Cov tib neeg cuam tshuam los ntawm lupus anticoagulant antibodies (tseem hu ua Hughes syndrome, phospholipid antibody syndrome thiab antiphospholipid syndrome) muaj qhov pheej hmoo pheej hmoo ntawm thrombosis (ntshav khov), uas tuaj yeem ua rau mob hlab ntsha tawg, plawv nres, thiab nchuav menyuam. Txawm hais tias cov tshuaj tiv thaiv no tau pom thawj zaug hauv cov neeg mob lupus, ib nrab ntawm cov neeg nqa lupus anticoagulant antibodies (LA) tsis muaj lupus. Nrog kev kuaj mob thiab kho kom raug, qhov cuam tshuam tsis zoo ntawm LA tuaj yeem zam lossis tsawg kawg yog kev tswj hwm.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas thiab Txheeb Xyuas Qhov Muaj Mob Anticoagulants
Kauj Ruam 1. Xav txog cov tsos mob uas koj yuav muaj
Txawm hais tias tej zaum yuav tsis muaj ib qho hlo li, qee cov tsos mob suav nrog muaj ib lossis ntau qhov tsis tau piav qhia txog kev nchuav menyuam, mob hlab ntsha tawg, plawv nres, thiab/lossis ntshav txhaws hauv ob txhais ceg lossis lub ntsws (txhaws kuj tseem tuaj yeem tshwm sim hauv lub hlwb, lub raum leeg, lossis cov hlab ntsha).
Kauj Ruam 2. Tshawb xyuas seb koj puas muaj lwm yam kab mob uas yuav ua rau koj muaj kev pheej hmoo mus rau LA
Yog tias koj raug kev txom nyem los ntawm qee yam xws li lupus, mob plab hnyuv, mob ntev, lossis qog, koj yuav muaj feem yuav tsim LA.
Nco ntsoov tias LA tuaj yeem tsim kho txhua lub sijhawm. Tsuas yog vim koj tsis muaj nws 10 xyoo dhau los, tsis txhais tau tias koj tsis muaj tam sim no
Kauj Ruam 3. Tiv tauj koj tus kws kho mob
Yog tias koj tau ntsib ib qho ntawm cov tsos mob hauv qab no hu rau koj tus kws kho mob tam sim, vim nws tuaj yeem yog qhov qhia tias muaj peev xwm ua rau muaj kev phom sij rau ntshav khov tau tsim:
- O thiab liab ntawm koj ob txhais ceg.
- Ua tsis taus pa.
- Mob, loog, lossis poob xim ntawm caj npab lossis txhais ceg.
Kauj Ruam 4. Nug koj tus kws kho mob txog kev tau txais Kev Ntsuas Ib Ntus Thromboplastin Time (PTT)
Yog tias koj muaj cov tsos mob, lossis xav tias koj raug rau LA, kev xeem PTT tuaj yeem txiav txim siab seb koj puas muaj cov tshuaj tiv thaiv anticoagulant nyob hauv koj cov ntshav. Siv rab koob, cov ntshav tau sau los ntawm cov leeg ntshav (feem ntau yog caj npab) thiab muab tso rau hauv lub khob ntim quav. Ib qho tshuaj ntxiv rau hauv cov qauv ntshav txhawm rau ntsuas seb nws yuav siv sijhawm ntev npaum li cas rau cov ntshav khov.
Qee yam tshuaj yuav cuam tshuam rau cov txiaj ntsig kev xeem, yog li koj yuav tsum nco ntsoov qhia rau koj tus kws kho mob txog cov ntawv yuav tshuaj thiab tsis sau tshuaj uas koj tab tom noj kom ntseeg tau tias koj tau txais cov txiaj ntsig raug
Kauj Ruam 5. Txheeb xyuas qhov tshwm sim
Yog tias koj tau txais qhov txiaj ntsig tsis txawv txav hauv koj qhov kev xeem PTT, koj tus kws kho mob yuav txiav txim siab kuaj ntxiv kom paub meej qhov txiaj ntsig. Qee qhov piv txwv suav nrog Russell viper venom kuaj lub sijhawm, thiab ntsuas kev tiv thaiv thromboplastin.
Cov kev ntsuas no tuaj yeem rov ua dua ntau dua ib zaug los tshuaj xyuas kev txhim kho LA, tshwj xeeb tshaj yog tias koj tseem tau kuaj pom tus mob Lupus
Txoj Kev 2 ntawm 3: Kho Lupus Anticoagulants Kho Mob
Kauj Ruam 1. Sib tham txog phiaj xwm kho mob nrog koj tus kws kho mob
Txhua tus neeg sib txawv; yog li ntawd, koj yuav tsum tham txog ntau txoj hauv kev los kho LA nrog koj tus kws kho mob. Nws lossis nws tuaj yeem pab koj txiav txim siab seb qhov twg zoo tshaj rau koj. Yog tias koj tsis muaj tsos mob, lossis yog tias koj tsis tau muaj ntshav khov yav dhau los, koj yuav tsis xav tau kev kho mob.
Kauj Ruam 2. Xav txog kev kho tshuaj anticoagulant los txo cov tshuaj tiv thaiv kab mob
Qhov kev kho mob no suav nrog noj cov tshuaj ua kom ntshav qis xws li warfarin, heparin, lossis qis tshuaj aspirin, uas pab tiv thaiv ntshav khov. Lawv ua haujlwm los ntawm kev txwv tsis pub tsim cov vitamin K (lub luag haujlwm rau ntshav khov) hauv lub siab. Qhov no ua rau lub sijhawm cov ntshav siv los khov. Hauv txoj kev kho no, qib tshuaj anticoagulant hauv koj cov ntshav yuav raug saib xyuas kom txiav txim siab ntau npaum li cas, thiab ntev npaum li cas koj xav tau txuas ntxiv txoj kev kho. Qee tus neeg tsuas yog yuav tsum tau noj tshuaj rau ob peb hlis, thaum lwm tus yuav tsum tswj hwm cov tshuaj tiv thaiv kab mob rau lawv lub neej tag nrho.
- Yog tias LA tseem nyob tam sim no tom qab kev kho mob thawj zaug, kev kho mob feem ntau txuas ntxiv mus rau yam tsawg peb lub hlis ntxiv ua ntej qhov kev ntsuas tom ntej ua tiav.
- Yog tias qhov tshwm sim ntawm kev tshuaj ntsuam tom qab zaum ob qhia pom tias tus neeg mob cov ntshav tsis muaj lupus anticoagulants lawm, txoj kev kho mob yuav tsum tsis ua ntxiv lawm.
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev siv tshuaj steroids kom txo qis cov tshuaj tiv thaiv kab mob
Steroids ua haujlwm los ntawm kev txo qis kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Lub cev tiv thaiv kab mob tsim cov tshuaj tiv thaiv kab mob lupus anticoagulant, thiab cov tshuaj steroids tuaj yeem siv los txwv lawv cov khoom. Yog tias kev ua haujlwm ntawm lub cev tiv thaiv kab mob raug txo lossis txo qis, tom qab ntawd qib ntawm lupus anticoagulant antibodies kuj tseem yuav txo qis.
Piv txwv ntawm cov tshuaj steroids suav nrog cortisone, prednisone thiab methylprednisolone
Kauj Ruam 4. Xav txog kev siv plasmapheresis los kho
Plasmapheresis yog txheej txheem uas cov kua hauv cov ntshav, tseem hu ua ntshav, uas muaj cov tshuaj lupus anticoagulant antibodies, tau sib cais los ntawm cov hlwb. Lub tshuab tshem tawm cov ntshav cuam tshuam thiab hloov nws nrog cov ntshav zoo, lossis hloov ntshav ntshav uas tsis muaj cov tshuaj tiv thaiv.
Qhov no kuj tseem hu ua kev sib pauv ntshav
Txoj Kev 3 ntawm 3: Kho Lupus Anticoagulants hauv Tsev
Kauj Ruam 1. Nug koj tus kws kho mob txog kev ncua qee yam tshuaj
Cov tshuaj xws li phenothiazines, tshuaj tiv thaiv menyuam, phenytoin, hydralazine, quinine, ACE inhibitors thiab amoxicillin yog cov tshuaj uas tuaj yeem ua rau LA. Yog tias koj ntseeg tias koj lub LA yog tshwm sim los ntawm cov tshuaj koj tab tom noj tshuaj txuas ntxiv tuaj yeem pab tau. Txawm li cas los xij, koj yuav tsum tsis txhob txiav ib yam tshuaj mus txog thaum koj tau lees paub nrog koj tus kws kho mob tias nws yuav nyab xeeb ua li ntawd.
Kauj Ruam 2. Txiav Kev Haus Luam Yeeb los txhim kho cov ntshav ntws
Cov nicotine hauv luam yeeb txwv cov hlab ntsha thiab cuam tshuam cov ntshav ntws. Kev haus luam yeeb yuav tsuas yog ua rau cov ntshav txhaws ntau ntxiv, yog li nws yog qhov zoo tshaj kom tsis txhob haus cawv.
Kauj Ruam 3. Ua haujlwm tsis tu ncua txhawm rau txhawb koj lub plawv
Kev qoj ib ce txo qis txoj hauv kev tsim cov ntshav khov los ntawm kev txhim kho cov ntshav ntws mus rau ntau qhov ntawm lub cev. Kev tawm dag zog xws li taug kev nrawm, dhia dhia, nce ntaiv, caij tsheb kauj vab, ua luam dej thiab aerobics txhua qhov muaj txoj hauv kev zoo kom txav mus los.
Zam kev ua kis las lossis ua si nrog kev pheej hmoo ntawm kev raug mob, tshwj xeeb tshaj yog tias koj tau noj tshuaj uas ua rau nws nyuaj rau koj cov ntshav khov
Kauj Ruam 4. Poob qhov hnyav los txhawb nqa cov ntshav kom zoo
Kev rog rog ua rau cov khoom tsim tawm ntau dhau hauv lub cev uas los ntawm cov rog rog thiab cov hlwb siab. Cov tshuaj no tuaj yeem tiv thaiv kev tawg thiab ua kom cov ntshav khov.
Kauj Ruam 5. Tsis txhob haus cawv ntau dhau
Kev haus dej haus cawv ua rau cov platelets ntau dua tuaj yeem ua ke ua cov ntshav khov, uas tuaj yeem ua rau mob plawv lossis mob hlab ntsha tawg. Raws li kev tshawb fawb los ntawm Harvard cov kws tshawb fawb hauv xyoo 2005, kev haus dej cawv ntau dua ob npaug ntawm kev pheej hmoo ntawm cov neeg uas tau pib muaj txoj sia nyob hauv plawv nres.
Kev haus cawv ntau yog txhais los ntawm National Institute on Alcohol Abuse and Alcoholism (NIAAA) raws li cov qauv ntawm kev haus dej uas ua rau cov ntshav muaj cawv ntau (BAC) qib mus rau 0.08 grams ib decilitre. Rau cov txiv neej, qhov no feem ntau txhais tau tias txog 5 haus ntau dua li ntawm 2 teev, rau cov poj niam qhov no feem ntau yog 4 haus hauv li ob teev. Nco ntsoov, txawm li cas los xij, BAC cuam tshuam los ntawm ntau lwm yam ntxiv nrog rau poj niam txiv neej
Kauj Ruam 6. Tsis txhob noj cov khoom noj uas muaj vitamin K kom txo tau txoj kev khov
Vitamin K yog lub luag haujlwm rau cov ntshav khov. Kev noj cov zaub mov nplua nuj nyob hauv cov vitamin K ntau tuaj yeem ua rau cov ntshav khov hauv cov neeg uas muaj lupus anticoagulants. Tsis tas li, yog tias koj tab tom kho tshuaj tiv thaiv kab mob anticoagulant, xws li warfarin lossis heparin, kev noj cov tshuaj vitamin K siab yuav tiv thaiv cov tshuaj tiv thaiv anticoagulant lossis ntshav kom tsawg uas txhais tau tias txwv tsis pub tsim cov vitamin K.
Cov zaub mov nplua nuj nyob hauv cov vitamin K suav nrog cov hauv qab no: asparagus, broccoli, brussels sprouts, zaub qhwv, kua txob, dib, dib, zaub xas lav, oregano, zaub txhwb qaib, prunes, zaub ntsuab, zaub paj caij nplooj ntoo hlav
Kauj Ruam 7. Tsiv mus
Yog tias koj yuav tsum siv sijhawm ntau zaum (piv txwv li ua haujlwm lossis dav dav dav), sawv thiab txav mus li ob peb feeb tsawg kawg ib zaug ib teev. Yog tias koj tsis tuaj yeem sawv, tsawg kawg sim txav koj txhais taw thiab pob taws ib ncig thaum zaum. Ua li ntawd yuav ua rau nyuaj rau cov pob txha tsim.
