ʻO Thrombophilia i ka hāpai ʻana: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Nā kumu o ka thrombophilia i ka hāpai ʻana
• Pehea e hana ai i ka lāʻau

Hoʻohālikelike ʻia ka thrombophilia i ka hāpai hāpai ʻana e ka hoʻonui ʻia o ka makaʻu o ke kahe o ke koko, i hiki ai ke alakaʻi ʻia i ka thrombosis, hahau a i ʻole embolism pulmonary, no ka laʻana. ʻO kēia no ka mea ʻo ke koko enzymes ke kuleana no ka hoʻopili ʻana e hoʻōki i ka hana kūpono, hiki ke hopena ma muli o nā kumu he nui, e like me ka hāpai ʻana.

ʻO ka hāpai he mea pilikia ia no ka hoʻomohala ʻana i nā hanana thromboembolic, a hiki ke kumu i nā hōʻailona e like me ka pehu ʻana, ka loli o ka ʻili, ka hoʻokahe ʻana o ka placental, pre-eclampsia, nā hoʻololi o ka ulu ʻana o ka fetal, ka hanana o ka hānau mua a i ʻole ka hānau ʻole ʻana.

No laila, he mea nui e hoʻokō i kahi lapaʻau kūpono, e pili ana i ka hoʻohana ʻana i nā lāʻau anticoagulant, e hōʻalo ai i ka hanana ʻana o nā pilikia i ka wā hāpai a pale i ke kahe ʻana i ka wā hānau. E aʻo hou aʻe e pili ana i ka thrombophilia.

Nā hōʻailona nui

ʻO ka hapa nui o nā thrombophilia i ka hāpai hāpai ʻana ʻaʻole alakaʻi i ka helehelena o nā hōʻailona a me nā ʻōuli, akā ʻike paha kekahi mau wahine:

• Pehu ka hana mai hoʻokahi hola a i kekahi hora;
• Hoʻololi i ka ʻili;
• Hoʻololi i ka ulu ʻana o ka pēpē;
• Ka hanu ʻana o ka hanu a paʻakikī paha i ka hanu ʻana, kahi e hōʻike ai i ka pulmonary embolism;
• Hoʻonui i ke kahe o ke koko.

Eia hou, ma muli o ka thrombophilia aia ka nui o ka makaʻu o ka hakahaka o ka placenta, ka hānau mua a me ka hāpai keiki ʻana, akā ʻoi aku ka pinepine o kēia pilikia i nā wahine i hāpai i ka hānau ma mua, he pre-eclampsia, ma mua o 35 mau makahiki, kino kino nui aʻe ma mua o 30 a puhi pinepine.

I kēia mau hihia, ma mua o ka hāpai ʻana, hiki i ke gynecologist ke hōʻike i ka hana o nā hoʻokolohua koko e ʻae ai e hōʻoia inā ke kū nei ka coagulation i kahi ala maʻamau, inā he mau loli a he aha kēlā loli. I kēia ala, hiki i ka hoʻolālā maikaʻi ʻana o ka hāpai ʻana a pale i nā pilikia.

Nā kumu o ka thrombophilia i ka hāpai ʻana

Hoʻokomo ka hāpai i kahi kūlana physiological o hypercoagulability a me hypofibrinolysis, ka mea e pale ai i nā wahine hāpai mai ke kahe ʻana e pili pū me ka hānau keiki, akā hiki i kēia ʻano hana ke kōkua i ka ulu ʻana o ka thrombophilia, kahi e hoʻonui ai i ka makaʻu o ka hanana o ka thrombosis venous a me nā pilikia obstetric.

ʻO ka makaʻu o ka thrombosis i nā wahine hāpai he 5 a 6 mau manawa ke kiʻekiʻe ma mua o nā wahine hāpai ʻole, eia nō naʻe, aia kekahi mau kumu ʻē aʻe e hoʻonui i ka likelike o ka hoʻomohala ʻana i kahi thrombosis pili i ka hāpai ʻana, e like me ka moʻolelo o ka thrombosis venous, ke hele a holomua. makahiki makuahine, ʻeha mai ka momona, a ʻeha paha i kekahi ʻano immobilization, no ka laʻana.

Pehea e hana ai i ka lāʻau

ʻO ka maʻamau, ʻo ka mālama ʻana a me ka pale ʻana i ka thromboembolism venous i loko o ka hāpai hāpai ʻana o ka lawelawe ʻana i ka aspirin ma kahi mahele lāʻau he 80 a 100 mg / lā, e hana nei ma ka pāpā ʻana i ka hōʻuluʻulu platelet. ʻOiai ua hoʻokūkū ʻia kēia lāʻau lapaʻau i ka wā hāpai, keu hoʻi i ka trimester hope loa, no ka mea he hōʻike ia i kahi pōpilikia i ka pēpē, ʻoi aku ka maikaʻi o ka hoʻohana ʻana ma mua o nā mea hiki ke loaʻa a no laila hiki ke paipai ʻia e ke kauka.

Hoʻohui ʻia, heparin injectable, e like me ka enoxaparin, kahi anticoagulant i hoʻohana ākea ʻia no ka thrombophilia i ka hāpai ʻana, a he lāʻau palekana no ka mea ʻaʻole ia e hele i ka pale placental. Pono e lawelawe ʻia ʻo Enoxaparin i kēlā me kēia lā, subcutaneously, a hiki ke hoʻopili ʻia e ka mea ponoʻī.

Lawe ʻia ka mālama ʻana ma hope o ka lawe ʻana, ma kahi o 6 mau pule.