Thawj qhov kev txhaj tshuaj tiv thaiv kab mob - tseem hu ua thawj cov kab mob tiv thaiv kab mob tsis zoo lossis kab mob tiv thaiv kab mob thawj zaug - yog pab pawg ntau dua 80 yam xwm txheej uas tib neeg lub cev tiv thaiv kab mob tsis ua haujlwm zoo. Lawv ua rau muaj kev nce ntxiv hauv kev kis kab mob, mob qog noj ntshav, thiab cov tshuaj tiv thaiv kab mob autoimmune. Tsuas yog kws kho mob tuaj yeem kuaj pom thawj qhov kev tiv thaiv kab mob tsis zoo. Tab sis yog tias koj muaj mob rov qab los yog kis tus kab mob, koj tuaj yeem muaj thawj qhov tsis muaj kev tiv thaiv kab mob. Nco ntsoov tias cov xwm txheej no feem ntau kuaj pom thaum tseem yau, tab sis tuaj yeem kuaj pom mus rau neeg laus. Paub txog koj tsev neeg keeb kwm tuaj yeem pab koj txiav txim siab seb koj puas muaj kev pheej hmoo rau cov teeb meem no.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas Cov tsos mob tshwm sim
Kauj Ruam 1. Saib seb puas muaj kab mob txawv txav
Yog tias koj raug kev txom nyem los ntawm ntau yam kab mob sib kis hauv ob peb lub cev sib txawv lossis ib feem ntawm koj lub cev, lossis muaj tus kab mob sib kis (mob hnyav), koj yuav muaj tus kab mob tseem ceeb tiv thaiv kab mob. Qee qhov xwm txheej feem ntau thiab kis kab mob uas tshwm sim thawj qhov kev tiv thaiv kab mob muaj xws li:
- Cov kab mob sinopulmonary rov tshwm sim, xws li mob ntsws (ua npaws), mob pob ntseg (mob pob ntseg, thiab mob pob ntseg (mob ua rau mob ntev)
- Meningitis (mob o ntawm cov nqaij mos ze ntawm lub hlwb lossis tus txha caj qaum) lossis sepsis (tus mob uas cov ntshav kis tau tus kab mob)
- Cov kab mob hauv plab (kis kab mob hauv lub plab)
- Cov kab mob hauv daim tawv nqaij (kis kab mob ntawm daim tawv nqaij)
Kauj Ruam 2. Saib rau ntawm daim tawv nqaij ntawm qhov xub thawj ua tsis tau haujlwm
Ntxiv nrog rau cov kab mob hauv daim tawv nqaij, koj tuaj yeem tsim tus lej ntawm cov tawv nqaij tsis kis mob - ua pob, ua xua, lossis tawv nqaij tawv - yog tias koj muaj thawj qhov tsis muaj peev xwm tiv thaiv kab mob. Cov xwm txheej no suav nrog:
- Cov kab mob Eczematous (thaj tsam ntawm cov tawv nqaij puas tau ua los ntawm cov kab mob hnyav, ib qho mob uas ua rau khaus, tawv nqaij tawv)
- Erythroderma (tawv nqaij tawv)
- Cov tawv nqaij granulomas (liab, tsa qhov txhab lossis ua pob)
- Dysplasia ntawm daim tawv nqaij (lub ntsej muag xim nrog cov tawv nqaij tsaus npog thaj chaw uas raug kev raug mob), plaub hau (xim tsis sib xws lossis tawv nqaij, lossis tsis muaj pob muag), thiab ntsia hlau (tuab, flaky, ridged, lossis txawv txav)
Kauj Ruam 3. Saib rau qhov tsis teb cov tshuaj tua kab mob
Yog tias koj tau sau tshuaj tua kab mob rau kis kab mob tab sis lawv ua pov thawj tsis muaj txiaj ntsig, koj yuav muaj thawj qhov tsis muaj peev xwm tiv thaiv kab mob. Ntawm qhov tod tes, yog tias koj tau siv tshuaj tua kab mob tshwj xeeb tau ntev, koj yuav tau tsim kev tiv thaiv rau cov tshuaj ntawd. Hauv ob qho xwm txheej twg, qhia rau koj tus kws kho mob paub tias koj cov tshuaj tua kab mob tsis muaj txiaj ntsig yog li lawv tuaj yeem muab kev kuaj mob kom raug.
Txoj Kev 2 ntawm 3: Tau Txais Kev Kho Mob
Kauj Ruam 1. Mus ntsib koj tus kws kho mob
Tsuas yog kws kho mob tau kawm tiav tuaj yeem txiav txim siab ncaj qha seb koj lossis ib tus neeg hauv koj tsev neeg puas muaj kab mob ua ntej tsis muaj zog. Yog tias koj tsis muaj kws kho mob, mus ntsib Immune Deficiency Foundation's "Nug IDF" nplooj ntawv txhawm rau pab nrhiav tus uas paub txog kev tiv thaiv kab mob thawj zaug.
Kauj ruam 2. Tau txais kev tshuaj ntsuam genetic
Molecular-level genetic analysis tuaj yeem txheeb xyuas qhov ua tsis raug lossis hloov pauv hauv koj lub genome uas koj tus kws kho mob tuaj yeem siv los kuaj xyuas thawj qhov kev tiv thaiv kab mob tsis zoo. Koj yuav muaj tus kab mob tiv thaiv kab mob tseem ceeb yog tias koj muaj cov tsos mob ntawm ib qho teeb meem tshwj xeeb, tab sis koj tsis muaj qhov txawv txav cuam tshuam nrog qhov teeb meem hauv koj cov noob lossis mRNA, lossis yog tias koj tsis muaj cov protein uas paub tias ua rau muaj teeb meem.
Muaj ntau txoj hauv kev muaj rau koj tus kws kho mob txhawm rau txheeb xyuas koj li keeb kwm keeb kwm keeb kwm. Lawv yuav coj mus kuaj ntshav los yog daim tawv nqaij los ntawm sab hauv ntawm koj sab plhu (lub npe hu ua swab swab). Nws tuaj yeem yog qhov yooj yim xws li hnoos rau hauv lub khob lossis swishing thiab nto qaub ncaug nrog tshuaj yaug qhov ncauj
Kauj Ruam 3. Saib seb puas muaj cov kab mob txawv txav
Yog tias koj muaj thawj tus kab mob tiv thaiv kab mob tsis zoo, koj yuav pom koj tus kheej ua tus tswv cuab rau cov kab mob zoo li atypical mycobacteria (uas qhia tias muaj qhov tsis xws li IFN-yR), Pneumocystis jirovecii (uas qhia tias muaj kev sib xyaw ua ke tsis muaj zog-tseem hu ua SCID-lossis Hyper IgM syndrome). Koj tus kws kho mob yuav kuaj pom cov kab mob no thaum txheeb xyuas cov hnoos qeev lossis lwm yam kev kuaj lub cev uas koom nrog hauv kev txheeb xyuas koj tus kab mob.
- IFN-yR qhov tsis xws yog caj ces tsis xwm yeem uas ua rau muaj kev cuam tshuam ntau ntxiv rau mycobacteria, suav nrog cov kab mob uas ua rau tuberculosis, mob ntsws loj.
- Hyper IgM syndrome yog thawj qhov kev tiv thaiv kab mob nrog tsib hom. Txhua qhov kev hloov pauv cuam tshuam nrog cov noob tsis xws uas ua rau muaj cov tsos mob xws li kis mob ntau zaus, kab mob siab C, hypothyroidism, thiab mob caj dab.
- SCID yog ib qho kev tiv thaiv kab mob loj uas ua rau muaj qhov tsis zoo ntawm T thiab B cells. Cov neeg nrog SCID feem ntau yuav tsum nyob hauv ib puag ncig tsis muaj menyuam vim tias lawv muaj kev tiv thaiv kab mob ntxiv.
Kauj Ruam 4. Saib rau qee yam kev ua xua thiab autoimmune
Cov kab mob autoimmune yog cov xwm txheej uas lub cev tiv thaiv kab mob tsis yog tsuas yog tsis tiv thaiv koj los ntawm kev hem thawj sab nraud, tab sis nws yeej tawm tsam cov hlwb ntawm koj lub cev. Kev ua xua yog ib qho piv txwv ntawm tus mob autoimmune. Cov tsos mob ntawm kev ua xua lossis kab mob autoimmune uas koj yuav ntsib nrog thawj qhov kev tiv thaiv kab mob tsis muaj peev xwm suav nrog:
- khaus, liab, dej hauv qhov muag
- txham
- hnoos
- khaus khaus
- hawb pob lossis ua pa nyuaj
Kauj Ruam 5. Tau xoo hluav taws xob
Xoo hluav taws xob tuaj yeem kuaj xyuas seb koj puas muaj mob sinusitis, kab mob hauv lub ntsws, lossis mob ntsws zoo ib yam uas tuaj yeem qhia thawj tus kab mob tiv thaiv kab mob tsis zoo. Xoo hluav taws xob yog cov txheej txheem tsis mob uas koj mus ntsib tsev kho mob lossis kws kho mob lub tsev kho mob thiab muaj ib feem ntawm koj lub cev ua piv txwv nrog cov cuab yeej tshwj xeeb, hu ua tshuab xoo hluav taws xob. X-duab duab cov txiaj ntsig tuaj yeem pab kws kho mob pom los ntawm koj cov tawv nqaij thiab hauv koj lub cev pob txha thiab lwm yam kev ua haujlwm ntawm lub cev.
Kauj Ruam 6. Tau txais CT scan
Kev kuaj CT (suav tomography) tsis zoo li X-ray. Zoo li X-ray, CT scan tsis mob thiab tso cai rau koj tus kws kho mob tshuaj xyuas koj lub hauv siab, hauv plab, thiab lub plab mog rau kev kis mob thiab lwm yam tsis xwm yeem. Tab sis thaum X-duab hluav taws xob tsim cov duab ib leeg nkaus xwb, CT scan siv khoos phis tawj los tsim cov duab ib txheej, thiab txawm tias yog cov duab peb sab kom tau txais kev nkag siab zoo ntawm dab tsi tshwm sim hauv koj.
- Kev ntsuas CT kuj tseem muaj txiaj ntsig rau kev txiav txim siab ua haujlwm ntsws thiab kuaj pom lub ntsws thiab teeb meem teeb meem uas, yog tias lawv txuas ntxiv mus, tuaj yeem qhia pom thawj tus kab mob tsis muaj zog tiv thaiv kab mob.
- Yog tias koj tau txais CT scan, koj yuav raug hais kom yoo mov rau 12 teev ua ntej yuav kuaj. Hnav khaub ncaws xoob, xis nyob rau lub sijhawm teem thiab tsis hnav cov hniav nyiaj hniav kub.
- Thaum lub sijhawm kuaj pom tiag tiag, koj yuav tsum tau pw ntawm qhov slab uas tom qab ntawd ntog hauv lub raj. Lub raj tig ib ncig ntawm koj thiab koj yuav tsum tau pw tseem kom txog thaum kev tshuaj xyuas tiav.
Kauj Ruam 7. Mus kuaj ntshav
Yog tias koj muaj thawj qhov kev tiv thaiv kab mob tsis zoo, koj B cells (hom ntshav dawb ntshav lub luag haujlwm tsim cov tshuaj tiv thaiv kab mob) thiab T cells (ib hom qe ntshav dawb lub luag haujlwm tswj hwm kev kis kab mob fungal) tuaj yeem ua haujlwm tsis tau. Kev kuaj ntshav tuaj yeem txiav txim siab tias koj li B thiab T cells ua haujlwm tau zoo. Txhawm rau kuaj ntshav, teem sijhawm ntsib koj tus kws kho mob.
- Koj tus kws kho mob yuav ntxuav cov tawv nqaij saum cov leeg ntshav uas koj cov ntshav yuav raug kos nrog tshuaj tua kab mob. Lawv kuj tseem tuaj yeem khi caj npab tawm sab saud ntawm qhov chaw txhaj tshuaj.
- Koj yuav hnov qhov hnoos me me thaum rab koob nkag rau hauv koj cov leeg.
- Tom qab ntawd, tus kws kho mob yuav qhwv qhov chaw uas lawv kos koj cov ntshav. Tej zaum koj yuav raug hais kom zaum lossis pw li ob peb feeb.
Kauj Ruam 8. Txheeb xyuas koj tsev neeg keeb kwm
Thawj qhov kev tiv thaiv kab mob feem ntau tau txais los ntawm ib tus neeg hauv tsev neeg. Yog tias koj niam koj txiv, pog yawg, nus muag, lossis lwm tus neeg hauv koj tsev neeg muaj qhov tsis muaj peev xwm tiv thaiv kab mob thawj zaug, koj yuav muaj feem ntau, thiab.
- Yog tias koj tsis paub meej txog koj tsev neeg keeb kwm, nug niam txiv lossis lwm tus txheeb ze yog tias lawv paub txog leej twg hauv koj tsev neeg nrog thawj qhov kev tiv thaiv kab mob tsis zoo.
- Sau cov ntaub ntawv ntau li ntau tau, suav nrog cov tsos mob thiab lub npe ntawm cov kab mob tiv thaiv kab mob tshwj xeeb uas lawv muaj, thiab muab koj tus kws kho mob nrog cov ntaub ntawv no.
Txoj Kev 3 ntawm 3: Txheeb Xyuas Thawj Qhov Kev Tiv Thaiv Kab Mob Hauv Cov Menyuam
Kauj Ruam 1. Saib kom pom qhov txawv txav
Kev loj hlob tsis xws luag - qhov txawv txav ntawm kev loj hlob lossis kev loj hlob - tuaj yeem qhia pom tias muaj thawj qhov kev tiv thaiv kab mob tsis zoo. Kev loj hlob tsis xws luag tuaj yeem tshwm hauv plawv, xim tawv nqaij, pob txha, lossis ntsej muag.
Piv txwv li, yog tias koj tus menyuam tau txais kev kuaj mob thiab kws kho mob pom tias lawv muaj qhov tsis xws luag lossis cardiomyopathy (mob uas lub plawv nyuaj rau xa ntshav mus rau lub cev), thawj qhov tsis muaj peev xwm tiv thaiv kab mob tuaj yeem yog qhov ua rau
Kauj Ruam 2. Nrhiav qhov ua tsis tiav kom vam meej
Kev tsis vam meej yog ib yam mob uas koj tus menyuam tsis tuaj yeem hnyav lossis loj hlob zoo. Yog tias koj tus menyuam tsis tau vam meej - vim yog, tej zaum, rau tus mob rov tshwm sim - qhov no tuaj yeem yog cov lus qhia tseem ceeb hais txog seb lawv puas muaj kev tiv thaiv kab mob thawj zaug. Coj koj tus menyuam mus rau kws kho mob kom kuaj xyuas tas li thaum lawv loj tuaj.
- Kev ua tsis tau zoo yog feem ntau kuaj pom thaum koj tus menyuam tsuas yog menyuam yaus. Raws li menyuam yaus, koj tus menyuam yuav tsum hnyav dua ob npaug nws thawj plaub lub hlis.
- Thaum muaj 12 hlis, koj tus menyuam yuav tsum hnyav li peb npaug.
- Koj tus menyuam tus kws kho mob yuav tuaj yeem qhia koj ntau npaum li cas lawv yuav tsum tau pom thiab koj tuaj yeem ua dab tsi los kho qhov ua tsis tiav kom vam meej, txawm tias nws tsis yog los ntawm thawj qhov kev tiv thaiv kab mob tsis zoo.
Kauj Ruam 3. Saib rau kev txhim kho qeeb
Lwm qhov xwm txheej thaum yau uas tuaj yeem muab pov thawj ntawm qhov tsis muaj peev xwm tiv thaiv kab mob thawj zaug yog kev txhim kho qeeb. Qhov no piav qhia txog ntau yam xwm txheej thiab tus cwj pwm. Yog tias koj muaj kev txhawj xeeb txog koj tus menyuam txoj kev txhim kho, hu rau koj tus kws kho mob kom lawv tuaj yeem txheeb xyuas koj tus menyuam. Kev loj hlob qeeb yuav txhais tau tias tus menyuam:
- tsis kawm ntawm tus nqi tib yam li lawv cov phooj ywg
- tsis tuaj yeem hais lus lossis nkag siab hais lus ntawm qib hnub nyoog tsim nyog
- muaj teeb meem nrog kev sib koom tes, txav mus los, lossis tshuav nyiaj li cas
- tsis koom nrog kev coj noj coj ua uas tsim nyog rau lawv lub hnub nyoog
Kauj Ruam 4. Saib xyuas tus kab mob mus ntev
Txawm tias mob me me lossis mob hnyav tuaj yeem tseem qhia tau tias tus menyuam yuav muaj thawj qhov tsis muaj kev tiv thaiv kab mob. Qhia koj tus menyuam tus kws kho mob txog kev kis tus mob uas tus menyuam tau muaj, suav nrog:
- kab mob ntawm daim tawv nqaij
- khaub thuas
- mob pob ntseg
- mob ntsws
- ua xua
