Thrombophilia, ib qho xwm txheej uas ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws, tuaj yeem nyuaj rau kev kuaj mob, vim tias tib neeg feem ntau cuam tshuam los ntawm nws tsis muaj tsos mob tshwj tsis yog tias lawv txhim kho khov. Yog tias koj muaj ntshav khov, koj yuav xav tau kws kho mob ua qhov kev kuaj kom paub tseeb tias cov ntshav khov tau tsim los vim yog thrombophilia. Hmoov zoo, thaum cov ntshav txhaws tau ntxov, ua rau koj lub plawv puas tsuaj tau, thiab muaj ntau txoj hauv kev los tiv thaiv ntshav khov. Nrog rau daim ntawv yuav tshuaj anticoagulant, lossis ntshav thinner, nrog rau ob peb txoj kev hloov pauv hauv lub neej, koj tuaj yeem khaws cov ntshav txhaws tseg.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas Cov tsos mob ntawm Thrombophilic Blood Clot
Kauj Ruam 1. Ua tib zoo saib ib qho o los yog muag muag hauv koj txhais ceg
Cov ntshav txhaws feem ntau pib ntawm ob txhais ceg, qhov twg cov ntshav tuaj yeem ua ke. Yog tias koj pom o o ntawm qhov chaw tshwj xeeb uas yuav tsis ploj mus lossis mob hnyav hauv koj ob txhais ceg, koj yuav tsum mus ntsib kws kho mob txog qhov ua tau ntshav khov. Qhov no tshwj xeeb tshaj yog tias koj muaj mob lossis o ntawm ib txhais ceg.
- Kev txhaws hauv koj ob txhais ceg tuaj yeem tsoo xoob rau hauv koj cov ntshav thiab ua rau lawv txoj hauv kev mus rau koj lub siab thiab hla mus rau koj lub ntsws, ua rau muaj peev xwm ua rau tuag taus hauv lub ntsws. Kev ntes lawv thaum ntxov yog qhov tseem ceeb.
- Cov ntshav txhaws feem ntau tshwm hauv cov menyuam, yog li koj yuav tsum tau xyuam xim tshwj xeeb rau qhov o thiab mob uas tshwm sim nyob ntawd.
Kauj Ruam 2. Ua rau daim tawv nqaij sov sov txawv txav uas koj pom o
Yog tias koj cov tawv nqaij hnov kub lossis ua npaws hauv thaj chaw uas koj hnov mob, muaj lub sijhawm uas nws yog los ntawm cov ntshav khov hauv cov hlab ntshav hauv qab saum npoo. Thaum txhua qhov o ua rau sov dua li cov tawv nqaij tsis hloov pauv, cov ntshav khov tuaj yeem ua rau tawv nqaij txawv txav.
Cov tsos mob no muaj feem ntau thaum cov ntshav khov "tsis zoo" lossis ze rau saum npoo
Kauj Ruam 3. Txheeb xyuas qhov liab tom qab koj lub hauv caug
Ib qho tshwj xeeb pom cov tsos mob uas tshwm sim nrog ntau tus, txawm hais tias tsis yog txhua qhov, cov ntshav txhaws yog qhov xim liab me me uas tshwm rau ntawm txhais ceg. Qhov no feem ntau tshwm tom qab koj lub hauv caug, ntawm tib ceg zoo li qhov o thiab mob tshwm sim los ntawm cov ntshav khov.
Txawm hais tias koj tsis muaj tus tsos mob no, koj yuav tsum mus ntsib kws kho mob rau cov tsos mob ntxiv. Tej zaum koj yuav tau ntes cov ntshav khov thaum ntxov, lossis koj cov tawv nqaij yuav tsis tuaj yeem hloov xim
Kauj Ruam 4. Npaj kom kuaj los ntawm koj tus kws kho mob
Yog tias koj muaj qhov o, ua rau tawv nqaij sov dhau, thiab muaj xim liab, muaj lub sijhawm zoo uas koj muaj ntshav khov. Thaum koj ntsib koj tus kws kho mob, lawv yuav ua rau koj dhau qhov kev xeem uas cuam tshuam nrog X-Ray, ultrasound, lossis lwm txoj hauv kev sim uas tso cai rau lawv kuaj pom cov hlab ntshav hauv cov hlab ntshav.
Txoj Kev 2 ntawm 3: Siv Anticoagulants los kho Thrombophilia
Kauj Ruam 1. Nug koj tus kws kho mob txog yam tshuaj anticoagulants haum rau koj
Anticoagulants, lossis ntshav thinner, pab txo tus nqi ntawm cov ntshav hauv cov ntshav los ntawm kev pab ua kom cov cell tsis txhob sib koom ua ke. Tam sim no muaj ntau yam tshuaj anticoagulants muaj, tsis zoo li tsuas yog warfarin thiab heparin, tab sis ob qho no tseem yog neeg nyiam tshaj plaws.
- Nyob ntawm koj qhov xwm txheej tshwj xeeb, nrog rau qhov mob hnyav ntawm koj cov hlab ntsha, koj tus kws kho mob yuav sau ib qho ntshav kom qis lossis ua ke ntawm lawv.
- Qhov teeb meem loj rau kev siv tshuaj tiv thaiv kab mob los tiv thaiv ntshav khov ntau dua li kho lawv yog tias ntshav tseem ceeb tuaj yeem tshwm sim los ntawm kev raug mob me.
- Heparin raug tswj hwm hauv tsev kho mob ntawm IV lossis txhaj tshuaj intramuscular (IM).
- Yog tias koj tsis txaus siab nrog lub tswv yim ntawm kev noj cov tshuaj warfarin lossis heparin, koj tuaj yeem nug koj tus kws kho mob txog ntau yam ntawm qhov ncauj, txhaj tshuaj, thiab txhaj tshuaj hauv cov hlab ntshav.
Kauj Ruam 2. Siv cov tshuaj warfarin los txhawm rau txhawm rau txhaws thiab tiv thaiv yav tom ntej
Feem ntau txoj kev kws kho mob kho tus mob thrombophilia yog nrog daim ntawv xaj tshuaj warfarin raws li kev soj ntsuam nruj. Warfarin thaiv cov hlab ntshav ua ke los pab ua kom qeeb cov txheej txheem khov. Cov ntsiav tshuaj no ua kom qeeb, thiab nws tuaj yeem siv sijhawm ob peb hnub los txo qis ntshav nrog warfarin, tab sis thaum cov tshuaj tau tsim nws tus kheej hauv koj cov ntshav, nws muaj txiaj ntsig zoo thiab muaj zog.
- Koj tsis tuaj yeem noj tshuaj warfarin thaum cev xeeb tub.
- Thaum koj pib noj cov tshuaj warfarin, koj yuav tsum tau ua qhov kev ntsuas thoob ntiaj teb ib txwm muaj (INR) kuaj ntshav tas li kom ntseeg tau tias koj tab tom noj tshuaj kom raug, maj mam hloov mus rau qhov ntsuas tsawg dua raws li koj lub cev ua raws.
Kauj Ruam 3. Txhaj tshuaj heparin rau kev kho tam sim lossis muaj kev pheej hmoo loj ntawm cov ntshav txhaws
Cov tshuaj anticoagulant ntau tshaj plaws yog heparin. Heparin yog cov tshuaj ua kom ntshav sai dua uas tuaj yeem pab txo qis cov ntshav txhaws uas twb tau tsim thiab tiv thaiv ntshav khov thaum phais thiab cev xeeb tub. Tso cai rau koj tus kws kho mob muab tshuaj heparin ntawm IV lossis txhaj IM, uas feem ntau yuav tshwm sim hauv tsev kho mob.
Heparin tsis tshua tau sau tseg rau kev siv tas li, tiv thaiv, tshwj tsis yog rau cov neeg cev xeeb tub thiab txhua tus uas muaj kev pheej hmoo siab tshwj xeeb
Txoj Kev 3 ntawm 3: Hloov Txoj Kev Ua Neej Nyob Hauv Lub Neej kom Txo Koj Txoj Kev Ruaj Ntseg
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog koj qhov kev pheej hmoo ua rau mob thrombophilia
Thaum leej twg tuaj yeem tau txais cov ntshav txhaws, muaj qee yam kev pheej hmoo uas ua rau koj muaj feem yuav muaj lawv. Kawm paub txog koj qhov kev pheej hmoo yog li koj tuaj yeem xaiv kev noj qab haus huv thiab saib xyuas koj tus kheej rau cov tsos mob. Tham nrog cov teeb meem hauv qab no nrog koj tus kws kho mob:
- Tau txais cov txiaj ntsig zoo xws li Factor V Leiden hloov pauv, protein S deficiency, protein C deficiency, thiab antithromobin deficiency.
- Malignancy
- Immobilization
- Kev tiv thaiv qhov ncauj
- Hormonal hloov kho
- Kev rog
- Qee yam kev kho mob qog noj ntshav, xws li tamoxifen, thalidomide, lenalidomide, thiab asparaginase
- Myeloproliferative teeb meem, xws li polycythemia vera thiab tseem ceeb thrombocytopenia
Kauj Ruam 2. Noj zaub mov kom noj qab nyob zoo uas muaj txiaj ntsig thiab muaj txiaj ntsig zoo
Kev noj zaub mov zoo yuav pab koj cov kev ua haujlwm hauv lub cev ua haujlwm tau zoo dua, nrog rau txo koj cov roj cholesterol thiab lwm yam kev pheej hmoo los ntshav. Yog tias koj siab dua koj qhov hnyav pom zoo, kev noj zaub mov zoo tuaj yeem pab koj txo qis, vim tias rog dhau yog lwm qhov kev pheej hmoo khov.
- Thaum tsis muaj cov zaub mov tshwj xeeb uas yuav ua rau koj nyab xeeb los ntawm cov ntshav txhaws, zam cov zaub mov muaj rog thiab tau txais ntau cov zaub ntsuab txhua hnub feem ntau yog qhov zoo rau kev noj qab haus huv.
- Yog tias koj noj tshuaj warfarin, muaj qee yam zaub mov uas tuaj yeem cuam tshuam nrog koj qib warfarin. Tham nrog koj tus kws kho mob txog cov khoom noj no thiab xyuas kom tseeb tias koj kev noj ntawm lawv nyob li qub kom koj warfarin tsis cuam tshuam. Tshwj xeeb, cov zaub mov uas muaj vitamin K siab, zoo li nqaij nyuj siab, zaub paj, Brussels sprouts, zaub ntsuab, taum pauv, dej cress, zaub paj, zaub dill, zaub avocados, thiab taum pauv, yuav tsum tau saib xyuas. Tsis tas li ntawd, ceev faj nrog cranberries, mangos, txiv kab ntxwv qaub, thiab pomegranates.
Kauj Ruam 3. Qoj ib ce tsis tu ncua
Yog tias koj tsis muaj lub cev qoj ib ce tsis tu ncua, nws yog lub tswv yim zoo los txhim kho tus cwj pwm ntawm kev tawm dag zog 2-3 zaug hauv ib lub lis piam tsawg kawg 20-30 feeb. Koj tuaj yeem sab laj nrog koj tus kws kho mob kom tau txais lub tswv yim hais txog kev ua haujlwm ntau npaum li cas kom ua kom koj tus mob raug tswj.
- Kev ua haujlwm ntau dhau rau koj tus kheej tuaj yeem ua rau muaj teeb meem hauv lub plawv ib yam, yog li nws yog qhov tseem ceeb kom sib npaug koj lub cev ua si nrog so
- Yog tias koj tab tom noj tshuaj anticoagulants, kev tawm dag zog tuaj yeem ua rau koj muaj kev pheej hmoo siab ntxiv rau kev txiav thiab ntshav los ntau. Ua kev ceev faj ntxiv kom ua rau koj tus kheej muaj kev nyab xeeb, xws li hnav lub tsho ntev lossis hnab looj tes.
Kauj Ruam 4. Txiav luam yeeb nrog kev pab ntawm koj tus kws kho mob
Kev haus luam yeeb ua rau koj pheej hmoo mob plawv thiab ntshav khov ntau. Kev haus luam yeeb thaum noj tshuaj anticoagulants kuj tseem tuaj yeem ua rau muaj kev puas tsuaj, yog li nws yog qhov zoo tshaj kom tshem tawm tus cwj pwm. Koj tus kws kho mob tuaj yeem tuaj yeem muab cov peev txheej rau koj thiab txhawb kev txiav luam yeeb.
Kauj Ruam 5. Sawv thiab txav mus tom qab zaum ntau dua 2 teev
Zaum tseem ntev heev yog ib txoj hauv kev kom tau txais cov ntshav khov yog tias koj muaj thrombophilia. Yog tias koj ua haujlwm rooj lossis yog tias koj ya davhlau ntev, nws yuav tsum taug kev txhua ob peb teev los pab kom ntshav ntws hauv koj txhais ceg.
Koj tsuas yog yuav tsum taug kev ncig ib ncig ntawm 3 txog 5 feeb kom cov ntshav ntws, tab sis ua kom ntev dua tuaj yeem ua tau zoo dua
Kauj Ruam 6. Tsis txhob noj tshuaj raws li tshuaj estrogen
Cov tshuaj xws li cov tshuaj tiv thaiv qhov ncauj thiab estradiol rau kev hloov pauv tshuaj hormone ua rau koj muaj kev pheej hmoo rau ntshav khov vim yog txoj kev nce qib ntawm cov tshuaj estrogen cuam tshuam nrog cov hlab ntshav. Koj yuav tsum tau nrhiav lwm txoj hauv kev rau cov kev kho no yog tias koj tau kuaj pom tias muaj tus mob thrombophilia.
- Muaj cov ntaub ntawv tsis yog-tshuaj hormonal tiv thaiv kev yug menyuam, xws li lub kaus mom ntawm lub ncauj tsev menyuam thiab cov cuab yeej tooj liab hauv lub cev (IUDs).
- Cov tshuaj Hormones rau lub cev ntas tuaj yeem hloov kho nrog rau txhua tus tsos mob, siv tshuaj rau qhov kub hnyiab thiab tso dej rau qhov chaw mos qhuav. Tham nrog koj tus kws kho mob txog yam kev kho mob twg yuav ua haujlwm rau koj.
