Koj cov ntshav puas yooj yim txhaws? Cia peb tham txog qhov tsis txaus Protein S!

Koj puas tau xav txog qhov tseem ceeb ntawm kev txhaws ntshav hauv peb lub cev? Vim yog cov txheej txheem no, kev ntshav thiaj li nres thaum muaj kev raug mob me me. Tab sis, yog tias cov ntshav txhaws hauv lub cev tsis muaj laj thawj? Qhov ntawd tuaj yeem txaus ntshai me ntsis. Hnub no peb yuav tham txog qhov mob zoo li no. Qhov ntawd yog Protein S deficiency, lossis '(Protein S Deficiency)'.

Hais yooj yim xwb, qhov tsis txaus Protein S yog dab tsi?

Xav txog cov txheej txheem ntshav txhaws hauv peb lub cev zoo li ib tug tub ceev xwm tswj kev sib tsoo tsheb. Yuav tsum muaj ib tug neeg los tswj txhua yam. Ib yam li ntawd, ib qho ntawm cov protein tseem ceeb tshaj plaws uas tswj kev sib tsoo ntshav hauv peb lub cev yog Protein S.

Tam sim no, qhov tsis txaus Protein S txhais tau tias peb muaj tsawg dua li qhov peb hu ua "tub ceev xwm" lossis Protein S hauv peb lub cev dua li peb xav tau. Tom qab ntawd yuav ua li cas? Vim tias tsis muaj leej twg los tswj cov txheej txheem ntshav txhaws, nws dhau los ua haujlwm ntau dhau thiab cov ntshav txhaws pib tsim tsis tsim nyog.

Cov ntshav txhaws uas tsim los ntawm txoj kev no feem ntau tsim nyob rau hauv cov leeg ntshav tob ntawm ob txhais ceg. Peb hu qhov no ua cov leeg ntshav txhaws tob (DVT) . Qee zaum cov ntshav txhaws no tuaj yeem tawg tawm ntawm qhov ntawd thiab mus nrog cov ntshav mus rau lub ntsws thiab daig. Qhov no yog ib qho mob txaus ntshai dua. Peb hu nws ua pulmonary embolism (PE) . Tsis tshua muaj, cov ntshav txhaws no kuj tuaj yeem tsim nyob rau hauv cov leeg ntshav ntawm lub hlwb lossis lub plab.

Tus mob no muaj ntau npaum li cas? Thiab thaum twg muaj kev pheej hmoo siab tshaj plaws?

Qhov tsis muaj protein S yog ib qho mob uas tsis tshua muaj. Feem ntau, nws yog los ntawm noob caj ces, uas txhais tau tias nws yog los ntawm noob caj ces. Tab sis nws kuj tuaj yeem tshwm sim los ntawm qee yam sab nraud.

Yog koj muaj tus mob no, muaj tej yam xwm txheej uas koj yuav muaj feem yuav ntshav txhaws ntau dua. Cia peb saib seb cov xwm txheej ntawd yog dab tsi.

Cov tsos mob ntawm tus mob no yog dab tsi?

Feem ntau, ib tug neeg uas tsis muaj Protein S txaus yuav tsis muaj tsos mob dab tsi txog thaum cov ntshav txhaws. Yog tias cov ntshav txhaws, cov tsos mob yuav txawv nyob ntawm qhov twg nws tshwm sim.

• Yog tias koj muaj cov ntshav txhaws (DVT) hauv koj ceg:
• O ntawm ib ceg, tshwj xeeb tshaj yog thaj tsam qhov chaw mos.
• Hnov mob los yog mob nqaij tawv hauv ceg.
• Liab los yog sov so ntawm daim tawv nqaij ntawm ceg.
• Yog koj muaj cov ntshav txhaws (PE) hauv lub ntsws (qhov no yog xwm txheej ceev):
• Ua pa nyuaj tam sim ntawd.
• Mob hauv siab, tshwj xeeb tshaj yog thaum ua pa tob tob.
• Ua pa sai thiab lub plawv dhia ceev heev yam tsis muaj laj thawj.
• Kiv taub hau lossis tsis nco qab.
• Kev tso tawm ntawm cov hnoos qeev ntshav.
• Thaum cev xeeb tub: Tej zaum yuav muaj kev rho menyuam lossis lwm yam teeb meem tshwm sim.
• Rau cov menyuam yaus (hauv cov xwm txheej hnyav tshaj plaws): Tej zaum yuav muaj tej yam mob zoo li mob stroke.

Vim li cas qhov tsis txaus Protein S no thiaj tshwm sim?

Muaj ob qho laj thawj tseem ceeb rau qhov no. Ib qho yog los ntawm kev txais los ntawm niam txiv (inherited) thiab lwm qhov yog los ntawm kev tau txais los ntawm niam txiv (acquired) .

1. Cov ua rau muaj mob los ntawm noob caj noob ces

Qhov no yog qhov feem ntau. Kev tsim cov Protein S hauv peb lub cev yog tswj los ntawm ib lub noob hu ua PROS1 . Yog tias muaj kev hloov pauv lossis kev hloov pauv hauv cov noob no, kev tsim cov Protein S yuav raug cuam tshuam.

• Yog koj tau txais cov noob caj noob ces hloov pauv no los ntawm ib leej niam los yog txiv xwb , koj yuav muaj qhov tsis txaus Protein S me ntsis.
• Yog koj tau txais cov noob caj noob ces no los ntawm ob niam txiv , koj yuav muaj qhov tsis txaus no hnyav heev. Qhov no tsis tshua muaj.

2. Cov ua rau sab nraud

Qee yam mob lossis tej yam xwm txheej kuj ua rau muaj Protein S tsawg hauv lub cev. Qhov no feem ntau tshwm sim ntau dua li kev xeeb tub los ntawm noob caj noob ces.

Koj nrhiav tau qhov no li cas, Kws Kho Mob?

Koj tus kws kho mob yuav xav tsis thoob txog qhov no, tshwj xeeb tshaj yog thaum muaj cov xwm txheej zoo li no:

• Yog tias ib tug neeg hauv koj tsev neeg muaj keeb kwm ntawm cov ntshav txhaws ntau zaus (Venous Thromboembolism).
• Yog tias koj muaj cov ntshav txhaws rov qab los .
• Yog tias koj tau muaj ntshav txhaws ua ntej hnub nyoog 50 xyoo, yam tsis tau pom muaj laj thawj tshwj xeeb .
• Yog tias cov ntshav txhaws tau tsim nyob rau hauv cov chaw txawv txawv uas cov ntshav txhaws feem ntau tsis tsim (xws li lub hlwb, txoj hnyuv, lub siab) .

Yog tias muaj hom kev ua xyem xyav no tshwm sim, tus kws kho mob yuav ua cov hauv qab no los xyuas kom meej qhov kev kuaj mob:

1. Kev kuaj ntshav: Koj cov ntshav yuav raug kuaj seb puas muaj Protein S thiab lwm yam uas cuam tshuam rau kev txhaws ntshav.

2. Kev kuaj lub cev: Yuav muaj kev kuaj lub cev tag nrho los xyuas seb puas muaj lwm yam teeb meem.

3. Koj keeb kwm kev mob nkeeg: Peb yuav nug koj txog koj tej mob nkeeg thiab koj tsev neeg.

Yuav kho li cas?

Txoj kev kho mob nyob ntawm seb koj puas muaj ntshav txhaws los tsis muaj.

Txawm li cas los xij, yog tias koj twb muaj cov ntshav txhaws (DVT lossis PE), koj tus kws kho mob yuav pib noj cov tshuaj anticoagulants rau koj. Cov no ua haujlwm los ntawm kev tiv thaiv cov ntshav txhaws tshiab kom tsis txhob tsim thiab los ntawm kev tiv thaiv cov ntshav txhaws uas twb muaj lawm kom tsis txhob loj hlob. Cov tshuaj uas siv ntau tshaj plaws yog:

• Heparin
• Warfarin
• Rivaroxaban
• Apixaban
• Dabigatran

Nov yog qee yam uas koj yuav tsum paub: Yog tias koj tus kws kho mob txiav txim siab muab tshuaj rau koj hu ua "Warfarin," nws yuav tsum muab tshuaj rau koj hu ua "Heparin" (feem ntau yog txhaj tshuaj) ob peb hnub ua ntej. Yog tias koj tsis ua, qee zaum koj tuaj yeem tsim teeb meem hu ua ntshav txhaws hauv daim tawv nqaij thiab cov nqaij mos. Tab sis qhov teeb meem no tsis tshwm sim nrog lwm cov tshuaj tshiab.

Koj txoj kev kho mob yuav kav ntev li ob peb lub hlis mus txog ib sim neej, nyob ntawm seb koj cov ntshav txhaws thaum twg thiab lwm yam uas ua rau muaj kev pheej hmoo.

Koj ua dab tsi rau cov neeg uas tsis muaj ntshav txhaws, tab sis muaj qhov tsis txaus?

Lub hom phiaj ntawm tus kws kho mob rau cov neeg zoo li no yog pab tiv thaiv kom cov ntshav tsis txhob txhaws.

• Tej zaum yuav qhia kom koj tsis txhob noj cov tshuaj uas ua rau cov ntshav txhaws ntau ntxiv, xws li cov tshuaj tswj kev yug me nyuam.
• Yog tias koj tab tom phais, cev xeeb tub, lossis pw hauv txaj ib ntus vim muaj xwm txheej , koj yuav raug pom zoo kom siv cov tshuaj thinning ntshav ib ntus rau lub sijhawm ntawd xwb.

Kuv yuav tsum saib xyuas kuv tus kheej li cas?

• Yog koj noj Warfarin: Koj yuav tsum tau kuaj koj tus INR tsis tu ncua .Koj yuav tsum tau kuaj ntshav. Qhov no yuav xyuas seb qhov koob tshuaj '(Warfarin)' uas koj tau txais puas yog. Vim tias qhov koob tshuaj ntawm cov tshuaj no yuav tsum tau hloov pauv ntawm ib lub sijhawm mus rau ib lub sijhawm.
• Yog koj noj tshuaj ua kom cov ntshav nyias: Ceev faj thaum los ntshav. Ceev faj thaum siv cov khoom ntse xws li riam. Zoo dua siv txhuam hniav mos mos thiab rab chais hluav taws xob.
• Paub txog cov tsos mob ntawm DVT thiab PE: Koj yuav tsum paub txog cov tsos mob xws li o ntawm ceg, mob hauv siab, thiab ua tsis taus pa yog tias lawv tshwm sim.

Thaum twg kuv yuav tsum mus ntsib kws kho mob thiab mus rau ETU?

### Hu rau koj tus kws kho mob tam sim ntawd yog tias muaj cov xwm txheej no:

• Yog koj ntog lossis muaj lwm qhov xwm txheej thaum noj cov tshuaj thinners ntshav.
• Yog tias muaj kev los ntshav txawv txawv (piv txwv li, ntshav ntswg, ntshav hauv zis lossis quav).
• Yog koj xav tias koj muaj DVT (ntshav txhaws hauv ceg) .

### Yog koj muaj cov tsos mob no, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd:

• Yog koj noj tshuaj ua kom cov ntshav nyias thiab koj ntuav ntshav los yog hnoos tawm ntshav .
• Yog koj raug mob taub hau los yog mob taub hau hnyav tam sim ntawd .
• Yog tias muaj kev los ntshav ces tsis tuaj yeem nres .
• Yog koj xav tias koj muaj cov tsos mob ntawm PE (ntshav txhaws hauv lub ntsws) (ua pa luv luv tam sim ntawd, mob hauv siab, lub plawv dhia ceev, kiv taub hau).