M'mimba thrombophilia: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zimayambitsa thrombophilia pa mimba
• Momwe mankhwalawa amachitikira

Thrombophilia ali ndi pakati amakhala ndi chiopsezo chowonjezeka cha kuundana kwamagazi, komwe kumatha kubweretsa kuchitika kwa thrombosis, stroko kapena pulmonary embolism, mwachitsanzo. Izi ndichifukwa choti michere yamagazi yomwe imayambitsa kutseka magazi imasiya kugwira ntchito bwino, zomwe zimatha kuchitika chifukwa cha zinthu zingapo, kuphatikiza pathupi.

Mimba ndi chiopsezo chachitukuko cha zochitika za m'matumbo, ndipo zimatha kuyambitsa zizindikilo monga kutupa, kusintha kwa khungu, kukhetsa m'mimba, pre-eclampsia, kusintha kwa kukula kwa mwana, kupezeka kwa kubadwa msanga kapena ngakhale kupita padera.

Chifukwa chake, ndikofunikira kuchita chithandizo choyenera, chomwe chimaphatikizapo kugwiritsa ntchito mankhwala opha tizilombo, kupewa zovuta zomwe zingachitike panthawi yapakati komanso kupewa magazi pakubereka. Dziwani zambiri za thrombophilia.

Zizindikiro zazikulu

Matenda ambiri a thrombophilia ali ndi pakati samayambitsa zizindikilo, komabe azimayi ena amatha kukumana ndi izi:

• Kutupa komwe kumachitika kuyambira ola limodzi kupita kumapeto;
• Kusintha pakhungu;
• Kusintha kwa kukula kwa mwana;
• Kupuma pang'ono kapena kupuma movutikira, komwe kumatha kuwonetsa kupindika kwamapapu;
• Kuchuluka kwa magazi.

Kuphatikiza apo, chifukwa cha thrombophilia pamakhala chiopsezo chachikulu chodzaza nsengwa, kubadwa msanga ndi kutaya mimba, komabe vutoli limapezeka pafupipafupi mwa azimayi omwe adachotsapo kale mimba, anali ndi pre-eclampsia, ali ndi zaka zopitilira 35, thupi lolozera misa yoposa 30 ndikusuta pafupipafupi.

Pakadali pano, asanatenge mimba, a gynecologist amatha kuwonetsa magwiridwe antchito am'magazi omwe amalola kuti atsimikizire ngati coagulation ikuchitika mwanjira yabwinobwino, ngati pali zosintha zina ndikusintha kotani. Mwanjira imeneyi, ndizotheka kukonzekera bwino kutenga pakati komanso kupewa zovuta.

Zimayambitsa thrombophilia pa mimba

Mimba imapangitsa kuti thupi likhale ndi hypercoagulability komanso hypofibrinolysis, lomwe limateteza amayi apakati kuti asatuluke magazi chifukwa chobereka, komabe njirayi imathandizira kukulitsa thrombophilia, zomwe zimawonjezera chiopsezo cha venous thrombosis ndi zovuta zapakati.

Kuopsa kwa thrombosis mwa amayi apakati ndi kasanu mpaka kasanu ndi kamodzi kuposa amayi omwe alibe pakati, komabe, pali zinthu zina zomwe zimawonjezera mwayi wokhala ndi thrombosis yokhudzana ndi pakati, monga kukhala ndi mbiri ya venous thrombosis, kukhala ndi patsogolo msinkhu wa amayi, amadwala kwambiri, kapena amadwala mtundu wina wa kuperewera, mwachitsanzo.

Momwe mankhwalawa amachitikira

Nthawi zambiri, chithandizo ndi kupewa kwa venous thromboembolism pamimba kumakhala ndi kuperekera aspirin pamlingo wa 80 mpaka 100 mg / tsiku, yomwe imaletsa kuphatikizira kwa ma platelet. Ngakhale mankhwalawa amatsutsana panthawi yomwe ali ndi pakati, makamaka m'miyezi itatu yapitayi, chifukwa imayika pachiwopsezo kwa mwana, maubwino ogwiritsa ntchito amapitilira zoopsa zomwe zingachitike, chifukwa chake, atha kuvomerezedwa ndi dokotala.

Kuphatikiza apo, jakisoni heparin, monga enoxaparin, ndi anticoagulant yomwe imagwiritsidwa ntchito kwambiri pothana ndi thrombophilia ali ndi pakati, ndipo ndi mankhwala otetezeka chifukwa sawoloka chotchinga. Enoxaparin iyenera kuperekedwa tsiku lililonse, mozungulira, ndipo itha kugwiritsidwa ntchito ndi munthuyo.

Chithandizo chiyenera kuchitika ngakhale mutabereka, kwa milungu isanu ndi umodzi.