Myasthenia gravis-03

Wodwala Wang Ming, wamwamuna, wazaka 45, wolimbitsa thupi, yemwe kale anali mphunzitsi wamkulu wosambira. Mwadzidzidzi anayamba kukhala ndi zizindikiro za myasthenia gravis, kuphatikizapo kufooka kwa miyendo, ptosis, komanso kuvutika kumeza. Atamufufuza mwatsatanetsatane, anapezeka kuti ali ndi myasthenia gravis yoopsa.

Poyamba a Wang ankavutika ndi kufooka kwa minofu, makamaka akamachita masewera olimbitsa thupi tsiku ndi tsiku. Chizindikiro chake chovutitsa kwambiri chinali kuvutika kumeza, zomwe zinapangitsa kuti kudya ndi kumwa kukhale kovuta komanso koopsa.

Chifukwa cha kusalabadira bwino mankhwala achikhalidwe, madokotala adaganiza zoyesa chithandizo cha maselo a CAR-T. Chithandizochi chimaphatikizapo kusintha maselo a T a wodwalayo kuti awononge kulumikizana kwa mitsempha ndi minofu komwe kumayambitsidwa ndi chitetezo chawo chamthupi. A Wang adalandira chithandizo cha CAR-T motsatizana, ndikuyang'aniridwa mosamala momwe chitetezo chawo chamthupi chimayankhira komanso mphamvu ya minofu pambuyo pa gawo lililonse.

Pambuyo pa miyezi ingapo ya chithandizo, zizindikiro za a Wang zinayamba kukwera kwambiri. Mphamvu ya minofu yake inayamba kuchira pang'onopang'ono, ndipo mavuto omeza anachepa kwambiri, zomwe zinamuthandiza kuchita zinthu za tsiku ndi tsiku momasuka. Mayeso a thupi adawonetsa kuti minofu yake inali bwino komanso luso lake lakuthupi linali kufika pamlingo wabwinobwino.

Atamaliza kulandira chithandizochi, a Wang adayamikira kwambiri komanso adakondwera. Anakumbukira momwe adavutikira poyamba panthawi yovuta kwambiri yomeza ndipo tsopano akupeza chisangalalo posangalalanso ndi moyo watsiku ndi tsiku. Anayamikira makamaka gulu lachipatala chifukwa cha ukatswiri wawo komanso chisamaliro chawo, ndipo anayamikira chithandizo chawo ndi thandizo lawo chifukwa chomuthandiza kupezanso thanzi ndi ufulu.