Tej zaum koj twb tau hnov lawm, "Auj, tus tub hluas ntawd cia li muaj ntshav txhaws." Los yog koj puas tau muaj koj txhais ceg cia li o thiab mob? Hnub no peb yuav tham txog ib yam mob hu ua 'Thrombophilia' uas qee zaum ua rau muaj tej yam zoo li no. Tsis txhob ntshai thaum koj hnov lub npe no, qhov no yog ib yam mob uas ntau tus neeg muaj tau. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum paub txog nws.
Hauv lwm lo lus, Thrombophilia yog dab tsi?
Thrombophilia yog ib yam mob uas koj cov ntshav txhaws tau yooj yim dua thiab sai dua li cov ntshav ib txwm muaj. Cov kws kho mob hu qhov no ua 'hypercoagulable'. Qhov no txhais tau tias koj cov ntshav muaj peev xwm txhaws tau ntau dua. Qhov no tuaj yeem yog los ntawm noob caj noob ces lossis tau txais. Tam sim no xav txog seb muaj dab tsi tshwm sim thaum koj txiav koj txhais tes nrog riam? Me ntsis ntshav ploj mus, thiab tom qab ib pliag cov ntshav txhaws tsim ntawm qhov chaw ntawd thiab cov ntshav tsis ntws. Nws yog ib qho txheej txheem tiv thaiv hauv peb lub cev. Tom qab qhov txhab kho, lub cev yaj cov ntshav txhaws dua thiab tshem tawm nws. Tab sis muaj lwm yam tshwm sim rau ib tus neeg uas muaj Thrombophilia. Txawm tias thaum lub cev tsis xav tau nws, cov ntshav txhaws tsim nyob rau hauv cov leeg. Lossis, cov ntshav txhaws uas tsim tsis yaj thiab tshem tawm kom raug. Qhov teeb meem loj yog thaum cov ntshav txhaws no mus ncig raws cov leeg thiab thaiv cov hlab ntsha uas mus rau ib lub cev tseem ceeb. Vim tias txhua lub cell hauv peb lub cev tau txais cov pa oxygen uas nws xav tau los ntawm cov ntshav. Yog tias cov hlab ntsha raug thaiv, nws tsis tuaj yeem nqa cov pa oxygen. Qhov no tuaj yeem ua rau muaj cov mob hnyav xws li
mob plawv nres thiab mob stroke .
Muaj ob hom thrombophilia tseem ceeb:
Raws li peb tau hais ua ntej lawm, tus mob no muaj ob hom loj raws li nws tshwm sim li cas. 1.
Mob Thrombophilia uas tau txais: Qhov no yog hom mob uas feem ntau tshwm sim. Nws tsis yog ib yam dab tsi uas tau txais los ntawm noob caj noob ces. Nws tuaj yeem tshwm sim los ntawm qee yam tshuaj uas peb noj, peb txoj kev ua neej, lossis lwm yam kab mob. Hom mob uas feem ntau tshwm sim thiab hnyav tshaj plaws yog
Antiphospholipid Syndrome . 2.
Mob Thrombophilia uas tau txais los ntawm noob caj noob ces (Genetic/Inherited Thrombophilia): Qhov no yog ib yam mob uas koj tau txais los ntawm koj niam, txiv, lossis ob leeg. Muaj cov protein hauv peb lub cev uas tswj cov ntshav txhaws. Vim yog cov kev hloov pauv noob caj noob ces no, cov protein ntawd yuav tsis ua haujlwm zoo. Lossis lub cev yuav tsim cov protein tsawg dua uas tiv thaiv cov ntshav txhaws.
Yog tias koj tau muaj cov ntshav txhaws ua ntej hnub nyoog 40 xyoo, tau muaj ntau zaus poob qis , lossis yog tias ib tug neeg hauv koj tsev neeg muaj keeb kwm ntawm cov ntshav txhaws, koj kuj tseem yuav muaj tus mob thrombophilia uas tau txais los ntawm noob caj noob ces no.
Cov subtypes ntawm congenital thrombophilia yog dab tsi?
Muaj ntau hom mob caj ces no sib txawv. Cia peb saib qee hom tseem ceeb.
| Hom Kab Mob Thrombophilia Genetic | Ib qho lus piav qhia yooj yim txog nws |
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| Factor V Leiden Thrombophilia | Qhov no yog qhov feem ntau ntawm cov kev hloov pauv caj ces. Nws cuam tshuam rau 1% txog 5% ntawm cov pej xeem. Nws ua rau muaj kev pheej hmoo ntawm kev tsim cov ntshav txhaws hauv cov leeg ntshav tob hauv ceg (Deep Vein Thrombosis - DVT) thawj zaug. |
| Kev kuaj mob Prothrombin Thrombophilia | Qhov no yog hom mob thib ob uas neeg feem ntau ntsib. Muaj feem yuav mob ntsws txhaws, DVT, thiab nchuav menyuam ntau dua. |
| Kev Tsis Muaj Protein C | Qhov no tsis tshua muaj. Muaj feem yuav muaj ntshav txhaws rov qab los. Yog tias tus mob no tau txais los ntawm niam txiv ob leeg, nws tuaj yeem ua rau tuag taus. |
| Kev Tsis Txaus Protein S | Qhov no kuj tsis tshua muaj. Ib hom mob uas tsis tshua muaj (uas tau los ntawm niam txiv ob leeg) tuaj yeem ua rau muaj teeb meem ntshav txhaws uas ua rau tuag taus rau cov menyuam mos. |
| Kev Tsis Txaus Antithrombin | Qhov no kuj tsis tshua muaj (tshwm sim rau 1 ntawm 500 txog 5,000 tus neeg). Tab sis cov neeg uas muaj tus mob no muaj feem yuav ntshav txhaws ntau dua li cov neeg uas muaj lwm yam mob caj ces. Ntau tshaj 80% ntawm cov neeg uas muaj tus mob no yuav muaj tsawg kawg ib qho ntshav txhaws thaum muaj hnub nyoog 50 xyoo. |
Cov tsos mob ntawm cov ntshav txhaws yog dab tsi?
Feem ntau, tej zaum koj yuav tsis paub tias koj muaj tus kab mob thrombophilia. Qhov teeb meem tsuas yog tshwm sim thaum cov ntshav txhaws thiab cov tsos mob tshwm sim. Cov tsos mob no sib txawv nyob ntawm qhov chaw uas cov ntshav txhaws tau tsim.
| Lub cev ib feem | Cov tsos mob uas yuav tshwm sim |
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| Lub hlwb | - Qaug dab peg
- Mob taub hau tam sim ntawd, hnyav heev
- Nyuaj hais lus thiab pom kev
- Kev xav tias loog ntawm ib sab ntawm lub cev
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| Lub plawv | |
| Lub ntsws | |
| Ceg los yog caj npab | - Kev o sai sai
- Mob hnyav heev
- Xav tias sov so thaum kov
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| Lub plab | - Xeev siab thiab ntuav
- Mob plab
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Dab tsi yog cov ua rau thiab cov yam ntxwv uas ua rau muaj kev mob thrombophilia?
Ntxiv rau cov ua rau muaj caj ces, ntau lwm yam ua rau thiab cov yam ua rau muaj kev pheej hmoo tuaj yeem ua rau muaj thrombophilia lossis ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.
Cov laj thawj tseem ceeb:
- Cov tsos mob Antiphospholipid
- Disseminated Intravascular Coagulation (DIC), ib qho teeb meem ntshav tsis tshua muaj
- Kab mob siab
- Kev kis tus kab mob HIV
- Kab mob siab
Tej yam uas ua rau muaj kev pheej hmoo ntau ntxiv:
- Rog dhau: Kev rog dhau yog ib qho tseem ceeb uas ua rau cov ntshav txhaws.
- Cev Xeeb Tub: Kev hloov pauv ntawm cov tshuaj hormones hauv lub cev thaum cev xeeb tub ua rau cov ntshav txhaws ntau ntxiv.
- Kev Siv Cov Khoom Luam Yeeb: Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj thiab ua rau cov ntshav txhaws yooj yim dua.
- Lwm yam kab mob: Cov mob xws li ntshav qab zib, mob qog noj ntshav, kab mob plawv, thiab atherosclerosis.
- Nyob rau tib qho chaw ntev ntev: Thaum nyob hauv tsev kho mob tom qab phais mob, caij dav hlau ntev lossis caij npav, lossis thaum zaum ua haujlwm, cov ntshav ncig hauv ob txhais ceg tuaj yeem txo qis thiab cov ntshav txhaws tuaj yeem tsim tau.
- Tab tom phais.
- Noj cov tshuaj tswj kev yug me nyuam lossis kev kho mob hloov tshuaj hormones (HRT) uas muaj cov tshuaj hormones estrogen.
- Muaj keeb kwm tsev neeg ntawm cov ntshav txhaws.
- Kev laus.
- Kev rho menyuam uas tsis muaj laj thawj nrhiav tau.
- Muaj ntau tshaj ib qho ntshav txhaws ua ntej hnub nyoog 40 xyoo.
Nco ntsoov, tsuas yog vim koj muaj ib lossis ntau yam ntawm cov yam no tsis tau txhais hais tias koj yuav muaj ntshav txhaws. Tab sis nws yog ib qho tseem ceeb kom paub txog lawv thiab ua raws li koj tus kws kho mob cov lus qhia.
Kuv yuav ua li cas thiaj paub tias kuv muaj tus mob no?
Thaum koj muaj cov ntshav txhaws thiab tab tom kho mob rau nws, koj tus kws kho mob yuav xav tias koj muaj tus kab mob thrombophilia. Tom qab ntawd lawv yuav ua ntau qhov kev kuaj mob kom paub meej tias muaj tus mob no.
- Koj Keeb Kwm Kho Mob: Koj yuav raug nug txog cov ntshav txhaws yav dhau los, seb puas muaj leej twg hauv koj tsev neeg tau muaj lawv, lossis seb koj puas tau poob qis.
- Kev Kuaj Lub Cev: Xyuas seb puas o thiab mob los ntawm cov ntshav txhaws.
- Kev Kuaj Ntshav: Kev kuaj ntshav tshwj xeeb yog ua los nrhiav cov mob caj ces lossis lwm yam protein tsis txaus uas ua rau thrombophilia.
- Lwm yam kev kuaj mob: Cov kev kuaj mob xws li kev kuaj ultrasound, CT scans , lossis angiograms yuav ua tau los nrhiav qhov chaw tseeb ntawm cov ntshav txhaws.
Leej twg yuav tsum xeem qhov kev xeem no?
Feem ntau cov kev kuaj no tsis yog ua rau txhua tus neeg. Koj tus kws kho mob yuav xaj cov kev kuaj no rau cov xwm txheej hauv qab no:
- Yog tias koj muaj ntshav txhaws ua ntej hnub nyoog 50 xyoo.
- Yog tias muaj ntau tus neeg hauv koj tsev neeg muaj keeb kwm ntawm cov ntshav txhaws.
- Yog tias cov ntshav txhaws tsis muaj cov yam ntxwv pom tseeb txog kev pheej hmoo.
- Yog tias cov ntshav txhaws tsim nyob rau hauv cov chaw tsis tshua muaj (piv txwv li, caj npab, plab).
- Yog koj muaj kev rho menyuam ntau zaus.
- Yog koj xav paub seb koj tsev neeg puas muaj kev pheej hmoo.
Cov kev kho mob rau thrombophilia yog dab tsi?
Tsis muaj tshuaj kho tau tus kab mob thrombophilia uas muaj txij thaum yug los. Tab sis nws tuaj yeem
tswj tau zoo, tiv thaiv kev txhaws ntshav thiab ua lub neej ib txwm muaj. Cov kev xaiv kho mob nyob ntawm hom kab mob thrombophilia uas koj muaj, seb puas muaj ntshav txhaws, thiab qhov hnyav ntawm tus mob.
- Cov Tshuaj Tiv Thaiv Kev Ntshav Ntshav: Cov no yog cov kev kho mob tseem ceeb. Cov tshuaj no ua haujlwm los ntawm kev tiv thaiv cov ntshav txhaws tshiab kom tsis txhob tsim thiab los ntawm kev ua kom qeeb qeeb ntawm cov ntshav txhaws uas twb muaj lawm. Heparin thiab Warfarin yog cov tshuaj qub. Cov tshuaj tshiab tam sim no muaj uas yooj yim dua rau kev noj. Ib txhia neeg yuav tau noj cov tshuaj no mus tas lawv lub neej.
- Cov tshuaj Thrombolytics: Cov no tsuas yog siv rau thaum muaj xwm txheej ceev thiab cov xwm txheej loj xwb. Piv txwv li, yog tias cov ntshav txhaws loj hauv lub ntsws ua rau tuag taus, cov tshuaj no tuaj yeem muab rau hauv cov hlab ntsha kom yaj cov ntshav txhaws sai sai.
- Cov thom khwm nias: Koj tus kws kho mob yuav qhia koj kom hnav cov thom khwm tshwj xeeb no kom txo qhov o thiab tswj cov ntshav ncig zoo, tshwj xeeb tshaj yog rau cov neeg uas muaj cov ntshav txhaws hauv lawv ob txhais ceg.
- Kev Phais Mob: Tsis tshua muaj, yog tias cov ntshav txhaws loj tsis tuaj yeem yaj nrog tshuaj, yuav tsum tau phais kom tshem tawm.
Tej yam peb ua tau los txo qhov kev pheej hmoo
Yog tias koj paub tias koj muaj tus kab mob thrombophilia, lossis muaj feem yuav mob ntshav txhaws, nws yog ib qho tseem ceeb heev uas yuav tsum hloov koj txoj kev ua neej.
- Tsis txhob haus luam yeeb kiag li.
- Tswj koj lub cev kom muaj qhov hnyav zoo.
- Ua si nawv tsis tu ncua. Txawm tias yog ib yam yooj yim xws li kev taug kev los kuj zoo ua txhua hnub.
- Thaum mus ncig teb chaws ntev: Yog tias koj caij dav hlau lossis caij npav mus ncig teb chaws ntev, sawv txhua teev lossis ob teev thiab taug kev ncig me ntsis, co koj ob txhais ceg.
- Tom qab phais: Sawv ntawm txaj thiab pib taug kev sai li sai tau thaum koj tus kws kho mob tso cai rau koj.
- Cov tshuaj uas muaj estrogen: Yog tias koj noj cov tshuaj uas muaj estrogen, xws li cov tshuaj tswj kev yug me nyuam, nrog koj tus kws kho mob tham txog qhov kev pheej hmoo no. Nws yuav muaj peev xwm pom zoo lwm txoj hauv kev rau koj.
- Cov lus qhia los ntawm kws kho mob: Yog tias koj noj tshuaj uas ua rau cov ntshav nyias, noj raws sijhawm thiab raws li qhov ntau npaum li cas. Tsis txhob tsum noj tshuaj yam tsis tau sab laj nrog koj tus kws kho mob.
Thaum twg yuav tsum mus ntsib kws kho mob
Yog tias koj muaj tus kab mob thrombophilia, nws yog ib qho tseem ceeb kom koj nrog koj tus kws kho mob sib tham tas li thiab ua sai sai yog tias muaj cov tsos mob tshwm sim.
Thaum twg yuav tsum nrhiav kev pab tswv yim kho mob: Mus ntsib koj tus kws kho mob lossis
mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. - o tshiab, mob, lossis liab ntawm ib ceg lossis caj npab.
- Kev los ntshav tsis zoo li qub, xws li los ntshav ntswg, ntshav hauv cov zis lossis cov quav, vim yog cov tshuaj ua kom cov ntshav nyias.
- Yog koj muaj lus nug lossis kev tsis ntseeg txog koj qhov teeb meem.
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- Mob hauv siab hnyav heev lossis ua pa nyuaj (cov no tej zaum yuav yog cov cim qhia txog kev mob plawv lossis pulmonary embolism).
- Mob taub hau loj heev tam sim ntawd, hais lus tsis tau zoo, lossis qaug zog ib sab ntawm lub cev (tej zaum yuav yog cov cim qhia tias muaj mob stroke).
- Los ntshav hnyav thiab txuas ntxiv los ntawm qhov txiav.
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Cov Lus Qhia Txog Kev Coj Mus Tsev
- Thrombophilia yog ib yam mob uas cov ntshav txhaws tau yooj yim thiab sai dua li qub. Qhov no tuaj yeem yog ib yam dab tsi uas muaj thaum yug los lossis ib yam dab tsi uas tshwm sim tom qab hauv lub neej.
- Muaj coob tus neeg uas muaj tus mob no nyob tsis muaj ntshav txhaws. Cov tsos mob tsuas yog tshwm sim yog tias cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav thiab thaiv cov ntshav ntws.
- Cov ntshav txhaws tuaj yeem ua rau mob hnyav yog tias nws tsim nyob rau hauv lub hlwb, lub plawv, lub ntsws, lossis ob txhais ceg, yog li nws tseem ceeb heev uas yuav tsum paub txog cov tsos mob.
- Txawm hais tias qhov mob no tsis tuaj yeem kho tau tag nrho los xij, nws tuaj yeem tswj tau zoo thiab txo qhov kev pheej hmoo los ntawm kev noj tshuaj raws li koj tus kws kho mob tau sau tseg thiab ua raws li kev noj qab haus huv.
Thrombophilia, ntshav txhaws, DVT, pulmonary embolism, thrombosis, ntshav txhaws, ntshav thinner
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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