Koj puas tau muaj ib qho me me thiab ntshav me ntsis, thiab tom qab ntawd nws tsis ntws lawm? Nws yog ib qho kev tiv thaiv zoo kawg nkaus hauv peb lub cev. Yuav kom tsis txhob los ntshav, cov ntshav txhaws yuav tsim hauv peb lub cev. Qhov no yog ib qho txheej txheem tseem ceeb heev, ib txwm muaj. Tab sis, xav txog seb yuav muaj dab tsi tshwm sim yog tias cov ntshav txhaws no tsim tsis muaj kev raug mob, tsuas yog hauv koj lub cev, hauv koj cov hlab ntsha . Qhov ntawd yog qhov peb hu ua kev mob ntshav txhaws, lossis hauv cov lus kho mob '(Hypercoagulable State)' lossis '( Thrombophilia )'.
Hais yooj yim xwb, tus kab mob ntshav txhaws no yog dab tsi?
Qhov no yog thaum koj cov ntshav txhaws yooj yim dua li qub. Cov ntshav txhaws yog tsim los thaum cov protein ua los ntawm peb lub siab ( cov khoom txhaws ) thiab cov platelets hauv peb cov ntshav los ua ke. Qhov no yog qhov tseem ceeb kom tsis txhob los ntshav thaum muaj kev raug mob. Tab sis yog tias cov txheej txheem no ua haujlwm ntau dhau, nws tuaj yeem yog teeb meem.
Peb hu cov ntshav txhaws uas tsis xav tau uas tsim nyob rau hauv cov leeg ntshav ua "thrombus" lossis "embolus".
Qhov xwm txheej no puas txaus ntshai tiag?
Yog, qhov no tuaj yeem ua rau muaj kev phom sij yog tias tsis kho. Qhov no yog vim tias cov ntshav txhaws tuaj yeem tsim nyob rau txhua qhov chaw hauv peb lub cev. Lawv tuaj yeem tsim nyob rau hauv cov hlab ntsha uas nqa ntshav los ntawm lub plawv mus rau lwm qhov ntawm lub cev thiab nyob rau hauv cov leeg ntshav uas nqa ntshav los ntawm lub cev mus rau lub plawv.
Yog tias cov ntshav txhaws hauv cov leeg ...
Cov ntshav txhaws uas tsim nyob rau hauv cov leeg ntshav tuaj yeem tawg tawm thiab mus nrog cov ntshav, ua rau muaj ob qho teeb meem tseem ceeb:
- Kev Mob Ntshav Hauv Cov Hlab Ntshav (DVT): Qhov no yog thaum cov ntshav txhaws hauv cov hlab ntshav tob, tshwj xeeb tshaj yog hauv ob txhais ceg, lub duav, caj npab, siab, plab hnyuv, lossis raum. Xav txog koj nyob saum dav hlau ntau teev ib zaug. Kev khaws koj ob txhais ceg rau hauv ib qho chaw tuaj yeem ua rau cov ntshav ntws tsis zoo, thiab cov ntshav txhaws tuaj yeem tsim hauv cov hlab ntshav hauv koj txhais ceg. Qhov no hu ua DVT.
- Kab Mob Ntsws Plab: Qhov no yog ib qho xwm txheej ceev. Qhov mob no tshwm sim thaum cov ntshav txhaws uas tau tsim nyob rau hauv ceg, zoo li DVT, tawg thiab nyob rau hauv cov leeg ntshav hauv lub ntsws. Qhov no tuaj yeem ua rau tuag taus.
Yog tias cov ntshav txhaws hauv cov hlab ntsha ...
Cov hlab ntsha hauv lub cev yog cov hlab ntsha uas muab cov ntshav uas muaj oxygen rau peb lub hlwb, lub plawv, thiab ceg. Yog tias cov ntshav txhaws hauv ib qho ntawm cov no, nws tuaj yeem ua rau muaj kev puas tsuaj loj heev.
- Mob stroke: Yog tias cov ntshav txhaws thaiv cov hlab ntsha uas xa cov ntshav mus rau lub hlwb.
- Mob Plawv Nres: Yog tias cov ntshav txhaws thaiv cov hlab ntsha hauv lub plawv uas xa cov ntshav mus rau lub plawv.
- Mob ceg heev thiab taug kev nyuaj.
- Muaj tej lub sij hawm, tej zaum yuav tsim nyog tshem ib sab caj npab lossis ib ceg tawm.
Qhov mob no kuj tseem tuaj yeem ua rau koj poob cev xeeb tub thaum cev xeeb tub. Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov neeg uas muaj mob zoo li "Antiphospholipid Syndrome." Feem ntau, qhov kev pheej hmoo ntawm cov ntshav txhaws nce ntxiv txog tsib zaug thaum cev xeeb tub vim yog qhov ntshav ntau ntxiv thiab lub siab hauv lub cev.
Koj yuav paub li cas yog tias koj muaj tus kab mob no? Cov tsos mob yog dab tsi?
Cov tsos mob nyob ntawm seb cov ntshav txhaws tau tsim nyob qhov twg hauv lub cev. Cov tsos mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
| Cov tsos mob | Feem ntau hais txog dab tsi? |
|---|---|
| O, liab, mob, thiab sov so hauv ceg | Tej zaum yuav muaj ntshav txhaws hauv cov leeg ntshav tob (Deep Vein Thrombosis - DVT) . |
| Mob hauv siab tam sim ntawd thiab ua pa nyuaj | Tej zaum yuav muaj ntshav txhaws hauv lub ntsws (pulmonary embolism) . Qhov no yog ib qho xwm txheej ceev. |
| Tam sim ntawd tsis muaj zog ntawm lub ntsej muag, caj npab, lossis ceg (tshwj xeeb tshaj yog ib sab), nyuaj rau hais lus, lossis hloov pauv hauv kev pom kev | Tej zaum yuav yog mob stroke . Qhov no yog xwm txheej ceev. |
| Mob hauv nruab nrab ntawm lub hauv siab, mob kis mus rau sab caj npab sab laug, lub puab tsaig, lossis nraub qaum, tawm hws | Tej zaum yuav yog mob plawv nres . Qhov no yog xwm txheej ceev. |
Vim li cas cov kab mob no thiaj tshwm sim? Dab tsi yog cov ua rau muaj?
Cov teeb meem ntshav txhaws muaj ob pawg tseem ceeb: cov ua rau muaj txij thaum yug los (genetic) thiab cov ua rau muaj los ntawm kev tau txais.
| Hom laj thawj | Kev piav qhia thiab piv txwv |
|---|---|
| 1. Cov Ua Rau Mob Los Ntawm Qoob Loo / Genetic | |
| Cov teeb meem ntawm caj ces | Cov no yog tej yam uas peb tau txais los ntawm peb niam peb txiv. Tsis yog txhua tus neeg uas muaj cov no yuav muaj cov ntshav txhaws, tab sis qhov kev pheej hmoo siab dua.
|
| 2. Cov laj thawj uas tau txais | |
| Lwm yam mob nkeeg |
|
| Txoj kev ua neej thiab lwm yam | |
Cov kws kho mob kuaj mob li cas?
Tsuas yog vim koj muaj cov ntshav txhaws tsis tau txhais hais tias koj muaj mob caj ces, yog li koj tus kws kho mob yuav saib xyuas koj tus kheej thiab tsev neeg keeb kwm kho mob.
Feem ntau, cov neeg uas muaj cov yam ntxwv txaus ntshai hauv qab no raug xa mus rau cov kev kuaj mob no:
- Yog leej twg hauv tsev neeg muaj keeb kwm ntawm hom ntshav txhaws no.
- Yog tias ib tug tub hluas hnub nyoog qis dua 50 xyoo muaj cov ntshav txhaws.
- Yog tias cov ntshav txhaws tsim nyob rau hauv cov chaw txawv txawv, xws li caj npab, siab, lossis lub hlwb.
- Yog tias cov ntshav txhaws tsim tsis muaj laj thawj tshwj xeeb.
- Yog tias koj muaj cov ntshav txhaws rov qab los.
- Yog tias muaj kev rho menyuam ntau zaus.
- Yog koj muaj mob stroke thaum koj tseem hluas.
Yuav ua cov kev ntsuam xyuas twg?
Yuav muaj ntau qhov kev kuaj ntshav los ntsuas koj tus mob.
- PT-INR: Yog tias koj noj tshuaj 'Warfarin', qhov kev kuaj no yog ua los xyuas seb koj cov ntshav txhaws sai npaum li cas.
- aPTT: Qhov kev kuaj no yog ua los saib seb cov ntshav teb li cas rau cov tshuaj 'Heparin' yog tias koj noj nws.
- Kev suav ntshav tag nrho (CBC): Kev suav ntshav tag nrho.
- Kev kuaj mob Fibrinogen
Muaj kev kuaj noob caj noob ces tshwj xeeb los txheeb xyuas cov mob uas muaj txij thaum yug los. Lawv kuj ua kev kuaj los xyuas cov protein xws li `Protein C`, `Protein S`, thiab `Antithrombin`.
Vim tias cov kev kuaj no muaj kev rhiab heev, nws yog ib qho tseem ceeb heev uas lawv yuav tsum tau ua hauv chav kuaj mob tshwj xeeb thiab txhais lus kom raug los ntawm tus kws kho mob uas muaj kev paub tshwj xeeb.
Yuav kho li cas?
Feem ntau, kev kho mob tsuas yog xav tau yog tias muaj cov ntshav txhaws hauv cov leeg ntshav xwb. Lub hom phiaj tseem ceeb ntawm kev kho mob yog tiv thaiv kom tsis txhob muaj cov ntshav txhaws ntxiv thiab tiv thaiv cov ntshav txhaws uas twb muaj lawm kom tsis txhob loj hlob tuaj.
Cov tshuaj uas ua rau cov ntshav nyias siv rau qhov no. Hauv kev kho mob, peb hu cov no ua 'Anticoagulants'.
Cov tshuaj siv feem ntau:
- Tshuaj aspirin
- Warfarin (ib hom tshuaj noj)
- Heparin (ib qho tshuaj txhaj rau hauv cov leeg ntshav lossis hauv qab daim tawv nqaij hauv tsev kho mob)
- Heparin hnyav tsawg (ib qho kev txhaj tshuaj uas tuaj yeem txhaj rau hauv qab daim tawv nqaij hauv tsev ib lossis ob zaug hauv ib hnub)
- Fondaparinux (txhaj tshuaj)
- Cov tshuaj tiv thaiv kev ntshav khov ncaj qha (DOACs) - cov no yog tiam tshiab ntawm cov tshuaj noj (piv txwv li Rivaroxaban, Apixaban)
Koj tus kws kho mob yuav txiav txim siab seb cov tshuaj twg zoo tshaj plaws rau koj, koj yuav tsum noj ntev npaum li cas, thiab xav tau hom kev saib xyuas tom qab twg.
Tseem ceeb heev: Yog tias koj noj tshuaj zoo li 'Warfarin', tsis txhob tsum noj lossis hloov qhov ntau npaum li cas yam tsis tau sab laj nrog koj tus kws kho mob rau txhua qhov laj thawj. Tsis tas li ntawd, 'Warfarin' tsis haum yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub. Nco ntsoov qhia rau koj tus kws kho mob txog qhov no.
Kuv puas yuav tsum ceev faj txog yam kuv noj thiab haus thaum noj Warfarin?
Yog. Cov khoom noj uas muaj vitamin K ntau, tshwj xeeb, tuaj yeem cuam tshuam rau qhov ua tau zoo ntawm Warfarin. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawm koj tus kws kho mob thaum noj cov tshuaj no.
Qee cov khoom noj uas muaj vitamin K ntau
- Cov noob zaub Brussels
- Zaub ntsuab
- Paj yeeb
Qhov no tsis yog hais tias koj yuav tsum tsis txhob noj cov khoom noj no, tab sis nws yog ib qho tseem ceeb kom koj noj txhua hnub kom sib xws. Tham nrog koj tus kws kho mob txog qhov no.
Yog koj muaj tus mob no, koj yuav saib xyuas koj tus kheej li cas?
- Yog koj noj tshuaj xws li Warfarin, hnav ib txoj hlua tes uas qhia tias koj muaj mob yuav pab koj tau txais kev kho mob zoo thaum muaj xwm txheej ceev.
- Qee cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj, xws li tshuaj tua kab mob, tuaj yeem cuam tshuam nrog cov tshuaj no. Yog li ntawd, nrog koj tus kws kho mob tham ua ntej noj lwm yam tshuaj.
- Mus kuaj ntshav tsis tu ncua (xws li PT-INR). Tej zaum yuav tau hloov koj cov tshuaj raws li cov txiaj ntsig.
- Yog tias koj yuav phais lossis npaj yuav cev xeeb tub, qhia rau koj tus kws kho mob ua ntej.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Thaum koj noj cov tshuaj ua kom cov ntshav nyias, txawm tias yog qhov txiav me me xwb los kuj yuav ua rau los ntshav ntxiv me ntsis, lossis koj yuav muaj cov qhov txhab. Qhov no yog ib txwm muaj.
Txawm li cas los xij, yog tias koj los ntshav ntau dhau lossis pom cov ntshav loj, hu rau koj tus kws kho mob tam sim ntawd.
Tsis tas li ntawd, yog tias koj xav tias koj muaj cov tsos mob ntawm DVT (ceg o, mob), nrhiav kev pab kho mob tam sim ntawd.
Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU)?
Yog koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, nws yog xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.
* Mob hauv siab tam sim ntawd thiab ua pa nyuaj (tej zaum yuav yog ib qho cim qhia txog pulmonary embolism).
* Cov tsos mob ntawm kev mob plawv nres lossis mob stroke.
Nyob nrog tus mob no yuav nyuaj heev. Tab sis nrog cov tshuaj zoo thiab cov lus qhia ntawm tus kws kho mob zoo, koj tuaj yeem ua neej nyob ib txwm. Koj tus kws kho mob yeej npaj txhij los pab koj. Yog li ntawd, tsis txhob yig los tham nrog nws txog tej lus nug lossis kev txhawj xeeb uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav txhaws yog ib qho mob uas muaj kev pheej hmoo ntawm cov ntshav txhaws uas tsim tsis tsim nyog thiab yooj yim hauv cov hlab ntsha ntawm lub cev.
- Cov ua rau qhov no tuaj yeem yog los ntawm noob caj noob ces (genetic) lossis cov uas tshwm sim thaum lub neej (xws li mob qog noj ntshav, phais, cev xeeb tub).
- Cov tsos mob yuav txawv nyob ntawm seb cov ntshav txhaws nyob qhov twg. Cov ntshav txhaws hauv lub ntsws, lub hlwb, lossis lub plawv yog cov xwm txheej ceev uas txaus ntshai rau lub neej.
- Kev kho mob tseem ceeb yog cov tshuaj uas ua rau cov ntshav nyias (anticoagulants). Cov no yuav tsum noj raws li tus kws kho mob qhia.
- Yog tias koj noj cov tshuaj ua kom cov ntshav nyias, nco ntsoov qhia rau koj tus kws kho mob ua ntej noj lwm yam tshuaj, ua ntej phais, thiab ua ntej cev xeeb tub.
- Yog koj pom tias koj los ntshav ntau dhau los yog muaj cov tsos mob txawv txawv, nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus