Koj puas nkees nkees ntawm kev mob khaub thuas , hnoos, thiab mob ntsws txhua lub sijhawm? Qee zaum peb xav tias, "Auj, kuv lub cev tsis muaj zog." Tab sis qhov ntawd tsis yog qhov laj thawj tas li. Qee zaum, qhov laj thawj rau qhov no tuaj yeem yog qhov tsis muaj zog hauv peb lub cev tiv thaiv kab mob, uas yog, lub cev tiv thaiv kab mob. Hnub no, peb yuav tham txog qhov mob zoo li no, ib yam kab mob hu ua CVID , uas tuaj yeem cuam tshuam rau peb lub neej txhua hnub.
CVID yog dab tsi?
Hais yooj yim xwb, CVID (Common Variable Immunodeficiency) yog ib yam kab mob caj ces uas cuam tshuam nrog peb lub cev tiv thaiv kab mob. Nws yog ib yam kab mob uas hu ua 'primary immunodeficiency disease (PIDD)'.
Xav txog nws zoo li lub tsev fuabtais. Lub tsev fuabtais no muaj cov tub rog los tiv thaiv nws ntawm cov yeeb ncuab hu ua cov kab mob . Cov tub rog no yog yam peb hu ua cov tshuaj tiv thaiv kab mob hauv kev kho mob. Ib tug neeg uas muaj CVID tsim cov tshuaj tiv thaiv kab mob no ntawm qib qis heev. Yog li, yuav ua li cas thaum tus naj npawb ntawm cov tub rog hauv peb lub tsev fuabtais txo qis? Cov yeeb ncuab txawv teb chaws, uas yog cov kab mob, tuaj yeem nkag mus rau hauv lub cev thiab ua rau muaj kab mob .
Yog li ntawd, cov neeg uas muaj CVID feem ntau muaj mob pob ntseg , mob qhov ntswg , thiab mob ntsws . Tus mob no kuj ua rau muaj kev pheej hmoo ntawm cov mob hnyav dua, xws li teeb meem plab hnyuv, cov ntshav thiab cov kab mob autoimmune , thiab mob qog noj ntshav .
Leej twg muaj feem yuav mob CVID ntau dua?
Piv rau lwm yam kab mob tiv thaiv kab mob tsis muaj zog, CVID yog ib yam kab mob uas pom ntau heev. Qhov nruab nrab, nws cuam tshuam rau kwv yees li ib tus neeg ntawm 25,000 tus neeg.
Txawm hais tias nws tuaj yeem cuam tshuam rau leej twg los xij, nws feem ntau tshwm sim rau cov neeg laus. Txawm hais tias CVID tuaj yeem cuam tshuam rau cov menyuam yaus thiab cov tub ntxhais hluas, nws feem ntau raug kuaj pom thaum lawv laus. Feem ntau cov kab mob no raug kuaj pom ntawm hnub nyoog 20 thiab 50 xyoo .
Txawm li cas los xij, kev tshawb fawb tau qhia tias kwv yees li 2 ntawm 10 tus neeg uas muaj CVID tau kuaj pom tias muaj kev tiv thaiv kab mob tsis zoo thaum yau.
Dab tsi ua rau CVID?
Qhov tseeb, cov kws kho mob tseem tsis tau paub meej tias dab tsi ua rau feem ntau ntawm cov neeg mob CVID tsim cov mob no.
Txawm li cas los xij, rau kwv yees li ib ntawm 10 tus neeg uas muaj CVID, qhov ua rau muaj tus kab mob no yog los ntawm noob caj noob ces. Qhov no txhais tau tias tus mob no tuaj yeem tshwm sim los ntawm kev hloov pauv caj ces hauv koj cov DNA . Hais yooj yim xwb, tej zaum koj tau txais tus mob no los ntawm koj niam, txiv, lossis lwm tus neeg hauv tsev neeg.
CVID kuj tseem tuaj yeem tshwm sim los ntawm cov teeb meem caj ces hauv lub cev tiv thaiv kab mob. Cov teeb meem no ua rau lub cev tsim cov immunoglobulins tsawg heev, ib hom protein uas tawm tsam cov kab mob, thiab tshwj xeeb, cov tshuaj tiv thaiv hu ua immunoglobulin G (IgG). Qhov no ua rau lub cev tiv thaiv kab mob tsis muaj zog. Qee zaum, qhov mob no tuaj yeem tshwm sim tom qab hauv lub neej.
Cov tsos mob ntawm CVID yog dab tsi?
Cov tsos mob ntawm CVID yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg muaj cov tsos mob me me, thaum lwm tus neeg muaj cov tsos mob hnyav heev. Nws nyob ntawm seb koj lub cev tiv thaiv kab mob tsis muaj zog npaum li cas.
Cov lus hauv qab no qhia txog qee cov tsos mob ntawm CVID feem ntau.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kab mob ua pa | Hnoos ntau zaus thiab ntev heev, ua pa nyuaj, thiab kis kab mob rau lub ntsws (uas tuaj yeem ua rau muaj mob xws li mob ntsws ntsws lossis mob ntsws). |
| Kab mob pob ntseg thiab sinus | Muaj mob pob ntseg thiab mob sinus ntau zaus. |
| Teeb meem ntawm lub plab zom mov | Raws plab, xeev siab, ntuav, thiab poob phaus yam tsis paub. |
| Cov pob qij txha thiab lub qhov ntswg | O thiab mob rau cov pob qij txha xws li hauv caug, lub luj tshib, thiab dab teg. Lub qhov zis loj zuj zus. |
| Lwm yam nta | Teeb meem ua haujlwm ntawm daim siab, cov ntshav platelets qis, thiab cov tshuaj tiv thaiv kab mob tsis tshua muaj lossis hnyav. |
Yuav kuaj mob CVID li cas?
Yog tias koj pheej muaj mob pob ntseg, mob qhov ntswg, lossis mob ntsws, lossis yog tias koj tsis haum tshuaj rau cov tshuaj tiv thaiv kab mob uas feem ntau pom zoo, nco ntsoov qhia rau koj tus kws kho mob.
Thaum koj qhia rau koj tus kws kho mob txog cov tsos mob no, nws yuav xav tias muaj CVID. Txhawm rau kom paub meej tias kuaj tau tus kab mob, nws yuav nug txog koj keeb kwm kev kho mob thiab koj tsev neeg keeb kwm kev kho mob. Tom qab ntawd, lawv yuav xaj qee qhov kev kuaj ntshav. Cov kev kuaj ntshav no tuaj yeem xyuas seb koj lub cev cov tshuaj tiv thaiv kab mob qis npaum li cas thiab koj lub cev tiv thaiv kab mob ua haujlwm zoo npaum li cas.
Qee zaum, koj tus kws kho mob yuav muab tshuaj tiv thaiv kab mob rau koj thiab kuaj seb koj lub cev cov tshuaj tiv thaiv kab mob puas nce siab li qub.
Puas muaj kev kho mob rau CVID?
Tseem tsis tau muaj tshuaj kho tau tus kab mob CVID no. Tiamsis tsis txhob txhawj. Koj tuaj yeem tswj tau tus mob no zoo, tiv thaiv koj tus kheej ntawm kev kis kab mob, thiab ua neej nyob zoo li qub.
Txoj kev kho mob tseem ceeb yog kev hloov kho immunoglobulin (IgG) . Qhov no suav nrog kev muab cov tshuaj IgG rau tus neeg mob, uas tau los ntawm cov neeg pub ntshav noj qab haus huv. Qhov no ua rau cov tshuaj antibody hauv koj lub cev ntau ntxiv thiab ua kom lub cev tiv thaiv kab mob muaj zog.
Kev kho mob no tuaj yeem tau txais los ntawm ob txoj kev:
1. Txoj kev txhaj tshuaj IV: Ua ib qho kua ntsev uas muab rau hauv cov leeg ntshav (IV) ib hlis ib zaug.
2. Txoj kev txhaj tshuaj rau hauv qab daim tawv nqaij: Ua ib qho kev txhaj tshuaj rau hauv qab daim tawv nqaij ib zaug ib lub lim tiam lossis txhua ob lub lim tiam.
Qhov tseem ceeb tshaj plaws yog tias kev kho mob no yuav tsum tau ua mus tas lub neej.
Feem ntau cov neeg tsis muaj kev phiv loj los ntawm kev kho mob no. Txawm li cas los xij, qee tus yuav mob taub hau lossis ua xua. Tham nrog koj tus kws kho mob kom paub seb kev kho mob twg zoo tshaj plaws rau koj.
Tsis tas li ntawd xwb, yog tias koj muaj kab mob, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj tua kab mob lossis tshuaj tua kab mob kom kho tau.
Lwm yam teeb meem uas yuav tshwm sim vim CVID
Vim tias lub cev tiv thaiv kab mob tsis ua haujlwm zoo, cov neeg uas muaj CVID muaj feem yuav mob lwm yam mob hnyav dua.
- Cov kab mob autoimmune: Qhov no yog thaum lub cev lub cev tiv thaiv kab mob tsis raug tawm tsam nws cov hlwb noj qab haus huv. Cov no tuaj yeem ua rau muaj cov mob xws li 'autoimmune hemolytic anemia' (kev puas tsuaj ntawm cov hlwb ntshav liab noj qab haus huv), 'rheumatoid arthritis' (mob pob qij txha), thiab 'thrombocytopenia' (cov ntshav platelets qis).
- Mob qog noj ntshav: CVID ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav qee yam, xws li lymphoma lossis mob qog noj ntshav hauv plab.
- Kab mob ntsws (Bronchiectasis): Kev kis kab mob ntsws ntau zaus tuaj yeem ua rau cov hlab ntsws puas tsuaj thiab ua rau lawv dav zuj zus mus tas li. Qhov no tuaj yeem ua rau hnoos nrog cov hnoos qeev thiab ua rau nws nyuaj rau tshem cov hnoos qeev.
- Granulomas: Cov no yog cov pob me me uas tsim los ntawm kev sib sau ua ke ntawm cov qe ntshav dawb. Feem ntau pom lawv nyob rau hauv lub ntsws, daim tawv nqaij, lossis lwm yam kabmob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- CVID yog ib yam mob caj ces uas ua rau lub cev tiv thaiv kab mob tsis muaj zog vim yog cov tshuaj tiv thaiv kab mob uas lub cev tsim tawm tsawg.
- Cov tsos mob tseem ceeb yog mob pob ntseg, qhov ntswg, thiab ntsws ntau zaus.
- Yog koj lossis ib tug neeg koj paub muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd kom tau txais lus qhia.
- Txawm hais tias CVID tsis tuaj yeem kho tau tag nrho, nws tuaj yeem tswj tau zoo nrog kev kho mob antibody tas mus li (kev kho IgG).
- Yog koj muaj CVID, nws yog ib qho tseem ceeb heev uas yuav tsum ua kom koj lub cev huv si, xws li ntxuav koj txhais tes tsis tu ncua, los tiv thaiv koj tus kheej ntawm cov kab mob.
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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