Thrombophilia: ke eng, matšoao, lisosa le kalafo

Litaba

• Matšoao a mantlha
• Ke eng e ka bakang thrombophilia
• 1. Lisosa tse fumanoeng
• 2. Lisosa tsa lefutso
• Ke litlhahlobo life tse lokelang ho etsoa
• Kalafo e etsoa joang

Thrombophilia ke boemo boo ho bona batho ba fumanang ho le bonolo ho theha mali, ho eketsa kotsi ea mathata a tebileng joalo ka venous thrombosis, stroke kapa embolism ea pulmonary. Kahoo, batho ba nang le boemo bona hangata ba ba le ho ruruha 'meleng, ho ruruha ha maoto kapa phefumoloho e khuts'oane.

Maqeba a entsoeng ke thrombophilia a hlaha hobane li-enzyme tsa mali, tse etsang hore ho hoama, ho emise ho sebetsa hantle. Sena se ka etsahala ka lebaka la lefutso, ka lebaka la liphatsa tsa lefutso, kapa se ka etsahala ka lebaka la lisosa tse fumanoeng bophelo bohle, joalo ka bokhachane, botenya kapa mofetše, mme menyetla e kanna ea eketseha ka lebaka la ts'ebeliso ea litlhare, joalo ka lithibela-pelehi tsa molomo.

Matšoao a mantlha

Thrombophilia e eketsa menyetla ea thrombosis e kenang maling, ka hona, matšoao a ka hlaha maemong a mathata a itseng karolong ea 'mele, joalo ka:

• Tharo ea methapo e tebileng: ho ruruha ha karolo e itseng ea khalase, haholo maoto, a ruruhileng, a mafubelu hape a chesa. Utloisisa hore na thrombosis ke eng le hore na u ka e tseba joang;
• Embolism ea pulmonary: ho hema ka thata le ho hema ka thata;
• Leqeba: tahlehelo ea tšohanyetso ea motsamao, puo kapa pono, mohlala;
• Thrombosis ka placenta kapa mokokotlong: Ho senyeheloa ke maikutlo khafetsa, mathata a pelehi a pelehi le bokhachane, joalo ka eclampsia.

Maemong a mangata, motho a kanna a se tsebe hore o na le thrombophilia ho fihlela ho hlaha ho ruruha ka tšohanyetso, o ntša mpa khafetsa kapa mathata nakong ea bokhachane. Ho tloaelehile hape ho hlaha ho batho ba tsofetseng, hobane bofokoli bo bakoang ke botsofali bo ka thusa ho qala ha matšoao.

Ke eng e ka bakang thrombophilia

Boloetse ba ho koala mali bo hlahang thrombophilia bo ka fumanoa bophelo bohle, kapa lefutso, bo fetisoa ho tloha ho batsoali ho ea ho bana, ka liphatsa tsa lefutso. Kahoo, lisosa tsa mantlha li kenyelletsa:

1. Lisosa tse fumanoeng

Lisosa tse ka sehloohong tsa thrombophilia e fumanoeng ke:

• Botenya;
• Methapong ea varicose;
• Ho robeha ha masapo;
• Bokhachane kapa puerperium;
• Lefu la pelo, infarction kapa ho hloleha ha pelo;
• Lefu la tsoekere, khatello e phahameng ea mali kapa k'holeseterole e phahameng;
• Ts'ebeliso ea meriana, joalo ka lithibela-pelehi tsa molomo kapa phetoho ea lihormone. Utloisisa hore na lithibela-pelehi li ka eketsa kotsi ea thrombosis joang;
• Ho robala betheng matsatsi a mangata, ka lebaka la ho buuoa, kapa ho kena sepetlele ka nakoana;
• Ho lula nako e telele leetong la sefofane kapa la bese;
• Ho itšireletsa mafung, joalo ka lupus, ramatiki kapa lefu la antiphospholipid;
• Maloetse a bakoang ke tšoaetso e kang HIV, hepatitis C, syphilis kapa malaria, mohlala;
• Kankere.

Batho ba nang le maloetse a eketsang menyetla ea thrombophilia, joalo ka mofets'e, lupus kapa HIV, mohlala, ba tlameha ho lateloa ka liteko tsa mali, nako le nako ha ba khutla le ngaka e latelang. Ntle le moo, ho thibela thrombosis, ho bohlokoa ho nka mehato ea thibelo, joalo ka ho laola khatello ea mali, lefu la tsoekere le cholesterol, ntle le ho bua leshano kapa ho ema nako e telele nakong ea maeto, nakong ea bokhachane, puerperium kapa ho kena sepetlele.

Ts'ebeliso ea lithibela-pelehi e lokela ho qojoa ke basali ba seng ba ntse ba le kotsing e kholo ea thrombophilia, joalo ka ba nang le khatello e phahameng ea mali, lefu la tsoekere kapa nalane ea lelapa ea liphetoho maling.

2. Lisosa tsa lefutso

Lisosa tse ka sehloohong tsa lefutso thrombophilia ke:

• Ho haella ha li-anticoagulants tsa tlhaho 'meleng, tse bitsoang protheine C, protheine S le antithrombin, mohlala;
• Khatello e phahameng ea "homocysteine" amino acid;
• Liphetoho tse teng liseleng tse etsang mali, joalo ka phetoho ea Leiden factor V;
• Li-enzyme tse ngata tsa mali tse bakang ho koala, joalo ka factor VII le fibrinogen, mohlala.

Le ha lefutso thrombophilia le fetisoa ka liphatsa tsa lefutso, ho na le mehato e meng e ka nkuoang ho thibela ho theoa ha maqeba, a ts'oanang le a thrombophilia e fumanoeng. Maemong a mabe haholo, ts'ebeliso ea litlhare tsa anticoagulant e ka bonts'oa ke ngaka ea mali ka mor'a ho lekola nyeoe e ngoe le e ngoe.

Ke litlhahlobo life tse lokelang ho etsoa

Ho fumana lefu lena, ngaka e akaretsang kapa hematologist o lokela ho belaella nalane ea bongaka le ea lelapa ea motho ka mong, leha ho le joalo liteko tse ling tse kang palo ea mali, tsoekere ea mali le li-cholesterol li ka laeloa ho netefatsa le ho bonts'a kalafo e nepahetseng.

Ha lipelaelo tsa lefutso li belaelloa, haholo-holo ha matšoao a ka pheta-pheta, ntle le liteko tsena, litekanyetso tsa enzyme e thibang mali li kopuoa ho lekola maemo a tsona.

Kalafo e etsoa joang

Kalafo ea thrombophilia e etsoa ka hloko ho qoba thrombosis, joalo ka ho qoba ho ema nako e telele maetong, ho noa meriana ea anticoagulant nakong ea ho lula sepetlele kapa kamora ho buuoa, mme haholo-holo, ho laola mafu a eketsang kotsi ea maqeba, joalo ka a phahameng khatello ea mali, lefu la tsoekere le botenya, mohlala. Ke feela maemong a ho kula ho tebileng, tšebeliso e tsoelang pele ea lithethefatsi tsa anticoagulant e bonts'itsoeng.

Leha ho le joalo, ha motho a se a ntse a e-na le matšoao a thrombophilia, deep vein thrombosis kapa pulmonary embolism, ho kgothaletswa ho sebelisa lithethefatsi tsa anticoagulant ka likhoeli tse 'maloa, joalo ka Heparin, Warfarin kapa Rivaroxabana powder. Bakeng sa bakhachane, kalafo e etsoa ka anticoagulant e nang le ente mme ho hlokahala hore o lule sepetlele matsatsi a 'maloa.

Fumana hore na ke li-anticoagulants tse sebelisoang haholo le hore na ke tsa eng.