Yeeb-tshuaj tiv thaiv kab mob hemolytic anemia

Kev tsim tshuaj tiv thaiv kab mob ntshav khov rau cov ntshav ntshav yog ntshav tsis txaus uas tshwm sim thaum cov tshuaj ua rau lub cev tiv thaiv (tiv thaiv kab mob) tawm tsam cov ntshav liab. Qhov no ua rau cov ntshav liab ua rau tawg qis dua li ib txwm muaj, cov txheej txheem hu ua hemolysis.

Kauj ntshav yog ib qho mob uas lub cev tsis muaj cov qe ntshav liab liab noj qab nyob zoo. Cov ntshav liab muab cov pa oxygen rau cov cev nqaij.

Feem ntau, cov ntshav liab yuav nyob ntev txog 120 hnub hauv lub cev. Hauv kev mob ntshav khov (hemolytic anemia), cov ntshav liab hauv cov ntshav tau ua kom ntxov tshaj li ib txwm.

Muaj qee kis, cov tshuaj muaj peev xwm ua rau lub nruab zog tiv thaiv kab mob ntawm koj tus kheej ntshav liab rau cov tshuaj txawv teb chaws. Lub cev teb los ntawm kev tsim cov tshuaj tiv thaiv los tua lub cev cov ntshav liab. Cov tshuaj tiv thaiv txuas rau cov ntshav liab thiab ua rau lawv tawg sai heev.

Cov tshuaj uas tuaj yeem ua rau mob hemolytic anemia muaj xws li:

• Cephalosporins (ib yam tshuaj tua kab mob), feem ntau ua rau
• Dapsone
• Levodopa
• Levofloxacin
• Methyldopa
• Nitrofurantoin
• Nonsteroidal anti-inflammatory tshuaj (NSAIDs)
• Penicillin thiab nws cov derivatives
• Phenazopyridine (pyridium)
• Quinidine

Ib daim ntawv tsis tshua muaj kev cuam tshuam yog tus mob hemolytic los ntawm kev tsis muaj cov piam thaj-6 phosphate dehydrogenase (G6PD). Hauv qhov no, qhov tawg ntawm cov ntshav liab yog vim muaj qee yam kev ntxhov siab hauv lub cell.

Kev tsim cov tshuaj hemolytic rau cov ntshav tsis tshua muaj rau menyuam yaus.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Tsaus zis
• Nkees
• Tawv xim tawv nqaij
• Lub plawv dhia nrawm
• Ua tsis taus pa
• Daim tawv daj thiab ntsiab muag ntawm lub qhov muag (daj)

Kev kuaj mob lub cev yuav pom tias tus po muaj hnoos qeev. Tej zaum koj yuav tau kuaj ntshav thiab tso zis tawm los pab kuaj tus mob no.

Kev ntsuam xyuas yuav muaj xws li:

• Kev tshem tawm tus menyuam reticulocyte suav los txiav txim seb cov ntshav liab tau tsim hauv cov hlwb pob txha ntawm tus nqi tsim nyog
• Coombs sim ncaj qha lossis tsis ncaj qha rau Coombs kom kuaj seb puas muaj cov tshuaj tiv thaiv cov ntshav liab ua rau cov qe ntshav liab tuag sai sai
• Indirect bilirubin qib mus kuaj txhawm rau jaundice
• Kev kuaj ntshav liab
• Ntshav cov ntshav haptoglobin kuaj seb cov qe ntshav puas tau ua tiav ntxov
• Zis hemoglobin kuaj xyuas hemolysis

Tsum cov tshuaj uas tsim muaj qhov teeb meem tuaj yeem txo lossis tswj cov tsos mob.

Tej zaum koj yuav tau noj tshuaj hu ua prednisone los pab tiv thaiv kom tsis muaj zog tiv thaiv kab mob ntshav liab. Kev siv ntshav tshwj xeeb tuaj yeem kho tus mob hnyav.

Qhov tshwm sim tau zoo rau cov neeg feem coob yog tias lawv tsum tsis siv cov tshuaj uas ua qhov teeb meem.

Kev tuag tshwm sim los ntawm neeg mob ntshav liab tsawg tsawg.

Mus ntsib koj tus kws kho mob yog tias koj muaj cov tsos mob no.

Zam kev haus tshuaj uas ua rau tus mob no.

Kev txhaj tshuaj tiv thaiv kab mob ntshav siab hemolytic anemia thib ob rau kev siv tshuaj; Anemia - tiv thaiv kab mob hemolytic - theem nrab rau cov tshuaj

• Tshuaj tua kabmob

Michel M. Autoimmune thiab intravascular hemolytic anemias. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 160.

Win N, Richards SJ. Txais haemolytic anaemias. Hauv: Bain BJ, Bates I, Laffan MA, eds. Dacie thiab Lewis Ua HematologyCov. 12th ed. Philadelphia, PA: Elsevier; 2017: cha 13.