Ukukhulelwa kwe-thrombophilia: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Oonobangela thrombophilia ekukhulelweni
• Unyango lwenziwa njani

I-Thrombophilia ekukhulelweni ibonakaliswa ngumngcipheko okhulayo wamahlwili egazi, anokukhokelela kukuvela kwe-thrombosis, stroke okanye i-pulmonary embolism, umzekelo. Kungenxa yokuba ii-enzyme zegazi ezinoxanduva lokunqanda ukusebenza ziyeke ukusebenza kakuhle, ezinokwenzeka ngenxa yezinto ezininzi, kubandakanya ukukhulelwa.

Ukukhulelwa yinto ebangela umngcipheko kuphuhliso lweziganeko ze-thromboembolic, kwaye kunokubangela iimpawu ezinjengokudumba, ukutshintsha kwesikhumba, ukuphalaza usana, i-pre-eclampsia, utshintsho ekukhuleni komntwana, ukubakho kokuzalwa ngaphambi kwexesha okanye ukuphuma kwesisu.

Ke, kubalulekile ukwenza unyango olufanelekileyo, olubandakanya ukusetyenziswa kweziyobisi ze-anticoagulant, ukunqanda ukubakho kweengxaki ngexesha lokukhulelwa kunye nokukhusela ukopha ngexesha lokubeleka. Funda ngakumbi malunga ne-thrombophilia.

Iimpawu eziphambili

Uninzi lweziganeko ze-thrombophilia ekukhulelweni azikhokeleli ekubonakaleni kweempawu okanye iimpawu, nangona kunjalo abanye abantu basetyhini banokufumana:

• Ukudumba okwenzeka ukusuka kwiyure ukuya kwenye;
• Utshintsho kwesikhumba;
• Utshintsho ekukhuleni komntwana;
• Ukuphefumla kancinci okanye ukuphefumla nzima, okunokubonisa ukubola kwemiphunga;
• Ukunyusa uxinzelelo lwegazi.

Ukongeza, ngenxa ye-thrombophilia kukho umngcipheko omkhulu wokuphalaza i-placenta, ukuzalwa kwangaphambi kwexesha kunye nokuqhomfa, nangona kunjalo le ngxaki ixhaphake kakhulu kwabasetyhini ababekhe baqhomfa ngaphambili, babene pre-eclampsia, bangaphezulu kweminyaka engama-35 ubudala, umzimba womzimba ubunzima obungaphezulu kwama-30 kunye nomsi rhoqo.

Kule meko, ngaphambi kokukhulelwa, ugqirha wamazinyo angabonisa ukusebenza kovavanyo lwegazi oluvumela ukuba kuqinisekiswe ukuba i-coagulation yenzeka ngendlela eqhelekileyo, ukuba ngaba lukhona utshintsho kwaye luyintoni olo tshintsho. Ngale ndlela, kunokwenzeka ukuba ucwangcise ngcono ukukhulelwa kunye nokuthintela iingxaki.

Oonobangela thrombophilia ekukhulelweni

Ukukhulelwa kukhuthaza imeko yomzimba ye-hypercoagulability kunye ne-hypofibrinolysis, ekhusela abafazi abakhulelweyo ekuphumeni kwegazi okunxulunyaniswa nokubeleka, nangona kunjalo le ndlela inokuba negalelo kuphuhliso lwe-thrombophilia, eyonyusa umngcipheko wokuvela kwe-venous thrombosis kunye neengxaki zokubelekisa.

Umngcipheko we-thrombosis kwabasetyhini abakhulelweyo ngamaxesha ama-5 ukuya kuma-6 aphezulu kunakwabasetyhini abangakhulelwanga, nangona kunjalo, kukho ezinye izinto ezonyusa amathuba okuphuhliswa kwe-thrombosis enxulumene nokukhulelwa, enje ngokuba nembali ye-venous thrombosis, ukuba phambili Iminyaka yoomama, unengxaki yokutyeba kakhulu, okanye unesifo esithile, umzekelo.

Unyango lwenziwa njani

Ngokubanzi, unyango kunye nothintelo lwe-venous thromboembolism ekukhulelweni kubandakanya ukulawula i-aspirin ngedosi ye-80 ukuya kwi-100 mg / ngosuku, esebenza ngokuthintela ukudityaniswa kweplatelet. Nangona eli chiza linqatshelwe ngexesha lokukhulelwa, ngakumbi kwitrimester yokugqibela, njengoko ibeka umngcipheko emntwaneni, izibonelelo zokusetyenziswa kwazo zigqithile kwimingcipheko enokubakho kwaye, ke, kunokucetyiswa ngugqirha.

Ukongeza, i-heparin ejoyiweyo, njenge-enoxaparin, yi-anticoagulant esetyenziswa ngokubanzi kwi-thrombophilia ekukhulelweni, kwaye lunyango olukhuselekileyo kuba aluweli kumqobo we-placental. I-Enoxaparin kufuneka ilawulwe yonke imihla, ngendlela engaphantsi, kwaye inokusetyenziswa ngumntu buqu.

Unyango kufuneka lwenziwe nasemva kokubeleka, malunga neeveki ezi-6.