov no ua ntej kho mob.
- Haus dej ntau: Haus tsawg kawg yog 8 khob dej ib hnub rau ob hnub ua ntej kev kho mob. Qhov no yuav pab koj cov ntshav ntws zoo dua, ua rau nws yooj yim dua los kos cov ntshav thaum lub sijhawm kho mob.
- Tsis txhob haus caffeine thiab cawv: Tej yam xws li tshuaj yej, kas fes, thiab cawv tuaj yeem ua rau lub cev qhuav dej, uas ua rau cov ntshav ntws qeeb.
- Tsis txhob noj cov khoom noj uas muaj roj ntau: Thaum koj noj cov khoom noj uas muaj roj ntau, xws li cov khoom noj kib thiab khoom qab zib, nws yuav nyuaj me ntsis rau lub tshuab uas cais cov qe ntshav dawb ntawm cov ntshav ua nws txoj haujlwm.
Kev kho mob no ua haujlwm li cas?
Tag nrho cov txheej txheem no tshwm sim thaum koj pw tsaug zog zoo rau ntawm lub txaj. Nws yog ib qho txheej txheem tsis mob.
1. Kev rho ntshav: Tus kws tu mob lossis tus kws kho mob yuav rho ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab lossis los ntawm ib lub raj tshwj xeeb (catheter) uas muab tso rau hauv koj lub hauv siab. Yog tias tsim nyog, yuav muaj tshuaj pleev loog rau thaj chaw ntawd kom tsis txhob mob.
2. Kev sib cais ntawm tes:Cov ntshav uas koj nqus mus ncaj qha rau hauv lub tshuab tshwj xeeb. Lub tshuab no tsuas yog cais cov qe ntshav dawb hu ua lymphocytes ntawm cov qe ntshav liab thiab cov platelets hauv koj cov ntshav.
3. Ntxiv tshuaj: Ib hom tshuaj ntsuab uas muaj kev nyab xeeb hu ua '8-methoxypsoralen (8-MOP)' raug ntxiv rau hauv cov qe ntshav dawb uas raug cais tawm. Cov tshuaj no tsuas yog ua haujlwm thaum raug lub teeb xwb.
4. Kev kho mob siv lub teeb: Tam sim no, cov qe ntshav dawb uas muaj cov tshuaj no raug rau lub teeb ultraviolet A (UVA) hauv lub tshuab. Tom qab ntawd, cov tshuaj pib ua haujlwm thiab hloov cov haujlwm ntawm cov qe ntshav dawb.
5. Rov txhaj tshuaj dua: Thaum kawg, cov qe ntshav dawb uas tau kho li no yuav raug txhaj rov qab rau hauv koj lub cev, nrog rau lwm cov ntshav uas tau sib cais ua ntej.
Tag nrho cov txheej txheem no tuaj yeem siv sijhawm li 3-4 teev.
Cov kev mob tshwm sim thiab tej yam uas peb yuav tsum paub txog yog dab tsi?
Photopheresis suav hais tias yog kev kho mob uas muaj kev nyab xeeb heev , thiab feem ntau cov neeg tsis muaj kev phiv dab tsi.
Txawm li cas los xij, qee zaum tej yam me me tuaj yeem tshwm sim.
- Koj cov ntshav siab yuav poob me ntsis thaum lub sijhawm kho mob. Yog tias qhov no tshwm sim, koj yuav tau txais cov kua dej hauv cov hlab ntsha kom rov qab zoo li qub.
- Tej zaum koj yuav xeev siab, kiv taub hau, lossis txias, ib yam li thaum koj pub ntshav. Yog tias koj xav li no, qhia rau tus kws saib mob tam sim ntawd.
- Koj yuav muaj kev liab, kiv taub hau, lossis kub taub hau 6-8 teev tom qab kho mob. Yog tias koj qhov kub taub hau siab dua 37.8 degrees Celsius (100 degrees Fahrenheit), qhia rau koj tus kws kho mob. Nws yuav pom zoo kom noj tshuaj xws li paracetamol.
Tej yam uas peb yuav tsum tau ceev faj tshwj xeeb tom qab kev kho mob
Qhov no tseem ceeb heev. Kev kho mob Photopheresis ua rau koj daim tawv nqaij thiab qhov muag rhiab heev rau lub hnub ci.
Tsis txhob raug tshav ntuj ncaj qha thiab tsis ncaj qha rau 24 teev tom qab kho mob. Tshav ntuj tsis ncaj qha yog lub teeb los ntawm lub qhov rais lossis daim ntaub thaiv.
- Yog koj mus sab nraum zoov, hnav khaub ncaws uas npog tag nrho koj lub cev. Siv tshuaj pleev thaiv hnub uas muaj SPF 30 lossis siab dua.
- Hnav cov tsom iav uas tiv thaiv tau UVA, ob qho tib si hauv tsev thiab sab nraum zoov, rau 24 teev. Cov tsom iav uas "qhwv ib puag ncig" uas npog ob lub qhov muag yog qhov zoo tshaj plaws.
Yuav siv sijhawm ntev npaum li cas thiaj pom cov txiaj ntsig?
Qhov no yuav txawv nyob ntawm koj tus mob thiab tus naj npawb ntawm kev kho mob. Qee tus neeg pom kev txhim kho zoo hauv lawv cov tsos mob hauv 3-4 lub hlis. Rau qee qhov mob (xws li scleroderma), nws yuav siv sijhawm 6-12 lub hlis rau cov tsos mob kom zoo dua. Yog li ntawd, kev ua siab ntev yog qhov tseem ceeb nrog kev kho mob no. Nug koj tus kws kho mob txog lub sijhawm uas koj tuaj yeem cia siab tias yuav pom cov txiaj ntsig raws li koj tus mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Photopheresis yog ib txoj kev kho mob uas muaj kev nyab xeeb uas siv lub teeb los kho koj cov qe ntshav dawb thiab tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob.
- Qhov no feem ntau yog siv rau tej yam xws li mob qog noj ntshav CTCL, mob GVHD, thiab tiv thaiv kev tsis lees txais tom qab hloov pauv lub cev.
- Kev kho mob tsis mob, tab sis yuav tsum tiv thaiv hnub rau 24 teev tom qab kev kho mob.
- Tej zaum yuav siv sijhawm me ntsis kom pom cov txiaj ntsig, yog li nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab nrhiav kev kho mob.
- Tham nrog koj tus kws kho mob txog tej teeb meem, kev ntshai, lossis kev tsis ntseeg uas koj muaj txog qhov no.
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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