Thrombophilia: nws yog dab tsi, cov tsos mob, ua rau thiab kho

Zoo Siab

• Cov tsos mob tseem ceeb
• Dab tsi tuaj yeem ua rau mob thrombophilia
• 1. Cov ua rau nrhiav
• 2. Cov mob muaj keeb
• Yuav tsum kuaj dab tsi
• Yuav kho tus mob li cas

Piv txwv Thrombophilia yog ib qho mob uas tib neeg pom tau tias nws yuav tsim tau cov ntshav txhaws ntau dua, nce qhov kev pheej hmoo ntawm teeb meem loj heev xws li mob rau cov ntshav txhaws, mob hlab ntsha tawg lossis mob ntsws txhaws, piv txwv. Yog li, cov neeg uas muaj tus mob no feem ntau hnov ​​o nyob rau hauv lub cev, o ntawm ob txhais ceg lossis ua pa siav.

Cov ntshav khov ua los ntawm thrombophilia tshwm sim vim tias cov ntshav enzymes, uas ua rau txhaws, nres ua haujlwm zoo. Qhov no tuaj yeem tshwm sim vim yog vim caj ces, vim yog cov noob caj noob ces, lossis nws tuaj yeem tshwm sim vim yog vim muaj cov khoom muaj nyob thoob plaws lub neej, xws li cev xeeb tub, rog lossis mob qog nqaij hlav, thiab txoj kev pheej hmoo kuj tuaj yeem nce vim yog siv tshuaj kho mob, xws li tshuaj noj kom tsis muaj mob.

Cov tsos mob tseem ceeb

Thrombophilia ua rau kom muaj feem ntau ntawm thrombosis tsim nyob rau hauv cov ntshav thiab, yog li ntawd, cov tsos mob tuaj yeem tshwm sim nyob rau hauv cov ntaub ntawv ntawm cov nyom ntawm qee qhov ntawm lub cev, xws li:

• Kev mob ntsws txoj leeg ntshav khov: o ntawm qee qhov ntawm lub khob, tshwj xeeb tshaj yog ob txhais ceg, uas muaj kuab, liab thiab kub. Nkag siab txog tus mob thrombosis yog dab tsi thiab yuav ua li cas paub nws;
• Pulmonary embolism: ua pa luv thiab ua pa nyuaj;
• Mob stroke: cia li ploj ntawm qhov txav, hais lus lossis tsis pom kev, piv txwv;
• Mob caj pas hauv qhov nqaij (placenta) lossis txoj hlab ntaws ntshav: mob nchuav me nyuam, yug ntxov ntxov thiab muaj teeb meem rau lub cev xeeb tub, xws li mob caj dab.

Feem ntau, tus neeg yuav tsis tuaj yeem paub tias nws muaj tus mob thrombophilia kom txog thaum muaj qhov tshwm sim sai, muaj kev rho tawm lossis mob hnyav thaum cev xeeb tub. Nws kuj tseem pom muaj nyob rau hauv cov neeg laus, vim tias qhov tsis muaj zog los ntawm lub hnub nyoog tuaj yeem pab txhawb qhov pib ntawm cov tsos mob.

Dab tsi tuaj yeem ua rau mob thrombophilia

Cov ntshav txhaws uas tshwm sim nyob rau hauv thrombophilia tuaj yeem nrhiav tau thoob plaws hauv lub neej, lossis muaj keeb kwm, kis los ntawm niam txiv mus rau menyuam, hla noob caj noob ces. Yog li, cov laj thawj tseem ceeb muaj xws li:

1. Cov ua rau nrhiav

Cov laj thawj tseem ceeb ua kom pom muaj thrombophilia yog:

• Kev pham;
• Varicose leeg;
• Cov pob txha lov;
• Cev xeeb tub lossis puerperium;
• Kab mob hauv lub plawv, infarction lossis plawv nres;
• Mob ntshav qab zib, ntshav siab lossis ntshav siab;
• Siv cov tshuaj noj, xws li tshuaj tiv thaiv qhov ncauj lossis hloov tshuaj hormone. Nkag siab txog kev tiv thaiv kab mob tuaj yeem ua rau muaj kev pheej hmoo ntawm thrombosis li cas;
• Nyob hauv txaj ntau hnub, vim raug phais, lossis pw tsev kho mob;
• Txhawm rau zaum ntev ntev hauv dav hlau lossis caij npav;
• Cov kab mob autoimmune, xws li mob lupus, mob rheumatoid kev mob caj dab lossis antiphospholipid syndrome, piv txwv;
• Piv txwv li cov mob los ntawm kev kis mob xws li HIV, mob siab C, mob syphilis lossis mob npaws, piv txwv;
• Mob Cancer.

Piv txwv li cov tib neeg muaj kab mob uas ua rau muaj feem yuav mob thrombophilia, xws li mob cancer, mob lupus lossis HIV, piv txwv li, yuav tsum muaj kev rov qab soj ntsuam los ntawm kev kuaj ntshav, txhua zaus lawv rov qab mus nrog tus kws kho mob ua tus soj qab taug. Ib qho ntxiv, txhawm rau tiv thaiv kom tsis txhob mob thrombosis, nws yog ib qho tseem ceeb uas ua rau tiv thaiv, xws li tswj ntshav siab, ntshav qab zib thiab cov roj cholesterol, ntxiv rau kom tsis txhob dag lossis sawv ntsug ntev ntev thaum mus ncig, thaum cev xeeb tub, pw hauv tsev kho mob lossis pw hauv tsev kho mob.

Kev siv cov tshuaj tiv thaiv kab mob hauv qhov ncauj yuav tsum tau zam los ntawm cov poj niam uas twb muaj kev pheej hmoo ntawm thrombophilia, xws li cov neeg muaj ntshav siab, ntshav qab zib lossis tsev neeg keeb kwm ntawm kev hloov pauv hauv cov ntshav.

2. Cov mob muaj keeb

Lub hauv paus tseem ceeb ntawm cov mob muaj keeb thrombophilia yog:

• Kev puas tsuaj ntawm cov tshuaj tiv thaiv ntuj hauv lub cev, hu ua protein C, protein S thiab antithrombin, piv txwv;
• Siab siab ntawm homocysteine ​​amino acid;
• Kev sib hloov hauv cov qe tsim cov qe ntshav, raws li hauv Leiden qhov zoo V hloov tau;
• Piv txwv li cov ntshav enzymes ntau heev uas ua rau txhaws, xws li qhov ua rau VII thiab fibrinogen, piv txwv.

Txawm hais tias cov mob muaj keeb thrombophilia kis tau los ntawm noob caj noob ces, muaj qee qhov kev tiv thaiv uas tuaj yeem tiv thaiv kom tsis txhob txhaws, uas yog tib yam li cov neeg muaj mob thrombophilia. Hauv qhov xwm txheej hnyav heev, kev siv tshuaj tiv thaiv anticoagulant yuav qhia tau los ntawm hematologist tom qab ntsuam xyuas txhua kis.

Yuav tsum kuaj dab tsi

Txhawm rau txheeb xyuas tus kab mob no, tus kws kho mob feem ntau lossis hematologist yuav tsum tsis txaus siab txog qhov chaw kuaj mob thiab tsev neeg keeb kwm ntawm txhua tus neeg, txawm li cas los xij qee qhov kev kuaj mob xws li suav cov ntshav, ntshav qabzib thiab qib roj cholesterol yuav raug xaj kom paub meej thiab qhia qhov kev kho mob zoo tshaj plaws.

Thaum paub qhov mob muaj keeb thrombophilia, tshwj xeeb tshaj yog thaum cov tsos mob yuav rov ua dua, ntxiv rau cov kev sim no, ntshav txhaws enzyme ntau tau thov kom ntsuas lawv qib.

Yuav kho tus mob li cas

Kev kho mob rau thrombophilia yog ua tiav nrog kev saib xyuas kom tsis txhob mob thrombosis, xws li zam kev sawv twj ywm rau kev mus ncig ntev, noj tshuaj anticoagulant thaum pw hauv tsev kho mob lossis tom qab phais mob, thiab feem ntau, tswj cov kab mob uas ua rau muaj kev pheej hmoo ntawm ntshav txhaws, xws li siab piv txwv li ntshav siab, ntshav qab zib thiab rog rog, piv txwv li. Tsuas yog nyob rau hauv kev kis mob hnyav, kev siv cov tshuaj anticoagulant txuas mus yog qhia tau.

Txawm li cas los xij, thaum tus neeg twb muaj cov tsos mob ntawm tus mob thrombophilia, mob hlab ntsha mus rau hauv lub ntsws lossis mob ntsws txhaws, nws raug nquahu kom siv cov tshuaj tiv thaiv kab mob hauv qhov ncauj rau ob peb lub hlis, xws li Heparin, Warfarin lossis Rivaroxabana, piv txwv. Rau cov poj niam cev xeeb tub, kev kho mob yog ua tiav nrog cov tshuaj tiv thaiv kab mob thiab nws yog qhov yuav tsum tau nyob hauv tsev kho mob ob peb hnub.

Tshawb nrhiav yam tshuaj tiv thaiv uas siv feem ntau thiab lawv siv rau dab tsi.