Tus Sau: Marcus Baldwin
Hnub Kev Tsim: 18 Lub Rau Hlis Ntuj 2021
Hloov Hnub: 1 Lub Ib Hli Ntuj 2025
Anonim
Ntshav siab vim koj - Maiv lug Xyooj
Daim Duab: Ntshav siab vim koj - Maiv lug Xyooj

Lub tshuab ua rau lub cev ua rau lub cev tsis muaj zog tshwm sim thaum lub cev tiv thaiv kab mob thiab ua rau lub cev noj qab haus huv los ntawm kev ua yuam kev. Muaj ntau ntau dua 80 hom mob autoimmune tsis zoo.

Cov qe ntshav hauv lub cev tiv thaiv kab mob hauv lub cev pab tiv thaiv cov khoom phem. Piv txwv li cov kab mob, kab mob, co toxins, kab mob cancer, thiab ntshav thiab nqaij los ntawm sab nraud lub cev. Cov tshuaj no muaj antigens. Lub cev tiv thaiv kab mob ua rau cov tshuaj tiv thaiv tawm tsam cov antigens uas ua rau nws rhuav tshem cov tshuaj phem no.

Thaum koj muaj kab mob autoimmune, koj lub cev tiv thaiv kab mob tsis muaj qhov txawv ntawm cov ntaub so ntswg uas muaj kev noj qab haus huv thiab cov tshuaj tiv thaiv kab mob antigens. Yog li ntawd, lub cev tso tawm ib qho tshuaj tiv thaiv uas rhuav tshem cov ntaub so ntswg li qub.

Qhov tseeb ua rau qhov tsis zoo autoimmune tsis paub. Ib qho kev tshawb xav yog tias qee cov kab mob me me (xws li cov kab mob lossis kab mob) lossis tshuaj yeeb yaj kiab tuaj yeem ua rau muaj kev hloov pauv uas ua rau lub cev tsis muaj zog. Qhov no tshwm sim ntau dua rau cov neeg uas muaj caj ces ua rau lawv nquag muaj qhov tsis taus autoimmune.


Lub tshuab ua tsis taus pa tej zaum yuav ua rau:

  • Kev puas tsuaj rau lub cev cov nqaij
  • Kev txawv txav ntawm lub cev
  • Hloov cov khoom hauv nruab nrog cev

Lub teeb meem ua haujlwm autoimmune tuaj yeem cuam tshuam ib lossis ntau dua cov kabmob lossis cov nqaij mos. Thaj chaw feem ntau cuam tshuam los ntawm kab mob autoimmune suav nrog:

  • Cov hlab ntsha
  • Txuas cov ntaub so ntswg
  • Cov qog endocrine xws li lub qog lossis mob caj pas
  • Cov pob qij txha
  • Nqaij
  • Ntshav liab
  • Daim tawv nqaij

Ib tus neeg yuav muaj ntau dua ib lub cev ua haujlwm autoimmune tib lub sijhawm. Hom mob autoimmune tsis xws li:

  • Addison tus kab mob
  • Celiac kab mob - hlav (gluten-rhiab enteropathy)
  • Dermatomyositis
  • Graves tus kab mob
  • Hashimoto thyroiditis
  • Ntau yam sclerosis
  • Myasthenia gravis
  • Pernicious anemia
  • Kev mob caj dab
  • Kev mob caj dab
  • Sjögren syndrome
  • Txheej txheem lupus erythematosus
  • Yam I ntshav qab zib

Cov tsos mob yuav sib txawv, raws li cov hom thiab qhov chaw ntawm tus tiv thaiv kab mob tiv thaiv. Cov tsos mob tshwm sim suav nrog:


  • Nkees
  • Ua npaws
  • Hnov mob siab (malaise)
  • Mob tej pob txha
  • Pob pob

Tus kws kho mob yuav kuaj xyuas lub cev. Cov cim yog nyob ntawm hom mob.

Kev ntsuam xyuas uas yuav ua los kuaj mob autoimmune tsis meej muaj xws li:

  • Kev sim tshuaj tiv thaiv kev puas hlwb
  • Kev ntsuam xyuas kab mob autoantibody
  • CBC
  • Cov vaj huam sib txig ua tiav ntawm vaj tsev
  • C-nti protein (CRP)
  • Erythrocyte tus nqi txo qis (ESR)
  • Mob Lub Hlaus

Lub hom phiaj ntawm kev kho mob yog:

  • Tswj hwm tus txheej txheem autoimmune
  • Tswj lub cev lub peev xwm los tua cov kab mob
  • Txo cov tsos mob

Cov kev kho mob yuav nyob ntawm koj tus kab mob thiab cov tsos mob. Hom kev khomob suav nrog:

  • Cov tshuaj ntxiv kom hloov cov tshuaj uas lub cev tsis txaus, xws li cov thyroid hormones, vitamin B12, lossis insulin, vim los ntawm tus kabmob autoimmune
  • Yog cov ntshav ntxiv cuam tshuam
  • Kev tawm dag zog lub cev los pab nrog kev txav yog tias cov pob txha, pob qij txha, lossis cov leeg

Coob leej ntau tus neeg siv tshuaj kho mob rau txo lub cev tsis muaj zog cov lus teb. Cov no feem ntau hu ua cov tshuaj tiv thaiv kab mob. Piv txwv suav nrog corticosteroids (xws li prednisone) thiab cov tshuaj tsis haum xws li azathioprine, cyclophosphamide, mycophenolate, sirolimus, lossis tacrolimus. Cov tshuaj siv tshwj xeeb xws li qog necrosis factor (TNF) blockers thiab Interleukin inhibitors tuaj yeem siv rau qee yam kabmob.


Qhov tshwm sim yog nyob ntawm tus kabmob. Feem ntau cov kab mob autoimmune yog mob ntev, tab sis ntau yam tuaj yeem tswj nrog kev kho mob.

Cov tsos mob ntawm tus mob autoimmune tuaj yeem mus thiab mus. Thaum cov tsos mob mob heev tuaj, nws raug hu ua flare-up.

Teeb meem nyob ntawm tus kab mob. Cov tshuaj siv los tswj lub cev tsis muaj zog tuaj yeem ua rau muaj kev mob tshwm sim ntau yam, xws li muaj kev pheej hmoo siab dua rau kev kis tus kab mob.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm lub autoimmune tsis meej.

Tsis muaj txoj kev paub txog kev tiv thaiv rau cov teeb meem autoimmune feem ntau.

  • Graves tus kab mob
  • Hashimoto's disease (mob qog ntshav ua ntshav)
  • Ntau yam sclerosis
  • Kev mob caj dab
  • Kev mob caj dab
  • Txheej txheem lupus erythematosus
  • Synovial kua dej
  • Kev mob caj dab
  • Tshuaj tua kabmob

Kono DH, Theofilopoulos AN. Lub tswv yim zoo. Hauv: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley thiab Firestein Cov Ntawv Phau Ntawv ntawm RheumatologyCov. 10 tus ed. Philadelphia, PA: Elsevier; 2017: chap 19.

Kumar V, Abbas AK, Aster JC. Kab mob ntawm lub cev tiv thaiv kab mob. Hauv: Kumar V, Abbas AK, Aster JC, eds. Robbins thiab Cotran Pathologic Cov Hauv Paus Ntawm Kab MobCov. 9le ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 6.

Peakman M, Buckland MS. Lub cev tiv thaiv thiab kab mob. Hauv: Kumar P, Clark M, eds. Kumar thiab Clarke Tshuaj Kho MobCov. 9le ed. Philadelphia, PA: Elsevier; 2017: chap 8.

Lub caij ntuj no PEB, Harris NS, Merkel KL, Collinsworth AL, Clapp WL. Lub cev tshwj xeeb cov kab mob autoimmune. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 54.

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