Xeem Coombs

Zoo Siab

• Vim li cas Coombs sim ua?
• Txoj kev kuaj Coombs tiav li cas?
• Kuv Yuav Npaj Coombs li cas?
• Cov kev pheej hmoo ntawm Coombs kev xeem yog dab tsi?
• Yuav ua li cas rau cov Coombs sim?
• Cov txiaj ntsim tau zoo
• Cov kev tsis ncaj ncees tshwm sim hauv kev sim ncaj qha Coombs
• Qhov txawv txav tshwm sim nyob rau hauv kev ntsuas kev ncaj qha Coombs

Coombs sim yog dab tsi?

Yog koj lub cev ua rau koj sab sab, ua tsis taus pa, txhais tes txias thiab taw, thiab tawv nqaij daj, koj yuav muaj cov ntshav liab txaus tsis txaus. Tus mob no yog hu ua anemia, thiab nws muaj ntau yam ua rau.

Yog tias koj tus kws kho mob lees paub tias koj muaj cov qe ntshav liab tsawg, txoj kev kuaj Coombs yog ib qho kev kuaj ntshav uas koj tus kws kho mob yuav xaj kom pab nrhiav seb koj muaj ntshav dab tsi.

Vim li cas Coombs sim ua?

Kev kuaj Coombs tshawb xyuas cov ntshav seb nws puas muaj qee yam tshuaj tiv thaiv. Cov tshuaj tua kab mob yog cov protein uas koj lub cev tiv thaiv kab mob ua rau thaum nws tshawb pom tias ib yam dab tsi tuaj yeem tsis zoo rau koj lub cev.

Cov tshuaj tiv thaiv no yuav ua kom puas cov ntxeem tau muaj mob. Yog tias qhov kev tiv thaiv kab mob hauv lub cev kuaj tsis ncaj ncees lawm, qee zaum nws tuaj yeem tsim cov tshuaj tiv thaiv rau koj lub hlwb. Qhov no tuaj yeem ua rau ntau yam teebmeem kev mob nkeeg.

Kev kuaj Coombs yuav pab koj tus kws kho mob txiav txim siab yog tias koj muaj cov tshuaj tiv thaiv nyob rau hauv koj cov hlab ntshav uas ua rau koj lub cev tiv thaiv tsis tau thiab tua koj cov qe ntshav liab. Yog tias koj cov ntshav liab tau raug rhuav tshem, qhov no tuaj yeem ua rau tus mob hu ua hemolytic anemia.

Muaj ob hom kev kuaj Coombs: kev kuaj Coombs ncaj qha thiab Kuaj Coombs ncaj qha. Qhov kev kuaj ncaj qha yog ntau dua thiab kev kuaj xyuas cov tshuaj tiv thaiv uas txuas rau sab ntawm koj cov ntshav liab.

Qhov ntsuas ntsuas ntshav yog ntsuas kev ntsuas cov ntshav tsis ua raws cov kabmob uas ntab rau hauv cov hlab ntshav. Nws kuj tau txais kev txiav txim siab yog tias muaj qhov tshwm sim tsis zoo rau ntshav ntxiv.

Txoj kev kuaj Coombs tiav li cas?

Ib qhov hnoos qeev koj cov ntshav yuav xav tau los ua qhov ntsuas. Cov ntshav raug sim nrog cov sib txuas uas yuav cuam tshuam nrog cov tshuaj tiv thaiv hauv koj cov ntshav.

Cov ntshav ntsuas tau los ntawm venipuncture, nyob rau hauv uas rab koob tau tso rau hauv txoj leeg ntawm koj txhais caj npab lossis tes. Lub rab koob rub me me ntawm cov ntshav mus rau hauv cov menyuam. Qhov hnoos qeev yog cia rau hauv ib lub raj ntsuas.

Txoj kev kuaj no feem ntau ua rau cov menyuam mos uas yuav muaj kabmob nyob rau hauv lawv cov ntshav vim tias lawv niam muaj lwm hom ntshav txawv. Txhawm rau ntsuas qhov ntsuas no hauv menyuam mos, daim tawv nqaij tau pib nrog rab koob me me hu ua lancet, feem ntau nyob ntawm pob taws ntawm ko taw. Cov ntshav tau muab ntim rau hauv lub khob me me ntawm lub khob, rau ntawm lub khob swb, lossis ntawm daim ntawv xeem.

Kuv Yuav Npaj Coombs li cas?

Tsis muaj kev npaj tshwj xeeb yog qhov tsim nyog. Koj tus kws kho mob yuav kom koj haus dej ib txwm muaj ua ntej mus rau hauv qhov chaw kuaj ntshav lossis chaw sau tshuaj.

Koj yuav tsum tau tsum tsis noj qee yam tshuaj ua ntej kev sim, tab sis tsuas yog tias koj tus kws kho mob hais kom koj ua.

Cov kev pheej hmoo ntawm Coombs kev xeem yog dab tsi?

Thaum cov ntshav sib sau, koj yuav hnov ​​mob me ntsis los yog hnov ​​tus mob me ntsis. Txawm li cas los xij, qhov no feem ntau yog rau lub sijhawm luv heev thiab me ntsis. Tom qab rab koob raug tshem tawm, koj tuaj yeem hnov ​​tus mob throbbing. Koj yuav raug qhia kom siv lub siab mus rau qhov chaw uas lub koob tau nkag hauv koj cov tawv nqaij.

Daim ntaub qhwv yuav ua tiav. Nws yuav tsum tau nyob hauv qhov chaw li ntawm 10 rau 20 feeb. Koj yuav tsum tsis txhob siv sab caj npab ntawd rau nqa khoom hnyav rau hnub ntxiv.

Tsis tshua muaj kev txaus ntshai suav nrog:

• pom kev tsaus muag lossis tsaus muag
• hematoma, lub hnab tshos cov ntshav nyob hauv qab daim tawv nqaij uas zoo ib yam nrog nqaij doog ntshav
• kis kab mob, feem ntau tiv thaiv los ntawm daim tawv nqaij ntxuav ua ntej ua rab koob
• ntev li los ntshav (los ntshav ntev heev tom qab kuaj yuav qhia kev los ntshav hnyav dua thiab yuav tsum hais qhia rau koj tus kws kho mob)

Yuav ua li cas rau cov Coombs sim?

Cov txiaj ntsim tau zoo

Cov txiaj ntsig tau los xam tias yog ib qho dab tsi yog tias tsis muaj ntshav nce ntshav hauv cov ntshav liab.

Cov kev tsis ncaj ncees tshwm sim hauv kev sim ncaj qha Coombs

Ib qho kev tawm ntawm cov ntshav liab thaum lub caij kuaj pom qhia tias muaj qhov txawv txav. Agglutination (txiav) ntawm koj cov ntshav thaum kuaj Coombs ncaj qha txhais tau tias koj muaj cov tshuaj tiv thaiv rau cov ntshav liab thiab koj yuav muaj qhov mob uas ua rau cov ntshav liab los ntawm kev tiv thaiv koj lub cev, hu ua hemolysis.

Cov mob uas yuav ua rau koj muaj cov tshuaj tiv thaiv rau cov ntshav liab yog:

• autoimmune hemolytic anemia, thaum koj tsis muaj zog tiv thaiv koj cov qe ntshav liab
• txhab ntshav tiv thaiv, thaum lub nruab zog tiv thaiv kab mob ntawm koj lub cev pab tua ntshav
• erythroblastosis fetalis, lossis ntau hom ntshav sib txawv ntawm leej niam thiab tus menyuam mos
• lymphocytic mob ntsws mob ntshav dawb thiab ib co leukemias
• systemic lupus erythematosus, tus kab mob autoimmune thiab feem ntau mob lupus
• mononucleosis
• muaj tus kab mob mycoplasma, yog ib hom kab mob uas muaj ntau yam tshuaj tua kab mob tua tsis tau
• mob syphilis

Kev qaug tshuaj yog lwm yam tshwm sim uas tuaj yeem ua rau koj muaj cov tshuaj tiv thaiv kab mob ntshav liab. Cov tshuaj uas tuaj yeem ua rau qhov no suav nrog:

• cephalosporins, tshuaj tua kab mob
• levodopa, rau Parkinson's kab mob
• dapsone, ib qho tshuaj tiv thaiv kab mob
• nitrofurantoin (Macrobid, Macrodantin, Furadantin), tshuaj tua kab mob
• nonsteroidal anti-inflammatories (NSAIDs) xws li ibuprofen (Advil, Motrin IB)
• quinidine, tshuaj kho mob plawv

Qee zaum, tshwj xeeb tshaj yog rau cov neeg laus dua, kev kuaj Coombs yuav muaj qhov txawv txav txawm tias tsis muaj lwm yam kabmob lossis kev pheej hmoo.

Qhov txawv txav tshwm sim nyob rau hauv kev ntsuas kev ncaj qha Coombs

Qhov tshwm sim txawv txav hauv kev kuaj ntshav Coombs tsis tau txhais tau tias koj muaj cov tshuaj tiv thaiv nyob rau hauv koj cov hlab ntshav uas tuaj yeem ua rau koj lub cev tiv thaiv kab mob rau cov ntshav liab uas suav tias yog txawv teb chaws rau lub cev - tshwj xeeb yog cov uas yuav muaj nyob hauv ntshav.

Nyob ntawm lub hnub nyoog thiab cov xwm txheej, qhov no tuaj yeem txhais tau hais tias erythroblastosis fetalis, qhov kev sib txuam ntawm cov ntshav txhawm rau hloov ntshav, lossis hemolytic anemia vim muaj kev tiv thaiv autoimmune lossis tshuaj lom.

Cov menyuam mos uas muaj erythroblastosis fetalis yuav muaj cov bilirubin ntau ntau hauv lawv cov ntshav, uas ua rau muaj mob txhav qau. Qhov tshuaj tiv thaiv no tshwm sim thaum tus menyuam mos thiab leej niam muaj ntau hom ntshav, xws li Rh factor positive los sis tsis zoo lossis ABO hom sib txawv. Leej niam lub cev tiv thaiv tus menyuam cov ntshav thaum ua haujlwm.

Tus mob no yuav tsum tau saib xyuas kom zoo. Nws yuav ua rau tus niam thiab tus menyuam tuag tas. Tus poj niam cev xeeb tub feem ntau tau muab kev ntsuam xyuas tsis xws li Coombs kom kuaj xyuas cov tshuaj tiv thaiv ua ntej ua haujlwm thaum cev xeeb tub.