Noj qab haus huvCov kab mob thiab mob

Theem nrab immunodeficiency

Secondary immunodeficiency - ib tug ua txhaum ntawm lub cev uas muaj nyob rau hauv lub postnatal lub sij hawm. Nws tseem yuav tshwm sim nyob rau hauv cov neeg laus.

Muaj peb hom ntawm ob immunodeficiencies: ntxias, nrhiav, txawj.

Ib tug piv txwv notable yog qhov kis tau daim ntawv ntawm AIDS. Tsis hnov tiv thaiv, nyob rau hauv cov ntaub ntawv no, vim cov nyhuv ntawm human immunodeficiency virus.

Vim raug yuam daim ntawv no tshwm sim nyob rau hauv tus ntawm cov kev ua, uas ua rau nws tshwm sim. Cov no muaj xws X-ray tawg, corticosteroids, cytostatic txoj kev kho, kev phais, kev raug mob, impaired kev tiv thaiv, uas muaj theem nrab mus lwm kab mob (lub raum, lub siab tus kab mob, mob ntshav qab zib, mob cancer).

Yog hais tias muaj yog tsis muaj khees vim li cas uas ua rau txhaum reactivity theem nrab immunodeficiency yog hu ua txawj. Clinically nws yog manifested nquag recurrent kis kab mob inflammatory qhov nyob rau hauv lub broncho-pulmonary apparatus, paranasal sinuses, urogenital, mob huam, ob lub qhov muag, tawv nqaij, nqaij mos mos, uas yog tshwm sim los ntawm opportunistic pathogens. Yog li ntawd, lingering, mob, feem ntau relapsing inflammatory kev ntawm ntau yam localization rau cov neeg laus txiav txim seb tus soj ntsuam ces ntawm ob immunodeficiency lub xeev.

Lub hom daim ntawv ntawm lub xeev cov ntaub ntawv yog tshwm sim. Primary immunodeficiency yus muaj los ntawm ib tug thib ob nyob rau hauv hais tias nws yog raws li nyob rau hauv lub innate cev ntshawv siab.

Thaum tus kab mob no yog ntxhov muaj nuj nqi ntawm tag nrho cov system units: T, B cell, phagocytic, Nkij los txuam rau. Yuav kom qhia tau tias cov neeg mob uas xws tsis xws luag muab faib ua peb pawg:

- tau qhia rejection ntawm kev tiv thaiv, uas yog nrog rau cov kev hloov ntawm nws tsis;

- muaj tsuas yog tej yam tshwm sim ntawm lub cev tsis muaj peev xwm uas tsis nrog los ntawm ib tug kev hloov ntawm nws tsis;

- Muaj cov kev hloov nyob rau hauv lub tsis uas tsis nrog los ntawm cov cim ntawm lub cev tsis muaj peev xwm.

Secondary immunodeficiency yog kuaj los ntawm txoj kev kuaj ntsuam xyuas: kev txiav txim ntawm lub cev raws li txoj cai (tus naj npawb ntawm leukocytes xyuas, subpopulations ntawm B thiab T lymphocytes, seb immunoglobulin M, G, A, phagocytosis). Ntxiv txoj kev muaj xws li qhia kom paub txog comorbidities thiab nws ntxiv kev kho mob. Raws li txiav txim los ntawm uas tsis yog-kev ntsuas ntawm tus mob theem, interferon raws li txoj cai. Diagnostics yog ib qho tseem ceeb diagnostic caij nyoog tib zoo tshaj uas qhia hauv lub xeev no. Tsuas yog tom qab tag nrho cov diagnostic kev ntsuam xyuas yog muab ib tug kev tshuaj txoj kev kho, uas yuav pab tiv thaiv kom txhob loj hlob ntawm tej kab mob raws li theem nrab immunodeficiency.

Cov kev kho mob rau tus mob no yog ua nyob rau hauv raws li nws hnyav thiab comorbidities.

Nyob rau hauv txhab hlwb teej tug mus rau monocyte-macrophage complex thov polioksidony, likopid, molgramostim, filgramostim, buffy lub tsho tiv no.

Tsis xws luag nyob rau hauv cellular tiv thaiv yuav tsum tau polioksidonija, taktivina, tamopina, imunofana, timogena, timolina, myelopid.

Hloov txoj kev kho yog pom zoo nyob rau hauv mob ntawm humoral. Thov Sandoglobulin, Octagam, Intraglobin, immunoglobulin biaven, pentaglobin.

Secondary immunodeficiency thaum lub sij hawm lub tsev kho mob kev kho mob kho tom qab 20-30 hnub. Nyob rau hauv lub neej yav tom ntej, cov neeg mob yuav tsum tau pom los ntawm ib tug kws kho mob-immunologist thiab tshwj xeeb ntawm kab mob loj. Thaum lub sij hawm exacerbation ntawm tus kab mob yuav tsum tau re-kho mob, uas tus saum toj no formulations siv.

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