Le Michiza inokunceda abanye abafazi bafumana ukukhulelwa
Phantse i-1% yabasetyhini baya kuba nama-carcarriages aphindaphindiweyo (achazwa ngamathambo emibini okanye ngaphezulu), ngokwe-American Congress of Obstetricians kunye namaGynecologists. Zingenzeka ngenxa yezizathu ezininzi. Ezinye izizathu ziqondwa ngakumbi kunabanye, kwaye i-50% ukuya kwi-75% yexesha, akukho nto iyaziwayo yezizathu zokulahleka kwamathambo .
Ukuze uzame ukuqonda okokubangela ukuba ulahlekelwe ngamaxesha omzimba, ugqirha unokukubuza imibuzo malunga nembali yakho yezokwelapha kunye nokukhulelwa kwangaphambili, ukwenza uvavanyo lwezinto eziphathekayo kunye / okanye i-pelvic, ukunika iimvavanyo zegazi, ukwenza i-karyotype kunye nokuhlolwa kwe-microarray, kunye / okanye uvavanyo lweemifanekiso.
Iindaba ezilungileyo kukuba malunga nama-65% wabasetyhini abaye bahlaselwa ngamathambo angaphantsi kweso sizathu baya kuba nokukhulelwa okuphumelelayo ngexesha elizayo xa bekhulelwa.
Iimbangela zeMiscarriages eziqhelekileyo
Ezinye izizathu eziyaziwayo zokulahleka kwamathambo apha ziquka i-chromosomal engaqhelekanga, i- uterus ye-septate (apho i-band of tissue ewela ngaphakathi phakathi kwesibeleko kwaye isahlukanise okanye ihlule ngokupheleleyo), isifo sikashukela, kunye nesifo se-ovary syndrome (i-endocrine disorder apho ii-ovari ziyakwandiswa kwaye ziqulethe amanzi).
Ezinye izizathu ezinokubangela ukuphazamiseka kwe-thrombophilia, imeko zonyango apho igazi liye landa khona. I-thrombophilia disorder echazwe ngokucacileyo kwiimfucuza ezibizwa ngokuba yi- antiphospholipid syndrome .
Kutheni iimeko ze-Thrombophilia zixhatshazwa ukutshatyalaliswa komtshato
Kwiingxaki ze-thrombophilia, abaphandi bakholelwa ukuba iingubo ezincinci zihlangene kwi-placenta ekhulayo, ukuvimba ukuhamba kwezondlo kumntwana kwaye ekugqibeleni kubangele ukusweleka (okanye ukwandisa umngcipheko wezinye iingxaki zokukhulelwa, njenge-pre-eclampsia).
Kuye kwachazwa ukuba izifo zengculazi zingabangela ezinye iingxaki nge-placenta.
Iingxaki zeTrombophilia zithathwa njani kwabasetyhini abakhulelweyo
Kwabesetyhini abafumana ukuba baneengxaki ze-thrombophilia kunye neengcambu zokuhlala eziqhelekileyo, unyango oluqhelekileyo ngu-heparin, ngokuqhelekileyo kunye ne-dose ephantsi "umntwana" aspirin .
Ii-injection ze-Heparin ziyaziwa njengeengqungquthela ezityholisa igazi kunye nokunciphisa ukuthambekela kwawo ukwenza iimbophu. Ubungqina bubonisa ukuba unyango lwe-heparin ngexesha lokukhulelwa linciphisa ixabiso lokukhulelwa komzimba kwabasetyhini abane-antiphospholipid syndrome kwaye mhlawumbi banceda abafazi abanesifo se-thrombophilia, njenge- Factor V Leiden . Inhlanganisela ye-aspirin kunye ne-low-dose ye-aspirin inokumiselwa ngexesha lokukhulelwa kunye neveki ezimbalwa emva kokuziswa.
Ngaba Kukhuselekile Ukuthatha I-Heparin?
Kufuneka kuqatshelwe ukuba ukusebenzisa i-heparin ngexesha lokukhulelwa akukho mngcipheko. Isiza lineziphumo ezibi kwabanye abantu kwaye sinokunyusa umngcipheko wokulahleka kwethambo okanye ukutyekela ukubola. Kodwa kubasetyhini abane-antiphospholipid syndrome, izibonelelo zinokuba ngaphezu kweengozi. Kubalulekile ukuthetha nodokotela wakho, ngokuqinisekileyo, phambi kokuba uthathe nawuphi na uhlobo lweziyobisi.
Ziziphi iindidi zabafazi abakhulelweyo abazuzekileyo kwi-Heparin?
Ezinye iingcali zathi i-heparin inokuba luncedo kubasetyhini abanobuchopho obuphindaphindiweyo kunye novavanyo olubi kwiintsholongwane ze-antiphospholipid, ukuxhomekeka kwezinto ezingaqhelekanga ezikhethiweyo eziqhelekileyo zingabangelwa ngenxa yesifo esithile esingaziwayo segazi, kodwa uvavanyo lwango-2010 lufumene ukuba akukho i-heparin okanye i-dose-low dose I-aspirin ithuthukise izinga lokuzalwa kwaba bafazi xa kuthelekiswa ne placebo.
Ngoko ke, unyango lwe-heparin luvame ukucetyiswa kuphela kwabasetyhini abaneembali zokulahleka kwamathambo kunye nokuxilongwa kwe-antiphospholipid syndrome okanye i-thrombophilia disorder disorder.
Imithombo:
Ikholeji yase-American College of Obstetricians kunye neGynecologists. "I- FAQ 100 - Iimpazamo eziphindaphindiweyo ." Meyi 2016.
UDi Nisio, M., LW Peters, S. Middeldorp, "I-Aspirin okanye i-anticoagulants ekwenzeni ukuphuphuma kwesisu ngokuphindaphindiweyo kwabasetyhini ngaphandle kwe-antiphospholipid syndrome.
U-Empson, M., M. Lassere, J. Craig, kunye noJ. Scott, "Ukuthintela ukuphuphuma kwesisu ngokuphindaphindiweyo kubafazi abane-antiphospholipid antibody okanye i-lupus anticoagulant." Library Cochrane . 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, isiNahuis M, i-Papatsonis DN, i-Büller HR, i-van der Veen F, i-Middeldorp S. "i-Aspirin kunye ne-Heparin okanye i-Aspirin Kwabesetyhini kunye nokuHlala kwakhona. " N Engl J Med. 2010 uMar 24. [Epub phambi kokuprinta].
Matshi weDimes, "i-Thrombophilias nokukhulelwa." I-Quick Reference: Iifayili ZeeNkcukacha . Oktobha 2006.