Tshuaj kho mob tau hais tias yog kho tshiab rau MS. Nws tseem nyob hauv theem kev sim tshuaj, tab sis tau qhia pom qhov txiaj ntsig zoo rau hnub tim. Yog tias koj muaj mob hnyav dua MS thiab xav txiav txim siab siv tshuaj kho mob, tham nrog koj tus kws kho mob seb koj puas tsim nyog tau txais.
Cov kauj ruam
Ntu 1 ntawm 3: Tau Txais Kev Kho Mob Khees Xaws thiab Kev Hloov Kab Mob Hlwb
Kauj Ruam 1. Txhim kho kev loj hlob ntawm cov qe ntshav dawb hauv koj cov pob txha pob txha
Thawj qhov koj yuav tsum tau ua txhawm rau kho MS ntawm kev siv tshuaj kho mob yog txhawm rau txhawb kev loj hlob ntawm cov qe ntshav dawb kom cov qauv loj txaus tuaj yeem sau los ntawm koj lub cev thiab khaws cia (khov) rau siv tom qab. Kev siv tshuaj kho mob yog thawj feem ntawm kev kho mob no, thiab nws yuav tsum tau ua raws los ntawm kev hloov pauv qia cell, uas yog cov hlwb uas khov tau yuav siv rau hauv txoj kev.
- Koj yuav zoo li tau txais cov tshuaj xws li G-CSF (Granulocyte Colony Stimulating Factor) uas yuav txhawb kev loj hlob ntawm cov qe ntshav dawb, uas tuaj yeem tom qab raug tshem tawm thiab khov. Lub sijhawm no, koj cov tsos mob MS yuav mob zuj zus, tab sis qhov no yog ib ntus xwb.
- Tom qab theem kev npaj no tiav, koj yuav npaj txhij mus rau tom ntej nrog kev kho mob nkeeg.
Kauj Ruam 2. Tau txais kev kho mob khees xaws rau koj li MS
Tshuaj kho kab mob ib txwm xav tias yog kev kho mob qog noj ntshav nkaus xwb; Txawm li cas los xij, nws kuj tseem ua tau zoo hauv kev rhuav tshem cov qe ntshav dawb, thiab nws yog qee yam ntawm cov qe ntshav dawb (hu ua koj li T cells) uas yog lub luag haujlwm rau kev puas tsuaj autoimmune hauv ntau yam sclerosis. Yog li, siv tshuaj kho mob txhawm rau lub hom phiaj thiab "tua" koj cov qe ntshav dawb, suav nrog koj T cells, tuaj yeem siv los ua txoj hauv kev kom tshem tawm cov cell uas yog lub hauv paus ntawm qhov teeb meem hauv MS. Nws yog lub tswv yim no uas tau ua lub tswv yim kho tshuaj rau MS uas muaj peev xwm ua tau zoo (txawm hais tias nws tseem nyob rau theem pib yog li kws kho mob tseem tsis tau pom pov thawj txuas ntxiv ntawm nws qhov ua tau zoo).
- Cov tshuaj siv tshuaj kho mob uas feem ntau siv suav nrog Etoposide, Cytarabine, Carmustine, thiab Melphalan, nrog rau cov tshuaj tiv thaiv kab mob hu ua Thymoglobulin. Cov txheej txheem tshuaj kho mob hu ua "BEAM."
- Txawm hais tias kev siv tshuaj kho mob tsis yog kho MS, ntau qhov kev tshawb fawb tau qhia txog kev ruaj khov lossis txhim kho lawv cov kab mob tom qab kev kho mob - yog li nws yog qhov kev cia siab rau cov uas ua tau raws li qhov tsim nyog tau txais.
Kauj Ruam 3. Mus txuas ntxiv nrog kev saib xyuas tas li tom qab siv tshuaj kho mob
Koj yuav nyob hauv tsev kho mob tom qab kho cov kws khomob. Koj tus kws kho mob yuav tshuaj xyuas koj tus mob thiab cov cell ua rau koj MS. Koj lub cev tiv thaiv kab mob yuav puas lossis puas tsuaj tom qab kev kho, yog li koj tus kws kho mob yuav kho koj yog tias muaj kev kis mob.
- Tej zaum koj yuav raug muab tso rau hauv chav sib cais ob peb lub lis piam tom qab koj kho mob. Qhov no yog txhawm rau xyuas kom koj tsis txhob muaj mob thaum koj lub cev tiv thaiv kab mob tsis zoo.
- Lub sijhawm no, koj yuav tau txais tshuaj tua kab mob lossis xa ntshav los txhawb koj thaum koj lub cev tiv thaiv kab mob rov zoo.
Kauj Ruam 4. Tau hloov lub qia cell
Thaum koj cov qe ntshav dawb tau raug tshem tawm nrog tshuaj kho mob, tam sim no koj tau npaj kom tau txais lub cev (lub ntsiab lus siv koj tus kheej lub hlwb) hloov pauv qia cell. Qhov kev cia siab yog qhov tshuaj kho mob yuav tshem tawm txhua qhov kev puas tsuaj T cells los ntawm koj cov kab mob ntshav dawb uas yog lub luag haujlwm rau kev puas tsuaj autoimmune ntawm ntau yam sclerosis. Lub hom phiaj tam sim no yog txhawm rau hloov pauv cov cell uas tau rhuav tshem nrog cov cell tshiab noj qab haus huv (cov uas tau khov thiab tam sim no yuav hloov pauv).
- Thaum cov cell khov, cov kws kho mob yuav tau tshem T cells, thiab khov tsuas yog cov hlwb noj qab nyob zoo kom hloov pauv rov qab rau koj tom qab siv tshuaj kho mob. Nov yog qhov ua rau kev kho mob muaj txiaj ntsig zoo thiab muaj kev cia siab.
- Koj yuav nyob hauv tsev kho mob tom qab hloov pauv qia cell kom txog thaum koj "suav cov xov tooj ntawm ib leeg" (koj cov qe ntshav dawb suav) tau rov zoo li qub.
Ntu 2 ntawm 3: Txiav Txim Qhov Tsim Nyog Rau Tshuaj Kho Mob
Kauj Ruam 1. Txiav txim siab seb koj puas yog tus neeg yuav los sib tw rau tshuaj kho mob
Txhawm rau los ua tus neeg sib tw rau kev sim tshuaj kho mob nkeeg rau MS, koj yuav tsum muaj daim ntawv MS nrog rau qhov ua tsis tau zoo (txhais tau tias tsis pom zoo mus tom ntej). Feem ntau nws tsis siv los kho mob me me ntawm MS, vim tsis muaj pov thawj thiab muaj peev xwm txaus ntshai. Yog tias koj muaj mob hnyav zuj zus ntawm MS, lossis ib qho nrog ntau qhov rov qab los, txoj kev kho no yuav yog rau koj. Qee qhov kev sim tshuaj yuav muaj qhov txawv me ntsis dua li lwm qhov.
- Yog tias koj daim ntawv MS tsim nyog rau kev kho mob uas muaj peev xwm kho tau, koj tus kws kho mob tseem yuav tsum ntsuas koj li kev noj qab haus huv thiab lub cev kom tau txais kev kho mob.
- Yog tias koj muaj lwm tus mob kev kho mob, koj yuav tsis tsim nyog tau txais. Txawm li cas los xij, yog tias koj lub cev muaj zog thiab noj qab nyob zoo, koj tuaj yeem tsim nyog koom nrog hauv kev sim tshuaj thiab tau txais tshuaj kho mob raws li kev kho mob rau koj MS.
Kauj Ruam 2. Tham nrog koj tus kws kho mob txog yuav kos npe li cas rau qhib kev sim tshuaj MS
Nws yog ib qho tseem ceeb kom nkag siab tias kev siv tshuaj kho mob raws li kev kho mob rau MS tseem nyob hauv theem kev sim tshuaj. Qhov no txhais tau li cas yog tias nws yog kev kho mob tshiab uas nyuam qhuav tau sim los ntawm cov kws kho mob hauv zej zog, thiab nws tsis muaj pov thawj mus sij hawm ntev ntau txog nws qhov ua tau zoo.
- Feem ntau, koj yuav tham nrog koj tus kws kho mob txhawm rau txiav txim siab koj li kev tsim nyog nkag mus rau hauv kev sim tshuaj thiab, yog tias koj tsim nyog, nws lossis nws yuav tiv tauj koj nrog cov kws kho mob ua tus coj mus sib hais.
- Yog tias kev kho mob nkeeg tseem yog qhov txaus siab rau koj, txuas ntxiv mus nrog koj tus kws kho mob txog qhov xwm txheej ntawm kev sim tshuaj saib seb puas muaj qhov chaw tshiab qhib hauv txoj kev.
Kauj Ruam 3. Qhov tseem ceeb ntawm kev pheej hmoo ntawm MS kev kho mob nkeeg
Thaum txoj kev kho mob tam sim no zoo li muaj txiaj ntsig, tej zaum yuav muaj kev phiv los sis teeb meem. Muaj qee qhov xwm txheej ceeb toom ntawm cov neeg uas tau tuag los ntawm kev kho mob. Tsis tas li, tseem tsis muaj pov thawj mus sij hawm ntev tseem muaj peev xwm cuam tshuam txog kev kho mob ntawm koj kev noj qab haus huv thiab kev noj qab nyob zoo. Nws yog ib qho tseem ceeb kom paub txog qhov txaus ntshai ua ntej rau npe rau qhov kev kho mob tshiab no.
- Yog tias koj tus mob hnyav txaus (piv txwv li yog tias koj raug kev txom nyem ntau los ntawm koj cov tsos mob ntawm MS), cov txiaj ntsig ntawm kev sim kho yuav zoo li qhov tsis zoo.
- Txawm li cas los xij, nws nyob ntawm koj kom ntsuas qhov zoo thiab qhov tsis zoo thiab txiav txim siab seb qhov kev xaiv twg yog qhov zoo rau koj. Koj tus kws kho mob tuaj yeem muab kev taw qhia thiab kev pab nrog qhov kev txiav txim siab no.
Ntu 3 ntawm 3: Xaiv rau Kev Kho Mob MS
Kauj Ruam 1. Kawm paub txog ntau yam kev kho mob MS uas muaj, tsis yog siv tshuaj kho mob
Thaum MS tsis tuaj yeem kho tau (thiab cov kws tshawb fawb kho mob tseem tab tom nrhiav rau lo lus nug tias yuav kho nws li cas), muaj ntau txoj hauv kev los kho thiab txhim kho cov tsos mob thiab qee zaum, kom qeeb qeeb ntawm MS ib yam. Txawm hais tias qhov kev vam meej tuaj yeem ua qeeb qeeb yog nyob ntawm ob yam:
- Cov theem uas "kho tus kab mob hloov kho" tau pib (ua ntej, zoo dua), thiab
- Hom tshwj xeeb ntawm MS koj muaj. Hom "rov rov qab tuaj dua" zoo li yog ib qho uas teb tau zoo tshaj plaws rau kev kho tus kab mob hloov pauv, uas ua rau tuaj yeem qeeb tus nqi ntawm qhov nws nce mus.
Kauj Ruam 2. Xav txog kev kho mob steroid
Txawm hais tias koj muaj MS hom twg, thiab ntxov npaum li cas lossis lig nws nyob hauv chav kawm ntawm koj tus kab mob, yuav luag txhua tus neeg mob MS tau muab tshuaj steroids raws li kev kho mob. Piv txwv ntawm cov tshuaj steroid suav nrog Prednisone thiab IV (txhaj tshuaj) Methylprednisolone. Lub hom phiaj ntawm kev kho mob steroid yog txhawm rau txo qhov mob nyob ib ncig ntawm cov hlab ntsha, vim nws yog kev tawm tsam autoimmune ntawm cov hlab ntsha uas ua rau cov tsos mob ntawm MS pib nrog.
Kauj Ruam 3. Xaiv rau "plasma pauv
"Lwm qhov kev xaiv, yog tias kev kho mob steroid tsis pab koj, yog kev sib pauv ntshav (hu ua" plasmapheresis "). Qhov no yog thaum ib feem ntawm koj cov ntshav (ntshav) raug tshem tawm thiab pauv nrog ntshav tshiab. Lub hom phiaj yog, hauv kev sib pauv, cov tshuaj tiv thaiv kab mob autoimmune (ua rau cov tsos mob ntawm MS) tuaj yeem tshem tawm ib ntus ntawm koj lub cev.
Kauj Ruam 4. Nug koj tus kws kho mob txog kev kho tus mob
Cov tsos mob tshwm sim ntawm MS suav nrog qaug zog, teeb meem nrog kev tswj lub zais zis, cov leeg nruj thiab/lossis txhaws, hnov mob ntawm loog thiab/lossis tingling, teeb meem pom kev, teeb meem taug kev, teeb meem nrog kev tshuav nyiaj li cas thiab/lossis kev sib koom tes, thiab tsis paub kev ua haujlwm (teeb meem nrog kev xav, kev kawm, thiab kev npaj). Ntau yam ntawm cov tsos mob no tuaj yeem txhim kho nrog kev kho mob tshwj xeeb.
Kauj Ruam 5. Sim kho "kev kho kab mob" tshwj xeeb
Raws li tau hais yav dhau los, tib txoj hauv kev los hloov kho (piv txwv li qeeb) qhov kev loj hlob ntawm tus kab mob nws tus kheej yog xaiv rau kev kho tus kab mob-hloov kho. Cov no yog qhov ua tiav tshaj plaws rau daim ntawv rov ua haujlwm-xa rov qab ntawm MS. Hmoov tsis zoo lawv tau qhia me me muaj txiaj ntsig zoo hauv lwm hom MS.
- Cov kev kho mob suav nrog Beta interferons, Dimethyl fumarate, Teriflunomide, Natalizumab, Glatiramer acetate, Fingolimod, Mitoxantrone, thiab Alemtuzumab.
- Cov kev kho mob no tuaj yeem muaj cov kev mob tshwm sim tseem ceeb, yog li nws yog qhov tseem ceeb los tham txog qhov zoo thiab qhov tsis zoo nrog koj tus kws kho mob ua ntej pib kho.
