Hemolytic kev kub ntxhov

Hemolytic teebmeem tshwm sim thaum cov qe ntshav liab ntau nyob hauv lub sijhawm luv luv. Kev poob ntawm cov ntshav liab tshwm sim sai dua li lub cev tuaj yeem tsim cov qe ntshav tshiab.

Thaum muaj kev kub ntxhov, lub cev tsis tuaj yeem ua cov ntshav liab txaus kom txaus los hloov cov uas raug puas lawm. Qhov no ua rau mob ntshav txhaws thiab feem ntau.

Ib feem ntawm cov qe ntshav liab uas nqa oxygen (hemoglobin) raug tso tawm rau hauv cov ntshav. Qhov no tuaj yeem ua rau lub raum puas tsuaj.

Cov ua rau mob hemolysis suav nrog:

• Ib tug tsis muaj tej yam protein nyob rau hauv cov ntshav liab
• Cov kab mob autoimmune
• Qee yam kabmob
• Tsis zoo nyob rau hauv hemoglobin lwg me me hauv cov qe ntshav liab
• Kev ua tsis zoo ntawm cov protein ua rau lub hauv paus ua haujlwm ntawm cov ntshav liab
• Phiv los sis fab ntawm qee yam tshuaj
• Kev tawm tsam ntshav ntxiv

Hu koj tus kws kho mob yog tias koj muaj:

• Cov tsos mob ntawm tus mob anemia, suav nrog daj ntseg ntawm daim tawv nqaij lossis nkees, tshwj xeeb yog tias cov tsos mob no hnyav dua
• Cov zis muaj xim liab, xim liab-xim av, lossis xim av (xim kas fes)

Tej zaum yuav muaj kev kho mob xwm txheej ceev. Qhov no suav nrog kev pw hauv tsev khomob, pa oxygen, ntshav hloov ntshav, thiab lwm yam kev khomob.

Thaum koj tus mob nyob ruaj khov, koj tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kev mob thiab cov tsos mob. Kev kuaj mob lub cev yuav pom tias nws nti ntawm qhov hnoos qeev (splenomegaly).

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Ntshav chemistry vaj huam sib luag
• Ua kom tiav cov ntshav suav (CBC)
• Coombs kuaj
• Haptoglobin
• Lactate dehydrogenase

Kev kho yog nyob ntawm qhov ua rau muaj tus mob hemolysis.

Hemolysis - mob ceev

Gallagher PG. Hemolytic anemias: lub ntsej muag ntshav liab thiab cov teeb meem ntawm metabolic. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 152.