ʻO Antiphospholipid Syndrome: He aha ia, Nā kumu a me ka mālama ʻana

Anter

• Nā hōʻailona nui a me nā ʻōuli
• He aha ke kumu o ka maʻi maʻi
• Pehea e hana ʻia ai ke kuhi
• Pehea e hana ai i ka lāʻau
• Hoʻomaʻo i ka wā hāpai

ʻO Antiphospholipid Antibody Syndrome, ʻo ia hoʻi ka ʻO Hughes aiʻole SAF a SAAF paha, kahi maʻi autoimmune laha ʻole i ʻike ʻia e ka maʻalahi i ka hana ʻana i thrombi i nā uaua a me nā aʻa e hoʻopilikia i ke kāpili ʻana o ke koko, kahi e hopena ai i ka ʻeha, paʻakikī i ka hanu ʻana a me ka puʻuwai puʻuwai, no ka laʻana.

Wahi a ke kumu, hiki ke hoʻokaʻawale ʻia ʻo SAF i ʻekolu mau ʻano nui:

1. Kumumua, ʻaʻohe kumu kikoʻī i loko;
2. ʻĀlua, i hopena ma ke ʻano he hopena o kekahi maʻi ʻē aʻe, a pili pinepine iā Systemic Lupus Erythematosus. Hiki i ka APS lua ke kūleʻa, ʻoiai ʻoi aku ka liʻiliʻi loa, pili pū me nā maʻi autoimmune ʻē aʻe, e like me scleroderma a me rheumatoid arthritis, no ka laʻana;
3. Kaʻi ʻino, ʻo ia ka ʻano ʻoi loa o ka APS kahi i hana ʻia ai ka thrombi ma kahi o 3 mau pūnaewele ʻokoʻa ma lalo o 1 pule.

Hiki i ka APS ke hana i kēlā me kēia makahiki a i nā kāne ʻelua, akā ʻoi aku ka pinepine o nā wahine ma waena o 20 a 50 mau makahiki. Pono e hoʻokumu i ka lapaʻau e ka mea hana maʻamau a i ʻole ka rheumatologist a makemake e pale i ka hoʻokumu ʻana o thrombi a pale i nā pilikia, ʻoiai ke hāpai ka wahine.

Nā hōʻailona nui a me nā ʻōuli

ʻO nā hōʻailona nui a me nā ʻōuli o ka APS e pili ana i nā loli i ke kaʻina hana coagulation a me ka hanana o ka thrombosis, ʻo nā mea nui:

• ʻEha o ka umauma;
• Hanu paʻakikī;
• ʻEha poʻo poʻo;
• Nualea;
• ʻO ka pehu ʻana o nā lālā luna a i lalo paha;
• E hoʻemi i ka nui o nā platelet;
• ʻO nā abortor spontaneous kūlohelohe a i ʻole nā ​​hoʻololi ʻana i ka placenta, me ke kumu ʻole.

Hoʻohui ʻia, ʻoi aku ka nui o nā pilikia o ka poʻe i loaʻa me ka APS, ka hōʻeha puʻuwai a i ʻole ka hahau ʻana, no ka laʻana, ma muli o ka hoʻokumu ʻia ʻana o ka thrombi e hoʻopilikia nei i ke kahe o ke koko, e loli ana i ka nui o ke koko i hiki i nā ʻokana Hoʻomaopopo i ka thrombosis.

He aha ke kumu o ka maʻi maʻi

ʻO Antiphospholipid Antibody Syndrome kahi ʻano autoimmune, ʻo ia hoʻi ka ʻōnaehana pale pilikino nāna e hoʻouka i nā hunaola i loko o ke kino. I kēia hihia, hoʻopuka ke kino i nā antiposforolidid antodies e hoʻouka i nā phospholipids i loko o nā momona momona, kahi mea maʻalahi no ka coagulate a me ka thrombi o ke koko.

ʻO ke kumu kikoʻī e hoʻopuka ai ka ʻōnaehana pale i kēia ʻano antibody ʻaʻole i ʻike ʻia, akā ʻike ʻia he ʻano pinepine pinepine ia i nā poʻe me nā maʻi autoimmune ʻē aʻe, e like me Lupus, no ka laʻana.

Pehea e hana ʻia ai ke kuhi

ʻO ka hōʻailona o Antiphospholipid Antibody Syndrome i wehewehe ʻia e ke kū ʻana o hoʻokahi pae hoʻohālikelike a me nā keʻena hoʻokolohua, ʻo ia hoʻi, ke kū ʻana o kahi ʻōuli o ka maʻi a me ka loaʻa ʻana o hoʻokahi autoantibody i loko o ke koko.

Ma waena o nā pae hoʻohālikelike i manaʻo ʻia e ke kauka he mau ʻāpana o ka thrombosis arterial a i ʻole venous thrombosis, ka hanana ʻana o ka ʻōpū, ka hānau mua ʻole, nā maʻi autoimmune a me ke kū ʻana o nā mea pilikia no ka thrombosis. Pono e hōʻoia ʻia kēia pae hoʻohālikelike ma o ke kiʻi ʻana a me nā hoʻokolohua hoʻokolohua.

E pili ana i nā pae hoʻohālikelike o ke keʻena aia ma kahi o hoʻokahi ʻano ant Antipospolipid antibody, e like me:

• Lupus anticoagulant (AL);
• Anticardiolipin;
• Anti beta2-glycoprotein 1.

Pono e loiloi i kēia mau mea ʻino i nā manawa ʻelua, me kahi wā ma kahi o 2 mau mahina.

No ka hōʻoia he maikaʻi no ka APS, pono e hōʻoia ʻia nā pae ʻelua ma o nā hoʻokolohua i hana ʻia i ʻelua mau manawa me kahi kau o 3 mau mahina.

Pehea e hana ai i ka lāʻau

ʻOiai ʻaʻohe lāʻau hiki ke hoʻōla iā APS, hiki ke hōʻemi i ka makaʻu o ka hoʻokumu ʻana o ka ʻōpala a, no laila, ke ʻano o nā pilikia e like me ka thrombosis a i ʻole infarction, ma o ka hoʻohana pinepine ʻana i nā lāʻau anticoagulant, e like me Warfarin, no ka waha. hoʻohana, a i ʻole Heparin, i mea no ka hoʻohana intravenous.

ʻO ka hapanui o nā manawa, hiki i nā poʻe me APS e mālama nei i ka lāʻau me nā anticoagulants ke alakaʻi i kahi ola maʻamau, he mea nui wale nō ke loaʻa i nā manawa maʻamau me ke kauka e hoʻoponopono ai i nā kaukana o nā lāʻau, i nā manawa a pau e pono ai.

Eia nō naʻe, e hōʻoia i ka kūleʻa o ka lapaʻau, he mea nui ia e hōʻalo i kekahi mau ʻano hana e hoʻopōʻino paha i nā hopena o nā anticoagulants, e like me ke ʻano o ka ʻai ʻana i nā meaʻai me nā huaora K, e like me ka milo, kāpī a broccoli paha. E nānā i nā akahele ʻē aʻe āu e hana ai i ka hoʻohana ʻana i nā anticoagulants.

Hoʻomaʻo i ka wā hāpai

I kekahi mau hihia kikoʻī, e like me ka wā hāpai, hiki i ke kauka ke koi aku e hana ʻia me ka Heparin i hoʻokomo ʻia e pili ana me Aspirin a i ʻole Immunoglobulin intravenous, e pale ai i ka loaʻa ʻana o nā pilikia e like me ka hoʻēmi keiki, no ka laʻana.

Me ka lapaʻau kūpono, nui nā manawa o ka wahine hāpai me APS e hāpai i ka hāpai maʻamau, akā pono ia e kiaʻi pono ʻia e ka mea hānau hānau, ʻoiai ʻoi aku ka nui o ka pilikia o ka hānau keiki ʻole, hānau mua a pre-eclampsia paha. E aʻo pehea e ʻike ai i nā ʻōuli o preeclampsia.