Qhov sib txawv tseem ceeb ntawm IVIG thiab plasmapheresis yog cov tshuaj txhaj tshuaj immunoglobulin yog cov tshuaj lom neeg uas tau txais los ntawm kev faib cov ntshav los ntawm 2,000 mus rau 160,000 tus neeg mob, thaum plasmapheresis yog txheej txheem uas cov ntshav ntawm cov ntshav sib cais. los ntawm cov ntshav, thiab cov ntshav tau hloov nrog lwm cov tshuaj xws li saline lossis albumin lossis cov ntshav plasma raug kho thiab rov qab mus rau lub cev.
Kab mob autoimmune tshwm sim thaum lub cev tiv thaiv kab mob tsis tuaj yeem txheeb xyuas qhov sib txawv ntawm ib tus kheej lub hlwb thiab cov hlwb txawv teb chaws, ua rau lub cev ua yuam kev ua rau lub cev tsis zoo. Hauv cov xwm txheej no, lub cev tiv thaiv kab mob tso tawm cov protein hu ua autoantibodies uas tawm tsam cov hlwb noj qab haus huv. Yog li ntawd, ob qho tib si IVIG thiab plasmapheresis tau pom tias muaj txiaj ntsig zoo rau kev kho mob rau cov neeg mob uas muaj kab mob autoimmune xws li myasthenia gravis thiab lupus.
IVIG yog dab tsi?
Intravenous immunoglobulin (IVIG) yog ib qho tshuaj lom neeg tau txais los ntawm kev faib cov ntshav los ntawm 2,000 txog 160,000 tus neeg mob. Yog li, IVIG yog cov khoom tsim los ntawm cov tshuaj tiv thaiv uas tuaj yeem muab tso rau hauv cov hlab ntsha. IVIG tuaj yeem siv tau ntau zaus hauv ob lub sijhawm. Ib qho xwm txheej yog tias tus neeg mob yuav xav tau IVIG yog tias lub cev tsis tsim cov tshuaj tiv thaiv txaus. Qhov no humoral immunodeficiency. Hauv qhov xwm txheej no, IVIG pab cov neeg mob tawm tsam kev kis kab mob. Qhov xwm txheej thib ob yog yog tias tus neeg mob lub cev tiv thaiv kab mob tau pib tawm tsam nws lub cev los ntawm kev tsim cov tshuaj tiv thaiv kab mob tiv thaiv nws lub hlwb. Cov kws tshaj lij ntseeg tias IVIG tiv thaiv lub cev tiv thaiv kab mob los ntawm kev rhuav tshem nws cov hlwb hauv cov kab mob autoimmune.
Figure 01: IVIG
IVIG tau muab rau hauv cov hlab ntsha hauv cov tshuaj uas feem ntau siv sijhawm li ib mus rau plaub teev. Tus nqi ntawm IVIG ib tus neeg xav tau rau txhua koob yog nyob ntawm qhov hnyav thiab vim li cas tus neeg tau txais IVIG. Tsis tas li ntawd, cov neeg feem coob tsis muaj kev phiv los ntawm kev noj IVIG, tab sis muaj qee qhov kev mob tshwm sim xws li mob taub hau, ua daus no, ua npaws, ua npaws, mob khaub thuas, mob khaub thuas lossis mob pob qij txha, nkees, xeev siab, ntuav, thiab ua pob liab liab.
Plasmapheresis yog dab tsi?
Plasmapheresis yog ib txoj kev kho mob uas cov kua dej ntawm cov ntshav hu ua plasma yog cais tawm ntawm cov qe ntshav, thiab cov plasma hloov nrog lwm cov tshuaj xws li saline lossis albumin, lossis cov plasma tau kho thiab rov qab mus rau lub plasma. tus kheej lub cev. Lub hom phiaj ntawm plasmapheresis yog tias nws tuaj yeem siv los kho ntau yam kab mob autoimmune, suav nrog myasthenia gravis, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, thiab Lambert-Eaton myasthenic syndrome. Tsis tas li ntawd, nws kuj tuaj yeem siv los kho qee qhov teeb meem ntawm cov kab mob mob hlwb nrog rau qee hom kab mob neuropathy.
Daim duab 02: Plasmapheresis
Plasmapheresis yog qhov pheej hmoo ntawm kev phiv. Feem ntau, lawv tsis tshua muaj thiab mob me. Cov kev mob tshwm sim feem ntau yog kev poob ntshav siab. Lwm cov kev mob tshwm sim muaj xws li qaug zog, tsis pom kev tsis pom kev, kiv taub hau, txias thiab mob plab, kab mob, ntshav txhaws, thiab ua xua.
Qhov Zoo sib xws ntawm IVIG thiab Plasmapheresis yog dab tsi?
- IVIG thiab plasmapheresis tau pom tias yog kev kho mob zoo rau cov neeg mob uas muaj kab mob autoimmune xws li myasthenia gravis thiab lupus.
- Ob hom xav tau ntshav ua cov khoom pib.
- Nyob zoo ib tsoom phooj ywg.
- Ob leeg tseem ceeb heev rau kev ciaj sia ntawm tib neeg.
Qhov txawv ntawm IVIG thiab Plasmapheresis yog dab tsi?
IVIG yog tus neeg sawv cev lom neeg tau txais los ntawm kev faib cov ntshav los ntawm 2000 txog 160000 tus neeg mob. Lub caij no, plasmapheresis yog txheej txheem uas cov ntshav plasma cais tawm ntawm cov ntshav thiab cov ntshav hloov nrog lwm cov tshuaj, lossis cov ntshav tau kho thiab rov qab mus rau lub cev. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm IVIG thiab plasmapheresis. Tsis tas li ntawd, IVIG tsuas yog siv rau kev kho mob, thaum plasmapheresis yog siv rau ob qho tib si pub dawb thiab kho lub hom phiaj.
Cov hauv qab no qhia txog qhov sib txawv ntawm IVIG thiab plasmapheresis hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – IVIG vs Plasmapheresis
IVIG thiab plasmapheresis tau pom tias yog cov kev kho mob zoo-tso rau cov kab mob autoimmune. Intravenous immunoglobulin yog ib qho tshuaj lom neeg uas tau txais los ntawm kev faib cov ntshav los ntawm 2000 mus rau 160000 tus neeg mob, thaum plasmapheresis yog txheej txheem uas cov ntshav ntawm cov ntshav sib cais los ntawm cov ntshav thiab cov ntshav hloov nrog lwm cov tshuaj xws li saline lossis albumin. los yog cov plasma raug kho thiab rov qab mus rau tus kheej lub cev. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm IVIG thiab plasmapheresis.
