Tib neeg lub cev immunoglobulin yog tshuaj yeeb-tshuaj tiv thaiv uas tau lees paub tias yog ib pawg neeg txhaj tshuaj tiv thaiv thiab immunomodulating. Nws yog tsim los ntawm cov ntshav ntawm cov neeg muaj kev noj qab haus huv uas tau soj ntsuam kev kuaj mob tshwj xeeb thiab kuaj sim thiab tsis muaj pov thawj ntawm cov kab mob ntshav (tshwj xeeb, kab mob HIV, kab mob siab C thiab B).
Lub ntsiab ntawm cov tshuaj no yog cov tshuaj tua kabmob (immunologically active) feem ntau ntawm cov ntshav, uas yog feem ntau ntawm immunoglobulin G thiab muaj immunoglobulin M thiab immunoglobulin A nyob rau hauv cov tawv nqaij tsawg. Tib neeg lub cev immunoglobulin tsis muaj tshuaj tiv thaiv thiab tshuaj tua kab mob, raws li tus stabilizer muaj glycine.
Daim ntawv tso tawm thiab siv txoj kev siv tib neeg lub cev immunoglobulin
Cov tshuaj no tuaj yeem tsim tau rau hauv daim ntawv ntawm kev daws, ntim hauv ampoules, los yog ua lyophilizate rau kev daws, ntim hauv hwj. Nyob rau hauv daim ntawv kua nws tsis muaj xim tsis muaj xim los yog daj, pob tshab. Lub lyophilisate ntawm ib tus tib neeg lub cev immunoglobulin yog qhov ntxeem tau higroscopic dawb. Tus neeg siv immunoglobulin yog siv rau cov kab mob hauv (intrauascular) thiab cov dej tshuaj (intravenous).
Cov khoom ntawm tib neeg lub cev immunoglobulin
Cov tshuaj muaj cov khoom ntawm immunoglobulin G, uas muaj nyob rau hauv cov neeg noj qab nyob zoo. Thaum nws tab tom pib, cov teebmeem nram qab no tiav:
- ua kom tiav ntawm IgG tshuaj tua kab mob, uas yuav pab txo txoj kev pheej hmoo ntawm kev tsim ntau yam mob;
- resusption uas tsis muaj IgG qib kom zoo qhov tseem ceeb;
- nce non-specific tsis kam ntawm tib neeg lub cev;
- kev tua hluav taws thiab kev tsis ua haujlwm ntawm ntau hom kab mob, kab mob thiab lwm tus neeg mob.
Cov kev qhia rau kev siv tib neeg lub cev immunoglobulin:
- kev mob hauv lub cev tsis muaj zog tuaj;
- kev hloov qis dua kuj muaj;
- iatrogenic immunodeficiency;
- kab mob qog ntshav siab (lymphocytic leukemia);
- myeloma;
- trombocytopenic purpura ntawm kev tiv thaiv kev tiv thaiv nrog kev muaj zog ntawm kev mob ntshav;
- Kawasaki tus kab mob;
- pob txha hlwb txha;
- mob loj heev ntawm ntau lub hauv paus pib;
- kab mob bacterial meningitis;
- Guillain-Barre Syndrome;
- demyelinating inflammatory polyneuropathy nyob rau hauv daim ntawv ntev;
- hemolytic anemia;
- trombocytopenia ntawm ib qho kev tiv thaiv kab mob;
- autoimmune neutropenia;
- ib nrab liab cell ntawm aplasia ntawm hematopoiesis;
- myasthenia gravis ;
- rov tshwm sim dua qub;
- kabmob siab hom A;
- measles;
- tshuaj tiv thaiv kab mob poliomyelitis;
- influenza;
- hawb hnoos;
- kis mob meningococcal, thiab lwm yam.
Cov kev mob tshwm sim thiab kev tsis haum ntawm tib neeg lub cev immunoglobulin
Cov kev mob tshwm sim ntawm kev noj cov tshuaj tiv thaiv kab mob tib neeg:
- ntxiv zog kub cev;
- mob hauv taub hau;
- xeev siab;
- tachycardia;
- liab liab ntawm qhov chaw txhaj tshuaj;
- tawm hws, lwm yam
Contraindications rau cov kev qhia txog tib neeg lub cev immunoglobulin:
- hypersensitivity rau tib neeg immunoglobulin, cov khoom ntshav;
- muaj cov tshuaj tiv thaiv los ntawm IgA.
Nrog kev tu, cov tshuaj siv thaum:
- cev xeeb tub, pub niam mis;
- ntshav qab zib mellitus;
- exacerbations ntawm kev ua xua;
- lub raum tsis ua hauj lwm;
- nephrite;
- migraines;
- decompensated mob lub plawv tsis ua hauj lwm;
- kab mob ntawm cov ntshav;
- collagenosis, lwm yam zoo li
Tsis tas li ntawd, thaum siv cov tshuaj, nws pom tau tias nws cov thawj coj tsis muaj zog txo cov kev txhaj tshuaj tiv thaiv kab mob xws li rubella, measles, mumps thiab chicken pox.