He aha ka hana me ka kaohi ʻana o ka hānau a me ke koko?

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ʻO ka ʻoiaʻiʻo o nā kaohi kaohi hānau hiki ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i nā clots koko ʻaʻole ia he nūhou. ʻO kēia loulou ma waena o nā pae estrogen kiʻekiʻe a me DVT, a i ʻole thrombosis vein hohonu-ʻo ia ka hoʻopaʻa koko i loko o nā veins nui-ua hōʻike ʻia mai ka makahiki 90. No laila, ua hoʻomaikaʻi ʻia kou makaʻu mai ia manawa, ʻeā?

Weliweli, ʻaʻole pololei kēlā. "ʻAʻole i ʻoi aku ka maikaʻi a ʻo ia kekahi o nā pilikia," wahi a Thomas Maldonado, M.D., ke kauka lapaʻau vascular a me ke kaukaʻi ma ke Keʻena ʻOihana ma NYU Langone Medical Center.

ʻO ka ʻoiaʻiʻo, ua ʻike ʻia kahi noiʻi ʻo nā ʻano hou o nā huaʻai mana hānau (loaʻa nā hormones progestogen, e like me drospirenone, desogestrel, gestodene, a me cyproterone) ʻoi aku ka nui o ka pilikia ma mua o nā mana kahiko o ka Pill. (Ua hōʻike ʻia kēia i ka makahiki 2012.)

ʻOiai he mea kakaʻikahi ka maʻi koko (a ʻoi aku ka nui o ka pilikia o ka poʻe ʻelemakule), he pilikia ia e hoʻomau i ka pepehi ʻana i nā wahine ʻōpio a olakino i kēlā me kēia makahiki. (ʻOiaʻiʻo, ʻo ia ka mea i ʻaneʻane hiki i kēia keiki 36 makahiki kūpono: "ʻO kaʻu lāʻau hoʻomalu hānau ʻaneʻane make iaʻu.")

"Pono e hoʻokiʻekiʻe ʻia ka ʻike, no ka mea he kiʻekiʻe nā pili, a hiki ke hana ʻia kekahi mea," wahi a Maldonado. No laila, i ka pau ʻana o ka mahina Blood Clot Awareness, e hoʻokaʻawale kāua i kāu really pono ʻoe e ʻike e pili ana i ke koko koko inā ʻoe ma ka Pill.

Aia nā kumu pilikia weliweli. He mea koʻikoʻi ka hoʻomaopopo ʻana o kēlā me kēia wahine i kona pilikia ponoʻī, wahi a Maldonado.Hiki i ka ho'āʻo koko maʻalahi ke hoʻoholo inā loaʻa iā ʻoe kahi gene e hoʻomākeʻe iā ʻoe i ke koko koko. (Loaʻa iā 8 pākēneka o ko ʻAmelika i kekahi o nā kumu hoʻoilina i hiki ke hoʻokau iā lākou i ka nui o ka makaʻu.) A inā ʻoe ma ka Pila, nā kumu ʻē aʻe e like me ka immobility (e like me ka wā o nā huakaʻi lōʻihi a i ʻole nā ​​holo kaʻa), ka puhipaka, ka momona, trauma , aʻo nā kaʻina hana kaʻina hana he mau mea liʻiliʻi wale nō ia o nā hopena he nui e hiki ke hoʻonui i kou kūlana o ka hoʻomohalaʻana i ke koko koko, e'ōlelo anaʻo ia. (Eʻe aʻe: No ke aha e loaʻa ai nā wahine i ke koko Clots.)

Hiki ke make nā hopena. ʻO ka DVT kahi kīʻaha koko e hana maʻamau i nā uaua i nā wāwae, a hiki ke hōʻeha i ka ʻeha a me ka pehu. Inā haʻi kēia ʻano clot mai ka paia vein hiki iā ia ke hele-e like me ka ʻiliʻili i loko o ke kahawai-i ka puʻuwai kahi hiki ke hoʻopau i ke kahe koko i kou mau māmā. ʻIke ʻia kēia he pulmonary embolus a hiki ke make, wehewehe ʻo Maldonado. Hiki i nā 600,000 ʻAmelika ke hoʻopilikia ʻia e DVT i kēlā me kēia makahiki, a hiki i ka 30 pākēneka o ka poʻe e make i loko o hoʻokahi mahina wale nō o ka hōʻoia ʻana, e like me nā Centers for Disease Control and Prevent.

ʻO ka hōʻailona wikiwiki ke ola a i ʻole ka make. Inā ʻike ʻoe i ka ʻeha o ka wāwae a i ʻole ka umauma-ʻo nā hōʻailona nui o ka pulmonary embolus-prompt diagnostics a me ka mālama ʻana he mea koʻikoʻi, wahi āna. ʻO ka nūhou maikaʻi he hiki ke hana wikiwiki me nā ultrasounds. Wahi a Maldonado, i ka manawa i hoʻoholo ʻia ai kahi clot, e ʻōlelo paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kāu Pill a hoʻomaka i ka lawe ʻana i nā mea hoʻokahe koko no ka liʻiliʻi no kekahi mau mahina.

Akā haʻahaʻa iki ka makaʻu. ʻO ke likelika o ke kōkō ʻana o ke koko no ka wahine ʻaʻole ma nā kaohi kaohi hānau he ʻekolu no kēlā me kēia 10,000-a i ʻole 0,03 pakeneka. Hoʻonui ka makaʻu no nā wahine ma nā lāʻau hoʻomalu hānau i ʻekolu pālaha a ʻeiwa paha no kēlā me kēia 10,000 wahine a ma kahi o 0,09 pakeneka, wahi a Maldonado. No laila, ʻoiai he ʻoiaʻiʻo he haʻahaʻa loa ka pilikia o ka hoʻomohala ʻana i ka DVT no nā wahine ma nā lāʻau lapaʻau waha, ʻoi aku ka nui o ka hopohopo no ka nui o nā wahine e lawe iā lākou, wahi a ia.

ʻAʻole ʻo ka Pill wale nō. Ua wehewehe ʻo Maldonado e pili ana nā āpau āpau āpau me ka nui o ka makaʻu o ka DVT ma muli o ka keʻakeʻa ʻana i ke kaulike lahilahi o kou kino e hana ana iā ʻoe mai ke kahe ʻana o ke kahe a me ka ʻāke ʻana i ka make. Eia nō naʻe, kekahi o nā mea pale oral oral (i loaʻa he estrogen a me progestin, kahi progesterone synthetic) e halihali i kahi makaʻu kiʻekiʻe loa. Ma kēlā manaʻo hoʻokahi, hiki ke hoʻonui i ka pilikia o nā ʻōpū koko. Inā loaʻa iā ʻoe nā kumu pilikia he nui no nā clots e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka pale ʻana i ka Pill a me ke koho ʻana i kahi IUD non-hormonal paha ke ala e hele ai, ʻōlelo ʻo Maldonado. (Eia, 3 Nīnau Manaʻo Hanau Pono ʻoe e nīnau i kāu Kauka.)

Aia nā mea maʻamau e hiki iā ʻoe ke hana e hōʻemi i kou pilikia. ʻOiai ʻaʻohe ou mana i kāu genetics a i ʻole ka mōʻaukala ʻohana, aia kekahi mau mea ʻē aʻe nāu hiki kāohi. ʻO ka pale ʻana i ka puhi paka ʻoiai ma ka Pill he mea nui loa ia. Ma nā huakaʻi lōʻihi e noho ai, pono nō ʻoe e noho hydrated, pale i ka wai ʻona a me ka caffeine i kumu i ka make wai, e ala aʻe a kīloi i kou mau wāwae, a komo i nā ʻāpana sock compression.

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