Lezidakamizwa Zingasiza Abanye Abesifazane Ukuba Nokukhulelwa Okuphumelelayo
Cishe i-1% yabesifazane bayothola ukuhlukunyezwa okuphindaphindiwe (okuchazwa ukuthi yizicathulo ezimbili noma ngaphezulu), ngokusho kwe-American Congress of Obstetricians kanye namaGynecologists. Kungenzeka ngenxa yezimbangela eziningi. Ezinye izimbangela ziqondwa kakhulu kunabanye, kanti 50% kuya ku-75% yesikhathi, asikho imbangela eyaziwayo yokuphutha kwamaphutha okuphindaphindiwe .
Ukuze uzame ukuqonda ukuthi yini engabangela ukuhlukunyezwa kwakho okuphindaphindiwe, udokotela angase akubuze imibuzo mayelana nomlando wakho wezokwelapha nokukhulelwa ngaphambi kwesikhathi, enze ukuhlola ngokomzimba kanye / noma kwe-pelvic, akunike ukuhlolwa kwegazi, wenze i-karyotype nokuhlolwa kwe-microarray, kanye / noma yenza ukuhlolwa kwama-imaging.
Izindaba ezinhle ukuthi abesifazane abangaba ngu-65% abanesisindo esiphuthumayo esingenaso isizathu esiyaziwayo bazoba nokukhulelwa okuphumelelayo esikhathini esizayo lapho bekhulelwe.
Izimbangela Zokwehlukana Okuvamile
Ezinye izimbangela ezibonakalayo zezinsizwa eziphuthumayo ezivamile zibandakanya ukungavamile okungahleliwe kwe-chromosomal, isibeletho esisodwa (lapho i-band of tissue ewela phakathi kwesibeletho futhi ihlukanisa noma ihlukane ngokuphelele), isifo sikashukela, nesifo se-ovariya (i-endocrine disorder) lapho ama-ovari akhulisiwe futhi aqukethe amanzi).
Ezinye izimbangela ezikhona yizifo ze-thrombophilia, izimo zezokwelapha lapho igazi liye lakhula khona. I-thrombophilia disorder ehlanganiswe ngokucacile nakwezinye izifo eziphuthumayo ibizwa ngokuthi i- antiphospholipid syndrome .
Okwenza ukukhathazeka kwe-thrombophilia kuhlanganiswe ukushada
Ezingxenyeni ze-thrombophilia, abacwaningi bakholelwa ukuthi ama-clots amancane atholakala ku-placenta ethuthukayo, evimbela ukugeleza komsoco kumntwana futhi ekugcineni abangela ukukhulelwa kwesisu (noma ukwandisa ingozi yezinye izinkinga zokukhulelwa, njenge-pre-eclampsia).
Kuye kwachazwa ukuthi izifo ze-thrombophilia zingabangela ezinye izinkinga nge-placenta.
Indlela ukukhathazeka kwe-thrombophilia okuphathwa ngayo ngabesifazane abakhulelwe
Kulabo besifazane abathintekayo abanezimo ze-thrombophilia namaphutha amasha aphindaphindiwe, ukwelashwa okuvamile yi-heparin, ngokuvamile kuhambisana ne- aspirin ephansi " yesana " esincane.
Ama-injection ye-Heparin ayaziwa ngokuthi ama-coagulants asondeza igazi futhi anciphise ukuthambekela kwawo ukwakha ama-clots. Ubufakazi bubonisa ukuthi ukwelashwa kwe-heparin ngesikhathi sokukhulelwa kunciphisa izinga lokukhulelwa kwesisu kwabesifazane abanesifo se-antiphospholipid syndrome futhi mhlawumbe inzuzo abesifazane abazuze izifo ze-thrombophilia, njengezinguquko ze- Factor V Leiden . Le nhlanganisela ye-aspirin ye-heparin nephansi kakhulu ingahle ibekwe ngesikhathi sokukhulelwa ngisho nangamaviki ambalwa emva kokubeletha.
Ingabe Kuphephile Ukuthatha I-Heparin?
Kumele kuqashelwe ukuthi ukusebenzisa i-heparin ngesikhathi sokukhulelwa akuyona ingozi. Isidakamizwa singaba nemiphumela emibi kwabanye abantu futhi singandisa ingozi yokulahlekelwa amathambo noma ukuthambekela kokugaya isisu. Kodwa kwabesifazane abane-antiphospholipid syndrome, izinzuzo zingase zibe ngaphezu kwezingozi. Kubalulekile ukukhuluma nodokotela wakho, ngaphambi kokuthatha noma yiluphi uhlobo lwezidakamizwa.
Yiziphi izinhlobo zabesifazane abakhulelwe abazuzisa kakhulu kusuka kuHeparin?
Abanye ochwepheshe babecabanga ukuthi i-heparin ingase izuze abesifazane ababenokukhubazeka okuqhubekayo nokuhlolwa okungalungile kwamagciwane okulwa ne-antiphospholipid, ukubeka lokho okungaqondakali okungahle kwenzeke kungenzeka ngenxa yecala lokungazihlanganisi kwegazi, kodwa ukuhlolwa kuka-2010 kwathola ukuthi ayikho i-heparin noma i-dose ephansi i-aspirin ithuthukise izinga lokuzalwa lalaba besifazane uma kuqhathaniswa ne-placebo.
Ngakho-ke, ukwelashwa kwe-heparin kuvame ukuphakanyiswa kuphela kwabesifazane abanomlando wokuhlukumeza okungahambi kahle kanye nokuxilongwa okuqinisekisiwe kwe-antiphospholipid syndrome noma i-thrombophilia i-inherited disease.
Imithombo:
Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. "I- FAQ 100 - Imiphakathi ephindaphindiwe ." May 2016.
UDi Nisio, M., LW Peters, S. Middeldorp, "I-Aspirin noma i-anticoagulants ekwelapheni ukukhulelwa kwesisu okuqhubekayo kwabesifazane ngaphandle kwe-antiphospholipid syndrome. I- Cochrane Library 2008.
U-Empson, M., M. Lassere, J. Craig, noJack Scott, "Ukuvimbela ukukhulelwa kwesisu okuqhubekayo kwabesifazane abane-antiphospholipid antibody noma i-lupus anticoagulant." I-Cochrane Library . 2008.
I-Kaandorp SP, i-Goddijn M, i-van der Post JA, i-Hutten BA, i-Verhoeve HR, i-Hamulyák K, iMol BW, i- Folkeringa N, i-Nahuis M, i-Papatsonis DN, i-Büller HR, i- van der Veen F, i-Middeldorp S. "i-Aspirin ne-Heparin noma i-Aspirin kuphela Kwabesifazane Abashadile Ngokuphindaphindiwe. " N Engl J Med. 2010 Mar 24. [Epub ngaphambi kokuphrinta].
March of Dimes, "I-Thrombophilias nokukhulelwa." Isikhombo Esisheshayo: AmaSpredishithi Eqiniso . Okthoba 2006.