Txuas rau cov tshuaj tiv thaiv kab mob, Octagam. Cov lus qhia rau nws ceeb toom tias qhov no yog ib qho tshuaj loj, thiab tsuas yog siv hauv tsev kho mob, nruj me ntsis raws li tus kws kho mob cov ntawv sau. Siv rau hauv kev hloov pauv thiab kev kho immunomodulatory.
daim ntawv kho mob thiab muaj pes tsawg leeg
Muaj tsuas yog nyob rau hauv daim ntawv ntawm kev daws rau infusion, tshuaj "Octagam". Cov lus qhia txuas nrog rau nws thiab yuav tsum tau kawm ua ntej siv. Cov tshuaj yog meej, nrog ib tug yellowish tinge. Cov tshuaj yog tsim nyob rau hauv iav fwj nrog ib lub ntim ntawm 20, 50, 100, 200 ml, uas yog kaw nrog ib tug roj hmab stopper nrog ib tug txhuas rim thiab ntim rau hauv ib lub thawv ntawv, qhov twg, ntxiv rau cov lus qhia rau kev siv, muaj yas mesh tuav.
Cov tshuaj muaj tsawg kawg yog 95% immunoglobulin G hauv 1 ml. Cov tshuaj ntxiv hauv cov tshuaj muaj pes tsawg leeg yog:
- m altose;
- octoxynol;
- tributyl phosphate;
- dej rau txhaj.
DrugTsis txhob khov los yog raug tshav ntuj. Nws yog khaws cia ntawm qhov kub ntawm 2-8 ° C, tawm ntawm qhov ncav cuag me nyuam.
Cov tshuaj Oktagam (cov lus qhia ceeb toom ntawm contraindications thiab qhov tshwm sim ntawm kev siv cov tshuaj no) cuam tshuam rau tib neeg lub cev tiv thaiv kab mob thiab belongs rau immunoglobulins.
Cov tshuaj muaj cov chav kawm G immunoglobulins, uas tsim cov tshuaj tiv thaiv rau ntau yam kab mob hauv lub cev. Cov tshuaj muaj subclasses ntawm immunoglobulin G, zoo tib yam rau tib neeg plasma, rov ua dua tag nrho nws cov khoom thiab cov yam ntxwv. Kev taw qhia ntawm cov tshuaj rau hauv lub cev rov ua kom txo qis ntawm IgG, ua rau nws mus rau lub xeev qub. IgG molecules tsis tau txais ib qho kev hloov pauv vim muaj cov tshuaj enzymatic thiab tshuaj lom neeg. Antibody kev ua haujlwm tau khaws cia tag nrho.
Octagam tsis muaj ntau tshaj 3% ntawm cov polymers, tus so yog dimers thiab monomers, uas yog kwv yees li 90%.
Thaum tsim cov khoom no, cov ntshav ntawm 3500 cov neeg pub noj qab haus huv tau siv. Cov tshuaj tiv thaiv uas muaj nyob hauv cov ntshav ntawm cov neeg no tseem tsis hloov pauv hauv qhov kev npaj no thiab khaws lawv cov haujlwm tag nrho.
Tom qab txhaj tshuaj rau hauv cov hlab ntsha, immunoglobulin G tam sim ntawd nkag mus rau hauv lub cev, qhov chaw uas nws tau faib nruab nrab ntawm cov hlab ntsha thiab cov ntshav. Thaum siv Octagam, tus neeg mob tus mob yuav zoo dua nyob rau hauv 3-5 hnub. Cov tshuaj yog rho tawm hnub 24-36. Lub neej ib nrab yog txawv rau txhua tus thiab nyob ntawm lub hnub nyoog ntawm tus neeg mob,degree ntawm immunodeficiency. Immunoglobulin G thiab lwm yam kev tiv thaiv kab mob uas muaj cov tshuaj no raug rhuav tshem los ntawm kev ua ntawm reticuloendothelial system.
Octagam siv thaum twg?
Octagam yog siv los hloov kho thaum thawj qhov kev tiv thaiv kab mob tsis zoo tshwm sim, feem ntau congenital hypogammaglobulinemia, agammaglobulinemia thiab Wiskott-Aldrich syndrome. Qhov no kuj suav nrog kev tiv thaiv kab mob sib txawv tsis sib xws thiab kev tiv thaiv kab mob sib xyaw ua ke.
Cov lus qhia rau cov tshuaj noj yog myeloma, chronic lymphocytic leukemia. Cov tshuaj no tau muab tshuaj rau cov kab mob rov tshwm sim thiab rau kev kuaj mob HIV hauv cov menyuam yaus.
Cov tshuaj tau pom nws daim ntawv thov hauv kev kho immunomodulatory. Ntawd yog, nws yog siv rau idiopathic thrombocytopenic purpura (ITP), nrog rau kev pheej hmoo los ntshav. Tsis tas li ntawd, cov tshuaj yog siv ua ntej kev phais kom normalize cov ntsiab lus ntawm platelets. Cov tshuaj yog muab rau Guillain-Barré syndrome. Qhov taw qhia rau kev teem caij yog kab mob Kawasaki hauv cov menyuam yaus thiab cov neeg laus.
Siv "Octagam" (qhia rau kev siv piav qhia meej txog txoj kev noj thiab noj cov tshuaj) rau kev hloov cov pob txha pob txha allogeneic.
Contraindications rau infusions
Ceeb toom tias contraindications yuav tsum raug coj mus rau hauv tus account ua ntej siv cov tshuaj "Octagam", cov lus qhia. Tsis txhob siv cov tshuaj nyob rau hauv lub xub ntiag ntawm hypersensitivity rau nws constituent tshuaj los yog rauhomologous immunoglobulins.
Nrog ceev faj heev muab tshuaj rau cov neeg mob rog. Lawv muaj ib tug predisposition rau txoj kev loj hlob ntawm thrombosis. Kev kho mob yog contraindicated yog tias muaj "kev kuaj mob ntawm arterial hypertension", ntshav qab zib mellitus, pathologies ntawm cov hlab plawv system, ntev inactivity, nce ntshav viscosity.
Nrog nce ntshav viscosity, immunoglobulin, nkag mus rau hauv cov hlab ntsha, provokes kev pheej hmoo ntawm myocardial infarction, pulmonary thromboembolism, stroke, venous thrombosis.
Cov tshuaj no yuav tsum tau siv nrog ceev faj rau cov neeg mob lub raum tsis txaus, hypovolemia thiab cov neeg mob tau kho nrog cov tshuaj nephrotoxic. Yog tias, nrog kev qhia txog cov tshuaj immunoglobulin, qhov mob raum tsis ua haujlwm tau pom, tom qab ntawd kev kho Octagam raug tso tseg.
Nyob rau hauv cov neeg mob uas mob raum tsis ua hauj lwm, nrog rau cov neeg uas muaj cov teeb meem thromboembolic, txhaj tshuaj intravenously los yog drip nrog ib tug tshuaj yog muab tshuaj maj mam thiab nyob rau hauv tsawg heev.
Cov nyhuv ntawm cov tshuaj rau cov poj niam cev xeeb tub thiab lactating tsis tau kawm, yog li ntawd, thaum lub sij hawm no, cov tshuaj yuav tsum tau siv nrog ceev faj heev. Txawm li cas los xij, kev xyaum qhia tau hais tias thaum siv immunoglobulins, tsis muaj qhov tsis zoo thaum cev xeeb tub. Cov tshuaj tsis cuam tshuam rau tus menyuam hauv plab thiab tsis cuam tshuam rau tus menyuam hauv plab los ntawm niam cov kua mis. Immunoglobulins, nkag mus rau hauv niam mis, tsis ua rau tus menyuam mostsis muaj kev phom sij, thiab cov tshuaj tiv thaiv muaj nyob hauv nws tsuas yog pab tsim kom muaj kev tiv thaiv zoo.
Kev noj tshuaj thiab kev tswj hwm
Cov tshuaj "Octagam" tsuas yog txhaj rau hauv cov leeg. Ua ntej pib txheej txheem, cov tshuaj yuav tsum tau sov so rau chav sov. Cov kua yuav tsum meej meej, tsis muaj sediment thiab turbidity.
Txhua qhov kev tswj hwm ntawm cov tshuaj tau sau tseg hauv keeb kwm kho mob. Tus naj npawb ntawm cov tshuaj thiab nws lub npe kuj tau nkag rau ntawd. Qhov no yog ua los txhim kho kev tswj tus neeg mob tus mob. Cov tshuaj uas tseem tshuav tom qab kev txhaj tshuaj tsis raug khaws cia thiab yuav tsum raug rhuav tshem.
Tus nqi txhaj tshuaj thawj zaug yog 0.01-0.02 ml / kg ntawm lub cev hnyav ib feeb, thiab ntxiv rau ib nrab teev. Nrog rau kev ua siab ntev ntawm cov tshuaj, tus nqi yuav maj mam nce mus rau 0.12 ml / kg ntawm lub cev hnyav hauv ib feeb.
Tus nqi ntawm cov tshuaj thiab lub sijhawm kho yog txiav txim siab tus kheej rau txhua tus neeg mob. Txhua yam nyob ntawm qhov chaw kho mob hauv ib tus neeg mob, nws tus mob thiab kev kuaj mob ntawm tus kab mob.
Kev hloov kho immunomodulatory rau thawj qhov kev tiv thaiv kab mob suav nrog kev nce qib ntawm immunoglobulin G mus rau 4.0-6.0 g / l, nws raug ntsuas ua ntej txhua qhov kev txhaj tshuaj. Txhawm rau ua tiav qhov ntsuas no, nws yuav siv sijhawm 3-6 lub hlis ntawm kev kho mob. Thawj koob tshuaj yog 0.4-0.8 g / kg. Nyob rau hauv lub neej yav tom ntej, cov tshuaj yog muab rau cov neeg mob txhua txhua peb lub lis piam ntawm ib koob ntawm 0.2 g / kg. Txhawm rau kom ua tiav qhov ntsuas immunoglobulin ntawm 6.0 g / l, nws yog ib qho tsim nyog yuav tsum muab tus neeg mob tso rau txhua hli.0.2-0.8 g / kg ntawm tshuaj. Tom qab tus neeg mob tus mob rov zoo li qub, cov tshuaj txuas ntxiv mus rau txhua 2-4 lub lis piam, tom qab ntsuas qhov concentration ntawm immunoglobulin G hauv cov ntshav. Qhov no yuav pab koj xaiv qhov kev noj haus zoo.
Kho tshuaj hloov kho yog ua rau cov kab mob lymphocytic mob qog noj ntshav, uas tshwm sim nrog mob hnyav thib ob hypogammaglobulinemia, rau ntau yam myeloma, nrog rau kev kuaj mob "HIV zoo" hauv cov menyuam yaus thiab rau cov txheej txheem sib kis. Cov koob tshuaj tib lub sijhawm hloov pauv ntawm 0.2-0.4 g / kg. Qhov zaus ntawm kev tswj hwm - txhua 3-4 lub lis piam.
Thaum lub sijhawm kho mob hnyav ntawm idiopathic thrombocytopenic purpura (ITP), cov tshuaj yog siv ntawm qhov ntau npaum li cas ntawm 0.8-1.0 g / kg thaum noj thawj hnub. Yog tias tsim nyog, rov siv cov tshuaj yog ua rau hnub 2-5th, hauv qhov nyiaj ntawm 0.4 g / kg. Yog hais tias cov mob ntawm tus kab mob exacerbation, ces cov tshuaj yog muab dua.
Guillain-Barré syndrome kev kho mob suav nrog 0.4 g / kg ntawm cov tshuaj ib hnub rau 3-7 hnub. Hauv qhov no, kev siv tshuaj rau cov menyuam yaus muaj tsawg heev.
Kawasaki kab mob hauv cov menyuam yaus thiab cov neeg laus raug kho nrog qhov ntau npaum li 1.6-2.0 g / kg. Cov tshuaj yog muab nyob rau hauv tib koob tshuaj rau 2-5 hnub. Ib qho kev npaj ntawm cov tshuaj tau tso cai nyob rau hauv tus nqi ntawm 2.0 g / kg. Thaum kho tsis tu ncua, cov neeg mob yuav tsum siv acetylsalicylic acid ib txhij nrog kev tswj hwm ntawm Octagam.
Immunoglobulin yog siv tom qab allogeneic pob txha pob txha hloov hauv kev npajkev kho mob. Kev taw qhia ntawm cov tshuaj tiv thaiv qhov tshwm sim ntawm cov kab mob sib kis thiab kev loj hlob ntawm cov kab mob graft-tiv thaiv-host syndrome. Qhov koob tshuaj no rau txhua tus neeg mob raug xaiv ib tus zuj zus. Nws raug nquahu kom tsim cov koob tshuaj 0.5 g / kg ib lub lis piam. Cov txheej txheem tswj hwm tshuaj yuav tsum pib ib lub lis piam ua ntej kev hloov pauv hauv nruab nrog cev. Kev kho mob txuas ntxiv rau peb lub hlis tom qab ua haujlwm. Yog tias tsis muaj cov tshuaj immunoglobulins tsis tu ncua, ces cov tshuaj yog siv ntawm 0.5 g / kg txhua lub hlis kom txog thaum lawv cov ntshav rov qab mus rau qhov qub.
Side effects
Kev kawm yuav tsum tau kawm ua ntej siv tshuaj "Octagam" cov lus qhia rau kev siv. Kev loj hlob ntawm cov kev mob tshwm sim thaum siv cov tshuaj nyob ntawm qhov koob tshuaj thiab tus nqi ntawm kev tswj hwm.
Kev txhaj tshuaj rau hauv cov tshuaj no tuaj yeem ua rau leukopenia, hemolysis thiab thim rov qab hemolytic anemia. Thaum lub sij hawm kho, qhov tsis zoo tshwm sim ntawm lub cev tiv thaiv kab mob yog ua tau, uas yog qhia nyob rau hauv lub manifestation ntawm hypersensitivity. Muaj tsawg zaus, cov tshuaj anaphylactoid thiab anaphylactic tshwm sim, o ntawm lub ntsej muag, angioedema tshwm sim.
Kev kho kab mob HIV hauv cov menyuam yaus thiab kev kho mob lwm yam mob feem ntau ua rau mob taub hau. Tsis tshua muaj, muaj kev ua txhaum ntawm cov ntshav ncig ntawm lub hlwb, kev zoo siab heev, aseptic meningitis. Cov tshuaj tuaj yeem ua rau migraine, paresthesia thiab kiv taub hau.
Thaum kho, muaj peev xwm ua rau myocardial infarction. Tej zaum yuav muaj lub plawv dhiathiab tachycardia. Qee zaum kev txhawj xeeb txog cyanosis, hypotension thiab thrombosis. Tsis tshua muaj, muaj cov hlab ntshav tsis ua haujlwm, sib sib zog nqus vein thrombosis, kub siab.
Cov tshuaj yuav ua rau muaj kev phiv tshwm sim hauv lub ntsws. Qhov no yog ua pa tsis ua haujlwm, pulmonary edema, ua tsis taus pa. Qhov tshwm sim tsis zoo yog tshwm sim hauv hnoos fits, bronchospasm, pulmonary embolism.
Kev kho mob tuaj yeem ua rau xeev siab, gag reflex, mob plab, raws plab. Nyob rau hauv tsawg zaus, eczema, khaus khaus thiab khaus tshwm sim. Qee tus neeg mob tau ntsib kev mob dermatitis, alopecia thiab pruritus tom qab siv tshuaj.
Cov tsos mob xws li mob nraub qaum, myalgia thiab arthralgia yog qhov tsawg heev. Txawm tias thaum kho, lub raum tsis ua haujlwm tuaj yeem txhim kho, qib creatinine nce, ua npaws, qaug zog ntau dhau, thiab tsis xis nyob ntawm qhov chaw txhaj tshuaj yuav tshwm sim. Cov kev mob tshwm sim tsis tshua muaj xws li ua daus no, mob hauv siab, yaug dej, ua tsis taus pa, hyperhidrosis, thiab hyperthermia. Hauv cov xwm txheej tsis tshua muaj, cov neeg mob muaj kev txo qis hauv ntshav siab, anaphylactic shock.
Cov tsos mob tshwm sim kuj tseem tuaj yeem ua rau cov neeg mob uas tau txais txiaj ntsig zoo ntawm cov tshuaj ua ntej. Octagam ua rau muaj kev nce hauv siab enzymes thiab ntshav qabzib ntau hauv kev kuaj ntshav.
Nrog kev noj tshuaj tsis raug, cov tsos mob ntau dhau tuaj yeem tshwm sim. Qhov no yog, raws li txoj cai, cov kua dej khaws cia hauv lub cev, nce ntshav viscosity, uas tau pom hauv cov neeg mob raum,thiab hauv cov neeg mob laus.
Hauv txhua qhov xwm txheej saum toj no, kev kho mob tau pom zoo.
Cov lus qhia tshwj xeeb
Tshuaj tuaj yeem txo qhov kis tus kab mob nyob rau hauv cov tshuaj tiv thaiv kab mob rau rau lub lis piam mus rau peb lub hlis. Txhawm rau tiv thaiv qhov no tshwm sim, koj yuav tsum tos peb lub hlis tom qab siv Oktagam npaj. Cov tshuaj txo cov kev ua tau zoo ntawm cov tshuaj tiv thaiv kab mob qhua pias rau ib xyoos, yog li cov titer ntawm cov tshuaj tiv thaiv kab mob qhua pias yuav tsum tau kuaj ua ntej txhaj tshuaj tiv thaiv.
Kev kho mob nrog cov tshuaj no tuaj yeem ua rau muaj kev phiv ntau, yog li koj yuav tsum ua raws li cov lus qhia rau ntau npaum li cas thiab tus nqi ntawm kev tswj hwm. Thaum kho, yuav tsum tau saib xyuas tus neeg mob txoj kev noj qab haus huv txhua lub sijhawm.
Cov neeg mob uas tau txais cov tshuaj immunoglobulins yuav tsum tau dej txaus ua ntej cov txheej txheem, diuresis thiab ntshav creatinine yuav tsum tau saib xyuas. Kev siv "loop" diuretics yuav tsum raug tshem tawm tag nrho.
Yog tias muaj cov tshuaj tiv thaiv tsis zoo, koj yuav tsum txo qis tus nqi ntawm kev tswj hwm cov tshuaj lossis tsis txhob siv nws. Kev kho mob yog nyob ntawm qhov mob hnyav thiab qhov tshwm sim ntawm qhov tshwm sim tshwm sim. Yog tias pom kev poob siab, ces nws yuav tsum tau mus rau kev kho mob tiv thaiv kev poob siab, uas yuav tsum tau ua ke nrog kev kho mob tsis tu ncua.
Feem ntau, qhov tsis zoo tshwm sim yog tshwm sim los ntawm kev tswj hwm ntawm cov tshuaj sai, tshwj xeeb tshaj yog nrog hypo- thiab agammaglobulinemia thiab kev siv cov tshuaj immunoglobulin feem ntau. Kev mob tshwm sim tuaj yeem tshwm sim thaum tus neeg mob hloov los ntawm immunoglobulin ib leeg.chaw tsim tshuaj paus mus rau lwm yam tshuaj, thiab yog hais tias ib tug ntev lub sij hawm twb dhau los ntawm lub xeem infusion.
Kev saib xyuas cov neeg mob zoo li no (qhov no kuj suav nrog cov neeg mob uas muaj tus kab mob HIV) yuav tsum tau ua tas li, thoob plaws lub sijhawm ntawm thawj zaug, tshwj xeeb tshaj yog thawj teev tom qab txhaj tshuaj. Cov neeg mob uas tsis muaj kev phiv tshwm sim yuav tsum nyob rau hauv kev saib xyuas ntawm kws kho mob tom qab Octagam infusions thawj 20 feeb.
Thaum lub sijhawm kho, kev ceev faj yuav tsum tau ua los tiv thaiv kev kis kab mob uas ua tau nrog cov tshuaj ua los ntawm tib neeg cov ntshav lossis ntshav. Lawv suav nrog kev xaiv cov neeg pub dawb uas tsim nyog, kev tswj hwm ntawm ib tus neeg feem thiab cov pas dej ntawm cov ntshav rau cov cim tshwj xeeb ntawm tus kab mob. Kev ntsuas kab mob tsis ua haujlwm / tshem tawm yuav tsum suav nrog hauv cov txheej txheem no.
Txawm hais tias txhua qhov kev ceev faj hauv kev kho cov tshuaj no, qhov muaj peev xwm ntawm kev hloov pauv ntawm cov kab mob ntawm ntau tus kab mob, kab mob thiab lwm yam kab mob pathogenic tsis tuaj yeem txiav tawm. Tag nrho cov kev ntsuas saum toj no ua haujlwm hauv kev tshawb nrhiav cov kab mob hauv lub hnab ntawm tus kab mob HIV, kab mob siab B thiab C. Txog qhov tsawg kawg nkaus, lawv txiav txim siab tus neeg nqa khoom ntawm parvovirus B19 thiab kab mob siab A. Kev kho mob nrog kev kho mob nrog cov neeg ua haujlwm uas muaj tib neeg immunoglobulin qhia tias parvovirus B19. thiab kab mob siab A thaum kho cov tshuaj no tsis kis. Qhov tseem ceeb ntawm kev nyab xeeb tshuaj tiv thaiv kab mob yog qhov muaj cov tshuaj tiv thaiv tsim nyog hauv cov tshuaj.
Nyob rau hauv chav kawm ntawm kev kho mob, passively kis cov tshuaj tiv thaiv rauTus neeg mob cov ntshav tuaj yeem muab cov txiaj ntsig tsis tseeb thaum ua cov kev ntsuam xyuas serological. Cov m altose uas muaj nyob rau hauv qhov kev npaj tuaj yeem yuam kev cuam tshuam cov qib qabzib hauv cov ntshav.
Cov ntshav qabzib ntau ntxiv tau pom nyob rau lub sijhawm ntawm cov tshuaj tshem tawm ntawm lub cev lossis kaum tsib teev tom qab ua tiav. Hauv qhov no, muaj qhov ua tau ntawm qhov tsis raug ntawm cov tshuaj insulin, uas tuaj yeem ua rau hypoglycemia. Yog li ntawd, nyob rau hauv kev kho mob ntawm "0ktagam" yuav tsum tau siv tsuas yog cov kua nplaum rau kev txiav txim siab ntawm cov piam thaj nyob rau hauv cov ntshav. Cov khoom siv ntsuas ntshav qab zib yuav tsum ntsuas qhov ntsuas no hauv cov neeg mob noj cov tshuaj m altose.
Yog tias hnub tas sij hawm tseem tsis tau tas sijhawm, nws raug tso cai khaws cov tshuaj Oktagam (50 ml thiab 100 ml) ntawm qhov kub txog + 25 ° C rau peb lub hlis, tsis tas yuav muab tso rau hauv lub tub yees dua.. Cov tshuaj uas tsis tau siv nyob rau lub sijhawm teev tseg yog raug rhuav tshem.
Cov tshuaj tsis cuam tshuam rau lub peev xwm tsav tsheb thiab ua cov haujlwm uas yuav tsum tau muaj kev mloog tshwj xeeb thiab cov tshuaj tiv thaiv psychomotor ceev.
Octagam tshuaj: analogues
Cov tshuaj no muaj ntau cov analogues uas tuaj yeem hloov tau yog tias tsim nyog, cov no yog:
- "Biaven V. I.".
- Wigam kua.
- Venoglobulin.
- Gabriglobin.
- Gabriglobin-IgG.
- Wiggum-S.
- Gamunex.
- Gamma Globulin Tib neeg.
- "I. G. Vienna N. I. V."
- "Imbioglobulin".
- "Immunoglobulin".
- "Ibiogam".
- "Immunovenin".
- Intratekt.
- Y"Sandoglobulin".
- "Endobulin".
- "Phlebogamma 5%".
- "Humaglobin".
Lavxias hloov pauv yog qhov kev txiav txim siab ntawm qhov pheej yig dua li lawv cov analogues txawv teb chaws. Txawm li cas los xij, tag nrho cov tshuaj no mob hnyav heev, thiab tsuas yog ib tus kws kho mob yuav tsum xaiv qhov hloov pauv, raws li tus neeg mob tus mob.
Octagam tshuaj: nqe
Tus nqi ntawm cov tshuaj no yog siab heev. Koj tuaj yeem yuav 9,5-12 txhiab rubles 50 ml ntawm cov tshuaj "Octagam". Tus nqi ntawm 100 ml fluctuates nyob ib ncig ntawm 20-24 txhiab rubles.
Kev xav ntawm cov neeg mob thiab kws kho mob
Octagam tshuaj xyuas feem ntau yog qhov zoo. Nws cov txiaj ntsig tau txais txiaj ntsig tshwj xeeb los ntawm cov neeg uas nws tau pab kom rov zoo los ntawm kev tiv thaiv kab mob hauv lub xeev thiab Guillain-Barré syndrome. Nws feem ntau siv los ntawm cov neeg mob AIDS los tswj lawv txoj kev noj qab haus huv. Nws tau ua pov thawj nws cov txiaj ntsig hauv cov kab mob lymphocytic leukemia, myasthenia gravis. Cov poj niam siv cov tshuaj no kom cev xeeb tub thiab muaj menyuam.
Feem ntau ntawm cov neeg mob tsis txaus siab rau tus nqi ntawm cov tshuaj, lawv nco ntsoov tias nws nyuaj rau nws mus rau hauv khw muag tshuaj. Rau qee tus, nws ua rau tsis muaj zog, mob taub hau thiab ua tsis taus pa.
Cov kws kho mob nco ntsoov tias qhov no yog cov tshuaj ntshiab tshaj plaws, nws nqus tau zoo los ntawm lub cev, thiab, tsis zoo li cov tshuaj immunoglobulins hauv tsev, tsis tshua muaj kev ua xua.