Cov ntshav txhaws

Cov ntshav txhaws yog cov koog uas tshwm sim thaum cov ntshav ua haujlwm los ntawm cov kua ua kua.

• Ib qho ntshav txhaws uas nyob sab hauv ib ntawm koj cov leeg ntshav lossis hlab ntshav yog hu ua thrombus. Qhov ua kom mob plab nyob hauv koj lub siab.
• Lub thrombus uas tsoo xoob thiab mus los ntawm ib qhov chaw hauv lub cev mus rau lwm qhov yog hu ua embolus.

Lub thrombus lossis embolus tuaj yeem thaiv qee qhov lossis tag nrho cov kev ntws hauv cov hlab ntshav.

• Qhov txhaws hauv cov hlab ntsha tuaj yeem tiv thaiv kom oxygen mus txog ntawm cov nqaij hauv thaj chaw ntawd. Qhov no hu ua ischemia. Yog hais tias ischemia tsis kho kom sai, nws tuaj yeem ua rau daim ntaub puas lossis ua kom tuag.
• Qhov txhaws hauv cov hlab ntsha feem ntau yuav ua rau cov kua dej thiab o tuaj.

Qhov xwm txheej ua rau cov ntshav txhaws ntxiv rau cov leeg ntshav muaj xws li:

• Ua kom pw so tau ntev
• Zaum ntev, xws li hauv dav hlau lossis tsheb
• Thaum thiab tom qab cev xeeb tub
• Kev noj tshuaj tiv thaiv kom tsis txhob muaj menyuam lossis tshuaj hormones estrogen (tshwj xeeb tshaj yog cov pojniam haus luam yeeb)
• Lub sijhawm ntev siv txoj leeg ntsuas dej
• Tom qab phais

Cov ntshav txhaws tseem yuav tshwm sim ntxiv tom qab raug mob. Cov neeg muaj mob qog noj ntshav, rog thiab mob siab, lossis mob raum kuj yog cov ntshav txhaws.

Kev haus luam yeeb tseem yuav muaj feem yuav ua tau kom ntshav txhaws.

Cov mob uas dhau los ntawm cov tsev neeg (tau txais los ntawm niam txiv) tej zaum yuav ua rau koj muaj ntshav txhaws. Inherited tej yam kev mob uas cuam tshuam nrog txhaws yog:

• Qhov tseeb V Leiden hloov
• Prothrombin G20210A kev hloov pauv

Lwm yam mob uas tsis tshua muaj, xws li muaj protein C, protein S, thiab antithrombin III qhov tsis txaus.

Ib qho ntshav txhaws tuaj yeem thaiv cov hlab ntsha lossis leeg ntshav hauv plawv, cuam tshuam rau:

• Plawv (angina lossis lub plawv nres)
• Mob hnyuv (mesenteric ischemia los yog mesenteric venous thrombosis)
• Mob raum (lub raum hlab ntsha ntsws)
• Ceg lossis caj npab txhaws
• Ob txhais ceg (sib sib zog nqus leeg ntshav muaj ntshav)
• Lub ntsws (ntsws ntsws embolism)
• Caj dab los yog hlwb (mob stroke)

Clot; Emboli; Thrombi; Thromboembolus; Hypercoagulable xeev

• Kev mob hlab ntshav tob - ua paug tawm
• Noj tshuaj warfarin (Coumadin, Jantoven) - dab tsi yuav nug koj tus kws kho mob
• Noj warfarin (Coumadin)

• Thrombus
• Kev mob ntsws rau cov leeg ntshav liab - iliofemoral

Anderson JA, Hogg KE, Weitz JI.Hypercoagulable xeev. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj Ua. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 140.

Schafer AI. Txoj kev rau tus neeg mob nrog los ntshav thiab mob thrombosis: hypercoagulable xeev. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 162.