Kodi mudamvapo za munthu amene mwadzidzidzi akuyamba kutupa miyendo yake, koma dokotala n’kumupeza ndi “magazi oundana”? Kapena mwina wachinyamata, wooneka ngati wathanzi, akuthamangitsidwa kuchipatala ndi ululu wa pachifuwa mwadzidzidzi komanso kuvutika kupuma? Tikamva nkhani zimenezi, zimakhala zosokoneza kumvetsa chifukwa chake zimachitika. Nthawi zambiri, timaganiza kuti mavutowa amabwera chifukwa cha ukalamba kapena kunenepa kwambiri. Komabe, nthawi zina chifukwa chake chimakhala chapadera monga mtundu wa maso anu kapena kapangidwe ka tsitsi lanu—ndi khalidwe lochokera kwa makolo anu. Lero, tikukambirana za vuto la cholowa lomwe limawonjezera chiopsezo cha magazi oundana: Prothrombin Gene Mutation , kuno ku Nirogi Lanka.
Mwachidule, Kodi Prothrombin Gene Mutation ndi Chiyani?
Ngakhale dzinali likumveka ngati laukadaulo, lingaliroli ndi losavuta. Tiyeni tiwone momwe thupi lanu limathandizira kutseka magazi. Mukadula pang'ono, kutuluka magazi kumasiya patatha mphindi zochepa, sichoncho? Izi zimachitika chifukwa dongosolo lovuta la thupi lanu lotseka magazi limayamba kugwira ntchito. Njirayi imadalira mapuloteni osiyanasiyana otchedwa Clotting Factors.
Prothrombin ndi imodzi mwa mapuloteni otere, omwe amadziwikanso kuti Factor II . Nthawi zambiri, thupi lanu limapanga kuchuluka koyenera kwa prothrombin.
Komabe, ngati muli ndi Prothrombin Gene Mutation, thupi lanu limapanga mapuloteni ambiri kuposa momwe mukufunira. Taganizirani izi ngati njira yophikira: ngati kapu ya tiyi ikufuna supuni ziwiri za shuga ndipo wina awonjezera zisanu kapena zisanu ndi chimodzi, zimakhala ngati madzi ambiri. Mofananamo, Prothrombin yochuluka imapangitsa magazi anu "kumamatira," zomwe zimapangitsa kuti muyambe kuundana.
Chifukwa cha izi, mumakhala pachiwopsezo chowonjezeka cha magazi kuundana (thrombosis) m'mitsempha yanu popanda kuvulala kulikonse. Magazi kuundana amenewa nthawi zambiri amapangika m'mitsempha yakuya ya miyendo yanu—vuto lotchedwa Deep Vein Thrombosis (DVT) . Nthawi zina, chidutswa cha magazi kuundanacho chingasweke ndikupita ku mapapo, ndikutseka mtsempha wamagazi. Ichi ndi vuto lachipatala lomwe limayambitsa imfa lomwe limadziwika kuti Pulmonary Embolism (PE) .
Kodi Gene Iyi Imachokera Kuti? Kumvetsetsa Homozygous ndi Heterozygous
N'zosavuta kumvetsa: mumalandira kopi imodzi ya jini iliyonse kuchokera kwa amayi anu ndi imodzi kuchokera kwa abambo anu.
1. Heterozygous: Munalandira jini yolakwika kuchokera kwa amayi anu kapena abambo anu, koma osati onse awiri. Kholo lanu lina linapereka jini yathanzi komanso yabwinobwino. Iyi ndi njira yodziwika kwambiri. Pankhaniyi, chiopsezo chokhala ndi magazi oundana chimakhala chachikulu pang'ono kuposa cha munthu wamba. Pafupifupi anthu awiri kapena atatu mwa anthu 1,000 aliwonse omwe ali ndi vutoli akhoza kukhala ndi magazi oundana.
2. Homozygous: Izi sizichitika kawirikawiri. Pachifukwa ichi, munalandira jini yolakwika kuchokera kwa makolo onse awiri . Chifukwa muli ndi makope awiri a kusintha kwa majini, chiopsezo chanu chokhala ndi magazi oundana ndi chachikulu kangapo kuposa cha omwe ali ndi heterozygous.
Kodi Ndipereka Izi kwa Ana Anga?
Makolo ambiri amadera nkhawa ndi izi.
- Ngati muli ndi Homozygous (muli ndi makope awiri a kusintha kwa majini), mudzapereka kopi imodzi ya majini yolakwika kwa ana anu onse .
- Ngati muli ndi Heterozygous (muli ndi kopi imodzi yolakwika), pali mwayi wa 50% kuti mwana wanu aliyense adzalandira jini imeneyo. Kwenikweni zili ngati kuponya ndalama.
Kodi Zizindikiro za Matendawa Ndi Ziti?
Nayi gawo lofunika kwambiri: Kusintha kwa majini a Prothrombin sikubweretsa zizindikiro zilizonse.Ngakhale mutakhala ndi jini iyi, mungamve bwino kwambiri. Anthu ambiri sadziwa kuti ali nayo ndipo amakhala moyo wawo wonse ali ndi thanzi labwino popanda kupanga magazi kuundana.
Vuto limabwera pokhapokha ngati jiniyo imayambitsa magazi kuundana. Zikatero, mudzawona zizindikiro zokhudzana ndi magazi kuundana okha.
| Malo a Clot | Zizindikiro Zomwe Zingatheke |
|---|---|
| Kutupa kwa Mitsempha Yaikulu (DVT) mwendo kapena mkono |
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| Kutupa kwa mapapo (PE) m'mapapo |
|
Chofunika: Kuundana kwa magazi m'mapapo ( Pulmonary Embolism ) ndi vuto lachipatala . Ngati mukumva zizindikiro izi, funani chithandizo chadzidzidzi nthawi yomweyo kapena imbani 911/emergency services nthawi yomweyo.
Kodi Pali Zinthu Zina Zomwe Zimawonjezera Chiwopsezo cha Kutsekeka kwa Magazi?
Inde, ndithudi. Monga tanenera, kukhala ndi jini iyi sikutanthauza kuti mudzaundana. Komabe, ngati pali zinthu zina zoopsa, chiopsezo chanu chimawonjezeka kwambiri. Taganizirani izi ngati kuwonjezera mafuta pamoto.
- Kusuta: Kusuta kumawononga mitsempha yamagazi ndipo kumawonjezera kwambiri chiopsezo cha magazi kuundana.
- Kuchitidwa Opaleshoni: Opaleshoni zazikulu nthawi zambiri zimafuna nthawi yayitali yogona, zomwe zimachepetsa kuyenda kwa magazi ndipo zingayambitse kuundana kwa magazi.
- Kunenepa Kwambiri ( Kunenepa Kwambiri ): Kulemera kwambiri kwa thupi kumawonjezera kupanikizika pa mitsempha yanu, zomwe zimawonjezera chiopsezo chanu chonse.
- Mimba: Pa nthawi ya mimba, kusintha kwa mahomoni ndi kupanikizika kwa mwana amene akukula m'mitsempha mwachibadwa kumawonjezera chiopsezo cha magazi kuundana.
- Mapiritsi Oletsa Kubereka Kapena Mankhwala a Hormone: Mankhwala ena oletsa kubereka komanso mankhwala a mahomoni ali ndi estrogen, zomwe zingakuwonjezereni chiopsezo chanu.
- Ukalamba: Pamene mukukula, chiopsezo chachilengedwe cha magazi kuundana chimawonjezeka.
- Kusayenda Kwanthawi Yaitali:
- Kupumula pabedi la kuchipatala kwa nthawi yayitali.
- Kulephera kuyenda chifukwa cha kusweka kwa fupa pambuyo poti fupa lasweka.
- Ulendo wautali wa ndege, mabasi, kapena magalimoto womwe umatenga maola angapo.
Kodi vutoli limapezedwa bwanji?
Mayeso a magazi wamba (monga Kuchuluka kwa Magazi Onse) sangazindikire izi. Kuyesedwa kwa majini pogwiritsa ntchito chitsanzo cha magazi ndikofunikira kuti munthu adziwe matenda.
Komabe, madokotala samalimbikitsa mayeso awa kwa aliyense. Dokotala nthawi zambiri amakayikira ndikulamula mayesowa pokhapokha ngati:
- Munakhala ndi magazi okhuthala oposa limodzi m'mbuyomu.
- Umaundana magazi uli mwana popanda mavuto ena aliwonse okhudza thanzi.
- Wachibale wapafupi (kholo kapena m'bale) ali ndi mbiri ya matenda otsekeka magazi.
Kodi chimachiritsidwa bwanji?
Ndikofunikira kusiyanitsa pakati pa zinthu ziwiri:
1. Kuchiza matenda a majini: Pakadali pano, palibe njira yachipatala yosinthira majini anu . Ngati muli ndi Prothrombin Gene Mutation, ndi gawo la kapangidwe ka majini anu kwa moyo wanu wonse.
2. Kuchiza magazi oundana: Komabe, tikhoza kuchepetsa chiopsezo cha magazi kuundana ndikuchiza magazi oundana omwe amachitika.
Ngati mukukumana ndi DVT kapena PE, dokotala wanu mwina angayambitse chithandizo ndi mankhwala ochepetsa magazi otchedwa Anticoagulants . Pazifukwa zinazake zadzidzidzi, mankhwala a Thrombolytic angaperekedwe kudzera mu jakisoni kuti asungunule magazi oundana. Nthawi zina, catheter kapena opaleshoni ingagwiritsidwe ntchito kuchotsa magazi oundana.
Nthawi ya chithandizo imasiyana malinga ndi munthu aliyense. Ena angafunike kumwa mankhwala kwa miyezi itatu yokha, pomwe ena angafunike mankhwala ochepetsa magazi kwa moyo wawo wonse kutengera momwe dokotala wanu amaonera zoopsa zomwe muli nazo.
Kodi izi zimakhudza bwanji mimba?
Iyi ndi nkhani yofala komanso yofunika kwa akazi ambiri.
- Ngati muli ndi Prothrombin Gene Mutation komanso muli ndi mbiri ya magazi kuundana , dokotala wanu angakulangizeni kuti mupereke jakisoni wochepa tsiku lililonse (monga Heparin) panthawi yonse ya mimba yanu komanso kwa milungu ingapo mutabereka. Jakisoni iyi ndi yotetezeka kwa mwana wanu.
- Komabe, ngati muli ndi jini iyi koma simunayambe mwazi kuundana , nthawi zambiri chithandizo chamankhwala sichifunika panthawi ya mimba.
Izi ziyenera kusankhidwa ndi dokotala wanu malinga ndi nkhani iliyonse. Ngati mukukonzekera kutenga pakati kapena kutenga pakati, ndikofunikira kudziwitsa dokotala wanu wa matenda a amayi ndi ena othandizira zaumoyo za momwe mulili m'thupi lanu.
Kodi muyenera kupita kwa dokotala liti?
Kuzindikira msanga zizindikiro n'kofunika kwambiri kuti tipewe mavuto aakulu.
| Zizindikiro Zoyenera Kuzisamala | Kuchitapo Kanthu Kofunika |
|---|---|
| Zizindikiro za DVT: Ululu, kutupa, kufiira, kapena kutentha m'dzanja kapena mwendo. | Lumikizanani ndi dokotala wanu wamkulu nthawi yomweyo kapena pitani ku dipatimenti yadzidzidzi yapafupi. |
| Zizindikiro za PE: Kupweteka pachifuwa, kupuma movutikira, kapena mtima kuthamanga. | Musachedwe. Fufuzani chithandizo chamankhwala mwamsanga. Izi ndi zoopsa zomwe zingawononge moyo wanu. |
| Ngati panopa mukumwa mankhwala ochepetsa magazi (Anticoagulants). | Tsatirani mosamala mayeso a magazi ndi nthawi yokumana ndi dokotala kuchipatala yomwe mwakonza. |
Pomaliza, musachite mantha ngati mutapeza kuti muli ndi Prothrombin Gene Mutation. Kumbukirani kuti anthu ambiri omwe ali ndi jini iyi amakhala ndi moyo wathanzi komanso wodzaza ndi thanzi. Njira zofunika kwambiri ndikukhala ndi chidziwitso, kupewa zinthu zomwe zingawopseze (monga kusuta fodya ndi kunenepa kwambiri), kukhala ndi moyo wathanzi, komanso kufunafuna upangiri wachipatala mwachangu ngati pali zizindikiro zilizonse.
Uthenga Wopita Nawo Kunyumba
- Kusintha kwa majini a Prothrombin ndi vuto la majini lobadwa nalo; si vuto lanu.
- Kukhala ndi jini iyi sikutanthauza kuti mudzakhala ndi magazi oundana; anthu ambiri sakumana ndi mavuto aliwonse.
- Jini iyi yokha siimayambitsa zizindikiro. Zizindikiro zimangochitika ngati magazi aundana (DVT kapena PE) apanga.
- Khalani maso kuti mudziwe zizindikiro monga kutupa/kupweteka kwa miyendo (DVT) kapena kupweteka kwadzidzidzi pachifuwa/kulephera kupuma (PE).
- Pulmonary Embolism (PE) ndi vuto lachipatala lomwe limafuna chithandizo chadzidzidzi.
- Kusiya kusuta fodya, kuchepetsa thupi lanu, komanso kukhala ndi zochita zambiri kungachepetse kwambiri chiopsezo chanu chotseka magazi.
- Nthawi zonse uzani madokotala anu za momwe majini anu alili musanachite opaleshoni iliyonse, panthawi ya mimba, kapena mukakumana ndi dokotala nthawi zonse.
- Kulankhulana bwino ndi dokotala wanu komanso kutsatira malangizo ake ndiyo njira yabwino kwambiri yotetezera thanzi lanu.
Kusintha kwa majini a Prothrombin, kusintha kwa Factor II, matenda otsekeka kwa magazi, Deep Vein Thrombosis (DVT), Pulmonary Embolism (PE), matenda a majini, mankhwala ochepetsa magazi, ndi mankhwala oletsa magazi kuundana. Ku Nirogi Lanka, tili pano kuti tikuthandizeni kumvetsetsa mavuto ovuta awa. Ngati mukumva zizindikiro za magazi kuundana, chonde funsani thandizo lachipatala mwamsanga ku dipatimenti yadzidzidzi yapafupi kapena imbani 911.
