Koj puas tau ntshai thaum koj tus me nyuam me me tshwm sim cov pob me me liab-ntshav ntawm lawv ob txhais ceg thiab pob tw? Lawv tej zaum yuav tau yws tias mob plab thiab mob pob qij txha. Nws yog ib qho ib txwm rau txhua tus niam txiv txhawj xeeb thaum lawv pom ib yam dab tsi zoo li no. Tab sis feem ntau ntawm lub sijhawm, nws tsis loj heev . Cov tsos mob no tuaj yeem tshwm sim los ntawm tus mob hu ua Henoch-Schönlein Purpura (HSP), lossis raws li nws tam sim no raug hu ua, IgA Vasculitis. Cia peb tham txog nws yooj yim.
Hais yooj yim xwb, Henoch-Schönlein Purpura (HSP) yog dab tsi?
Henoch-Schönlein Purpura (HSP) yog, hais txog kev kho mob, ib hom "Vasculitis." Vasculitis yog thaum cov hlab ntsha hauv peb lub cev, uas zoo li cov raj me me uas nqa ntshav, o los ntawm sab hauv. Ib yam li thaum peb daim tawv nqaij o thaum nws raug mob, muaj o hauv cov hlab ntsha.
Hauv HSP, qhov o no feem ntau tshwm sim hauv cov hlab ntsha me me hauv qab daim tawv nqaij. Txawm li cas los xij, qee zaum qhov cuam tshuam no kuj tuaj yeem nthuav dav mus rau cov hlab ntsha hauv lub raum, txoj hnyuv, thiab pob qij txha.
Qhov no tshwm sim vim tias muaj ib qho protein tshwj xeeb (antibody) hu ua '(Immunoglobulin A)' lossis '(IgA)', uas yog ib feem ntawm peb lub cev tiv thaiv kab mob (uas yog, lub cev uas tiv thaiv peb ntawm cov kab mob), sib sau ua ke hauv cov hlab ntsha. Thaum '(IgA)' sib sau ua ke li no, cov hlab ntsha raug puas tsuaj, lawv tawg, thiab me ntsis ntshav ntws hauv qab daim tawv nqaij. Yog vim li cas peb thiaj pom cov xim liab thiab xim liab sab nraud. Zoo li ib qho mob me me.
Tus mob no kuj hu ua '(IgA) Vasculitis' vim tias cov tshuaj tiv thaiv '(IgA)' koom nrog. Txawm hais tias nws tuaj yeem tshwm sim rau cov neeg txhua lub hnub nyoog, feem ntau pom nws hauv cov menyuam yaus .
Qhov tseem ceeb yog tias HSP feem ntau tsis yog ib qho mob hnyav. Feem ntau cov menyuam yaus zoo tag nrho yam tsis tas kho. Txawm li cas los xij, nws tuaj yeem hnyav dua rau cov neeg laus.
Peb pom cov tsos mob li cas?
Cov tsos mob ntawm HSP feem ntau cuam tshuam rau daim tawv nqaij, pob qij txha, plab hnyuv, thiab raum ntawm tus menyuam. Cov tsos mob tseem ceeb thiab pom tseeb tshaj plaws yog cov xim av-liab uas tshwm sim ntawm daim tawv nqaij. Cia peb saib cov tsos mob no sib cais.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob pob khaus ntawm daim tawv nqaij | Qhov no yog cov tsos mob tseem ceeb. Nws ua rau muaj cov pob liab lossis xim av uas tsa me ntsis rau ntawm daim tawv nqaij. Qee zaum tsuas muaj ob peb lub pob xwb, qee zaum muaj ntau lub. Cov no feem ntau tsis khaus lossis mob . Feem ntau pom ntawm tus menyuam ob txhais ceg thiab pob tw . |
| Mob pob qij txha thiab o | Cov pob qij txha, tshwj xeeb tshaj yog lub hauv caug thiab pob luj taws, yuav o thiab mob. Tus me nyuam kuj yuav muaj teeb meem taug kev. |
| Mob plab | Tej zaum yuav mob plab thiab ploj mus. Ib txhia menyuam kuj yuav ntuav thiab xeev siab. |
| Lwm yam nta | Tsis tshua muaj, yuav pom ntshav hauv cov quav lossis ntshav hauv cov zis (kua liab/xim av). Cov no yuav yog cov cim qhia txog teeb meem ntawm lub raum lossis txoj hnyuv. |
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
HSP yog ib yam kab mob autoimmune . Hais yooj yim xwb, peb lub cev "tub rog" (lub cev tiv thaiv kab mob) pib tawm tsam nws cov hlab ntsha noj qab haus huv yam tsis raug. Cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas qhov no thiaj tshwm sim.
Tiam sis muaj ib qho meej meej: Kwv yees li 50% ntawm cov menyuam yaus uas muaj HSP tau muaj kab mob ua pa sab saud, xws li mob caj pas lossis mob khaub thuas, ob peb hnub ua ntej cov tsos mob no tshwm sim .
Lwm yam uas ua rau HSP (Triggers) ua haujlwm
Qee zaum, HSP kuj tseem tuaj yeem tshwm sim ua qhov kev teb tsis zoo ntawm lub cev tiv thaiv kab mob rau cov hauv qab no:
- Cov kab mob bacterial, piv txwv li, mob caj pas strep.
- Kev kis kab mob.
- Qee cov khoom noj.
- Kab tom.
- Qee cov tshuaj.
- Qee hom tshuaj tiv thaiv kab mob (qhov no tsis tshua muaj).
Leej twg yuav muaj tus mob no tshaj?
Txawm hais tias IgA vasculitis tuaj yeem tshwm sim rau txhua lub hnub nyoog, ntau dua 90% ntawm cov neeg mob tau tshaj tawm hauv cov menyuam yaus hnub nyoog ntawm 3 thiab 10 xyoo .
Lwm yam uas ua rau muaj kev pheej hmoo yog:
- Keeb kwm tsev neeg:Yog tias ib tug neeg hauv koj tsev neeg tau muaj HSP ua ntej, koj tus menyuam kuj muaj feem yuav mob HSP ntau dua.
- Kev cuam tshuam los ntawm noob caj noob ces: Tus mob no tau pom tias muaj ntau heev ntawm cov neeg European thiab Es Xias.
Puas muaj teeb meem dab tsi uas yuav tshwm sim vim yog HSP?
Feem ntau cov neeg yuav zoo tag nrho hauv ib lossis peb lub hlis yam tsis tas yuav kho dab tsi li. Qee zaum tus kab mob no yuav rov tshwm sim dua, tab sis feem ntau nws yuav ploj mus nws tus kheej.
Txawm li cas los xij, tsis tshua muaj, tshwj xeeb tshaj yog cov neeg laus, HSP tuaj yeem ua rau mob hnyav thiab ua rau muaj teeb meem.
- Kev puas tsuaj rau lub raum: Kab mob raum mus sij hawm ntev tuaj yeem tshwm sim. Qhov no yog qhov teeb meem tseem ceeb uas yuav tsum tau ceev faj hauv HSP.
- Ntshav hauv cov hnyuv.
- Kev puas tsuaj lossis kev txhaws ntawm txoj hnyuv.
- Ntshav siab thaum cev xeeb tub (rau cov poj niam).
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob menyuam yaus, nws yuav xub kuaj koj tus menyuam kom zoo zoo, tshwj xeeb tshaj yog nrhiav seb puas muaj pob khaus ntawm daim tawv nqaij thiab cov pob qij txha o. Tom qab ntawd, lawv yuav nug koj txog koj tus menyuam cov tsos mob thiab tej yam mob uas nyuam qhuav muaj.
Yuav kom paub tseeb tias muaj mob thiab tsis muaj lwm yam mob, tus kws kho mob yuav xaj kom kuaj qee yam.
- Kev Kuaj Zis: Txhawm rau txiav txim siab seb lub raum puas tau raug cuam tshuam, cov zis yuav raug kuaj xyuas seb puas muaj ntshav lossis protein.
- Kuaj ntshav: Txhawm rau kuaj seb puas muaj kab mob lossis lwm yam teeb meem hauv lub cev.
- Kev kuaj mob ultrasound ntawm lub raum: Xyuas seb lub raum zoo li cas.
- Kev kuaj mob plab ultrasound: Nrhiav seb yog vim li cas thiaj mob plab.
- Kev kuaj tawv nqaij: Qee zaum, yuav muab ib daim tawv nqaij me me ntawm thaj chaw uas muaj tus kab mob no thiab kuaj xyuas kom paub meej tias yog tus kab mob.
- Kev kuaj mob raum: Kev kuaj uas tsuas yog ua yog tias muaj kev xav tias muaj kev puas tsuaj loj raum.
Cov kev kho mob rau HSP yog dab tsi?
Feem ntau, HSP tsis tas yuav kho mob tshwj xeeb. Qhov tseem ceeb tshaj plaws yog tswj cov tsos mob hauv tsev.
Rau qhov mob pob qij txha thiab o, koj tuaj yeem noj paracetamol (Tylenol®) lossis NSAID tshuaj tua kab mob (Advil®) raws li koj tus kws kho mob qhia.
Txawm li cas los xij, yog tias cov tsos mob xws li mob plab hnyav heev, tus kws kho mob yuav sau ntawv kom noj tshuaj steroid xws li prednisone. Yog tias daim tawv nqaij khaus thiab lwm yam tsos mob tseem muaj, nco ntsoov mus ntsib koj tus menyuam tus kws kho mob.
Nco ntsoov tias, HSP feem ntau yog ib qho mob me me uas yuav ploj mus nws tus kheej. Tab sis tsis tshua muaj, nws tuaj yeem ua rau muaj teeb meem loj, suav nrog teeb meem raum thiab plab hnyuv. Yog li ntawd, qee tus menyuam yuav tsum tau noj tshuaj kom lawv lub cev tiv thaiv kab mob ua haujlwm tau zoo. Tham nrog koj tus kws kho mob txog cov tshuaj no thiab lawv cov kev mob tshwm sim.
Thaum twg peb yuav tsum mus ntsib kws kho mob?
Zoo tshaj plaws mus ntsib kws kho mob sai li sai tau thaum koj tus menyuam muaj cov tsos mob no. Tsis tas li ntawd, yog tias cov tsos mob hauv qab no tshwm sim thaum lub sijhawm kho mob lossis thaum tus kab mob zoo lawm, mus ntsib koj tus kws kho mob dua.
| Thaum twg yuav tsum nrhiav kev pab kho mob tam sim ntawd | |
|---|---|
| 1. | Yog tias muaj qhov o tuaj txawv txawv. |
| 2. | Yog tias tus me nyuam muaj mob lossis tsis xis nyob uas tsis tuaj yeem ua tau. |
| 3. | Yog tias cov tsos mob kav ntev tshaj 12 lub lis piam. |
| 4. | Yog cov tsos mob zoo dua thiab ces rov tshwm sim dua. |
| 5. | Yog tias cov tsos mob zuj zus tuaj txhua hnub, es tsis zoo dua. |
HSP tsis yog ib yam mob uas yuav kho tau mus ib txhis. Feem ntau nws yuav zoo li qub hauv ib lossis peb lub hlis. Ib txhia menyuam yaus yuav muaj tus mob thib ob, tab sis cov tsos mob feem ntau tsis hnyav heev.
Thaum kawg, HSP tuaj yeem ua rau koj tus menyuam mob thiab tsis xis nyob. Nws tuaj yeem nyuaj heev rau cov niam txiv pom lawv tus menyuam mob. Tab sis nco ntsoov, feem ntau cov menyuam rov zoo tag nrho yam tsis muaj teeb meem mus sij hawm ntev.Tus kws kho mob yuav tau mus ntsib tus menyuam ib ntus kom paub seb lub raum puas zoo. Qhov no tseem ceeb heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Henoch-Schönlein Purpura (HSP) yog ib qho mob uas cov hlab ntsha me me hauv qab daim tawv nqaij o, ua rau muaj cov xim av-liab ntawm ob txhais ceg thiab lub pob tw.
- Qhov no feem ntau pom muaj rau cov menyuam yaus thiab feem ntau tsis yog ib qho mob hnyav.
- Cov tsos mob xws li mob pob qij txha thiab mob plab kuj tseem yuav tshwm sim nrog qhov no.
- Feem ntau cov menyuam yaus yuav zoo tag nrho hauv 1-3 lub hlis yam tsis tas kho tshwj xeeb.
- Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tam sim ntawd yog tias koj pom cov pob no ntawm koj tus menyuam daim tawv nqaij, vim tias lawv tsis tshua muaj feem cuam tshuam rau lub raum.
- Nws yog ib qho tseem ceeb uas yuav tsum ua raws li tus kws kho mob cov lus qhia thiab mus kuaj mob tsis tu ncua.
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