Thrombophilia: chii icho, zviratidzo, zvinokonzera uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Chii chinogona kukonzera thrombophilia
• 1. Zvinokonzera kuwanikwa
• 2. Nhaka dzinokonzera
• Ndeapi bvunzo dzinofanirwa kuitwa
• Kurapwa kunoitwa sei

Thrombophilia mamiriro ezvinhu umo vanhu vanoona zviri nyore kuumba kugwamba kweropa, ichiwedzera njodzi yezvinetso zvakakomba senge venous thrombosis, sitiroko kana pulmonary embolism, semuenzaniso. Nekudaro, vanhu vane chirwere ichi vanowanzoona kuzvimba mumuviri, kuzvimba makumbo kana kufema kwekufema.

Iwo mavhu akaumbwa netrombophilia anomuka nekuti ma enzymes eropa, ayo anoita kuti kugwamba, kumire kushanda nemazvo. Izvi zvinogona kuitika nekuda kwezvikonzero zvekugara nhaka, nekuda kwemajini, kana zvinogona kuitika nekuda kwezvikonzero zvakawanikwa muhupenyu hwese, senge kuve nepamuviri, kufutisa kana gomarara, uye mikana yacho inogona kuwedzera nekuda kwekushandisa kwemishonga, senge yekudzivirira pamuromo.

Zviratidzo zvikuru

Thrombophilia inowedzera mikana ye thrombosis inogadzirwa muropa uye, nekudaro, zviratidzo zvinogona kumuka mune mamiriro ezvinetso mune chimwe chikamu chemuviri, senge:

• Yakadzika tsinga thrombosis: kuzvimba kwechimwe chikamu chegirazi, kunyanya makumbo, ayo akatsva, kutsvuka uye kupisa. Nzwisisa kuti chii chinonzi thrombosis uye kuti ungazviziva sei;
• Pulmonary embolism: kufema kwakanyanya uye kunetseka kufema;
• Kurohwa: kurasikirwa nekukasira kwekufamba, kutaura kana kuona, semuenzaniso;
• Thrombosis mune iyo placenta kana umbilical tambo: kudzokororazve kwepamuviri, kuzvarwa nguva isati yakwana uye nhumbu kubata, senge eclampsia.

Muzviitiko zvakawanda, munhu wacho anogona kunge asingazive kuti ane thrombophilia kusvikira kuzvimba kwakangoerekana kwaonekwa, anogara achibvisa kana kunetseka panguva yekuzvitakura. Zvakajairikawo kuoneka kuvanhu vakura, nekuti hurema hunokonzerwa nezera hunogona kufambisa kutanga kwezviratidzo.

Chii chinogona kukonzera thrombophilia

Iyo yekuvhara ropa kusagadzikana inoitika mu thrombophilia inogona kuwanikwa muhupenyu hwese, kana kuve nhaka, inopfuudzwa kubva kuvabereki kuenda kuvana, kuburikidza nemageneti. Nekudaro, izvo zvikonzero zvikuru zvinosanganisira:

1. Zvinokonzera kuwanikwa

Zvinonyanya kukonzera thrombophilia yakawanikwa ndeiyi:

• Kufutisa;
• Varicose mutsinga;
• Bone kutyoka;
• Kubata pamuviri kana puerperium;
• Chirwere chemwoyo, infarction kana kutadza kwemoyo;
• Chirwere cheshuga, kuwedzera kweropa kana cholesterol yakawanda;
• Kushandiswa kwemishonga, senge yekudzivirira pamuromo kana kutsiva mahormone. Nzwisisa kuti nzira dzekudzivirira nadzo dzinogona kuwedzera sei njodzi yetrombosis;
• Gara pamubhedha kwemazuva mazhinji, nekuda kwekuvhiyiwa, kana kwechimwe chipatara;
• Kugara kwenguva yakareba parwendo rwe ndege kana bhazi;
• Zvirwere zvekuzvimiririra, zvakaita se lupus, rheumatoid arthritis kana antiphospholipid syndrome, semuenzaniso;
• Zvirwere zvinokonzerwa nezvirwere zvakadai seHIV, hepatitis C, syphilis kana malaria, semuenzaniso;
• Gomarara.

Vanhu vane zvirwere zvinowedzera mikana ye thrombophilia, senge cancer, lupus kana HIV, semuenzaniso, vanofanirwa kuve nekutevera kuburikidza nekuongororwa kweropa, nguva dzese pavanodzoka nachiremba anoita zvinotevera. Uye zvakare, kudzivirira thrombosis, zvakakosha kutora matanho ekudzivirira, akadai sekudzora BP, chirwere cheshuga uye cholesterol, mukuwedzera pakusanyepa kana kumira kwenguva refu panguva dzekufamba, panguva yepamuviri, puerperium kana muchipatara.

Kushandiswa kwekudzivirira kubata mumuromo kunofanirwa kudzivirirwa nevakadzi vagara vaine njodzi yekuwedzera thrombophilia, sevaya vane yakakwira BP, chirwere cheshuga kana nhoroondo yemhuri yeshanduko muropa.

2. Nhaka dzinokonzera

Izvo zvikonzero zvikuru zvekugara nhaka thrombophilia ndeiyi:

• Kushomeka kwechisikigo anticoagulants mumuviri, inonzi protein C, protein S uye antithrombin, semuenzaniso;
• Kukwirira kwakanyanya kweiyo homocysteine ​​amino acid;
• Shanduko mumasero anogadzira ropa, senge muLeiden factor V shanduko;
• Kuwedzera kweropa enzymes inokonzera kugwamba, senge factor VII uye fibrinogen, semuenzaniso.

Kunyangwe nhaka yekuzvarwa ichipfuudzwa nemageneti, pane zvimwe zvekuchengetedza zvinogona kutorwa kudzivirira kuumbwa kwemaclots, ayo akafanana neaya akawanikwa thrombophilia. Mune zviitiko zvakakomba kwazvo, kushandiswa kwemishonga yeanticoagulant kunogona kuratidzwa nahematologist mushure mekuongorora imwe neimwe kesi.

Ndeapi bvunzo dzinofanirwa kuitwa

Kuti uongorore chirwere ichi, chiremba wezvechiremba kana wehematologist anofanirwa kufungira nhoroondo yemakiriniki uye yemhuri yemunhu wega wega, zvisinei, kumwe kuyedzwa kwakadai sekuverenga kweropa, shuga yeropa uye cholesterol mazinga anogona kurairwa kuti asimbise uye aratidze kurapwa kwakanyanya.

Kana nhaka yekuzvimbirwa ichifungidzirwa, kunyanya kana zviratidzo zvikave zvinodzokororwa, kuwedzera kune izvi bvunzo, ropa rinovhara enzyme madosi anokumbirwa kuti aongorore iwo mazinga.

Kurapwa kunoitwa sei

Mushonga we thrombophilia unoitwa nekungwarira kudzivirira thrombosis, sekudzivirira kumira wakamira kwenguva refu parwendo, kutora mishonga yeanticoagulant panguva yekugara muchipatara kana mushure mekuvhiyiwa, uye zvakanyanya, kudzora zvirwere zvinowedzera mukana wekugwamba. BP, chirwere cheshuga uye kufutisa, semuenzaniso. Chete mumamiriro ekurwara kwakakomba, kuratidzwa kushandiswa kweanticoagulant zvinodhaka ndiko kunoratidzwa.

Nekudaro, kana munhu atove nezviratidzo zvetrombophilia, yakadzika vein thrombosis kana pulmonary embolism, zvinokurudzirwa kushandisa miromo anticoagulant zvinodhaka kwemwedzi mishoma, seHeparin, Warfarin kana Rivaroxabana powder, semuenzaniso. Kune vakadzi vane nhumbu, kurapwa kunoitwa nejekiseni anticoagulant uye zvinodikanwa kuti ugare muchipatara kwemazuva mashoma.

Tsvaga kuti ndeapi maanticoagulants anonyanya kushandiswa uye zvaari.