2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Cov tshuaj tiv thaiv kab mob (AEDs) tau piav qhia tias yog muaj peev xwm muaj feem cuam tshuam rau tus cwj pwm tua tus kheej [1]. Hauv xyoo 2008, Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) hauv Tebchaws Meskas tau tshaj tawm txog 2-fold muaj kev pheej hmoo ntawm kev xav tua tus kheej lossis tus cwj pwm rau 11 AEDs (tsis muaj qhov sib txawv, OR, 1.80, 95% kev ntseeg siab, CI, 1.24-2.66) [2].
Cov tshuaj tiv thaiv kab mob yog dab tsi?
Ntxiv rau cov kev mob tshwm sim ntawm cov tshuaj tiv thaiv kab mob, xws li kiv taub hau, tsaug zog, thiab kev puas siab puas ntsws; Lwm yam kev mob tshwm sim xws li qhov hnyav nce, metabolic acidosis, nephrolithiasis, lub kaum sab xis kaw glaucoma, daim tawv nqaij ua pob, hepatotoxicity, colitis, thiab kev txav thiab kev coj tus cwj pwm tsis zoo, rau npe rau ob peb, tau coj mus rau …
Cov tshuaj tiv thaiv kab mob ua rau kev xav tua tus kheej?
FDA pom tias cov neeg mob noj tshuaj tiv thaiv kab mob muaj kwv yees li ob npaug ntawm kev pheej hmoo ntawm tus cwj pwm tua tus kheej lossis kev xav(0.43 rau 100) piv nrog cov neeg mob tau txais cov placebo (0.22 ib 100).
Cov tshuaj tiv thaiv kab mob dab tsi ua rau muaj kev nyuaj siab?
Tus barbiturates, vigabatrin thiab topiramateqhia txog kev koom nrog ntau dua nrog qhov tshwm sim ntawm kev nyuaj siab dua li lwm yam tshuaj tiv thaiv kab mob, nthuav tawm txog li 10% ntawm tag nrho cov neeg mob, tab sis ntau dua li hauv Cov neeg mob raug mob.
Puas kev xav tua tus kheej yog qhov tshwm sim ntawm cov tshuaj?
Tshuaj yuav muaj ntau yam kev phom sij txaus ntshai,suav nrog kev pheej hmoo siab ntawm kev xav tua tus kheej lossis tus cwj pwm. Piv txwv li, qee cov tshuaj siv los kho lwm yam mob, suav nrog qee cov tshuaj tiv thaiv kev ntxhov siab, kev kho pob txuv thiab kev haus luam yeeb, tau txuas nrog kev xav tua tus kheej.
Pom zoo:
Yuav noj tshuaj tua kab mob puas cuam tshuam rau cov tshuaj tiv thaiv kab mob?
Nws puas muaj kev nyab xeeb los txhaj tshuaj tiv thaiv COVID-19 nrog tshuaj tua kab mob? Tsis muaj kev cuam tshuam lossis cuam tshuam ntawm cov tshuaj tua kab mob thiab tshuaj tiv thaiv COVID-19, yog li thaum qhia, tshuaj tua kab mob tuaj yeem noj txhua lub sijhawm cuam tshuam nrog kev tswj hwm tshuaj tiv thaiv COVID-19.
Puas yog lub cev tiv thaiv kab mob hauv lub cev puas tsim cov tshuaj tiv thaiv?
Lub cev tiv thaiv kab mob tau txais, nrog kev pab los ntawm lub cev hauv lub cev, tsim cov hlwb (tshuaj tiv thaiv kab mob) los tiv thaiv koj lub cev los ntawm ib tus neeg invader tshwj xeeb. Cov tshuaj tiv thaiv no yog tsim los ntawm cov hlwb hu ua B lymphocytes tom qab lub cev tau raug rau cov neeg ua phem.
Tus cwj pwm puas tuaj yeem yog tus cwj pwm?
Nyob rau hauv txhua rooj plaub tus adjective denotes tus cwj pwm lossis qhov zoo ntawm lub npe, raws li kev hloov kho qhia. Adjectives ntawm hom no yog hu ua INHERENT adjectives. Cov cwj pwm uas lawv pom yog, raws li nws tau, muaj nyob rau hauv lub npe uas lawv hloov kho.
Puas yog tus cwj pwm thiab tus cwj pwm cuam tshuam?
Tus kheej yog tus cwj pwm sab nraud. Kev coj cwj pwm yog qhov tshwm sim ntawm kev coj ncaj ncees sab hauv. Nyob zoo cov npoj yaig, Hnub zoo, "Tus 'tus kheej tus kheej' yog tus yuam sij rau tib neeg tus cwj pwm thiab tib neeg tus cwj pwm.
Nyob rau hauv qhov ntxa kab mob cov tshuaj tiv thaiv kab mob khi rau?
Nyob rau hauv Graves disease, lub cev tiv thaiv kab mob tsim cov tshuaj tiv thaiv rau the TSH receptor. Cov tshuaj tiv thaiv no khi rau thiab txhawb nqa TSH receptors pom nyob rau hauv cov thyroid follicular hlwb, ua rau ntau ntau synthesis thiab secretion ntawm cov thyroid hormones.