I-thrombophilia ekukhulelweni: kuyini, izimpawu kanye nokwelashwa
-Delile
I-thrombophilia ekukhulelweni ibonakala ngengozi eyengeziwe yamahlule egazi, okungaholela ekwenzekeni kwe-thrombosis, stroke noma embolism ye-pulmonary, ngokwesibonelo. Lokhu kungenxa yokuthi ama-enzyme egazi abhekele ukuvimba ayeke ukusebenza kahle, okungenzeka ngenxa yezici eziningana, kufaka phakathi ukukhulelwa.
Ukukhulelwa kuyisici esiyingozi ekukhuleni kwemicimbi ye-thromboembolic, futhi kungadala izimpawu ezifana nokuvuvukala, ukushintsha kwesikhumba, ukuchitheka kweplacenta, i-pre-eclampsia, izinguquko ekukhuleni kwengane, ukuvela kokuzalwa ngaphambi kwesikhathi noma ngisho nokukhulelwa kwesisu.
Ngakho-ke, kubalulekile ukwenza ukwelashwa okufanele, okubandakanya ukusetshenziswa kwezidakamizwa ze-anticoagulant, ukugwema ukuvela kwezinkinga ngesikhathi sokukhulelwa nokuvikela ukopha ngesikhathi sokubeletha. Funda kabanzi mayelana ne-thrombophilia.
Izimpawu eziyinhloko
Izimo eziningi ze-thrombophilia ekukhulelweni aziholeli ekubonakaleni kwezimpawu noma izimpawu, kepha abanye besifazane bangathola:
- Ukuvuvukala okwenzeka kusuka ehoreni elilodwa kuya kwelilandelayo;
- Izinguquko esikhunjeni;
- Izinguquko ekukhuleni kwengane;
- Ukuphefumula kanzima noma ukuphefumula kanzima, okungakhombisa ukubumbana kwamaphaphu;
- Ukwanda komfutho wegazi.
Ngaphezu kwalokho, njengomphumela we-thrombophilia kunengozi enkulu yokuchithwa kwe-placenta, ukubeletha ngaphambi kwesikhathi nokukhipha isisu, kodwa-ke le nkinga ivame kakhulu kwabesifazane abake bakhipha izisu, ababene-pre-eclampsia, baneminyaka engaphezu kwengama-35 ubudala, i-index body ubukhulu obukhulu kunama-30 futhi ubhema njalo.
Kulezi zimo, ngaphambi kokukhulelwa, udokotela wezifo zabesifazane angakhombisa ukusebenza kokuhlolwa kwegazi okuvumela ukuqinisekisa ukuthi i-coagulation yenzeka ngendlela ejwayelekile, uma kukhona ushintsho nokuthi kungaba yini lolo shintsho. Ngale ndlela, kungenzeka ukuhlela kangcono ukukhulelwa nokuvimbela izinkinga.
Izimbangela ze-thrombophilia ekukhulelweni
Ukukhulelwa kukhuthaza isimo somzimba se-hypercoagulability kanye ne-hypofibrinolysis, evikela kakhulu abesifazane abakhulelwe ekoneni okuhlobene nokubeletha, kepha le ndlela ingasiza ekwakhiweni kwe-thrombophilia, okwandisa ubungozi bokuvela kwe-venous thrombosis kanye nezinkinga zokubelethisa.
Ubungozi be-thrombosis kwabesifazane abakhulelwe buphindwe izikhathi ezi-5 kuya kwezi-6 kunabesifazane abangakhulelwe, kodwa-ke, kunezinye izinto ezandisa amathuba okuba nesifo sokukhubazeka esihlobene nokukhulelwa, njengokuthola umlando we-venous thrombosis, ukuba nokuthuthuka yobudala bomama, uhlushwa ukukhuluphala ngokweqile, noma uhlushwa uhlobo oluthile lokukhubazeka, ngokwesibonelo.
Yelashwa kanjani
Ngokuvamile, ukwelashwa nokuvinjelwa kwe-venous thromboembolism ekukhulelweni kuqukethe ukuphatha i-aspirin ngomthamo ka-80 kuye ku-100 mg / ngosuku, okwenza ngokuvimbela ukuhlanganiswa kweplatelet. Yize lesi sidakamizwa siphikiswa ngesikhathi sokukhulelwa, ikakhulukazi ku-trimester yokugcina, njengoba ibeka ingozi enganeni, izinzuzo zokusetshenziswa kwayo zidlula izingozi ezingaba khona futhi, ngakho-ke, zinganconywa ngudokotela.
Ngaphezu kwalokho, i-heparin ejojowe, njenge-enoxaparin, iyi-anticoagulant esetshenziselwa kabanzi i-thrombophilia ekukhulelweni, futhi iyimithi ephephile ngoba ayiweli umgoqo we-placenta. I-Enoxaparin kufanele inikezwe nsuku zonke, ngaphansi kwesikhumba, futhi ingasetshenziswa ngumuntu uqobo.
Ukwelashwa kufanele kwenziwe ngisho nangemva kokubeletha, cishe amasonto ayisithupha.
Imibhalo Emisha
Izinkinga zokugwinya