Hemophilia yog dab tsi thiab yuav ua li cas nrog nws

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Nosebleeds thiab nquag bruising tuaj yeem tshwm sim vim muaj ntshav tsis txaus.

Dab tsi yog hemophilia

Hemophilia yog ib hom kab mob caj ces uas ib tus neeg cov ntshav txhaws tsis zoo. Qhov no yog vim tsis ua hauj lwm hauv kev sib txuas ntawm cov proteins tshwj xeeb, los yog cov khoom ua kom khov. Cov kws tshawb fawb suav nrog cov lej Roman ntawm I txog XII. Tus kab mob tshwm sim tsuas yog vim tsis muaj ob yam tshwj xeeb, yog li ntawd, muaj ob hom hemophilia Hemophilia / US. National Library of Medicine:

• A - hauv cov ntshav tsawg dua 50% ntawm cov qauv ntawm qhov VIII;
• B - cov ntsiab lus ntawm IX yog qis dua 50%.

Hemophilia tuaj qhov twg?

Nws feem ntau yog los ntawm Hemophilia / Mayo Clinic los ntawm kev sib deev chromosomes, uas yog XX rau cov poj niam thiab XY hauv cov txiv neej. Tus tub tau txais Y los ntawm nws txiv, thiab X los ntawm nws niam, tus ntxhais los ntawm ob niam txiv - ob tug X-chromosomes. Cov noob hemophilia tsis zoo yog nyob ntawm ib qho X chromosome tab sis raug txwv rau lwm qhov. Yog li ntawd, nyob rau hauv cov poj niam, tus kab mob tsis tshwm sim nws tus kheej, tab sis leej niam muaj peev xwm kis tau rau nws tus tub.

Hauv kwv yees li 30% ntawm cov neeg, hemophilia yog tshwm sim los ntawm kev hloov pauv ntawm cov noob caj noob ces Hemophilia / Mayo Clinic, tsis yog los ntawm noob neej. Daim ntawv kis tau tus kab mob, uas tshwm sim vim muaj kev tiv thaiv kab mob, yog qhov tsawg dua. Lawv tuaj yeem provoked los ntawm:

• cev xeeb tub;
• kab mob autoimmune;
• mob qog noj ntshav;
• ntau yam sclerosis.

Cov tsos mob ntawm hemophilia yog dab tsi

Qhov tshwm sim ntawm tus kab mob yog nyob ntawm Hemophilia / Mayo Clinic, ntau npaum li cas yog tsis muaj VIII los yog IX cotting factor. Cov tsos mob tseem ceeb yog qhov hnyav hnyav lossis los ntshav sai heev uas nyuaj heev. Nws tuaj yeem tshwm sim hauv cov xwm txheej hauv qab no:

• vim kev txiav, kev phais, lossis kev tshem tawm hniav;
• raws li qhov tshwm sim ntawm lub tshuab rau cov ntaub so ntswg;
• tom qab txhaj tshuaj tiv thaiv.

Qee lub sij hawm tam sim ntawd los ntshav hauv cov pob qij txha, vim lawv mob heev thiab txav tsis zoo. Qee tus neeg yuav muaj ntshav hauv lawv cov zis thiab cov quav. Thiab cov menyuam yaus uas muaj hemophilia feem ntau ua rau khaus heev.

Vim li cas hemophilia txaus ntshai?

Nws tuaj yeem ua rau muaj kev phom sij rau lub neej. Qhov no feem ntau yog Hemophilia / Mayo Clinic:

• Lub paj hlwb hemorrhage. Mob taub hau, ntuav, tsaug zog lossis qaug zog, convulsions tshwm sim; pom ob npaug. Qee lub sij hawm ib tug neeg tsis nco qab.
• Cov leeg nqaij los ntshav. Cov ntshav sib sau nruab nrab ntawm cov leeg nqaij thiab compresses cov hlab ntsha, uas tuaj yeem ua rau koj cov ceg tawv lossis mob.
• Kev puas tsuaj. Lawv feem ntau yuav sau cov ntshav, uas yuav ua rau kev puas tsuaj ntawm pob txha mos thiab kev loj hlob ntawm kev mob caj dab. Qee zaum, Hemophilia A / Medscape cyst tuaj yeem tshwm sim. Irreversible deformation maj mam tshwm sim, thiab kev sib koom ua ke tsis ua haujlwm.

Tsis tas li ntawd, qee zaum hemophilia yuav tsum tau txhaj ntshav. Qhov no ua rau muaj kev pheej hmoo kis tus kabmob HIV thiab lwm yam kabmob kis kabmob.

Yuav kuaj mob hemophilia li cas?

Feem ntau, thawj cov tsos mob tshwm sim nyob rau hauv thaum yau. Tab sis yog tias ib tug neeg paub tias cov txiv neej hauv nws tsev neeg tau mob hemophilia, ces nws tuaj yeem tig mus rau tus kws kho mob kom kuaj xyuas. Txhawm rau kom paub meej lossis tsis lees paub qhov kev kuaj mob, tus kws kho mob yuav sau ntawv kuaj mob Hemophilia / Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv:

• General ntshav tsom xam. Txheeb xyuas qib hemoglobin, platelet thiab ntshav liab suav.
• Ua kom lub sijhawm ib nrab thromboplastin (APTT). Qhov taw qhia yog ntsuas hauv vib nas this thiab qhia tias cov ntshav txhaws sai npaum li cas. Nrog rau qhov tsis muaj VIII, IX, XI thiab XII, APTT ua ntau dua li qub.
• Lub sijhawm Prothrombin. Nws kuj qhia tau hais tias cov ntshav coagulates sai npaum li cas, tab sis qhia txog qhov concentration ntawm I, II, V, VII thiab X coagulation yam. Yog li ntawd, nyob rau hauv cov neeg uas muaj hemophilia, qhov kev kuaj no yog ib txwm, thiab nws yog ua kom nrhiav tau tag nrho cov ua rau los ntshav.
• Fibrinogen. Cov protein no yog coagulation yam I thiab yog lub luag haujlwm rau kev tsim cov ntshav txhaws. Hauv hemophilia, qhov kev sim tsis txawv ntawm cov qauv, thiab yog tias qib ntawm fibrinogen hloov, tus kws kho mob yuav xav tias lwm tus kab mob.
• Kev tshawb fawb ntawm coagulation yam. Kev tsom xam qhia txog qib VIII thiab IX yam hauv cov ntshav thiab qhia txog hom thiab qhov hnyav ntawm tus kab mob.

Yuav kho hemophilia li cas?

Nws yog tsis yooj yim sua kom tshem tau tus kab mob, tab sis kom tsis txhob muaj teeb meem, cov kws kho mob tau sau ntawv txhawb kev kho mob. Nws yuav tsum txhim kho cov ntshav txhaws. Txhawm rau ua qhov no, siv Hemophilia / Mayo Clinic:

• Cov yam ntxwv ntawm cov ntshav txhaws. Cov protein tau los ntawm cov ntshav pub dawb los yog ua ke hauv chav kuaj, uas yog siv rau lub sijhawm rau tus neeg mob hemophilia.
• Cov tshuaj hormone desmopressin. Nyob rau hauv cov ntaub ntawv mos ntawm tus kab mob, nws stimulates lub synthesis ntawm nws tus kheej coagulating proteins.
• Fibrin sealants. Lawv siv rau qhov txhab thiab txiav kom tsis txhob los ntshav.
• Clotting tshuaj. Lawv pab tiv thaiv kev tawg ntawm cov ntshav txhaws.

Yog tias koj cov pob qij txha puas lawm, koj tus kws kho mob yuav sau ntawv kho lub cev. Thiab yog hais tias muaj mob hnyav los ntshav, ces yuav tsum tau phais.

Tsis tas li ntawd, txhua tus neeg uas muaj hemophilia raug qhia kom txhaj tshuaj tiv thaiv kab mob siab A thiab B kom txo tau qhov kis tau los ntawm kev muab ntshav.

Yuav ua li cas nyob nrog hemophilia

Txhawm rau txo cov kev pheej hmoo cuam tshuam nrog tus kab mob, cov kws kho mob pom zoo kom Hemophilia / Mayo Clinic:

• Xaiv txoj kev ua kis las. Tsis txhob muaj kev raug mob xws li kev ua yeeb yam, ntaus pob ncaws pob, lossis ncaws pob. Kev ua luam dej, caij tsheb kauj vab, lossis taug kev tuaj yeem pab txhawb cov leeg thiab pob qij txha.
• Tsis txhob noj tej yam tshuaj. Qee cov tshuaj kho mob tom khw muag khoom kom txo cov ntshav thiab tuaj yeem ua rau los ntshav tsis zoo. Rau tib lub laj thawj, anticoagulants yog qhov txaus ntshai. Yog li ntawd, nws yog qhov zoo dua los noj tshuaj tom qab sab laj nrog kws kho mob.
• Saib xyuas kev noj qab haus huv ntawm qhov ncauj kab noj hniav. Nws raug nquahu kom koj mus ntsib koj tus kws kho hniav tsis tu ncua thiab kho koj cov hniav kom raws sijhawm kom tsis txhob tshem lawv. Xws li kev ua haujlwm yuav ua rau muaj ntshav tawm ntau.
• Kawm kom tsis txhob los ntshav me. Ua li no, koj yuav tsum tau muab lub zog rau ntawm lub qhov txhab los yog siv cov ntaub qhwv nruj. Txias qhov raug mob nrog ib lub pob dej khov.

Yog tias tus menyuam raug kuaj pom tias muaj hemophilia, cov niam txiv tuaj yeem hnav lub hauv caug thiab lub luj tshib los tiv thaiv kev ntog thiab los ntshav sib koom. Thiab nyob rau hauv tsev nws yog qhov zoo dua los tshem tawm cov rooj tog nrog cov ces kaum ntse.