I-Myasthenia gravis-03
Isiguli u-Wang Ming, owesilisa, oneminyaka engama-45 ubudala, umzimba oqinile, owayengumqeqeshi wokubhukuda ophezulu. Ngokungazelelwe waba nezimpawu eziqhubekayo ze-myasthenia gravis, kuhlanganise nokuba buthakathaka kwezitho, i-ptosis, nobunzima bokugwinya. Ngemva kokuhlolwa okuningiliziwe, kwatholakala ukuthi une-myasthenia gravis enzima.
UMnu. Wang ekuqaleni wabhekana nobuthakathaka obuqhubekayo bemisipha, obubonakala ikakhulukazi phakathi nemisebenzi yansuku zonke noma ukuvocavoca. Uphawu lwakhe olwalumcindezela kakhulu kwakuwubunzima bokugwinya, okwenza ukudla nokuphuza kube inselele futhi kube yingozi.
Ngenxa yokungaphenduli kahle ekwelashweni kwendabuko, odokotela banquma ukuzama ukwelapha ngamaseli e-CAR-T. Lokhu kwelashwa kuhilela ukulungisa ama-T cell esiguli ukuze aqondise futhi abhubhise ukuhlangana kwezicubu zezinzwa ezihlaselwa isimiso saso sokuzivikela ezifweni. UMnu. Wang wenza uchungechunge lwezokwelapha ze-CAR-T, ngokuqapha ngokucophelela izimpendulo zakhe zokuzivikela komzimba namandla emisipha ngemva kweseshini ngayinye.
Ngemva kwezinyanga ezimbalwa zokwelashwa, izimpawu zikaMnu Wang zaqala ukuthuthuka kakhulu. Amandla emisipha yakhe alulama kancane kancane, nobunzima bokugwinya bancipha ngokuphawulekayo, okwamvumela ukuba ahlanganyele emisebenzini yansuku zonke ngokunethezeka. Ukuhlolwa ngokomzimba kwabonisa isimo sakhe semisipha namakhono angokomzimba ayesondela emazingeni avamile.
Lapho eqeda ukwelashwa, uMnu. Wang wazwakalisa ukubonga okujulile nenjabulo. Wakhumbula ukuntula usizo ayenakho phakathi nobunzima obukhulu bokugwinya ekuqaleni futhi manje uthola injabulo ngokukwazi ukujabulela ukuphila kwansuku zonke futhi. Ubonge ngokukhethekile ithimba lezokwelapha ngobungcweti nokunakekela kwalo, encoma ukwelashwa kwalo nokumeseka ngokumsiza ukuba aphinde abe nempilo kanye nenkululeko.
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