Kev txhaj tshuaj tiv thaiv kab mob siab ntsig thib ob - ua rau thiab muaj kev kho mob ntawm kev phom sij

Ib tug txaus ntshai tus kab mob, tsis kho kho - secondary immunodeficiency. Nws tsis yog ib qho txiaj ntsim ntawm kev tshuaj ntsuam genetic predisposition thiab nws yog ib qho kev qaug zog ntawm lub cev thiab lub cev tsis muaj zog. Kev txhaj tshuaj tiv thaiv kab mob nruab nrab (secondary immunodeficiency immunology) txhais tau tias yog tus mob pathological disturbance hauv kev ua haujlwm ntawm kev tiv thaiv ntawm peb lub cev.

Qhov kev tiv thaiv kab mob nruab nrab yog txhais li cas?

Yog tias peb xav paub ntau ntxiv txog kev txhaj tshuaj tiv thaiv kab mob hauv theem nrab, peb muaj peev xwm muab ib lub ntsiab txhais los ntawm qhov tshuaj ntawm cov tshuaj, uas kawm txog cov khoom tiv thaiv ntawm lub cev thiab nws lub zog tiv thaiv lwm yam - kev tiv thaiv kab mob. Yog li, secondary (nrhiav tau) immunodeficiency yog ib qho tsis ua haujlwm nyob rau hauv kev ua haujlwm ntawm lub cev, uas tsis muaj dab tsi ua rau cov noob caj noob ces. Xws li tej yam kev mob yog nrog los ntawm ntau inflammatory thiab kis kab mob, uas yog tsis zoo heev tsis txaus ntseeg rau kev kho.

Hom tshuaj tiv thaiv kab mob (secondary immunodeficiency) - kev faib tawm

Muaj ntau hom kev qhia tawm ntawm cov xeev no:

• ntawm kev ceev ntawm txoj kev loj hlob;
• tshaj tawm;
• nyob rau theem ntawm kev ua txhaum;
• los ntawm qhov tseem ceeb hauv lub xeev.

Kev faib tawm ntawm theem nrab CID los ntawm kev nce qib:

• mob nyhav (mob los ntawm kab mob kis mob, ntau yam tshuaj toxicities, raug mob);
• ntev (tshwm nyob rau tom qab ntawm kev puas tsuaj ntawm tus mob autoimmune, kis tus kab mob, hlav, thiab lwm yam).

Nyob rau hauv cov nqe lus ntawm breakage:

• kev txhaj tshuaj tiv thaiv kab mob ntsig tsis nto ntawm lub phagocyte;
• kho qhov tsis txaus siab;
• secondary T-cell immunodeficiency;
• ua txhaum ntawm kev ua kom dawb huv;
• ua ke.

Tseem qhov txawv:

• Kev Mob Ntsig ID - yog zoo li kev txhaj tshuaj tiv thaiv kab mob, vim tias tsis muaj kev tsim nyog tshwm sim;
• ib qho mob ntawm cov kab mob ua kom tsis muaj tub qaug (immunodeficiency secondary) - yog qhov ua kom meej meej.

Cov ntaub ntawv ntawm immunodeficiency secondary

Ntxiv nrog rau cov kev cais suav hais tias, cov kab mob qee zaum kuj tau txais kev tiv thaiv kab mob ntawm cov kab mob sib kis thiab kev ntxias. Nws yog feem ntau tuaj yeem nrhiav AIDS vim yog ib hom mob no, tab sis niaj hnub immunology no qhia ntau txog qhov mob vim li cas thiaj li tau los ntawm IDS uas tau txais, tus neeg sawv cev ntawm tus kab mob HIV (tus kab mob human immunodeficiency virus). Kev mob AIDS nrog rau kev sib koom ua ke thiab ua kom muaj kev sib koom ua ke nrog tib lub tswv yim tib si nrhiav tau kev tiv thaiv kab mob.

Tshaj ntawv ntawm kev txhaj tshuaj tiv thaiv kab mob secondary

Kev qhaj ntawv ntawm ib qho meej thiab meej meej etiology txhais tau hais tias kev mob ntsws tsis sib haum xeeb. Qhov no ua rau nws zoo li cov thawj hom, thiab ntau zaus nws yog tshwm sim los ntawm qhov kev txiav txim ntawm tus mob microscopic conditionogen. Hauv cov laus, nyuaj-rau-kho mob mob yog txhais tau tias yog qhov tshwm sim ntawm cov qib IDS. Cov kab mob tsis tu ncua feem ntau pom muaj nyob rau hauv xws li lub cev thiab lub nruab:

• qhov muag;
• daim tawv nqaij integument;
• kab mob ntsws:
• kabmob ntawm cov hnyuv;
• genito-urinary system.

Txhuam nrog kev txhaj tshuaj tiv thaiv kab mob nruab nrab

Kev txhaj tshuaj tiv thaiv kab mob yog kho tau thiab ntau zaus nrog kev pab cuam ntawm txoj kev kho mob kom sai li sai tau rov qab ua haujlwm ntawm lub cev tiv thaiv. Feem ntau yog vim li cas ho tseem muaj kev tiv thaiv kabmob ntsim qib siab ntxiv:

• kev phais mob phais;
• kev raug mob loj;
• pathology tiv thaiv kabmob ntshav qab zib, mob siab thiab mob raum;
• nquag x-rays.

Ua rau kev txhaj tshuaj tiv thaiv kab mob nrab

Muaj ntau lub hauv paus uas ua rau tus kabmob ntawm kev txhaj tshuaj tiv thaiv kab mob nruab nrab thiab feem ntau ntawm cov neeg nyeem ntawv tsis paub txawm tias feem ntau ntawm lub tswvyim ntawm IDS yog txuam nrog lub ntiaj teb thiab tsis pauv, tiam sis qhov tseeb, cov xeev no hloov dua siab tshiab yog tias tsis yog hais txog kab mob ua kom tsis muaj kab mob txoj cai. Tab sis txawm tias peb tham txog kab mob HIV, tom qab ntawd ces nrog tus kab mob no, ntau tus neeg nyob rau lub hnub qub heev.

Yog li, vim li cas cov tsos ntawm cov xeev no yuav yog:

• kab mob kis kab mob (tuberculosis, pneumococci, staphylococci, meningococci thiab lwm yam);
• helminths thiab protozoal invasions (ascarids, toxoplasmosis, trichinosis, malaria);
• oncological kev kawm.
• teeb meem ntawm autoimmune.
• kis kabmob (cov qoob qhwv, kabmob siab, qhua pias, rubella, herpes, cytomegaly thiab lwm yam);
• kev qaug cawv ( thyrotoxicosis , lom);
• hnyav dhau los ntawm kev puas siab puas ntsws thiab lub cev, mob ntxiv dag zog;
• los ntshav, nephritis , hlawv;
• tshuaj los (tshuaj, tshuaj qaub, tshuaj tua kab mob);
• tej yam zoo li qub (hnub nyoog los yog me nyuam hnub nyoog, lub sij hawm ntawm kev coj tus me nyuam);
• tsis muaj cov ntsiab lus tseem ceeb ntawm micro thiab macro, cov vitamins vim malnutrition.

Txhaj tshuaj tiv thaiv kab mob ntsws (secondary immunodeficiency) - cov cim mob

Ib qho teeb liab rau kev kuaj mob ntawm kev tiv thaiv kab mob kuj yuav yog symptomatology, uas feem ntau muaj pov thawj ntawm cov teeb meem. Cov cim qhia ntawm kev txhaj tshuaj tiv thaiv kab mob secondary:

• purulent meningitis thiab sepsis ;
• kab mob tsis tu ncua los yog pheej kab mob;
• TSIM ARVI thiab stomatitis;
• herpes;
• fungi thiab kab mob parasitic;
• mob ntsws ntev;
• nquag muaj teeb meem nrog ENT kabmob;
• kab mob ntsws bronchiectatic;
• mob ntsws.

Kev txhaj tshuaj tiv thaiv kab mob siab thib ob - kev kho mob

Cov lus nug txog kev tiv thaiv kev tiv thaiv kab mob hauv qib nrab yuav tsum tau xav txog kev xav paub, vim hais tias tsis yog kev noj qab haus huv xwb, tab sis kuj, feem ntau, lub neej nyob ntawm kev kho. Nrog rau cov kab mob sib kis tsis ntev los tiv thaiv qee yam tsis muaj kev tiv thaiv, nws yog ib qho tsim nyog yuav tsum tau ntsib nrog tus kws kho mob tshwj xeeb thiab mus soj ntsuam. Yog tias tsis muaj kev tiv thaiv kab mob nruab nrab, ces nws tsis tas yuav ncua sijhawm nrog kev pib kho.

Kev kho mob ntawm qib siab ISD raug sau raws li seb qhov txuas qhov twg tau pom muaj nyob hauv. Thaum lub caij kho, thawj kauj ruam yuav raug tshem tawm kom tshem tawm qhov ua rau tus kab mob. Raws li txoj cai, cov no yog qhov kev ntsuas qhov kev ua si tom qab qhov kev ua haujlwm, kev raug mob, kev kub nyhiab, thiab lwm yam, uas tau ua tiav lawm Yog tias tus kabmob kis kab mob, kabmob, kab mob thiab cov tshuaj hu ua fungi yuav raug tshem tawm ntawm kev pabcuam tshuaj.

1. Thaum kis mob los ntawm cov kab mob pathogenic, tshuaj tiv thaiv kab mob yog tshuaj (Abaktal, Amoxiclav, Vancomycin, Gentamicin, Oxacillin).
2. Yog tias muaj cov kab mob hu ua pathogenic fungi, cov tshuaj tua kab mob yuav tsum tau noj tshuaj (Ecodax, Candidate, Diflucan, Fungoterbine).
3. Tshuaj Anthelminthic yog cov tshuaj tua kab mob nyob hauv lub xub ntiag ntawm cov kab tshoob (Helminthox, Centel, Nemosol, Pirantel).
4. Cov tshuaj tua kab mob thiab tshuaj tua kabmob (Antiviral) thiab cov tshuaj siv tshuaj tua kabmob (antiviral) thiab cov tshuaj siv tshuaj tua kabmob (Antiviral) thiab cov tshuaj siv tshuaj tua kabmob (Antiviral) thiab tshuaj siv tshuaj tua kabmob (Antiriral, antibacterial, Phosphazid).
5. Immunoglobulin injections siv intravenously thaum raug mob thaum lub cev ntawm nws tus kheej cov immunoglobulins txo (Cov neeg tib neeg immunoglobulin, Hyperimmunoglobulin).
6. Cov tshuaj tiv thaiv kab mob rau cov kab mob sib txawv rau cov kab mob sib kis thiab mob ntev (Cordizex, Roncoleukin, Yuvet, thiab lwm yam).