Mea Kākau: Roger Morrison
Lā O Ka Hana: 3 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
Thrombophilia: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau - Ola Kino
Thrombophilia: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau - Ola Kino

Anter

ʻO Thrombophilia kahi ʻano i maʻalahi ka maʻalahi o ka poʻe e hana i nā kahe o ke koko, e hoʻonui ana i ka pilikia o nā pilikia koʻikoʻi e like me ka thrombosis venous, hahau a i ʻole embolism pulmonary, no ka laʻana. No laila, ʻike ka poʻe me kēia ʻano i ka pehu ʻana o ke kino, ka pehu ʻana o nā wāwae a i ʻole ka liʻiliʻi o ka hanu.

Kū nā clots e thrombophilia no ka mea ʻo nā enzymes o ke koko, ka mea e hana i ka hoʻopili ʻana, kū i ka hana kūpono. Hiki i kēia ke hana ma muli o nā kumu hoʻoilina, ma muli o nā genetics, a i ʻole hiki ke hana ʻia ma muli o nā kumu i loaʻa i ke ola holoʻokoʻa, e like me ka hāpai ʻana, ka momona a i ʻole ke kanesa, a hoʻonui ʻia paha nā manawa ma muli o ka hoʻohana ʻana o nā lāʻau, e like me nā mea pale oral.

Nā hōʻailona nui

Hoʻonui ka Thrombophilia i nā manawa o ka thrombosis e hana ana i ke koko a, no laila, hiki i nā ʻōuli ke ala aʻe i ka hihia o nā pilikia i kekahi ʻāpana o ke kino, e like me:


  • Trombosis aa hohonu: ka pehu ʻana o kekahi ʻāpana o ke kīʻaha, keu hoʻi nā wāwae, i hoʻā ʻia, ʻulaʻula a wela. Hoʻomaopopo i ka thrombosis a pehea e ʻike ai ia;
  • Embolism pulmonary: ka pōkole loa o ka hanu a me ka pilikia o ka hanu ʻana;
  • Hahau: ka nalowale ʻana o ka neʻe ʻana, ka ʻōlelo a me ka hihiʻo, i laʻana;
  • Thrombosis i ka placenta a i ʻole umbilical cord: nā hānau hāpai pinepine ʻole ʻana, ka hānau mua a me nā pilikia o ka hāpai ʻana, e like me ka eclampsia.

I nā manawa he nui, ʻaʻole paha ʻike ke kanaka he thrombophilia a hiki i ka puka koke ʻana o ka pehu, he abortions pinepine a pilikia paha i ka wā hāpai. He mea maʻamau nō hoʻi e ʻike ʻia i ka poʻe ʻelemākule, ʻoiai ka nāwaliwali i hoʻokumu ʻia e ka makahiki hiki ke kōkua i ka hoʻomaka ʻana o nā ʻōuli.

He aha ka mea e hiki ai i ka thrombophilia

Hiki ke loaʻa i ka maʻi kāpili koko i ka thrombophilia i ke ola holoʻokoʻa, a i ʻole nā ​​hoʻoilina hoʻoilina, i hoʻoili ʻia mai nā mākua i nā keiki, ma o nā genetics. No laila, ʻo nā kumu nui:


1. Nā kumu i loaʻa

ʻO nā kumu nui o ka thrombophilia i loaʻa:

  • Kaʻaihue;
  • ʻO nā veins varicose;
  • Haki iwi;
  • Hapai a puerperium paha;
  • ʻO ka maʻi puʻuwai, infarction a i ʻole ʻole ka puʻuwai;
  • ʻO ka maʻi diabetes, ke koko kiʻekiʻe a i ʻole ke kiʻekiʻe o ke kōkōhō;
  • Hoʻohana o nā lāʻau, e like me nā mea pale oral a i ʻole hoʻololi hormonone. Hoʻomaopopo pehea e hoʻonui ai nā mea pale i ka makaʻi o ka thrombosis;
  • Noho i kahi moe no nā lā he nui, ma muli o ke kaha ʻana, a no kekahi haukapila;
  • Noho no ka manawa lōʻihi ma ka mokulele a i ʻole huakaʻi kaʻa ʻōhua;
  • Nā maʻi Autoimmune, e like me lupus, rheumatoid arthritis a i ʻole antiphospholipid syndrome, no ka laʻana;
  • Nā maʻi i hoʻokumu ʻia e nā maʻi e like me HIV, hepatitis C, syphilis a i ʻole malaria, no ka laʻana;
  • Kanesa.

ʻO ka poʻe i loaʻa nā maʻi e hoʻonui i nā manawa o thrombophilia, e like me ka maʻi ʻaʻai, lupus a i ʻole HIV, no ka laʻana, pono e loaʻa ka ukali ma o nā hoʻokolohua koko, i kēlā me kēia manawa ke hoʻi me ke kauka nāna e hana ka ukali. Eia hou, i mea e pale aku ai i ka thrombosis, he mea nui e hana i nā hana pale, e like me ka kaohi ʻana i ke kahe o ke koko, ka maʻi ʻaʻai a me ke kōkō, i ka hoʻohui me ka moe ʻole a kū paha no nā wā lōʻihi i nā wā huakaʻi, i ka wā hāpai, ka puerperium a i ʻole ka haukapila.


Pono e hōʻalo i ka hoʻohana ʻana i nā ʻōpala waha e nā wahine i loaʻa ka nui o ka thrombophilia, e like me ka poʻe i loaʻa i ke koko kiʻekiʻe, diabetes a i ʻole ka moʻolelo ʻohana o nā loli i ke koko.

2. Nā kumu hoʻoilina

ʻO nā kumu nui o ka thrombophilia hereditary:

  • Ka hemahema o nā anticoagulants maoli i ke kino, i kapa ʻia ʻo protein C, protein S a me antithrombin, no ka laʻana;
  • ʻO ke kiʻekiʻe kiʻekiʻe o ka homocysteine ​​amino acid;
  • ʻO nā hoʻololi i nā hunaola e hana ana i ke koko, e like me ka hoʻololi Leiden factor V;
  • ʻO nā enzymes koko nui ke kumu o ka hoʻopili ʻana, e like me ka mea VII a me fibrinogen, no ka laʻana.

ʻOiai ua hoʻoili ʻia ka thrombophilia hereditary e nā genetics, aia kekahi mau hana akahele e hiki ai ke pale aku i ka hoʻokumu ʻia ʻana o nā clots, i like ia me ka thrombophilia i loaʻa. I nā hihia koʻikoʻi loa, hōʻike ʻia paha ka hoʻohana ʻana i nā lāʻau anticoagulant e ka hematologist ma hope o ka loiloi ʻana i kēlā me kēia hihia.

He aha nā hoʻokolohua e pono ai e hana

No ke kuhi ʻana i kēia maʻi, pono e kānalua ka loio maʻamau a i ʻole hematologist i ka moʻoʻōlelo a me ka mōʻaukala o kēlā me kēia kanaka, akā naʻe e kauoha ʻia kekahi mau hoʻokolohua e like me ka helu o ke koko, nā kō glucose a me nā pae kolesterol e hōʻoia a hōʻike i ka lāʻau maikaʻi loa.

Ke manaʻo ʻia ka thrombophilia hereditary, keu paha ke ʻano hou o nā ʻōuli, me ka hoʻohui o kēia mau hoʻokolohua, noi ʻia nā lāʻau enzyme koko e hoʻopaʻa i kā lākou pae.

Pehea e hana ai i ka lāʻau

Hana ʻia ka lapaʻau no ka thrombophilia me ka akahele e pale aku ai i ka thrombosis, e like me ka hōʻalo ʻana i ke kū mālie no nā manawa lōʻihi i nā huakaʻi, lawe i nā lāʻau anticoagulant i ka wā o ka haukapila e noho ana a ma hope paha o ke ʻoki ʻana, a ʻo ka mea nui hoʻi, ka kaohi ʻana i nā maʻi e hoʻonui i ka makaʻu o nā clots, e like me ke kiʻekiʻe. ke koko, diabetes a me ka momona, no ka laʻana. I nā hihia wale nō o ka maʻi nui, hōʻike ʻia ka hoʻohana mau ʻana o nā lāʻau anticoagulant.

Eia nō naʻe, ke loaʻa i nā kānaka nā ʻōuli o thrombophilia, thrombosis hohonu a i ʻole embolism pulmonary, ua pono e hoʻohana i nā lāʻau anticoagulant waha no kekahi mau mahina, e like me Heparin, Warfarin a i ʻole Rivaroxabana, no ka laʻana. No nā wahine hāpai, hana ʻia ka lapaʻau me kahi anticoagulant i hoʻokomo ʻia a pono ia e noho i ka haukapila no kekahi mau lā.

E ʻike i nā anticoagulants e hoʻohana nui ʻia ai a no nā mea hea lākou.

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