Momwe mungapewere magazi kuundana panthawi yapakati

Maphunziro a Zaumoyo Amayi Amayi

Palibe chofanana ndikumverera kosakhoza kupuma. Ndili ndi zaka 22, ndinkavutika kupuma. Pambuyo pake ndidapita kuchipatala komwe adandipeza ndi matenda am'mapapu - magazi m'mapapo, zomwe sizachilendo kwa msinkhu wanga. Pambuyo pake ndinazindikira kuti ndinali ndi chibadwa chomwe chimapangitsa kuti ndikhale ndi magazi.

Khola langa lidasweka ndipo ndidalandira chithandizo kwakanthawi pambuyo pake ndikuwonda magazi. Koma, ndimadziwa kuti mtsogolomo ndiyenera kuchitapo kanthu ndikadzakhala ndi pakati kapena kuchitidwa opaleshoni. Kuundana kwamagazi panthawi yoyembekezera ndi nkhawa kwa amayi ambiri oyembekezera, koma monga ndidaphunzira, ndizotheka ndi zotheka kuthana ndi chiopsezo chanu chachikulu.

Chifukwa cha magazi kuundana nthawi yapakati

Kutseka magazi ndichinthu chachilengedwe chomwe chimachitika magazi akagundana ndikupanga gulu la gelatinous. Njirayi imateteza thupi lanu kuti lisatuluke magazi kwambiri mukakhala kuti mwavulala, chifukwa kuundana kumatha kutseketsa chilondacho. Mukakhala ndi pakati, thupi limalimbikitsidwa kuti liziteteza kuti magazi asatuluke pakubereka. Ngakhale izi ndizofunikira, kutseka magazi (kotchedwa thrombosis) kungayambitsenso zovuta, makamaka zikachitika mkatikati mwa mitsempha yanu.

Izi zitha kuchitika mumtsuko uliwonse wamagazi mthupi. Komabe, malo ofala kwambiri am'magazi osazolowereka amachitika m'mitsempha yakuya yamiyendo yanu. Izi zimatchedwa deep vein thrombosis (DVT). Chodetsa nkhaŵa chachikulu ndi chakuti chovalacho chimatha kumasuka ndikupita mbali zina za thupi (mapapo ndiofala), zomwe zimatha kubweretsa zovuta zazikulu kapena kufa kumene.

Akuti amayi apakati atha kukhala mpaka kuthekera kowirikiza kasanu kukumana ndi chotupa chamagazi kuposa amayi apakati. Kusintha kwa mahomoni atakhala ndi pakati, komanso kupanikizika kwambiri pamitsempha yotseketsa magazi, kumatha kuyambitsa magazi.

Magazi atsekwe m'mapapu, omwe amadziwikanso kuti pulmonary embolism, ndi omwe amatsogolera kwambiri kufa kwa amayi apakati ku US, malinga ndi UNC Hemophilia ndi Thrombosis Center . Ndipo chiwopsezo chokhala ndi magazi m'magazi sichimangokhala panthawi yapakati-chimapitilizabe kukhala chodetsa nkhawa pafupifupi milungu isanu ndi umodzi mutabereka. Kutumiza ndi gawo lodzisankhira (c-gawo) kumawonjezera chiopsezo chanu mukabadwa.

Ndani ali pachiwopsezo chaphokoso la magazi panthawi yapakati?

Aliyense akhoza kukhala ndi magazi m'mimba panthawi yapakati, komabe ndizotheka pamikhalidwe ina, kapena kwa iwo omwe ali ndi zoopsa zina.

Amayi oyembekezera ali pachiwopsezo chachikulu cha DVT pazifukwa zingapo, akutero Nisha Bunke, MD , katswiri wa zamitsempha komanso nthumwi ya American Board of Venous and Lymphatic Medicine, dziko lopanda magazi (mapuloteni m'magazi amapangitsa kuti likhale lolimba, komanso kuti litseke), chiberekero chokulitsa chimatha kukakamiza mitsempha pamimba, ndipo mahomoni amachepetsa kamvekedwe kake.

Dr. Bunke akuwonjezera kuti azimayi ena amakhala ndi zoopsa zomwe zimawonjezera chiopsezo chawo cha DVT kwambiri panthawi yomwe ali ndi pakati, monga zovuta zobadwa nazo zotseka magazi, matenda monga lupus ndi sickle cell matenda, kunenepa kwambiri, kusayenda bwino komanso zaka zopitilira 35.

Zina zomwe zingayambitse chiopsezo chotseka ndi:

• Mbiri ya banja yamagazi
• Matenda ochulukirapo (mapasa kapena kupitilira apo)
• Kuyenda maulendo ataliatali (kukhala nthawi yayitali)
• Kukhala chete kwanthawi yayitali, monga kupumula pakama nthawi yapakati
• Matenda ena

Kuphatikiza apo, anthu ena amatha kukhala ndi zotupa zamagazi ngati ali ndi thrombophilias, gulu la zovuta zomwe zimawonjezera chiopsezo cha munthu thrombosis (kuundana magazi kosazolowereka). Uwu unali mlandu wanga, ndili ndi vuto lotchedwa Protein C Deficiency.

Zizindikiro za DVT ali ndi pakati

Chizindikiro chodziwikiratu cha DVT ndikutupa ndi kupweteka kwambiri kapena kukoma mtima kwambiri mwendo umodzi, akutero Dr. Kendra Segura , MD, OBGYN yovomerezeka ku board ku Southern California. Zizindikiro zina ndizo:

• Kupweteka kwa miyendo poyenda
• Khungu limakhala lofunda kapena lofewa
• Kufiira, nthawi zambiri kumbuyo kwa bondo
• Kutupa
• Kumverera kolemera, kowawa

Dr. Segura akuti ngati mukukumana ndi izi muyenera kupita kuchipatala mwachangu. Wothandizira zaumoyo wanu angafunike kuyesedwa kwina chifukwa sizovuta nthawi zonse kuzindikira kuti DVT ali ndi pakati kuchokera kuzizindikiro zokha, malinga ndi Dr. Segura.

Ngakhale kukula kwa magazi m'mimba panthawi yapakati kumatha kukhala kowopsa, akadali kosazolowereka - komanso kuchiritsidwa. Mankhwala a Anticoagulant (omwe amadziwikanso kuti oonda magazi) atha kuperekedwa kuti athandize kuthyola magazi kuti magazi ayambenso kuyenda. Dr. Segura akunena kuti onse Heparin ndi Heparin wonenepa kwambiri ali ndi pakati mayi ndi mwana . Zotsatira zoyipa zakumwa magazi ochepetsa magazi ndi chiopsezo chowonjezeka chakutuluka magazi, kotero dokotala wanu adzakuyang'anirani pamene mimba ikupita.

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Kutulutsa magazi kumaliseche ndi magazi kuundana pathupi

Nthawi zina ali ndi pakati, azimayi amatulutsa magazi kuundana kumaliseche, zomwe ndizomveka kuda nkhawa.

M`nthawi ya trimester mimba (miyezi itatu yoyambirira), Amayi amatha kutuluka magazi chifukwa chokhwima (pomwe dzira limakumana ndi khoma lachiberekero) kapena chifukwa chakutaya msanga (kupita padera). Ngakhale sizinthu zonse zomwe zimadutsa m'masabata khumi ndi awiri oyamba ali ndi pakati omwe amawonetsa kutayika, kutuluka magazi kumaliseche panthawi yapakati ndi vuto, choncho ndibwino kuti muzitsatira dokotala wanu wazachipatala, wazachipatala, kapena katswiri wina wazachipatala.

Mu trimesters yachiwiri ndi yachitatu, Kutuluka magazi kumatha kuyambitsidwa ndi zinthu zosiyanasiyana. Izi zitha kuphatikizira kuperewera padera, kubereka musanabadwe, kapena zovuta zapabanja kuphatikiza placenta previa, kapena kuphulika kwapakhosi. Kutuluka magazi komanso makamaka kuundana panthawi yapakati kumatha kukhala chizindikiro chopita padera, kubereka msanga, kapena zovuta zina, onetsetsani kuti mwakumana ndi omwe amakuthandizani ngati mukudwala magazi.

Momwe mungachepetse chiopsezo chanu chokhala ndi magazi m'mimba mukakhala ndi pakati

Pankhani ya DVT panthawi yoyembekezera, kupewa ndikofunikira. Kwa ine, ndimadziwika kuti ndili pachiwopsezo chachikulu chifukwa cha matenda am'magazi, komanso mbiri ya kuundana m'mbuyomu. Izi zikutanthauza kuti ndinapatsidwa mankhwala a jakisoni wolemera kwambiri wa Heparin (LMWH)(Makuponi a Fragmin | Zambiri za Fragmin)kwa nthawi yonse yomwe ndili ndi pakati ngati njira yodzitetezera.

Palinso njira zina zodzitetezera zomwe zingathandize kuchepetsa chiwopsezo cha kuundana, Dr. Segura akuti, kuphatikiza:

• Kuvala masitonkoni
• Kusunga bwino hydrated
• Kukhala olimbikira (Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuti magazi aziyenda bwino, Dr. Segura akuti.)
• Kupewa kusuta
• Kulankhulana ndi dokotala zina

Kuundana kwa magazi kumatha kuchiritsidwa, ngakhale atakhala ndi pakati; Komabe, chifukwa cha zoopsa zomwe zimakhudzana ndi inu komanso mwana wanu akukula, kupeza chithandizo ndikuchiritsidwa mwachangu ndikofunikira.