Kev siv cov tshuaj tiv thaiv kab mob hauv cov kab mob nephrotic
Jul 28, 2023
Nephrotic syndrome (NS) is a clinically common group of renal disease syndromes, characterized by massive proteinuria (>3.5 g / d), hypoalbuminemia (tib neeg albumin<30 g/L), and varying degrees of edema, Hyperlipidemia as the main feature. Proper use of immunosuppressive therapy is a key link to improve efficacy and reduce adverse reactions.
Nyem rau organic cistanche rau mob raum
Lub hom phiaj tseem ceeb ntawm kev kho mob immunosuppressive
1. Tau txais kev pab kom tiav lossis ib nrab kom sai li sai tau;
2. Txo qhov rov tshwm sim thiab teeb meem;
3. Tiv thaiv lub raum ua haujlwm: txo lossis ncua qhov tshwm sim ntawm ESRD.
Cov hauv paus ntsiab lus ntawm kev kho immunosuppressive
1. Ua ntej siv cov tshuaj glucocorticoids thiab cov tshuaj tiv thaiv kab mob, yuav tsum tau saib xyuas kom tsis txhob muaj cov kab mob nquag (tshwj xeeb tshaj yog kab mob siab, kab mob ntsws), qog, thiab lwm yam hauv cov neeg mob; Cov neeg mob uas muaj kev kho mob tsis zoo lossis rov tshwm sim dua yuav tsum xub nrhiav qhov ua tau xws li latent zais kab mob, thromboembolism, edema hnyav, tshuaj tsis raug, thiab lwm yam.
2. Kev siv cov glucocorticoids yuav tsum ua raws li lub hauv paus ntsiab lus ntawm "kev siv tshuaj txaus, txo qis, thiab kev saib xyuas mus ntev".
3. Tsim ib qho kev npaj kho mob rau tus kheej raws li qhov xwm txheej tshwj xeeb ntawm tus neeg mob.
Kev txiav txim siab rau Immunosuppressive Therapy
1. Cov kev phiv loj heev ntawm glucocorticoids thiab cov tshuaj tiv thaiv kab mob
(1) Cov kev phiv tseem ceeb ntawm glucocorticoids: suav nrog induction lossis aggravation ntawm tus kab mob, peptic rwj, dej thiab sodium retention, kub siab, mob hlwb, iatrogenic hypercortisolism, steroid-induced ntshav qab zib, osteoporosis, femoral taub hau aseptic Kev sib deev necrosis, thiab lwm yam. Thaum lub sij hawm kawm ntawm kev kho mob, kev saib xyuas yuav tsum tau them rau kev soj ntsuam thiab kev tiv thaiv kev tsis zoo.
(2) Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj alkylating: suav nrog kev tsim cov pob txha pob txha, daim siab puas, hemorrhagic cystitis, plab hnyuv, kab mob, plaub hau poob, thiab gonad puas.
(3) Cov kev phiv loj heev ntawm calcineurin inhibitors (CNI): Cov kev phiv tseem ceeb ntawm cyclosporine muaj xws li: kab mob, lub siab, thiab lub raum toxicity, kub siab, tes tshee, hyperuricemia, hirsutism, thiab lwm yam. Kev siv ntev ntawm cyclosporine tuaj yeem ua rau lub cev tsis zoo. kev pheej hmoo ntawm lub raum tubular atrophy, lub raum interstitial fibrosis, thiab lub raum arteriosclerosis. Yog li, cov neeg mob uas muaj ntshav siab creatinine ua ntej kev kho mob thiab / lossis lub raum biopsy nrog pom tseeb rau lub raum interstitial tubular lesions yuav tsum siv ceev faj. Thaum lub sij hawm siv tshuaj, cov ntshav tshuaj concentration thiab daim siab thiab lub raum ua haujlwm yuav tsum tau saib xyuas kom zoo. Cov kev phiv tseem ceeb ntawm tacrolimus muaj xws li ntshav qab zib siab, kub siab, nephrotoxicity, thiab lwm yam. Thaum lub sij hawm siv tshuaj, ntshav concentration, lub raum ua haujlwm, thiab ntshav qab zib yuav tsum tau saib xyuas kom zoo.
(4) Cov tshuaj tiv thaiv tseem ceeb ntawm mycophenolate mofetil (MMF): kab mob, kab mob hauv plab, kev tiv thaiv cov pob txha, kev puas siab puas ntsws, thiab lwm yam. Cov ntshav thiab lub siab ua haujlwm yuav tsum tau saib xyuas zoo thaum siv tshuaj.
2. Txhim kho kev kawm rau tus neeg mob thiab txhim kho kev ua raws li tus neeg mob
3. Kev siv cov tshuaj hormones ntev ntev thiab (lossis) cov tshuaj tiv thaiv kab mob muaj peev xwm ua rau muaj kev pheej hmoo kis mob (tuberculosis, fungi, cytomegalovirus, Pneumocystis carinii, thiab lwm yam).
Cistanche nce kab mob raum li cas?
Cistanche yog ib hom tshuaj ntsuab uas ib txwm siv hauv Suav tshuaj rau ntau lub hom phiaj kev noj qab haus huv, suav nrog kev txhawb nqa raum. Txawm hais tias qee cov ntaub ntawv pov thawj qhia tau tias muaj txiaj ntsig zoo, nws tseem ceeb heev uas yuav tsum nco ntsoov tias kev tshawb fawb txog kev tshawb fawb ntawm Cistanche cov teebmeem ntawm cov kab mob raum tseem txwv.
Cistanche muaj cov tshuaj nquag xws li acteoside thiab echinacoside, uas muaj cov tshuaj tiv thaiv antioxidant thiab tiv thaiv kab mob. Cov khoom no tuaj yeem pab tiv thaiv lub raum los ntawm oxidative kev nyuaj siab thiab o, uas yog yam cuam tshuam rau kev mob raum.
Tsis tas li ntawd, Cistanche tuaj yeem muaj cov teebmeem immunomodulatory, txhais tau tias nws yuav pab tswj lub cev tiv thaiv kab mob. Hauv qee cov kab mob raum uas lub cev tsis muaj zog ua lub luag haujlwm, Cistanche tuaj yeem muab qee yam txiaj ntsig.
