Kodi mukukumana ndi magazi oundana m'thupi lanu? Tiyeni tiphunzire za Antiphospholipid Syndrome (APS)?

Ndizachilendo kuti magazi azithina ndikusiya kutuluka magazi tikavulala. Ndi njira yodzitetezera m'thupi lathu. Komabe, ngati magazi amathina m'mitsempha ya thupi nthawi zambiri popanda chifukwa, ndi nkhani yodetsa nkhawa. Makamaka ngati mupitiliza kutaya mimba panthawi ya mimba, chifukwa chake chingakhale matenda otchedwa Antiphospholipid Syndrome (APS), omwe tikambirana lero.

Kodi APS ndi chiyani kwenikweni?

Mwachidule, Antiphospholipid Syndrome (APS) ndi vuto lomwe limapangitsa thupi lanu kukhala ndi magazi ambiri kuposa masiku onse. Madokotala nthawi zina amalitcha kuti Antiphospholipid antibody syndrome.

Magazi oundana amenewa angayambitse mavuto aakulu, omwe angawopseze moyo, monga sitiroko . Matendawa amawonjezeranso chiopsezo cha kutaya mimba ndi mavuto ena panthawi ya mimba.

Matenda a APS kwenikweni ndi matenda odziteteza okha . Tangoganizirani, tili ndi chitetezo m'thupi mwathu ngati gulu lankhondo. Timachitcha chitetezo chamthupi. Ntchito yake ndi kutiteteza ku majeremusi ndi matenda omwe amayambitsa matenda. Koma mu matenda odziteteza okhawa, chomwe chimachitika ndichakuti chitetezo chathu chimayamba kuukira maselo abwino m'thupi lathu molakwika.

Kodi zizindikiro za vutoli ndi ziti?

Anthu ena omwe ali ndi matenda a APS amatha kukhala ndi mawanga akuda pakhungu lawo omwe amaoneka ngati ukonde. Izi zimatchedwa livedo reticulitis . Komabe, anthu ambiri omwe ali ndi matenda a APS sakhala ndi zizindikiro zilizonse mpaka atayamba kuundana kwa magazi kapena kukhala ndi vuto panthawi ya mimba.

Izi ndi zizindikiro zomwe zingachitike ngati magazi ataundana. Muyenera kusamala kwambiri ndi izi.

Kuwonjezera pa zizindikiro zimenezi, matenda a APS angayambitsenso zizindikiro zina zomwe sitingathe kuziona kapena kuzimva.

• Kuchepa kwa kuchuluka kwa ma platelet m'magazi.
• Kuchepa kwa magazi m'thupi.
• Kusakhazikika kwa ma valve a mtima.

N’chifukwa chiyani izi zikuchitika?

Matenda a Antiphospholipid amapezeka pamene chitetezo cha mthupi chanu chimayamba kupanga mtundu wosadziwika bwino wa antibody. Kawirikawiri, ma antibodies ndi mapuloteni apadera omwe amafufuza ndikuwononga majeremusi ndi zinthu zomwe zimayambitsa ziwengo zomwe zimalowa m'thupi lathu. Ali ngati maloboti oteteza thupi.

Koma mwa munthu amene ali ndi APS, ma antibodies amenewa, omwe amapangidwa ndi chitetezo chamthupi, amaukira mapuloteni omwe amamatiridwa ku phospholipids (mtundu wa mafuta) m'maselo athu. Kuukira kumeneku kumawononga ma phospholipids, zomwe zimapangitsa kuti azimatirirana ndikupanga magazi kuundana.

Pali mitundu itatu ikuluikulu ya ma antibodies omwe angayambitse APS:

• Mankhwala oletsa magazi kuundana a Lupus
• Anticardiolipin
• Anti-B2 glycoprotein 1

Munthu amene ali ndi matenda a APS akhoza kukhala ndi ma antibodies amodzi, awiri, kapena onse atatu. Koma chodabwitsa kwambiri n'chakuti anthu ena akhoza kukhala ndi ma antibodies amenewa koma sakhala ndi zizindikiro za matenda a APS. Akatswiri sakudziwabe chomwe chimayambitsa chitetezo chathu cha mthupi kupanga ma antibodies olakwikawa.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Aliyense akhoza kukhala ndi matenda a APS. Komabe, mungakhale pachiwopsezo chachikulu ngati:

• Ngati ndinu mkazi .
• Ngati muli ndi zaka pakati pa 30 ndi 40 .
• Ngati muli ndi matenda ena odziteteza ku matenda a autoimmune, monga lupus kapena rheumatoid arthritis.
• Ngati m'modzi mwa abale anu apamtima (makolo, agogo) ali ndi APS.

Kodi ndi mavuto otani omwe angabwere chifukwa cha APS?

Matenda a Antiphospholipid angayambitse mavuto aakulu, nthawi zina oopsa. Mavuto aakulu kwambiri amapezeka pamene magazi amaundana ndipo amatseka mitsempha yomwe imapereka magazi ku ziwalo zofunika kwambiri za thupi lanu.

• Ubongo: sitiroko
• Mtima: Kuukira kwa mtima (thrombosis)
• Mapapo: Kutsekeka kwa mitsempha yamagazi m'mapapo (pulmonary embolism)
• Impso: Kuwonongeka kwa impso

Ngati muli ndi pakati, magazi kuundana omwe amalepheretsa kupereka zakudya ku placenta angayambitse kutayika kwa mimba. Zimawonjezeranso chiopsezo cha preeclampsia, matenda omwe kuthamanga kwa magazi kumachitika panthawi ya mimba.

Matenda a catastrophic antiphospholipid syndrome (CAPS) ndi vuto losowa koma lalikulu la APS. Ndi vuto lomwe magazi amaundana m'ziwalo zambiri za thupi kwa masiku angapo. Pafupifupi theka la anthu omwe ali ndi vutoli amafa. Komabe, CAPS imachitika mwa anthu osakwana 1% omwe ali ndi APS.

APS nthawi zambiri simakhudza moyo wanu. Komabe, ngati magazi oundana awononga chiwalo chofunikira, makamaka pa vuto ngati CAPS, likhoza kupha.

Kodi dokotala amazindikira bwanji matendawa molondola?

Matenda a APS nthawi zambiri amapezeka magazi akaundana kapena atapita padera mobwerezabwereza. Anthu ena akhoza kukhala ndi ma antibodies a antiphospholipid koma sasonyeza zizindikiro.

Dokotala adzatsimikizira ngati muli ndi APS kudzera mu mayeso a magazi . Adzatenga chitsanzo cha magazi anu ndikuyang'ana kupezeka kwa mitundu itatu ya ma antibodies omwe atchulidwa kale. Kuti atsimikizire matendawa, mayeso amodzi a magazi ayenera kukhala ndi kachilombo kawiri, nthawi zopitilira miyezi itatu.

Kodi mankhwala ochizira izi ndi otani?

Dokotala wanu adzakulangizani mankhwala omwe amachepetsa chiopsezo cha magazi kuundana. Mankhwala ofala kwambiri ndi ochepetsa magazi, kapena oletsa magazi kuundana .

Ngati muli ndi pakati, mankhwalawa ndi otetezeka kwa inu ndi mwana wanu, kotero palibe chifukwa chodera nkhawa.

Tidziwenso zotsatirapo zoyipa za mankhwala ochepetsa magazi.

Mukatenga mankhwala ochepetsa magazi, thupi lanu limakhala ndi mwayi waukulu wotaya magazi. Choncho muyenera kusamala kwambiri ndi zizindikiro izi. Ngati muli ndi chilichonse mwa izi , lankhulani ndi dokotala wanu nthawi yomweyo.

• Kutuluka magazi m'kamwa kapena m'mphuno popanda chifukwa .
• Kutuluka magazi kwambiri kuposa nthawi zonse panthawi ya msambo.
• Kusanza kofiira pang'ono kapena kofiira ngati khofi .
• Magazi ofiira owala mu ndowe kapena ndowe zakuda, zotsalira .
• Kupweteka kwambiri m'mimba kapena mutu waukulu .
• Kusintha kwadzidzidzi kwa masomphenya .
• Kutaya mwadzidzidzi kumverera m'manja kapena miyendo .

Zinthu Zofunika Kuziganizira Mukakhala ndi APS

Chofunika kwambiri mukakhala ndi matenda a APS ndikupewa kuundana kwa magazi. Pachifukwa ichi, ndikofunikira kumwa mankhwala ochepetsa magazi moyenera.

Kuphatikiza apo, ndikofunikira kuwongolera matenda ena omwe amawonjezera chiopsezo cha magazi kuundana. Ngati muli ndi vuto lililonse mwa izi, lankhulani ndi dokotala wanu ndipo muwathandize:

• Matenda a shuga
• Kuthamanga kwa magazi
• Cholesterol yambiri
• Kunenepa kwambiri
• Matenda ena a autoimmune

Kodi muyenera kusamala ndi chakudya ndi zakumwa?

Anthu omwe ali ndi matenda a APS nthawi zambiri safunika kutsatira zakudya zapadera. Komabe, ngati mukumwa mankhwala a Warfarin , muyenera kusamala ndi zakudya zokhala ndi vitamini K (masamba obiriwira monga sipinachi). Kudya zakudya zambiri zokhala ndi vitamini K nthawi imodzi kungakulitse chiopsezo chanu chokhala ndi magazi ambiri. Choncho funsani dokotala wanu kuti akupatseni upangiri.

Komanso, funsani dokotala wanu za kumwa mowa. Mowa umachepetsera magazi, kotero kuphatikiza ndi mankhwala ochepetsa magazi kungathandize kwambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukumwa mankhwala ochepetsa magazi, muyenera kupita kwa dokotala nthawi zonse kuti akakuyezeni magazi kuti muwonetsetse kuti magazi anu akuundana bwino.

Ngati mukuyembekeza kutenga mimba, ndikofunikira kwambiri kulankhula ndi dokotala wanu za izi pasadakhale ndikupeza upangiri.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo:

• Ndikuganiza kuti muli ndi magazi oundana.Ngati zitachitika.
• Ngati pali zizindikiro zilizonse za magazi kuundana.
• Ngati mukutuluka magazi mosalamulirika .