Yog koj pom tias muaj ib tug neeg hauv koj tsev neeg, tshwj xeeb yog ib tug menyuam yaus, muaj mob ntshav qab zib, koj ntshai thiab poob siab heev, puas yog? Koj yuav tsum txhaj tshuaj insulin txhua hnub, tswj koj cov zaub mov noj, thiab xyuas koj cov ntshav qab zib tas li... Peb txhua tus paub tias nws nyuaj npaum li cas rau kev nyob nrog tej yam zoo li no. Tab sis, nyob rau hauv rooj plaub ntawm Mob Ntshav Qab Zib Hom 1, tam sim no muaj kev kho mob tshiab uas tuaj yeem ncua qhov pib ntawm cov tsos mob los ntawm ntau xyoo, uas yog, ncua qhov pib ntawm cov tsos mob, koj puas yuav ntseeg nws? Yog lawm, hnub no peb tab tom tham txog qhov kev cia siab tshiab ntawd.
Ua ntej, cia peb saib, Kab mob ntshav qab zib hom 1 yog dab tsi?
Thaum nws los txog rau tus kab mob ntshav qab zib, feem ntau cov neeg hauv peb lub tebchaws paub txog tus kab mob ntshav qab zib hom 2. Nws feem ntau yog tshwm sim los ntawm cov neeg laus thiab kev ua neej tsis zoo. Tab sis tus kab mob ntshav qab zib hom 1 txawv.
Hais yooj yim xwb, peb lub cev muaj ib lub cev hu ua lub qog pancreas. Nws yog cov hlwb tshwj xeeb hauv lub qog pancreas no uas tsim cov tshuaj hormones tseem ceeb hu ua insulin . Lub luag haujlwm ntawm insulin yog pab lub cev cov hlwb noj cov suab thaj (glucose) uas ntxiv rau hauv cov ntshav los ntawm cov khoom noj uas peb noj thiab siv nws los ua lub zog. Nws zoo li qhib lub qhov rooj nrog tus yuam sij.
Hauv hom ntshav qab zib hom 1, peb lub cev lub cev tiv thaiv kab mob ua yuam kev rhuav tshem cov hlwb zoo uas tsim insulin. Tom qab ntawd lub cev tsis tsim cov insulin uas nws xav tau. Yog li, cov ntshav qab zib nce siab tsis tuaj yeem tswj tau. Qhov no hu ua hom ntshav qab zib hom 1. Qhov no yog ib qho mob uas tsis tuaj yeem kho tau thiab yuav tsum tau txhaj tshuaj insulin txhua hnub rau lub neej.
Vim li cas qhov no thiaj tshwm sim? Lub cev kho nws tus kheej li cas
Xav txog qhov kev puas tsuaj loj heev uas yuav tshwm sim yog tias peb lub teb chaws cov tub rog ua yuam kev tawm tsam cov neeg tsis muaj txim hauv peb lub teb chaws. Qhov ntawd yog qhov tshwm sim nrog hom 1 ntshav qab zib. "Cov tub rog" uas tiv thaiv peb lub cev ntawm kab mob, lub cev tiv thaiv kab mob , mus tsis ncaj ncees lawm rau qee qhov laj thawj thiab pib rhuav tshem cov hlwb tsim insulin hauv peb lub pancreas, xav tias lawv yog "yeeb ncuab." Peb hu cov kab mob no uas lub cev tawm tsam nws tus kheej cov kab mob autoimmune .
Qhov no tsis tshwm sim tag nrho ib zaug. Qhov kev puas tsuaj no tshwm sim qeeb qeeb, dhau ntau theem. Feem ntau, thaum cov tsos mob tshwm sim, feem ntau ntawm cov hlwb tsim insulin twb raug puas tsuaj lawm.
Peb theem ntawm tus kab mob (Theem ntawm T1D)
Kev loj hlob ntawm tus kab mob ntshav qab zib hom 1 muaj peb theem. Qhov no yuav yooj yim dua rau koj nkag siab yog tias koj saib daim ntawv teev.
| Theem | Muaj Dab Tsi Tshwm Sim | Cov tsos mob thiab cov ntshav qab zib |
|---|---|---|
| Theem 1 | Lub cev tiv thaiv kab mob pib tawm tsam cov hlwb uas tsim cov insulin, tab sis tseem tsim cov insulin txaus. | Tsis muaj tsos mob. Cov ntshav qab zib yog ib txwm muaj. |
| Theem 2 | Thaum cov cell puas tsuaj mus ntxiv, kev tsim cov insulin txo qis, ua rau lub cev nyuaj rau tswj cov ntshav qab zib. | Tseem tsis tau muaj tsos mob pom tseeb. Tab sis cov ntshav qab zib siab heev (txawv txawv). Qhov no tuaj yeem kuaj pom los ntawm kev kuaj tshwj xeeb. |
| Theem 3 | Muaj ntau lub hlwb uas tsim cov tshuaj insulin raug rhuav tshem, ua rau lub cev tsis tuaj yeem tswj nws cov piam thaj. | Cov tsos mob pom tseeb tshwm sim. Tso zis ntau zaus, nqhis dej ntau dhau, tshaib plab, poob phaus, thiab qaug zog heev. Feem ntau kuaj pom tus kab mob no thaum lub sijhawm no. |
Kev cia siab tshiab: tshuaj Teplizumab (Tzield)
Kev kho mob tshiab no uas tau hais ua ntej no tuaj yeem muab rau cov neeg uas nyob rau theem 2, uas yog, ua ntej cov tsos mob tshwm sim, tab sis lawv cov ntshav qab zib siab. Lub npe ntawm cov tshuaj no yog Teplizumab (Tzield) .
Cov tshuaj no muaj dab tsi tshwm sim?
Qhov no zoo li tus neeg ua kom muaj kev thaj yeeb. Cov tshuaj no cuam tshuam rau peb lub cev tiv thaiv kab mob. Nws ua rau cov "tub rog" uas coj tus cwj pwm tsis zoo thiab sim rhuav tshem cov hlwb tsim insulin tsis muaj zog. Tom qab ntawd cov hlwb ntawd muaj peev xwm tsawg dua los ua puas rau lub txiav. Yog li ntawd, cov hlwb zoo uas tseem tshuav tau tiv thaiv ntev dua thiab txuas ntxiv tsim cov insulin uas lub cev xav tau.
Kab mob no yuav ncua ntev npaum li cas?
Raws li kev kuaj mob tau qhia, kev kho mob no tau ncua qhov kev nce qib mus rau theem 3, theem uas cov tsos mob tshwm sim, los ntawm qhov nruab nrab li ob xyoos . Rau qee tus neeg, nws tuaj yeem ncua ntev dua.
Qhov txiaj ntsig tiag tiag ntawm kev ncua tus kab mob yog dab tsi?
Tej zaum koj yuav xav tias, "Tsuas yog ob xyoos xwb, qhov ntawd txhais li cas?" Tab sis lub sijhawm ntawd muaj nqis heev, tshwj xeeb tshaj yog hauv lub neej ntawm ib tug menyuam.
- Kev ywj pheej ntawm lub nra hnyav txhua hnub: Koj tuaj yeem ua neej nyob li qub tau ob xyoos ntxiv yam tsis tas yuav txhaj tshuaj insulin txhua hnub, xuas koj tus ntiv tes los kuaj koj cov ntshav qab zib, lossis txhawj txog zaub mov.
- Kev noj qab haus huv ntawm lub hlwb: Rau ib tug menyuam yaus lossis ib tug tub ntxhais hluas, lub sijhawm no kom muaj kev ywj pheej nrog lawv cov phooj ywg, tsis muaj kev ntxhov siab ntawm kev hais tias "Kuv muaj ntshav qab zib," muaj txiaj ntsig zoo heev.
- Kev loj hlob ntawm lub cev: Thaum lub sijhawm tsis muaj tsos mob no, tus menyuam txoj kev loj hlob ntawm lub cev thiab lub hlwb tshwm sim li qub yam tsis muaj kev cuam tshuam.
- Lub Sijhawm Npaj: Txawm hais tias tus kab mob yuav tsis zam tau los xij, tsev neeg muaj sijhawm los ntsib nws, kawm txog nws, thiab npaj siab thiab xyaum ua.
- Kev ncua cov teeb meem: Qhov no kuj tseem ncua qhov pib ntawm cov teeb meem mus sij hawm ntev (qhov muag, raum, thiab cov hlab ntsha puas tsuaj) uas tuaj yeem tshwm sim vim yog ntshav qab zib.
Kev kho mob no haum rau leej twg thiab yuav tsum paub dab tsi
Qhov no tsis yog kev kho mob uas txhua tus tuaj yeem muab tau. Cov tshuaj no tam sim no tau pom zoo rau:
- Rau cov neeg hnub nyoog tshaj 8 xyoo .
- Rau cov neeg uas nyob rau theem 2 ntawm hom 1 ntshav qab zib.
Qhov no tsis kho tau tus kab mob tag nrho. Nws tsuas yog ncua qhov pib ntawm cov tsos mob xwb. Tsis tas li ntawd, kom tau txais kev kho mob no, ib tus neeg yuav tsum tau kuaj ntshav tshwj xeeb seb lawv puas nyob hauv pawg neeg muaj feem yuav mob lossis nyob rau theem 2.
Yog koj xav tias koj lossis koj tus menyuam yuav muaj feem yuav mob ntshav qab zib hom 1 (piv txwv li, yog tias ib tug neeg hauv koj tsev neeg muaj mob ntshav qab zib hom 1), nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog qhov no. Nws tuaj yeem ua cov kev kuaj mob tsim nyog thiab txiav txim siab seb hom kev kho mob no puas yog rau koj. Qhov no yog lwm kauj ruam mus tom ntej hauv ntiaj teb thev naus laus zis.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib hom 1 yog ib yam mob uas lub cev tiv thaiv kab mob rhuav tshem nws cov hlwb tsim insulin.
- Kab mob no tsis tshwm sim tag nrho ib zaug; nws tshwm sim ua ntau theem. Cov tsos mob tshwm sim rau theem 3.
- Ib yam tshuaj tshiab hu ua Teplizumab (Tzield) tuaj yeem ncua qhov pib ntawm cov tsos mob li ob xyoos rau cov neeg uas muaj tus kab mob theem 2.
- Lub sijhawm no muab sijhawm "dawb" rau tus neeg mob ob qho tib si ntawm lub hlwb thiab lub cev.
- Yog koj xav tias koj lossis ib tug neeg hauv koj tsev neeg muaj feem yuav mob ntshav qab zib hom 1, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham 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