Ebia woate sɛ, "Oh, saa aberante no mogya tu mpofirim." Anaasɛ w’ankasa wo nan ho ahonhon mpofirim na ayɛ wo yaw pɛn? Ɛnnɛ yɛbɛka tebea bi a wɔfrɛ no ‘Thrombophilia’ a ɛtɔ da bi a ebetumi de nneɛma a ɛte sɛɛ aba ho asɛm. Mma nnsuro sɛ wote saa din yi a, eyi yɛ tebea a nnipa pii betumi anya. Ɛno nti na ɛho hia paa sɛ yɛma yɛn ani da hɔ no.
Sɛ yɛbɛka no tiawa a, dɛn ne Thrombophilia?
Thrombophilia yɛ tebea a ɛma wo mogya tu ntɛmntɛm na ɛyɛ ntɛmntɛm sen mogya a ɛfata. Nnuruyɛfo frɛ eyi sɛ ‘hypercoagulable’ tebea. Eyi kyerɛ sɛ wo mogya tumi tu kɔ soro. Eyi betumi afi awosu mu anaasɛ obi anya. Afei susuw nea ɛba bere a wode sekan twa wo nsa no ho hwɛ? Mogya kakra yera, na bere tiaa bi akyi no, mogya tu wɔ saa beae no na mogya no gyae. Ɛyɛ ade a ɛbɔ yɛn ho ban ankasa wɔ yɛn nipadua mu. Sɛ kuru no sa wie a, nipadua no san popa mogya a ɛretu no bio na eyi fi hɔ. Nanso biribi foforo to obi a ɔwɔ Thrombophilia. Sɛ nipadua no nhia mpo a, mogya a ɛtɔ gu ntini no mu. Anaasɛ, mogya a ɛtwetwe a ɛba no ntumi ntutu na wonyi mfi hɔ yiye. Ɔhaw kɛse no ne bere a mogya a ɛtwetwe yi fa ntini no mu na esiw mogya ntini bi a ɛkɔ akwaa bi a ɛho hia mu no ano no. Efisɛ yɛn nipadua mu nkwammoaa biara nya mframa pa a ehia fi mogya no mu. Sɛ ntini bi siw a, entumi mfa mframa pa nkɔ. Eyi betumi de tebea horow a emu yɛ den te sɛ
komayare ne ɔyare a ɛma obi hwe ase aba .
Thrombophilia ahorow atitiriw abien na ɛwɔ hɔ:
Sɛnea yɛadi kan aka no, wobetumi akyekyɛ tebea yi mu ayɛ no ahorow atitiriw abien a egyina sɛnea ɛba so. 1.
Acquired Thrombophilia: Eyi ne nea abu so sen biara. Ɛnyɛ biribi a wonya fi awo mu. Ebetumi afi nnuru bi a yɛnom, yɛn asetra kwan, anaa nyarewa afoforo mu aba. Saa ahorow yi mu nea abu so na emu yɛ den sen biara ne
Antiphospholipid Syndrome . 2.
Inherited Thrombophilia (Genetic/Inherited Thrombophilia): Eyi yɛ awosu mu tebea a wunya fi wo maame, wo papa, anaa n’abien nyinaa hɔ. Protein ahorow bi wɔ yɛn nipadua mu a ɛma mogya tu. Esiane awosu mu nsakrae yi nti, ebia saa protein ahorow no rentumi nyɛ adwuma yiye. Anaasɛ nipadua no betumi ayɛ protein ahorow a ɛma mogya tu no brɛ ase.
Sɛ mogya atɔw wo ansa na woadi mfe 40, nyinsɛn atɔ wo mpɛn pii , anaasɛ obi wɔ w’abusua mu a mogya atɔ wo ho abakɔsɛm a, ebia wowɔ thrombophilia a wonya fi awo mu yi nso.
Dɛn ne awosu mu thrombophilia ahorow nketewa?
Awosu mu tebea yi ahorow ahorow wɔ hɔ. Momma yɛnhwɛ ahorow atitiriw no bi.
| Awosu mu Thrombophilia Su | Nkyerɛkyerɛmu tiawa bi a ɛfa ho |
|---|
| Ade V Leiden Ntini a ɛma mogya tu | Eyi ne awosu mu nsakrae ahorow no mu nea abu so sen biara. Ɛka nnipa dodow 1% kosi 5%. Ɛma asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ wɔ ntini a emu dɔ mu wɔ nan no mu (Deep Vein Thrombosis - DVT) no yɛ kɛse. |
| Prothrombin Ntini a ɛma mogya tu | Eyi ne nea ɛto so abien a wɔtaa de di dwuma. Asiane kɛse wɔ hɔ sɛ ahurututu mu ntini a ɛma mogya tu, DVT, ne nyinsɛn a atu. |
| Protein C a Ɛho Hia | Eyi yɛ nea ɛntaa nsi kakra. Asiane kɛse wɔ hɔ sɛ mogya bɛsan atu. Sɛ tebea yi fi awofo baanu no nyinaa hɔ a, ebetumi de wɔn nkwa mpo ato asiane mu. |
| Protein S a Ɛho Nhia | Eyi nso ho yɛ na. Ɔkwan a ɛntaa nsi mpo (a wonya fi awofo baanu no nyinaa hɔ) betumi de mogya a ɛtwetwe ho haw a ɛde nkwa to asiane mu aba mmofra a wɔawo wɔn foforo mu. |
| Antithrombin a Ɛnyɛ Den | Eyi nso ho yɛ na (ɛba nnipa 500 kosi 5,000 biara mu 1 mu). Nanso nnipa a wɔwɔ saa tebea yi wɔ asiane kɛse mu sɛ wobenya mogya a ɛbɛtɔ sen nnipa a wɔwɔ awosu mu tebea afoforo. Anyɛ yiye koraa no, nnipa a wɔwɔ saa tebea yi mu bɛboro 80% benya mogya a ɛbɛtɔ pɛnkoro bere a wɔadi mfe 50 no. |
Dɛn ne mogya a ɛretu ho sɛnkyerɛnne?
Mpɛn pii no, ebia wunnim mpo sɛ wowɔ thrombophilia. Ɔhaw no sɔre bere a mogya a ɛtɔ gu nipadua no mu ba na yare no ho sɛnkyerɛnne da adi nkutoo. Saa sɛnkyerɛnne ahorow yi gu ahorow gyina baabi a mogya a ɛtɔ gu nipadua no mu no ayɛ so.
| Nipadua fã | Nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ kwan |
|---|
| Adwene | |
| Akoma | |
| Ahrawa | |
| Nan anaa Abasa | - Ɔhohoro a ɛba mpofirim
- Ɛyaw a emu yɛ den
- Sɛ woka wo ho a, ɔte nka sɛ wo ho yɛ hyew
|
| Afuro | - Akisikuru ne ɔfe
- Yafunu mu yaw
|
Dɛn ne nneɛma a ɛde thrombophilia ba ne asiane ahorow a ɛde ba?
Wɔ awosu mu nneɛma a ɛde ba akyi no, nneɛma afoforo pii a ɛde ba ne nneɛma a ɛde asiane ba betumi ama obi anya thrombophilia anaasɛ ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse.
Nneɛma atitiriw a enti ɛte saa:
- Antiphospholipid Yare a Ɛko Tia Nyarewa
- Disseminated Intravascular Coagulation (DIC), mogya mu yare a ɛntaa nsi
- Hepatitis a ɛyɛ mmerɛbo mu yare
- HIV a ɛma obi nya ɔyare mmoawa
- Mmɛn mu yare
Nneɛma a ɛma asiane no yɛ kɛse:
- Mu duru a ɛboro so: Kɛse mmoroso yɛ ade titiriw a ɛma mogya tu.
- Nyinsɛn: Nsakrae a ɛba nipadua no mu wɔ nyinsɛn mu no ma mogya a ɛbɛtɔ no yɛ kɛse fi awosu mu.
- Tawa mu nneɛma a wɔde di dwuma: Sigaretnom sɛe mogya ntini na ɛma ɛyɛ mmerɛw sɛ mogya bɛtu.
- Nyarewa afoforo: Tebea ahorow te sɛ asikreyare, kokoram, komayare, ne ntini mu yare.
- Gyinabea koro no ara a wobɛtra bere tenten: Sɛ wotra ayaresabea bere a wɔayɛ oprehyɛn awie no, wote wimhyɛn anaa bɔs mu bere tenten mu, anaa sɛ wote adwumam a, mogya a ɛkɔ anan mu no betumi atew na mogya atɔw.
- Wɔreyɛ no oprehyɛn.
- Awo ano aduru anaa hormone replacement therapy (HRT) a hormone estrogen wom a wɔnom.
- Abusua abakɔsɛm a ɛkyerɛ sɛ mogya atɔw.
- Mpanyinyɛ.
- Nyinsɛn a wotu gu a wontumi nhu nea ɛde ba biara.
- Mogya a ɛbɛtɔ bɛboro pɛnkoro a obenya ansa na wadi mfe 40.
Kae sɛ, esiane sɛ wowɔ asiane ahorow yi mu biako anaa nea ɛboro saa nti, ɛnkyerɛ sɛ mogya bɛtɔ wo. Nanso ɛho hia sɛ wuhu wɔn na wudi wo duruyɛfo afotu akyi.
Mɛyɛ dɛn ahu sɛ mewɔ saa tebea yi anaa?
Sɛ mogya atɔ wo na wɔresa wo yare a, ebia wo duruyɛfo besusuw sɛ thrombophilia. Afei wɔbɛyɛ sɔhwɛ ahorow pii de asi tebea no so dua.
- W’ayaresa ho abakɔsɛm: Wobebisa wo mogya a atu pɛn biara ho asɛm, sɛ ebia obi a ɔwɔ w’abusua mu anya bi, anaasɛ nyinsɛn bi atu wo.
- Nipadua mu Nhwehwɛmu: Wɔhwɛ sɛ ebia mogya a ɛreworo so na ɛho ahonhon na ɛyɛ yaw anaa.
- Mogya mu Nhwehwɛmu: Wɔyɛ mogya mu nhwehwɛmu titiriw de hwehwɛ awosu mu tebea horow anaa protein afoforo a enni nipadua mu a ɛde thrombophilia ba.
- Nhwehwɛmu afoforo: Wobetumi ayɛ nhwehwɛmu te sɛ ultrasound scan, CT scan , anaa angiogram de ahu baabi pɔtee a mogya no atɔ.
Henanom na ɛsɛ sɛ wɔyɛ sɔhwɛ yi?
Wɔntaa nyɛ sɔhwɛ ahorow yi mma obiara. Wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow yi wɔ tebea horow a edidi so yi mu:
- Sɛ mogya a ɛtɔe ansa na woadi mfe 50 a.
- Sɛ nnipa pii wɔ w’abusua mu wɔ abakɔsɛm a ɛkyerɛ sɛ mogya atɔ piti a.
- Sɛ mogya a ɛtɔ gu nipadua no mu a asiane biara nni ho a ɛda adi pefee a.
- Sɛ mogya a ɛtɔ gu mmeae a ɛyɛ soronko (e.g., nsa, yafunu).
- Sɛ wotaa nyinsɛn gu a.
- Sɛ wopɛ sɛ wuhu sɛ w’abusua da asiane mu anaa.
Dɛn ne ayaresa ahorow a wɔde sa thrombophilia?
Aduru biara nni hɔ a wɔde sa thrombophilia a wɔde awo obi. Nanso wobetumi
adi ho dwuma yiye, na asiw mogya a ɛbɛtɔ na ama wɔatra ase sɛnea ɛsɛ. Ayaresa a wubetumi apaw no gyina thrombophilia ko a wowɔ, sɛ ebia mogya a ɛtɔ, ne sɛnea tebea no mu yɛ den so.
- Nnuru a ɛma mogya tu: Eyinom ne ayaresa titiriw. Saa nnuru yi yɛ adwuma denam mogya a ɛtwetwe foforo a esiw ano ne sɛnea ɛma mogya a ɛtɔ dedaw no nyin brɛoo no so. Heparin ne Warfarin yɛ nnuru a akyɛ. Mprempren wɔanya nnuru foforo a ɛnyɛ den sɛ wɔbɛnom. Ebia ɛsɛ sɛ nnipa binom nom nnuru yi wɔn nkwa nna nyinaa.
- Thrombolytics: Wɔde eyinom di dwuma wɔ tebea horow a egye ntɛmpɛ ne nsɛm a emu yɛ den mu nkutoo. Sɛ nhwɛso no, sɛ mogya a atu kɛse wɔ ahurututu mu no de nkwa to asiane mu a, wobetumi de nnuru yi ahyɛ ntini mu na ama akisikuru no apete ntɛm.
- Compression Stockings: Ebia wo duruyɛfo betu wo fo sɛ hyɛ stockings soronko yi na ama wo ho a ɛhoa no so atew na ama mogya no akɔ so yiye, titiriw ma wɔn a mogya atɔ wɔn nan mu no.
- Oprehyɛn: Ɛntaa mma koraa, sɛ wɔantumi mfa nnuru ntutu mogya kɛse bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na wɔayi afi hɔ.
Nneɛma a yebetumi ayɛ de atew asiane no so
Sɛ wunim sɛ wowɔ thrombophilia, anaasɛ wowɔ asiane mu sɛ mogya bɛtɔ wo a, ɛho hia yiye sɛ wosakra w’asetra kwan.
- Kwati sigaretnom koraa.
- Kura wo nipadua mu duru a ɛfata mu.
- Yɛ apɔw-mu-teɛteɛ daa. Biribi a ɛnyɛ den te sɛ nantew mpo ye sɛ wobɛyɛ da biara da.
- Wɔ akwantu tenten mu: Sɛ wode wimhyɛn anaa bɔs retu kwan bere tenten a, sɔre dɔnhwerew biako anaa abien biara na nantew kakra, wosow wo nan.
- Oprehyɛn akyi: Sɔ fi mpa so na fi ase nantew bere a wo duruyɛfo ama wo kwan ara pɛ.
- Nnuru a estrogen wom: Sɛ worenom nnuru a estrogen wom te sɛ nnuru a wɔde siw awo ano a, wo ne wo duruyɛfo nka asiane yi ho asɛm. Obetumi akamfo ɔkwan foforo a ɛfata akyerɛ wo.
- Oduruyɛfo afotu: Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw a, fa bere a ɛfata ne dodow a ɛfata. Nnyae nnuru no nom da a wonkɔ wo duruyɛfo nkyɛn.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wowɔ thrombophilia a, ɛho hia sɛ wo ne wo duruyɛfo di nkitaho daa na sɛ sɛnkyerɛnne bi da adi a, woyɛ ho biribi ntɛm.
Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu: Kɔ wo duruyɛfo nkyɛn anaa
kɔ ayaresabea hɔ Emergency Treatment Unit (ETU) ntɛm ara. - Ɔhonhon foforo, ɛyaw, anaa kɔkɔɔ a ɛba nan anaa abasa mu.
- Mogya a ɛtɔ a ɛnyɛ ne kwan so, te sɛ hwene mu mogya, mogya a ɛwɔ nsu anaa nsu mu, esiane nnuru a ɛma mogya yɛ mmerɛw nti.
- Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ wo tebea no ho a.
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- Koko mu yaw a emu yɛ den mpofirim anaasɛ ɛyɛ den sɛ ɔbɛhome (eyinom betumi ayɛ komayare anaa ahurututu mu ntini a ɛma mogya tu ho sɛnkyerɛnne).
- Tiyɛ a emu yɛ den mpofirim, ɛyɛ den sɛ ɔbɛkasa, anaa nipadua no fã biako a ɛyɛ mmerɛw (eyinom betumi ayɛ akisikuru ho sɛnkyerɛnne).
- Mogya a emu yɛ duru a ɛkɔ so tu a ɛnam nea wɔatwa so.
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Nkrasɛm a Wɔde Kɔ Fie
- Thrombophilia yɛ tebea a ɛma mogya no tu ntɛmntɛm na ɛyɛ ntɛmntɛm sen sɛnea ɛte daa. Eyi betumi ayɛ biribi a ɛwɔ hɔ bere a wɔawo no anaa biribi a ɛkɔ so akyiri yi wɔ asetra mu.
- Nnipa pii a wɔwɔ saa yare yi tra ase a wɔn mogya mu ntini biara. Sɛ mogya a ɛtɔ gu ntini bi mu na esiw mogya no kwan nkutoo a, na sɛnkyerɛnne ahorow no ba.
- Mogya a ɛtwetwe no betumi ayɛ aniberesɛm sɛ ɛba amemene, koma, ahurututu, anaa nan mu a, enti ɛho hia sɛ wohu sɛnkyerɛnne ahorow no.
- Ɛwom sɛ wontumi nsa tebea yi koraa de, nanso wobetumi adi ho dwuma yiye na asiane a ɛwɔ mu no so atew denam nnuru a wobɛnom sɛnea wo duruyɛfo akyerɛ wo no na woadi asetra a ɛfata akyi.
Thrombophilia, mogya a ɛtɔ, DVT, ahurututu mu embolism, thrombosis, mogya a ɛtɔ, mogya a ɛyɛ mmerɛw
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