Nā Anticoagulants Lupus

Anter

• He aha nā hōʻailona o ka lupus anticoagulants?
• Nā Hana Hewa
• Nā kūlana pili
• Pehea wau e hoʻāʻo ai no nā anticoagulants lupus?
• Hōʻike PTT
• Nā hoʻāʻo koko ʻē aʻe
• Pehea e mālama ʻia ai nā anticoagulants lupus?
• Nā lāʻau hoʻoliʻiliʻi koko
• ʻO Steroids
• Kūkākūkā Plasma
• Ke hoʻopau nei i nā lāʻau ʻē aʻe
• Hoʻololi ka nohona
• Ke kiʻi i ka hoʻoikaika kino maʻamau
• E haʻalele i ka puhi ʻana a kaulike i kāu inu ʻana
• Lilo kaupaona
• E hoʻemi i kāu lawe ʻana i nā meaʻai waiwai K-vitamin
• He aha ke kuanaʻike?

He aha nā anticoagulants lupus?

ʻO nā Lupus anticoagulants (LAs) kekahi ʻano antibody i hana ʻia e ka ʻōnaehana pale o kou kino. ʻOiai ka hapanui o nā mea ʻino e hoʻouka kaua i ka maʻi i ke kino, hoʻouka ʻo LA i nā hunaola olakino a me nā protein protein.

Kūʻē lākou i nā phospholipids, nā mea pono o ka membrane pūnaewele. Pili nā LA me kahi ʻōnaehana pale pale i ʻike ʻia ma ke ʻano he antiphospholipid syndrome.

He aha nā hōʻailona o ka lupus anticoagulants?

Hiki i nā LA ke hoʻonui i ka hopena o ke kahe o ke koko. Eia nō naʻe, hiki i nā mea ʻino a ʻaʻole alakaʻi i kahi ʻōpala.

Inā hoʻomohala ʻoe i kahi kīʻaha koko i kekahi o kou mau lima a mau wāwae paha, e hoʻopili pū ʻia nā hōʻailona me:

• pehu i kou lima a i ʻole ka wāwae
• ʻulaʻula a i ʻole kalaʻula i kou lima a me kou wāwae
• nā pilikia hanu
• kaʻeha a me ka helu paha i kou lima a me kou wāwae

ʻO ke kōkō ʻana o ke koko ma kahi o kou puʻuwai a i ʻole nā ​​māmā i kumu:

• ʻeha ka umauma
• sweating nui loa
• nā pilikia hanu
• luhi, luʻuluʻu, a ʻelua paha

Hiki ke alakaʻi ʻia ke koko i kou ʻōpū a i ʻole nā ​​puʻupaʻa i:

• ʻeha ka ʻōpū
• ʻeha ʻūhā
• nausea
• diarrhea a i ʻole kahi noho koko
• fiva

Hiki ke hoʻoweliweli ke ola o nā kahe koko inā ʻaʻole lākou e mālama koke.

Nā Hana Hewa

Hiki i nā kīʻaha koko liʻiliʻi na LA ke hoʻonāukiuki i kahi hāpai keiki a hoʻoulu i ka hāʻule ʻole. He hōʻailona paha nā LA hana hewa he nui no nā LA, keu hoʻi inā kū lākou ma hope o ka trimester mua.

Nā kūlana pili

Loaʻa ka hapalua o ka poʻe me LA i ka lupus maʻi autoimmune.

Pehea wau e hoʻāʻo ai no nā anticoagulants lupus?

Hiki paha i kāu kauka ke kauoha i ka hoʻāʻo ʻana no ka LA inā ʻaʻole ʻoe i wehewehe i ke kahe o ke koko a i ʻole i loaʻa i ka nui o nā hāʻule.

ʻAʻole kōkua kahi kōkua hoʻokahi i nā kauka e hōʻoia pono i nā LA. Koi ʻia nā hoʻokolohua koko he nui e hoʻoholo inā aia ʻo LA i kāu kahe koko. Pono hou kahi hoʻokolohua hou i ka manawa e hōʻoia i ko lākou alo. ʻO kēia no ka mea hiki ke ʻike ʻia kēia mau mea ʻino me nā maʻi, akā hele aku i ka manawa e hoʻonā ai ka maʻi.

E komo pū paha nā hoʻāʻo:

Hōʻike PTT

ʻO ka manawa thromboplastin manawa (PTT) e hoʻāʻo i ka manawa e lawe ai kou koko. Hiki iā ia ke hōʻike inā loaʻa i kou koko nā anticoagulant antodies. Eia naʻe, ʻaʻole ia e hōʻike inā he LA kāu.

Inā hōʻike kāu hopena hopena i ke kū ʻana o nā lāʻau anticoagulant antodies, pono ʻoe e hoʻāʻo hou. Hana pinepine ka hana hou ʻana ma kahi o 12 mau pule.

Nā hoʻāʻo koko ʻē aʻe

Inā hōʻike kāu hōʻike PTT i ke kū ʻana o nā lāʻau anticoagulant antimonagulant, hiki i kāu kauka ke kauoha i nā ʻano ʻano ʻē aʻe o nā hoʻokolohua koko e nānā i nā hōʻailona o nā ʻano olakino ʻē aʻe. ʻO ia mau hoʻāʻo e komo pū paha:

• hoʻāʻo antibody anticardiolipin
• manawa kāwili kaolin
• nā hoʻāʻo ʻana o ke kumu coagulation
• hoʻowahāwahā ʻia ʻo Russell viper venom test (DRVVT)
• ʻO LA-ʻano PTT
• Hoʻokolohua antibody beta-2 beta-2

ʻO kēia nā hōʻoia koko āpau e lawe i kahi makaʻu liʻiliʻi. ʻIke paha ʻoe i kahi ʻōkole pōkole ke kui ke kui kuʻi i kou ʻili. ʻIke paha i kahi ʻeha ma hope pū kekahi. Aia kekahi pilikia iki o ka maʻi a i ʻole ke kahe ʻana, e like me nā hōʻike koko.

Pehea e mālama ʻia ai nā anticoagulants lupus?

ʻAʻole kēlā me kēia mea e loaʻa ka hōʻailona o LA e koi i ka lāʻau. Inā ʻaʻohe ou ʻōuli a ʻaʻole i loaʻa ʻoe ke kahe koko ma mua, hiki i kāu kauka ke kau ʻole i kahi lāʻau no kēia manawa, ʻoiai ke ʻoluʻolu ʻoe.

E ʻokoʻa nā hoʻolālā lapaʻau mai kēlā me kēia kanaka.

ʻO nā lāʻau lapaʻau no LA he:

Nā lāʻau hoʻoliʻiliʻi koko

Kōkua kēia mau lāʻau i ka pale ʻana i ke kahe o ke koko ma ka kāohi ʻana i ka hana o kou ake o ka huaora K, kahi e kōkua ai i ke kāpili ʻana o ke koko. ʻO nā mea lahilahi o ke koko maʻamau ka heparin a me ka warfarin. Kau kauka paha i kau kauka. Hoʻopau kēia lāʻau lapaʻau i ka hana platelet ma kahi o ka kaohi 'ana i ka hana vitamini K.

Inā kuhikuhi kāu kauka i nā mea lahilahi o ke koko, e hoʻāʻo ʻia kou koko i kēlā me kēia manawa no ke alo o cardiolipin a me beta-2 glycoprotein 1 antibodies. Inā hōʻike kāu hopena hopena hōʻike ua hala nā mea ʻohā, hiki iā ʻoe ke hoʻopau i kāu lāʻau. Eia naʻe, pono e hana wale ʻia kēia me ke kūkākūkā ʻana me kāu kauka.

Pono kekahi poʻe me LA e lawe i nā mea lahilahi o ke koko no kekahi mau mahina. Pono nā poʻe ʻē aʻe e noho i kā lākou lāʻau no ka wā lōʻihi.

ʻO Steroids

Hiki i nā Steroids, e like me prednisone a me cortisone, ke kāohi i ka hana ʻana o kāu ʻōnaehana pale maʻi o nā LA antibodies.

Kūkākūkā Plasma

ʻO ke kūkaʻi Plasma kahi hana e hoʻokaʻawale ai kahi mīkini i kāu plasma koko - i loaʻa nā LA - mai kāu mau huna koko ʻē aʻe. ʻO ka plasma i loaʻa nā LA i pani ʻia e ka plasma, a i ʻole kahi pani plasma, ʻaʻohe manuahi kēlā. Kāhea ʻia kēia hana he plasmapheresis.

Ke hoʻopau nei i nā lāʻau ʻē aʻe

Hiki i kekahi mau lāʻau lapaʻau maʻamau ke kumu iā LA. Hoʻopili kēia mau lāʻau:

• lāʻau hoʻomalu hānau
• Nā mea kāohi ACE
• quinine

E kamaʻilio me kāu kauka e pili ana i nā lāʻau āu e lawe nei e hoʻoholo inā hiki ke kumu iā LA. Inā ʻoe, hiki iā ʻoe a me kāu kauka ke kūkākūkā inā palekana iā ʻoe e haʻalele i ka hoʻohana ʻana.

Hoʻololi ka nohona

Hiki ke hoʻololi i kahi nohona maʻalahi hiki iā ʻoe ke hana i hiki ke kōkua iā ʻoe e hoʻokele iā LA, inā paha ʻoe e lawe nei i ka lāʻau no kāu maʻi. Pākuʻi ʻia kēia mau mea:

Ke kiʻi i ka hoʻoikaika kino maʻamau

Hoʻonui ka hoʻoikaika a me ka neʻe i ke kahe o ke koko. ʻO ke kumu he kōkua nō hoʻi ia e pale aku i ke kāpili ʻana o ke koko. E ʻike i kāu ala punahele no ka hoʻoikaika kino a hana maʻamau. ʻAʻole pono ke koʻikoʻi. ʻO ka lawe ʻana i kahi hele wikiwiki i kēlā me kēia lā hiki ke hoʻoulu i ke kahe o ke koko.

E haʻalele i ka puhi ʻana a kaulike i kāu inu ʻana

He mea nui ka haʻalele ʻana i ka puhipaka inā he LA kāu. Hoʻokumu ʻo Nicotine i kāu mau kīʻaha koko e ʻaelike, a hiki i ka hoʻopili ʻana.

Ua hōʻike ʻia nā hoʻokolohua hoʻokolohua e pili pū ana ka inu waiʻona nui me ka hoʻokumu ʻana o ke koko.

Lilo kaupaona

Hoʻokumu nā hunaola momona i nā mea e pale aku ai i ke kahe o ke koko e like me kā lākou e manaʻo ai. Inā kaumaha nui ʻoe, lawe paha kāu kahena o ke koko i nā mea he nui loa.

E hoʻemi i kāu lawe ʻana i nā meaʻai waiwai K-vitamin

Nui nā meaʻai i loaʻa ka nui o ka wikamina K i mea maikaʻi nāu inā ʻaʻole, akā kōkua lākou i ka hana ʻana i nā huʻa koko.

Inā ʻoe ma luna o nā mea lahilahi o ke koko, ʻo ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka wikamina K ka mea kūpono ʻole i kāu lāʻau. ʻO nā meaʻai e waiwai i ka huaola K pū kekahi:

• broccoli
• lettuce
• milo
• asparagus
• prunes
• parsley
• kāpiki

He aha ke kuanaʻike?

I ka hapanui o nā hihia, hiki ke kāohi ʻia ke kō a me nā hōʻailona o nā LA me ka lāʻau.

Wahi a ka loiloi 2002, nā wahine e mālama ʻia no ka maʻi antiphospholipid - maʻa mau me ka aspirin haʻahaʻa a me ka heparin - aia ma kahi o 70 pākēneka manawa kūpono e hāpai i kahi hāpai hāpai maikaʻi i kēia manawa.