Wani abu da mutane da lymphoma da sauran cututtuka na jini suka saba da shi, ko a matsayin ɓangare na cuta ko a matsayin sakamako na wariyar magani, an rage yawan aikin da ba zai iya cutar da cutar ba. Wasu lokuta wadanda ke fama da ciwon jini suna da matakan haɗari guda ɗaya na kwayoyin cuta yayin da wasu ke da nauyin fiye da ɗaya (IgA da IgG sune nau'i biyu na maganin rigakafin da wasu ƙwayoyin jikin jini suke ciki , IgM shine na uku).
Mene ne sakamakon wadannan matakan mawuyacin hali, kuma yaya za a iya biyan su?
Kwayoyin cututtuka na iya haifar da matakan cike da cutar ta hanyar rashin lafiya
Magunguna masu ciwo, musamman cututtuka na numfashi, ana ganin su a cikin marasa lafiya tare da Waldenström , irin lymphoma ba na Hodgkin , kuma yana iya alaka da kasancewar ƙananan ƙwayoyin cuta-amma ya dogara ne akan.
Tare da girmamawa ga mutanen da ke fama da IgA (wanda ke da rawar jiki a yankunan jiki wadanda suke da ƙwayoyin mucous, irin su murfin ƙirar hanyoyi), hanyar haɗi zuwa kamuwa da ƙwayar cuta mai yawa ba ta da karfi. A gaskiya ma, mutanen da aka haifa tare da rashi a cikin wannan ƙungiyar antibody kawai ba su da wata alamar bayyanar.
Doctors za suyi gwada gwaje-gwaje da matakan antibody . Alal misali, mai tsira Jennifer Killam, mai ritaya mai ritaya, mai ritaya Waldenström, ya bayyana cewa, a cikin ta, duk matakan da ake yi na ta'addanci na da wuya a kashe su. "Likitoci sun buƙaci ci gaba da dubawa a kan matakan da nake da shi - IgA, IgG, da kuma IgM.
Matakan na IgM suna ƙarƙashin iko, amma ban zama gafara ba, "in ji Killam.
A cikin kwayar lymphoma da ke cikin Major Killam, da kuma sauran cututtukan jini na dabam, ƙwayoyin cututtukan suna haifar da kariya mai gina jiki wanda ya shiga jini; A halin da ake ciki, yawancin yaduwar IgM ne.
Ɗaya daga cikin gwajinta na kokarin kawo wadannan matakan zuwa al'ada. Ko da yake matakan IgM dinta yanzu sun ragu kuma a cikin mafi kyan lafiya, matakan IgG na da ƙananan ƙananan-kuma IgG shine babban magungunan cuta.
Nauyin IgG na al'ada suna sama da 800 MG / dL. Major Killam ta sauke zuwa 200 MG / DL, wanda ya sa ta kasance mai saukin kamuwa da cuta. Saboda haka, kowane mako shida yana zuwa Cibiyar Kiwon Lafiya ta City of Hope don sa'a hudu zuwa shida don samun matakan IgG a sama. Ta karbi jigon jini mai suna IVIG.
IVIG Far
IVIG shine ainihin farfadowa da aka yi a shekarun da suka gabata kuma ana amfani dasu don magance marasa lafiya da ciwo daban-daban. Cikin jigon na tsaye ne na intravenous kuma IG na tsaye ga immunoglobulin (kalmar kimiyya don proteins proteins).
An fara nuna farko na IVIG a cikin wata cuta da ake kira purtin thiopbocytopenic purpiciki (ITP) a 1981. Tun daga wannan lokacin, jerin jerin cututtuka da suka yi kama da IVIG sun kara girma. Daya daga cikin manyan amfani da IVIG shi ne maye gurbin matakan mutum na antibody, amma wannan ya zama nisa daga amfani kawai.
Harkokin Guda shine samfurori da za a iya rataye su a cikin jakar don shigar da ruwa a cikin veins. An samo su ne daga fukacin mutum, wanda ke nufin wadannan jaka suna dauke da kwayoyin IgG daga mutane daban-daban, da dama masu bada agajin lafiya, kuma samfurori sun ƙunshi fiye da kashi 95 cikin dari na IgG maras kyau, kuma samuwa ne kawai na immunoglobulin A (IgA) ko immunoglobulin M ( IgM).
Tarin cututtuka da ke amsawa ga IVIG na da kyau kuma jerin zasu iya nuna muhimmancin aikin kulawa da lafiya a kowane irin cututtuka daban-daban.
Ayyuka na Farko na IVIG
A nan ne samfurin amfani da IVIG.
Rashin rashin daidaituwa: Wannan ya hada da yanayin da aka haife mutane tare da cututtuka wadanda ke ɗauke da kwayar cutar a kan tsarin rigakafi kamar cutar cutar sankarar lymphocytic na kullum (CLL) da myeloma m. Har ila yau an haɗa su da rashin rashin daidaituwa wanda ya bunkasa bisa ga shirin lokacin da hanyoyin kwantar da hankula suka hana aikin antibody samar da jikin.
Cutar cututtuka: A wasu lokuta akwai lokuta wanda mutum tare da cututtuka ko ci gaba da sauri zai iya amfana daga IVIG.
Wasu cututtukan cututtukan hoto, irin su ciwon kwakwalwa ta hanyar kwantar da cutar ta hanyar anemia, sun hada da wannan rukuni.
Bayanin Mutum / Tsuntsauran Flammatory: Bugu da ƙari, an yi amfani da nau'in na IVIG na farko a 1981, sauran yanayin irin su ciwon Guillain-Barré, cututtukan Kawasaki, da cututtuka na HIV na jijiyoyi suna cikin wannan rukuni.
Sauran Yanayi: Wasu cututtuka da ke ɗauke da jijiyoyi, wanda ake kira ciwon ƙwayoyin cuta ne, suna iya inganta tare da IVIG. Hanyoyin transfusion da kuma kwayoyin da aka yi wa sakonni sun sake fada cikin wannan rukuni.
Rayuwa tare da Waldenström's, Tattaunawa da Kasuwancin Ciniki
Major Killam ya lura cewa, a wannan lokaci, cutar ta kasance barga. Hannunta sun kawo matakan IgM don kada ta damu da wasu matsalolin da ake yi na IgM da yawa.
Lokacin da yawancin sinadaran ya shiga jini, likitoci sun damu da wani abu da ake kira ciwon hypervicity, ko HVS. Alamun da alamun bayyanar HVS sun hada da abubuwa uku: zub da jini a cikin mucosa, ko murfin gabobin jiki daban-daban, canje-canje na gani, da kuma alamun bayyanar da ke nuna alamar juyayi a matsayin tushen su. Kwayoyin jiki na jiki da suka hada da gajiya, hasara ko zazzabi na iya kasancewa.
Kwayoyin cutar da ake amfani da su a cikin lymphoma ba ma ba tare da tasirin su ba. Wasu daga cikin sababbin maganin magungunan magungunan magunguna sunyi tasiri don shawo kan fili mai narkewa, tare da matsanancin zazzaɓi ko ƙuntatawa.
A game da babban Killam, ba wani maganin daya ba ne wanda ke ci gaba da tafiya sai dai tsari ne, kuma ta samo asali ne daga nau'o'i daban-daban, ciki har da maganin gargajiya, acupuncture, maganin chiropractic, tunani, da yoga.
"Dukkanan sun taimaka wa lafiyata-da kuma lafiyar ni. Oh, da dariya-dariya taimakawa mai yawa. Saboda haka a wani lokaci, na duba cikin madubi da dariya! "
> Sources:
> Hunter ZR, Manning RJ, Hanzis C, et al. IgA da IgG hypogammaglobulinemia a cikin Macroglobulinemia a Waldenström. Haematologica . 2010; 95 (3): 470-475.
> Gelfand EW.Intravenous immune globulin a cikin musa da cutar cututtuka. N Engl J Med . 2012 Nov; 367 (21): 2015-25.