Autoimmune vasculitis yog ib qho mob ntawm cov phab ntsa ntawm cov hlab ntsha. Ib qho kev tiv thaiv kab mob cuam tshuam cuam tshuam rau cov uas nyob hauv lub dermis ntawm qhov chaw, nrog rau hauv cov txheej txheem sib sib zog nqus thiab cov khoom nruab nrog cev. Ntau tus neeg mob tsis paub tias nws yog tus kab mob dab tsi - vasculitis. Cov duab ntawm cov neeg mob uas muaj tus kab mob no yuav nthuav tawm hauv qab no.
Cov yam ntxwv cuam tshuam rau txoj kev loj hlob ntawm cov kab mob no yog cov tshuaj tsis haum uas ua rau tib neeg lub cev tau ntev. Piv txwv li, peb tab tom tham txog tshuaj, fluff thiab paj ntoos, tsev thiab phau ntawv plua plav. Cov kab mob sib kis tau ntev (ib tus hniav cuam tshuam nrog rau otitis media, tonsillitis, mycosis) tuaj yeem ua rau muaj kab mob. Hauv cov menyuam yaus, autoimmune vasculitis tuaj yeem tshwm sim vim kev ua xua rau cov tshuaj tiv thaiv. Qhov teeb meem kuj tseem tuaj yeem dag nyob rau hauv cov kab mob tiv thaiv kab mob, uas tsis yog ib txwm kuaj pom thaum ntxov ntawm kev loj hlob. Xav txog tus kab mob no kom ntxaws ntxiv.
Symptoms
Autoimmune vasculitis feem ntau yogmanifests nws tus kheej nrog lub sij hawm ntev ntawm tus neeg sawv cev ntawm lub cev tiv thaiv kab mob, ua aggression tiv thaiv phab ntsa ntawm cov hlab ntsha. Lub symptomatology ntawm pathology ncaj qha nyob ntawm daim ntawv thiab ntau yam, ntawm uas muaj ntau heev. Cov tsos mob thaum ntxov zoo ib yam li cov kab mob sib kis feem ntau, yog li cov neeg mob yuav kub taub hau nrog rau kev qaug zog, mob taub hau, qaug zog, mob nqaij, thiab lwm yam.
Cov tsos mob ntawm autoimmune vasculitis yog qhov tsis txaus siab heev. Nrog rau txoj kev loj hlob ntawm cov txheej txheem pathological, manifestations ntawm thawj thiab theem nrab ntawm cov kab mob tshwm sim. Thawj hom muaj cov kab mob ywj pheej, muaj cov kab mob ntawm cov hlab ntsha, uas cuam tshuam nrog kev tiv thaiv kab mob. Daim ntawv thib ob ua rau muaj qhov tshwm sim thiab ua cim ntawm qee yam autoimmune tsis ua haujlwm hauv lub cev, thiab feem ntau dhau los ua qhov tshwm sim ntawm kev kis kab mob, kab mob helminth, kev ua ntawm co toxins, tshuaj lom neeg, hluav taws xob, thiab lwm yam. Ntawm cov kab mob pathologies, cov tsos mob uas tej zaum yuav mob peb tau piav qhia, nws tsim nyog hais txog ntshav qab zib nrog rau lupus erythematosus thiab sarcoidosis.
Tom ntej, nrhiav seb puas yog vasculitis yog kab mob autoimmune lossis tsis.
Yog vim li cas
Cov kws kho mob tseem tsis tuaj yeem txiav txim siab tus neeg ua phem ntawm tus kab mob hauv nqe lus nug. Ua ntej tshaj plaws, muaj kev xav tias autoimmune vasculitis yog keeb kwm thiab cuam tshuam nrog kev tiv thaiv kab mob tsis zoo, ntxiv rau txhua yam tsis zoo ua rau lawv lub luag haujlwm nrog rau kev kis tus kab mob Staphylococcus aureus. Yuav ua li cas tshwm sim raws li qhov ua rau ntawm tus kab mob?Qhov no yog piv txwv:
- Qhov tshwm sim ntawm kev tsis haum tshuaj rau cov tshuaj kho mob, paj ntoos, plua plav, fluff thiab lwm yam.
- Kev cuam tshuam ntawm cov kab mob autoimmune xws li kab mob lupus erythematosus, thyroid pathology.
- Kev txhaj tshuaj tiv thaiv kab mob thiab hnub da dej.
- Qhov tshwm sim ntawm kev raug mob, nrog rau qhov tsis zoo ntawm lub cev rau ntau yam tshuaj, nrog rau cov tshuaj lom.
- Hypocooling ntawm lub cev.
Diagnosis
Yuav sai npaum li cas koj ua qhov kev kuaj mob, tsim kev kuaj mob thiab pib kho, muaj feem ntau tus neeg mob yuav tsum tsis txhob muaj kev puas tsuaj rau cov kabmob tseem ceeb thiab tsis ua haujlwm ntawm lawv txoj haujlwm. Yog tias tsim nyog, cov kws kho mob tau sau ntawv rau cov neeg mob kev sib tham ntawm cov kws kho mob tshwj xeeb xws li kws kho mob vascular, internist, ophthalmologist, neurologist, otolaryngologist thiab lwm tus. Kev kuaj mob feem ntau yog ua los ntawm ntau cov ntaub ntawv hauv qab no:
- kuaj lub cev.
- Kev xeem kuaj.
Kev kuaj rau autoimmune vasculitis yuav tsum tau ua raws li hauv qab no:
- Kev kuaj ntshav dav dav (qhov no, cov neeg mob feem ntau pom qhov nce ntawm ESR).
- Kev kuaj ntshav biochemical (kawm txog lub xeev ntawm cov protein feem).
- Immunological sampling (gamma globulin, C-reactive protein, rheumatoid yam, thiab lwm yam).
- HBsAg kuaj ntshav yog tias xav tias muaj kab mob siab kab mob siab.
Tsis tas li ntawd, cov txheej txheem siv tau tuaj yeem siv rau hauv daim ntawv ntawm Doppler ultrasound, radiography, angiography (qhov no, kev tshawb fawb.cov hlab ntsha los ntawm cov neeg ua haujlwm sib txawv) thiab suav tomography.
Kev kho mob rau cov tsos mob ntawm autoimmune vasculitis yog dab tsi?
Kev kho mob ntawm no pathology
Tus kab mob no puas kho tau? Qhov no yog ib lo lus nug uas nquag nug los ntawm rheumatologists. Kev pom zoo yuav tsum raug suav tsuas yog tias kev kho mob tau pib raws sijhawm thaum ntxov, txog thaum tus kab mob tau dhau mus rau qhov hu ua mob ntev.
Kev kho mob vasculitis, cov duab tshwm sim uas tuaj yeem pom ntawm cov peev txheej tshwj xeeb, yuav txawv nyob ntawm hom kab mob. Tsis tas li ntawd, cov kws kho mob coj mus rau hauv tus account lub hauv paus kab mob (thaum tus kab mob no yog theem nrab), nrog rau cov txheej txheem pathogenic thiab kev koom tes ntawm cov ntaub so ntswg thiab cov kab mob hauv nruab nrog cev. Lub luag haujlwm tseem ceeb yog los tiv thaiv kev ua phem rau lub neej. Rau kev kho mob, ntau txoj kev sib txawv yog siv. Cov tsos mob thiab kev kho mob ntawm autoimmune vasculitis, zoo li feem ntau cov kab mob, muaj kev cuam tshuam.
Cov kws kho mob tuaj yeem sau tshuaj hauv qab no rau cov neeg mob:
- Immunosuppressants uas inhibit autoimmunity.
- Cytostatics uas nres kev txhim kho kev tiv thaiv kab mob.
- Tshuaj tiv thaiv ntshav txhaws.
- tshuaj tiv thaiv kab mob thiab tshuaj hormonal.
Cov txheej txheem Plasmapheresis tuaj yeem raug sau tseg, uas yog tsom rau kev ntxuav lub cev thiab lub cev, nrog rau cov ntshav los ntawm co toxins. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias qhov no yog ib tug mob hnyav heev, kev kho mob zoouas yuav tsum tau ua nruj me ntsis raws li kev saib xyuas ntawm tus kws kho mob rheumatologist.
Nws tsis tuaj yeem teb cov lus nug tsis meej: "Vasculitis - puas yog kab mob autoimmune lossis tsis?" Xav txog cov yam ntxwv ntawm nws chav kawm hauv cov neeg laus.
Kev tshwm sim ntawm tus kab mob no hauv cov neeg laus
Tus kab mob, nyob ntawm lub hnub nyoog, tshwm sim nws tus kheej hauv ntau hom. Piv txwv li, cutaneous, systemic, allergic, urticarial, thiab cryoglobulinemic autoimmune vasculitis yog muaj nyob rau hauv cov neeg laus. Raws li rau cov menyuam yaus, lawv muaj feem yuav ntsib Kawasaki syndrome thiab hom hemorrhagic pathology. Wb tham txog ntau yam no kom ntxaws ntxiv.
tawv nqaij vasculitis
Skin vasculitis - tus kab mob no yog dab tsi? Cov tsos mob (saib daim duab thaum pib ntawm kev tshuaj xyuas) ntawm tus kab mob no yog vim qhov tseeb tias daim ntawv ntawm tus kab mob no cuam tshuam rau cov hlab ntsha ntawm lub dermis ntawm me me thiab nruab nrab txoj kab uas hla, tab sis tsis cuam tshuam rau capillaries ntawm lub cev. Nws raug kuaj pom tias muaj kab mob biopsy, vim tias daim tawv nqaij vasculitis zoo ib yam li qee yam kab mob:
- Capillary effusion (purpura).
- Kev puas tsuaj rau cov hlab ntsha ntawm daim tawv nqaij (petechiae).
- Nodules thiab urticaria.
- Tsim cov reticular levedo vim stagnation hauv cov ntshav capillaries.
daim tawv nqaij vasculitis tuaj yeem tsim tawm tsam keeb kwm ntawm kev txawv txav ntawm lub cev, thiab tom qab ntawd cov tsos mob yuav ntxiv los ntawm kub taub hau thiab mob pob qij txha.
yam tsis haum
Hom kab mob autoimmune vasculitis tshwm sim nrog cov tsos mob hauv qab no:
- Pom cov nodules, hemorrhagic, erythematous me ntsis thiab pob khaus.
- Kev txhim kho ntawm daim tawv nqaij infarction, ua raukev tsim ntawm cov pob zeb tsaus nti hauv thaj tsam ntawm pob khaus.
- Kab ntshav hauv qab ntiv taw.
- Kev mob pob qij txha thiab mob leeg.
- Kub, nyem qhov tsis xis nyob lossis khaus ntawm qhov chaw ntawm pob khaus.
Daim ntawv tsis haum yog tshwm sim los ntawm cov pob khaus ntawm tus ncej puab, ko taw, ceg, thiab nrog rau tus cwj pwm dav dav, pom qhov tshwm sim tau ntxiv rau ntawm lub cev thiab lub hauv pliaj. Cov qeb ntawm kev tsis haum vasculitis suav nrog Bazin's indurative erythema, mob hnyav thiab mob ntev erythema nodosum, Behcet's syndrome, temporal angiitis, uas muaj cov tsos mob tshwj xeeb.
Mob erythema nodosum yog tus cwj pwm los ntawm cov nodules loj nrog kev hloov xim ntawm daim tawv nqaij hauv qab, feem ntau los ntawm liab mus rau ntsuab. Behcet tus kab mob feem ntau cuam tshuam rau cov mucous daim nyias nyias ntawm lub qhov muag, qhov ncauj thiab daim tawv nqaij nrog tsim ntawm ulcers thiab yaig. Thaum lub cev nqaij daim tawv los yog senile angiitis tshwm sim, cov poj niam laus tuaj yeem raug mob ntev hauv lub tuam tsev.
System character
Hom kab mob no tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev ua txhaum ntawm kev tiv thaiv kab mob hauv ntau yam kab mob, uas yog tus cwj pwm los ntawm kev puas tsuaj rau cov ntaub so ntswg (nrog rheumatism, granulomatosis, lupus erythematosus, thiab ntau dua). Hauv qhov no, tus kab mob muaj cov tsos mob hauv qab no:
- Kev hloov pauv hauv cov phab ntsa ntawm cov hlab ntsha ntawm lub ntsws.
- Ulcerated granulomas ntawm cov mucous ntawm lub qhov ncauj, qhov ntswg thiab bronchi.
- YZoo ntawm glomerulonephritis.
- Qhov tshwm sim ntawm cov teeb meem loj ntawm cov kab mob hauv nruab nrog cev,daim tawv nqaij, kab mob ntawm lub zeem muag thiab lub paj hlwb.
Nrog rheumatism, pathology kis mus rau tag nrho lub cev thiab tshwm sim nws tus kheej nyob ntawm theem ntawm tus kab mob. Ntxiv nrog rau daim tawv nqaij, cov hlab ntsha ntawm cov kab mob hauv nruab nrog cev thiab lub hlwb raug cuam tshuam, nrog rau kev pheej hmoo los ntshav.
Cryoglobulinemic autoimmune hom
Ib yam ntawm cov kab mob ntawm cov kab mob yog cryoglobulinemic autoimmune vasculitis, uas cov proteins cryoglobulin tshwm hauv cov qe ntshav, uas tso rau ntawm phab ntsa ntawm cov hlab ntsha thiab rhuav tshem lawv.
Tus kab mob yog tus cwj pwm los ntawm kev nce qib ntawm cov kev kawm, thiab nws cov tsos mob (ntxiv rau cov uas muaj rau txhua hom kab mob) yog kev ua txhaum ntawm rhiab heev thiab puas rau peripheral qab haus huv. Sab laug tsis kho, cryoglobulinemic vasculitis tuaj yeem ua rau tsis hais lus thiab qee zaum ua rau lub cev tuag tes tuag taw.
Cia peb txuas ntxiv mus xav txog kev faib tawm ntawm vasculitis.
Urticary type
Hauv lwm txoj hauv kev, nws tseem hu ua angiitis, uas yog ib qho ntawm cov kab mob ua xua tshwm sim los ntawm kev mob ntev ntawm cov hlab ntsha ntawm daim tawv nqaij. Thaum pib ntawm txoj kev loj hlob, tus kab mob no feem ntau kuaj tau tias yog mob urticaria. Cov tsos mob hauv qab no yog tus yam ntxwv ntawm tus kab mob:
- Yuav tam sim no nrog rau qhov pom ntawm hemorrhagic nodes, me ntsis, hlwv ntawm daim tawv nqaij.
- Kev kub nyhiab hauv cheeb tsam cuam tshuam.
- Tshuaj mob taub hau, tsis xis nyob hauv pob qij txha, cov leeg, sab nraub qaum thiab plab.
- Ua npaws thiab glomerulonephritis.
Tus kab mob no tau kuaj pom los ntawm immunofluorescence thiab los ntawm kev kuaj histological ntawm thaj chaw cuam tshuam ntawm dermis.
Nyob rau me nyuam
Cov kab mob no hauv cov menyuam mos yog qhov tsawg heev. Txawm li cas los xij, txhua yam sib txawv hauv cov yam ntxwv ntawm cov dej ntws. Kev kho mob vasculitis hauv cov menyuam yaus yuav tsum ua kom tiav thiab raws sijhawm.
Kawasaki Syndrome
Daim ntawv no ntawm cov kab mob autoimmune vasculitis tau kuaj pom feem ntau hauv cov menyuam yaus hnub nyoog qis dua xya xyoo thiab yog tus cwj pwm los ntawm kev puas tsuaj rau cov hlab ntsha ntawm cov qog nqaij hlav, lub plawv thiab cov mucous ntawm cov hlab ntsws. Daim duab kho mob yog tus cwj pwm los ntawm qhov tshwm sim sai heev nrog qhov kub ntawm peb caug-yim mus rau plaub caug-ib degrees thiab cov tsos mob hauv qab no (hauv kev txiav txim siab maj mam pom):
- Kev tshwm sim ua npaws debilitating.
- Scarlet fever-like rash with erythematous plaques.
- Kev raug mob rau cov mucous daim nyias nyias ntawm txoj hlab pa, qhov ntswg, thiab qhov muag.
- Ntxhais tawv tawv thiab liab ntawm daim tawv nqaij ntawm xib teg.
- Cov qog nqaij hlav o hauv caj dab thiab muaj tus nplaig liab.
- Kev pom ntawm daim tawv nqaij ncig ntawm cov rau tes, thiab, ntxiv rau, ntawm phalanges ntawm cov ntiv tes.
- Kev swb ntawm lub plawv thiab vascular systems nyob rau theem mob, aneurysms.
Nov yog ib qho mob uas kho tau yog tias kuaj tau lub sijhawm, thiab nws qhov tshwm sim feem ntau raug tshem tawm tom qab tsib mus rau yim xyoo.
Autoimmune hemorrhagic vasculitis
Nco ntsoov tias cov neeg laus muaj qhov nohom pathology tuaj yeem tshwm sim los ntawm ntau yam txawv txav thaum cev xeeb tub, ntshav qab zib nephropathy, cirrhosis ntawm daim siab, malignant neoplasms. Thiab qhov ua rau ntawm tus kab mob no nyob rau hauv cov menyuam yaus feem ntau yog kab mob ua pa sab saud, nrog rau qhua pias, paratyphoid fever, tshuaj los yog zaub mov tsis haum. Hemorrhagic vasculitis nyob rau hauv cov neeg mob hluas tau muab faib ua cov ntaub ntawv hauv qab no: daim tawv nqaij, daim tawv nqaij-articular, plab, raum thiab tawv-lub raum hom. Txhua tus ntawm lawv muaj nws cov tsos mob tshwj xeeb:
- Nrog rau daim tawv nqaij, qhia tau hais tias edema tuaj yeem tshwm sim los ntawm qhov mob khaub thuas urticaria, purpura, pob khaus ntawm taw nrog maj mam kis mus rau tus ncej puab. Ntawm lwm yam, muaj mob hauv pob qij txha.
- Daim ntawv plab qhia txog kev mob hnyav rau cov menyuam yaus uas mob hnyav hauv plab, nyob ze ntawm lub plab.
- Daim ntawv rau lub raum qhia tias muaj globulins thiab cov proteins hauv cov zis.
Hemorrhagic vasculitis yog qhov txaus ntshai heev nrog txhua yam teeb meem, ib qho kev nyiam rau kev nthuav dav, uas yog, kis mus rau cov hlab ntsha ntawm cov kab mob hauv nruab nrog cev thiab rov ua dua.
Kev kuaj mob hom kab mob hemorrhagic
Cov tsos mob tseem ceeb hauv lub hauv paus ntawm kev kuaj mob yog palpable daim tawv nqaij hemorrhages, tus neeg mob lub hnub nyoog tsis tshaj nees nkaum xyoo, thiab, ntxiv rau, migratory mob plab. Cov txheej txheem kuaj yog:
- Kev txheeb xyuas cov granulocytes hauv arteriole biopsy.
- Kev tshawb fawb ntawm kev nce ntxiv ntawm IgA immunocomplex.
- ThaumNyob rau hauv lub xub ntiag ntawm lub raum daim ntawv, cov neeg mob muaj tag nrho hematuria ua ke nrog proteinuria.
Yuav ua li cas kho hom kab mob autoimmune vasculitis, nws yog qhov zoo dua kom paub ua ntej.
Muab cov kab mob pathogenesis, cov tshuaj siv hauv kev kho mob uas tiv thaiv kev tsim cov ntshav txhaws. Piv txwv li, peb tab tom tham txog cov tshuaj antiplatelet, niaj hnub heparins thiab fibrinolysis activators. Hauv qhov xwm txheej hnyav, cov kws kho mob siv plasmapheresis thiab glucocorticoids.
kab mob Limb
Cov kab mob xws li vasculitis ntawm cov extremities sib txawv ntawm cov kabmob sib txawv thiab cov ntaub so ntswg koom nrog cov txheej txheem pathological. Qhov tshwm sim feem ntau yog vascular o. Cov tsos mob ntawm tus kab mob tshwm sim nyob rau hauv daim ntawv ntawm subcutaneous hemorrhage. Hauv qhov no, ntau tus neeg mob sim kho qhov tshwm sim ntawm vasculitis hauv ob txhais ceg kom sai li sai tau. Vim muaj kev puas tsuaj rau cov hlab ntsha hauv tib neeg lub cev, cov txheej txheem tau tshwm sim thaum lub sijhawm vasoconstriction tshwm sim nrog kev tuag ntawm qee cov ntaub so ntswg.
Tus kab mob no yuav kho li cas?
Ua ntej ntawm tag nrho cov, cov neeg mob yuav tsum xeem dhau tag nrho cov kev ntsuam xyuas uas yuav tsum tau ua, uas yuav qhia tau meej txog cov kab mob pathology thiab ntau yam ntawm lub cev, uas yog qhov tseem ceeb heev hauv kev kho mob. Ib chav kawm ntawm kev kho mob los ntawm ib tus kws kho mob dermatologist yog ntaus nqi. Lawv kuj raug muab kev kuaj mob dav dav. Ua ntej siv txhua txoj kev, koj yuav tsum sab laj nrog kws kho mob, txwv tsis pub tus kab mobyuav tsuas mob zuj zus xwb. Muaj ntau ntau txoj kev kho mob: kev kho neeg pej xeem, nrog rau cov tshuaj thiab kev tiv thaiv, uas txhim kho kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Vasculitis zoo li cas hauv cov neeg laus hauv daim duab tuaj yeem pom ntawm cov peev txheej tshwj xeeb.
kev kho mob
Hom kev tiv thaiv kab mob no suav nrog kev siv tshuaj uas nws qhov kev ua yog txhawm rau txo cov txheej txheem inflammatory hauv cov hlab ntsha. Cov tshuaj yuav tsum tshem tawm tag nrho cov tsos mob pathological.
Kev kho mob, ib pawg tshuaj feem ntau yog tshuaj, uas muaj cov tshuaj tiv thaiv kab mob, xws li Indomethacin, Cyclophosphamide, thiab glucocorticosteroid Prednisolone. Tsis tas li ntawd, txhawm rau txhim kho cov hlab ntsha, nws yuav tsum tau noj Dicinon thiab Askorutin. Tib lub sijhawm, qhov permeability ntawm cov hlab ntsha yog txo qis ua tsaug rau Prodectin, uas tseem tiv thaiv cov ntshav txhaws.
Nyob rau hauv cov ntaub ntawv ntawm erythematous nodosum, ib tug ntxiv antiallergic neeg sawv cev ntxiv. Lawv tuaj yeem ua "Suprastin" lossis "Telfast". Feem ntau, cov tshuaj tiv thaiv kab mob tau muab nrog rau vasodilators thiab coagulants los txhim kho kev ua tau zoo.
kev kho mob hauv tsev
Yuav ua li cas lwm yam kev kho mob vasculitis hauv cov neeg laus koom nrog?
Nyob rau hauv cov tshuaj pej xeem, muaj ntau yam zaub mov txawv uas yuav tiv tau tus kab mob no:
- Piv txwv li, tshuaj ntsuab infusion yog zoo meej. Cov khoom xyaw rau nws cov kev npaj yog nettle nrog rau knotweed, laus paj, yarrow nyom,Japanese Sophora berries thiab dej. Tag nrho cov khoom xyaw ntxiv rau hauv tus nqi ntawm plaub diav. Thaum ua noj, cov khoom xyaw qhuav yog crushed thiab sib tov kom huv si. Ib khob ntawm lub resulting sib tov yog poured nrog boiling dej thiab sab laug rau ib teev. Tom ntej no, cov kua yog lim. Lub resulting infusion yuav tsum tau noj ob zaug ib hnub twg raws li kev cai.
- Ib qho infusion ntawm lingonberries, violets thiab hlua kuj haum. Cov khoom xyaw yog raws li nram no: hlua, violet, dej thiab cranberries. Tag nrho cov Cheebtsam yog ntxiv nyob rau hauv tus nqi ntawm peb diav. Cov sib tov qhuav yog crushed thiab sib tov. Tom qab ntawd, ob diav ntawm nws yog nchuav nrog dej. Cov tshuaj yog insisted nyob rau hauv ib qho chaw tsaus rau tsawg kawg yog ib teev, tom qab uas nws yog lim. Nws yuav tsum haus plaub zaug hauv ib nrab ib tablespoon.
- Lwm txoj kev kho neeg zoo rau vasculitis ntawm ob txhais ceg yog tshuaj pleev, uas nws cov khoom muaj xws li ib khob ntawm birch buds thiab ib nrab ib kilogram ntawm nutria rog. Lub raum yog av ua hmoov. Nyob rau hauv cov kev tshwm sim uas lawv yog tshiab, ces mus rau hauv lub gruel. Qhov loj yog ntxiv rau nutria rog. Tom qab ntawd qhov sib tov yog pauv mus rau lub lauj kaub av nplaum. Txhua hnub rau ib lub lim tiam, cov tshuaj tau muab tso rau hauv qhov cub ntawm qhov kub tsawg kawg peb teev. Tom qab ntawd, nws yog poured rau hauv nruj nreem kaw jars. Khaws cov tshuaj nyob rau hauv ib qho chaw tsaus, uas yuav tsum tau txias. Cov khoom no yog siv rau ntawm daim tawv nqaij ib hnub ib zaug tam sim ua ntej yuav mus pw. Nws yuav tsum tau siv kom txog thaum rov ua tiav.
Kev nyuaj siab
Raws li tau sau tseg ua ntej, tus kab mob no hnyav heev thiab tuaj yeem ua rau muaj kev phom sij txaus ntshai nyob rau hauv daim ntawv ntawm lub raum tsis ua haujlwm, pulmonary los ntshav,polyneuropathy, plab abscesses, thiab plab hnyuv intussusception.
Kev Tiv Thaiv
Tiv thaiv kev kis tus kab mob thiab exacerbations suav nrog kev huv ntawm foci ntawm tus kab mob (piv txwv li, caries lossis tonsillitis ntev). Nws yog ib qho tsim nyog los tiv thaiv koj tus kheej los ntawm txhua yam hypothermia, muaj teeb meem kev lag luam thiab kev tawm dag zog lub cev ntau dhau. Nws yog ib qho tseem ceeb sib npaug kom tsis txhob sib cuag nrog cov allergens, tsis txhob haus luam yeeb thiab haus cawv.
Peb tau saib cov tsos mob thiab kev kho mob vasculitis. Cov laj thawj rau kev txhim kho ntawm pathology tuaj yeem muaj ntau haiv neeg. Qee zaum qhov tshwm sim ntawm tus kab mob no yog txuam nrog kev kis kab mob nrog qee yam kab mob. Kev cuam tshuam ntawm cov kab mob ua xua tsis suav nrog. Tab sis feem ntau cov tsos mob ntawm tus kab mob no yog txuam nrog cov kab mob autoimmune ntev. Yog tias muaj cov tsos mob tshwm sim thiab pob khaus, koj yuav tsum sab laj nrog kws kho mob, vim tias kev kuaj mob ntxov yuav tiv thaiv kev txhim kho ntawm cov kab mob ntev.
