Kab Mob Lub Cev Hlwb Kab Mob Hauv Kab Menyuam

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Systemic Lupus Erythematosus (SLE) hauv Miv

Cov kab mob autoimmune yog qhov tshwm sim ntawm kev tiv thaiv kab mob tiv thaiv kab mob uas dhau los ua kev tiv thaiv kab mob siab, tawm tsam cov hlwb, cov nqaij thiab lub cev ntawm nws tus kheej lub cev zoo li yog lawv muaj cov kab mob uas yuav tsum tau rhuav tshem. Systemic lupus erythematosus (SLE) yog ib hom kab mob multisystem autoimmune uas tau tsim los ntawm kev tsim cov tshuaj tiv thaiv tawm tsam ntau yam ntawm tus kheej-antigens (cov tshuaj tiv thaiv kab mob-tiv thaiv kab mob) thiab nthuav cov lub cev tiv thaiv kab mob.

Cov qib siab ntau ntawm cov ntshav ncig ua ntej-tiv thaiv kab mob (hom III lub cev tsis muaj zog) tau tsim thiab tso rau hauv qab glomerular hauv qab daim nyias nyias (ntu ntawm lub raum), cov leeg synovial (cov nqaij mos uas ua rau thaj chaw hauv cov pob qij txha xws li lub dab teg, lub hauv caug, thiab lwm yam), thiab hauv daim tawv nqaij, cov hlab ntsha, thiab lwm qhov chaw hauv lub cev. Cov tshuaj tua kab mob uas ua rau cov tshuaj tiv thaiv tus kheej uas nyob ntawm thiab sab hauv hlwb, xws li erythrocytes, leukocytes, thiab platelets (peb hom ntshav ntshav nrog hom II hypersensitivity), kuj tseem yuav tsim tau. Txog rau qib qis, hom IV kev tiv thaiv kab mob tsis txaus kuj tseem tuaj yeem koom nrog thaum cov cell-mediated tiv thaiv kev tiv thaiv tawm tsam tus kheej-antigen.

SLE yog qhov tsawg, tab sis ntseeg tau tias yog qhov ua qis dua. Qee yam ntawm kev yug menyuam uas pom tias muaj lub zog lossis tawv rau SLE suav nrog Persian, Siamese, thiab Himalayan miv yug. Lub hnub nyoog pes tsawg yog rau xyoo, tab sis nws tuaj yeem tshwm sim thaum muaj hnub nyoog. Tus tub los ntxhais tsis coj lub luag haujlwm.

Cov tsos mob thiab Hom

Cov tsos mob soj ntsuam nyob ntawm lub chaw ib ncig ntawm cov tshuaj tiv thaiv kab mob, nrog rau qhov tshwj xeeb ntawm cov mob autoantibodies. Txawm li cas los xij, caj ces, ib puag ncig, pharmacologic, thiab kab mob kis tau tuaj yeem ua lub luag haujlwm hauv qhov tsos ntawm kev kho mob xws li qhov ncauj, tsis qab los (tsis nco qab), thiab kub taub hau, uas yog pom tshwj xeeb tshaj yog nyob rau theem mob huam tuaj. Lwm yam paib muaj xws li:

Musculoskeletal

• Kev tso tawm ntawm lub cev tsis muaj zog hauv cov nqaij synovial (cov nqaij mos mos ua ob sab hauv qhov chaw hauv cov pob qij txha)
• O thiab / los yog mob tej pob qij txha - mob siab loj hauv cov neeg mob feem ntau
• Hloov txhais ceg lameness
• Kev mob los yog nkim nqaij

Daim tawv nqaij / exocrine

• Kev tso tawm ntawm cov tshuaj tiv thaiv kab mob hauv daim tawv nqaij
• Daim tawv nqaij mob
• Cov tawv nqaij ua sib xyaws los yog focal - ua pob liab, ntxaij, mob rau sab, qog, thiab / lossis plaub hau hle
• Ulceration ntawm mucocutaneous junctions thiab qhov ncauj mucosa tuaj yeem tsim - thaj av ntawm daim tawv nqaij suav nrog mucosa thiab tawv nqaij txiav; cov no feem ntau tshwm sim ze rau orifices ntawm lub cev uas cov tawv nqaij sab nraud nres thiab cov mucosa uas npog sab hauv ntawm lub cev pib (piv txwv li, qhov ncauj, qhov quav, qhov ntswg)

Hlaws pob / urologic

• Kev tso tawm ntawm kev tiv thaiv kab mob hauv lub raum
• Hepatosplenomegaly - kev loj hlob ntawm lub raum thiab mob siab

Ntshav / lymph / tiv thaiv kab mob

• Autoantibodies tiv thaiv erythrocytes, leukocytes, lossis platelets (cov ntshav liab thiab ntshav dawb)
• Lymphadenopathy - ua qog ntshav o
• Lwm yam khoom hauv nruab nrog cev tuaj yeem cuam tshuam yog tias muaj kev tso tawm ntawm cov txheej txheem tiv thaiv kab mob lossis tshuaj tiv thaiv, lossis thaum T cell-mediated hlwb (lymphocytes) tawm tsam.

Ua rau

Qhov tseeb ua rau SLE tsis muaj pov thawj, tab sis kev raug rau ultraviolet teeb ua rau hnyav dua tus kab mob.

Kev kuaj mob

Daim ntawv qhia txog cov ntshav yuav tsum tau ua, suav nrog daim ntawv qhia ntshav tshuaj, suav cov ntshav tiav, thiab zis cia. Koj yuav tsum tau muab cov keeb kwm kev nyab xeeb ntawm koj tus miv noj qab haus huv thiab qhov pib ntawm cov tsos mob, thiab seb cov tsos mob tau tshwm sim hauv kev ua tiav, lossis tag nrho ib zaug. Kev mob ntawm pob qij txha, mob raum, mob tawv nqaij, qog cov ntshav liab, ntshav tsawg hauv lub cev, thiab lub cev tsis muaj zog yog tag nrho cov cim qhia uas yuav ceeb toom koj tus kws kho mob kom zoo li mob pob ntseg.

Kev Kho Mob

Kev mus pw hauv tsev kho mob tej zaum yuav tsim nyog rau kev tswj xyuas thawj zaug ntawm SLE, tshwj xeeb yog tias koj tus miv yog nyob rau hauv lub xeev ntawm hemolytic (cov ntshav liab ua kom puas tsuaj) muaj teeb meem Txawm li cas los xij, kev tswj hwm sab nrauv feem ntau tau yog tias tus mob tsis loj. Hom kev saib xyuas thiab qib kev saib xyuas yuav sib txawv los ntawm cov kev cuam tshuam los ntawm cov tshuab twg.

Txog kev kho mob hauv tsev, koj yuav tsum tswj txoj kev so, tshwj xeeb tshaj yog thaum lub sijhawm mob hnyav ntawm pob qij txha. Tej zaum koj yuav xav txog kev so tawb rau ib lub sijhawm luv luv, kom txog thaum koj tus miv tuaj yeem txav mus los tau zoo dua yam tsis muaj kev yaum ntxiv. Koj kuj tseem yuav tsum tau zam lub hnub ci ci ntsa iab, uas yuav xav tau kom tsis txhob cia koj cov miv nkag mus rau lub qhov rai ci ci kom txog rau thaum lub sijhawm yav tav su thiab yav tsaus ntuj. Yog tias lub raum tab tom cuam tshuam, koj tus kws kho tsiaj yuav kom ib lub raum tso cov protein tsis zoo rau noj.

Muaj ntau cov tshuaj uas tuaj yeem siv los kho SLE, xws li cov tshuaj tiv thaiv kab mob rau txo qis hauv lub cev tiv thaiv kab mob, thiab corticosteroids rau kev txo qis mob hauv cov qog ntshav. Tus kws kho tsiaj yuav sau daim ntawv uas yuav siv los kho tus mob uas tshwj xeeb hauv koj tus miv.

Kev Tiv Thaiv

Raws li SLE tau paub tias yuav muaj kev tiv thaiv kab mob hauv qee qhov kev yug me nyuam, nws raug nquahu tias cov miv uas tau kuaj pom SLE tsis muaj kab mob rau.

Nyob thiab Tswj

Nov yog kab mob huam vam thiab tsis muaj peev xwm piav tau. Lub sijhawm ntev, siv tshuaj tiv thaiv kom tsis txhob mob hnyav. Cov kev kho mob nquag muaj cov kev mob tshwm sim uas koj yuav xav tau nrog koj tus kws saib xyuas koj tus dev. Tsis tas li, koj tus kws kho tsiaj yuav xav pom koj tus miv txhua lub lim tiam, tsawg kawg thaum pib, los saib xyuas qhov kev ua tau zoo ntawm kev kho thiab saib kom muaj kev phiv loj heev.