Gaba ɗaya, da thrombophilia yana wakiltar ƙayyadaddun ƙayyadaddun kwayoyin halitta ko yanayin da aka samu wanda jini ke ƙoƙarin yin ƙulla cikin sauƙi, don haka yana haifar da shi muhimman abubuwan thrombotic ko, a lokacin daukar ciki, haɗari masu rikitarwa na haihuwa.
Wannan rukuni na ƙarshe ya haɗa da jinkiri na girma tayi, ciwon hawan jini na ciki, rashin jin daɗi babba y rashin zubar da ciki akai-akai. Ana ƙara wannan predisposition zuwa yanayin hypercoagulability na lokacin ciki.
Wa ya kamata a gwada?
Neman maye gurbi da ke haifar da zurfin jijiya thrombosis ya kamata a yi a waje da ciki, saboda sau da yawa yana rufe wani yanayi na al'ada, don haka ƙayyadewa ƙarya tabbatacce diagnoses.
Gabaɗaya, matan da za a tantance su ne waɗanda suka yi muhimman abubuwan thrombotic, zubar da ciki na kwatsam, raguwar girma na mahaifa, mutuwar tayin ciki, hawan jini na ciki da kuma zubar da ciki.
Wadannan majiyyatan, a gaskiya, an bayyana su a matsayin "alama." A ƙarshe, ba tare da la'akari da kasancewar alamun da aka lissafa a sama ba, akwai alamar yin gwajin kuma a cikin matan da ke da asymptomatic, amma waɗanda suka saba da abubuwan da suka faru na thromboembolic mai zurfi ko kuma sun saba da thrombophilia.
Waɗanne gwaje-gwaje da kuma waɗanne hanyoyin kwantar da hankali ne ake yin su a cikin lamuran da ake zargin thrombosis a lokacin daukar ciki
Gwaje-gwaje don gano thrombophilia a cikin ciki Su ne:
- nazarin coagulation factor V,
- antithrombin,
- protein C,
- Protein S,
- juriya ga furotin C mai kunnawa,
- G20210A prothrombin maye gurbi,
- Homocysteine antiphospholipid antibodies.
Farfesa Ana yin maganin heparin low-density peso kwayoyin. Iyakar abin da keɓaɓɓen hyperhomocystinemia ne wanda ke amfana daga folic acid. Lokacin da aka yanke shawarar shiga tsakani ta hanyar magunguna, yakamata a fara magani da wuri a lokacin daukar ciki kuma a ci gaba da akalla makonni 6 bayan haihuwa.
Ƙara haɗarin thrombosis
Haɗarin dangi na haɓaka jijiyoyi mai zurfi da / ko thrombosis na pelvic a lokacin da kuma nan da nan bayan daukar ciki shine sau 5 zuwa 6 sama da na mata marasa ciki. Bayanai game da yawan thrombosis sun bambanta da juna, tun da ainihin hanyoyin bincike, irin su phlebography ko gwajin fibrinogen na rediyo, yawanci ana amfani da su kawai tare da babban sirri a ciki. Menene ƙari, Alamun asibiti na thrombosis ba su da cikakken abin dogaro kuma sau da yawa yana da wuya a bambanta tsakanin thrombophlebitis na sama da kuma zurfin thrombosis.
Matsakaicin abin da ya faru na thrombosis a cikin ciki yana faruwa a cikin uku na biyu na ciki. Ƙafar hagu yana shafar sau da yawa fiye da dama, mai yiwuwa saboda jijiyar iliac na dama yana matsawa jijiyar iliac na hagu, yana ratsa shi.
Pathogenesis na thrombosis a cikin ciki
Abubuwan pathogenic guda uku na Virchow's triad suma sune masu tantance bayyanar thrombosis a cikin ciki:
- canje-canje a cikin jinin al'ada
- canje-canje a cikin abun da ke ciki na jini
- jijiyoyin bugun gini mutunci
Thrombosis a cikin ciki na iya haifar da tashin hankali a al'ada jini yawo a cikin extremities na ƙasa, wanda ya haifar da toshewar dawowar venous ta wurin girma mahaifa.
Haɗarin thrombosis yana ƙaruwa ta hanyar rikice-rikice masu dacewa na tsarin coagulation, tunda ana ganin haɓakar haɓakar haɓakar abubuwan coagulation da platelet sau da yawa.
Musamman, ana iya yin alama ƙara yawan matakan fibrinogen kusan sau biyu matakan al'ada (400 - 650 mg/dL) a ƙarshen ciki. Bugu da ƙari, an lura da raguwa a cikin abubuwan da ke cikin tsarin fibrinolysis.
La zurfin jijiya da pelvic vein thrombosis ana lura da shi bayan sashin caesarean ya kai kusan 3-8% idan babu maganin rigakafin cutar jini, wato, sun fi sau 4-8 fiye da bayan haihuwa. Yawan mutuwa (mutuwar mace-mace) saboda embolism ya yi daidai da 2-3% don haka ya ninka sau 10 fiye da na bayarwa na kai tsaye.
Ana iya la'akari da dalilin rauni na tiyata ga tasoshin da kyallen takarda, tare da mafi girman kasancewar kayan thromboplastic a cikin wurare dabam dabam. Matan da suka kamu da kamuwa da cuta na sassan periuterine na tasoshin suna cikin haɗari musamman.
Yaya za a bi da thrombophlebitis?
La thrombophlebitis Wani kumburi ne na sama wanda ke bayyana tare da mitoci na musamman tare da manya da ƙananan jijiyoyin saphenous. A matsayinka na yau da kullum, ƙwanƙwasa ƙananan ƙananan kuma raguwa ba su da yawa a cikin jijiyoyi masu zurfi, saboda haɗuwa da jijiyoyi da tsarin jiki na bawuloli.
Jiyya ya kunshi ma'aunin jiki na gida, wato, matsi da safa da kuma tattara haƙuri.
Matsawa far yana ba da ingantaccen aikin famfo na tsoka a cikin ƙafafu kuma, sabili da haka, da dawowar venous, wanda hakan ke hana ci gaban thrombosis.
Binciken
Haɗarin da aka tabbatar da cututtukan cututtukan da ke da alaƙa da bayyanar thrombosis a lokacin daukar ciki da kuma nan da nan bayan sun haɗa da:
- mace mai ciki a tsufa
- abubuwan da suka faru na thromboembolism na baya
- girma
- hayaki
- varicose veins
- kafin sashen caesarean
Mata masu ciki waɗanda ke cikin haɗari na musamman na rikice-rikice na thromboembolic yakamata a yi rajista da wuri-wuri.
Baya ga Prophylaxis na jiki (tufafin matsawa) da ilimin motsa jikiDangane da tsananin haɗarin, maganin rigakafi na antithrombotic na pharmacological na iya zama dole.
La low kwayoyin nauyi heparin (misali, Fragmin P ko fraxiparin) ana yawan amfani dashi saboda yana da aminci da sauƙin gudanarwa. Ana ba da waɗannan magungunan sau ɗaya a rana tare da sirinji da aka riga aka cika.
hypercoagulability a cikin ciki
Dukan nau'ikan cututtukan cututtukan da aka samu da kuma waɗanda aka samu suna haifar da haɓakar rikice-rikice na thromboembolic a cikin rayuwar yau da kullun kuma, sabili da haka, har ma a cikin ciki.
Bugu da ƙari, maganin cututtukan da ke ciki, musamman mahimmancin rigakafi na jiki da na magunguna na thrombosis ana buƙatar lokacin daukar ciki.