He aha ka Factor V Leiden? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka Factor V Leiden kahi kūlana genetic e hana ai i ka ʻōpala koko maʻalahi ma mua o ka maʻamau. ʻO ia ka maʻi hoʻoili koko maʻamau loa, e pili ana i ka 5% o nā kānaka me ka ʻohana ʻEulopa.

Hana ʻia kēia kūlana ke loaʻa iā ʻoe kahi hoʻololi gene kikoʻī e hoʻopilikia i ke ʻano o kou koko e pale ai i nā ʻōpala mai ka hana ʻana. ʻOiai he nui nā kānaka me ka Factor V Leiden ʻaʻole loa e ʻike i nā pilikia, hiki i nā poʻe ʻē aʻe ke loaʻa nā ʻōpala koko e hiki ke koʻikoʻi inā waiho ʻole ʻia.

He aha ka Factor V Leiden?

ʻO ka Factor V Leiden kahi mutation genetic e hoʻopilikia i kahi protein i kapa ʻia ʻo Factor V i kāu ʻōnaehana clotting koko. Kūleʻa kēia protein i kāu koko e clotting ke hōʻeha ʻoe, a laila hoʻohuli ʻia e kahi protein ʻē aʻe i kapa ʻia ʻo activated protein C.

Ke loaʻa iā ʻoe ka Factor V Leiden, kū'ē ka protein mutated i ka hoʻohuli ʻia e ka activated protein C. E noʻonoʻo e like me kahi kī clotting i paʻa i ke kūlana "on." Hana kēia i kou koko e ʻoi aku ka maʻalahi o ka hana ʻana i nā ʻōpala ʻoiai ʻaʻole ʻoe e pono iā lākou.

Hoʻoili ʻoe i kēia kūlana mai kou mau mākua ma o kou mau genes. Hiki iā ʻoe ke hoʻoili i hoʻokahi kope o ka mutation gene a i ʻole ʻelua mau kope, ka mea e hoʻopilikia i ka nui o kou hiki ke loaʻa nā ʻōpala koko.

He aha nā hōʻailona o ka Factor V Leiden?

ʻAʻole hana ka Factor V Leiden i nā hōʻailona. Manaʻo nā kānaka he nui me kēia kūlana genetic i ke olakino maikaʻi a ʻaʻole paha e ʻike lākou aia lākou inā loaʻa iā lākou kahi ʻōpala koko a i ʻole i ho'āʻo ʻia no nā kumu ʻē aʻe.

ʻO nā hōʻailona āu e ʻike ai, ʻo ia nā ʻōpala koko e hiki ke hana ma muli o ka Factor V Leiden. Eia nā hōʻailona e hōʻike ana ua hana paha kahi ʻōpala koko:

Nā hōʻailona o ka deep vein thrombosis (DVT):

• ʻO ka pehu ʻana ma kekahi wāwae, maʻamau ka ʻūhā a i ʻole ka ʻūhā
• ʻEha a i ʻole ʻeha ma ka wāwae i pilikia
• Wela ma ka wahi pehu
• ʻUla a i ʻole ʻili kala ʻē aʻe ma ka wāwae
• Nā ʻeha wāwae ʻaʻole e hele

Nā hōʻailona o ka pulmonary embolism:

• Ka hanu pōkole koke
• ʻEha umauma ʻoi aku ka nui me ka hanu
• ʻO ka puʻuwai wikiwiki
• Ke kahe koko
• Ke manaʻo ʻana i ka dizziness a i ʻole ka māmā

Pono kēia mau hōʻailona i ka mālama ola kino koke no ka mea hiki i nā ʻōpala koko ke hoʻoweliweli i ke ola inā hele lākou i kou mau māmā a i ʻole nā ​​mea nui ʻē aʻe.

He aha ka mea e hana ai i ka Factor V Leiden?

Hana ʻia ka Factor V Leiden e kahi mutation genetic kikoʻī āu i hoʻoili mai kou mau mākua. Hoʻopilikia kēia mutation i ka gene e hana ana i ka protein Factor V, ka mea e pāʻani ana i kahi kuleana nui i kāu kaʻina clotting koko.

Hana ʻia ka mutation ke hoʻololi ʻia hoʻokahi ʻāpana o ka DNA i ka gene Factor V. Hana kēia hoʻololi liʻiliʻi i ka protein Factor V e kū'ē i ka wā e wāwahi ʻia e ka activated protein C, ka mea maʻamau e kōkua i ka pale ʻana i ka clotting nui.

Hiki iā ʻoe ke hoʻoili i kēia kūlana ma nā ʻano ʻelua. Inā lawe kekahi mākua i ka mutation, hiki iā ʻoe ke hoʻoili i hoʻokahi kope o ka gene i hoʻololi ʻia. Inā lawe ʻelua mau mākua iā ia, hiki iā ʻoe ke hoʻoili i ʻelua mau kope, ka mea e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā ʻōpala koko.

Ua ulu paha kēia hoʻololi genetic i nā tausani mau makahiki i hala aku nei a ua hāʻawi paha i kahi pono ola i ko kākou mau kūpuna, ma ka hōʻemi ʻana i ke kahe koko i ka wā hānau a i ʻole nā ​​hōʻeha.

I ka wā e ʻike ai i ke kauka no ka Factor V Leiden?

Pono ʻoe e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi hōʻailona o kahi ʻōpala koko, e like me ka pehu wāwae koke, ʻeha umauma, a i ʻole ka pilikia hanu. Pono kēia mau hōʻailona i ka loiloi lapaʻau koke ʻoiai inā ʻike ʻoe aia iā ʻoe ka Factor V Leiden.

E noʻonoʻo e kūkākūkā me kāu kauka e pili ana i ka ho'āʻo ʻana o ka Factor V Leiden inā loaʻa iā ʻoe kahi moʻolelo ʻohana o nā ʻōpala koko, ʻoiai inā loaʻa i nā hoahānau nā ʻōpala i ka wā ʻōpio a i ʻole me nā mea hoʻonāukiuki maopopo ʻole e like me ka ʻoki a i ʻole nā ​​manawa lōʻihi o ka neʻe ʻole.

Pono nō hoʻi ʻoe e kamaʻilio me kāu kauka e pili ana i ka ho'āʻo ʻana inā manaʻo ʻoe e hāpai, e noʻonoʻo ana i ka hormone therapy, a i ʻole e hoʻomākaukau ana no ka ʻoki nui. Hiki i kēia mau kūlana ke hoʻonui i kou pilikia o nā ʻōpala koko inā loaʻa iā ʻoe ka Factor V Leiden.

Inā loaʻa iā ʻoe kahi ʻōpala koko i wehewehe ʻole ʻia, makemake paha kāu kauka e ho'āʻo iā ʻoe no nā maʻi clotting like ʻole, me ka Factor V Leiden, e hoʻomaopopo i kou pilikia a hoʻolālā i ka lapaʻau kūpono.

He aha nā mea pilikia no ka Factor V Leiden?

ʻO ka mea pilikia nui o ka Factor V Leiden, ʻo ia ka loaʻa ʻana o nā ʻōpala koko, hiki ke hele mai ka pilikia ʻole a hiki i ke ola weliweli ma muli o kahi e hana ai lākou a pehea lākou e mālama ʻia ai.

Eia nā pilikia maʻamau āu e hālāwai ai:

Deep vein thrombosis (DVT) ʻo ia ka pilikia pinepine loa. Hana pinepine kēia mau ʻōpala i nā veins hohonu o kou mau wāwae a hiki ke hana i ka ʻeha, pehu, a me ka hōʻino lōʻihi i kou mau veins wāwae inā ʻaʻole mālama koke ʻia.

Pulmonary embolism e hana ana ke hele kahi ʻōpala koko mai kou wāwae i kou mau māmā. He pilikia koʻikoʻi kēia, hiki ke make, e pono ai ka mālama pilikia koke.

Nā pilikia hāpai hiki ke komo pū me ka hoʻonui ʻana i ka pilikia o ka miscarriage, ʻoi aku hoʻi i ka lua a me ke kolu o nā trimester, a me nā pilikia e like me ka preeclampsia a i ʻole nā ​​pilikia placental.

Nā pilikia kakaikahi hiki ke komo pū me nā ʻōpala koko ma nā wahi maʻamau ʻole, e like me nā veins i kou ʻōpū, lolo, a i ʻole nā ​​mea nui ʻē aʻe. ʻOi aku ka liʻiliʻi o kēia mau mea akā hiki ke ʻoi aku ka koʻikoʻi ke hana.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ia ka nui o nā kānaka me ka Factor V Leiden ʻaʻole loa e loaʻa i nā pilikia, a hiki i ka poʻe e hana ai ke mālama maikaʻi iā lākou me ka mālama lapaʻau kūpono.

Pehea e pale ʻia ai ka Factor V Leiden?

ʻAʻole hiki iā ʻoe ke pale aku i ka Factor V Leiden no ka mea he kūlana genetic i hānau ʻia ʻoe. Eia naʻe, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o nā ʻōpala koko ma ka hana ʻana i nā koho ola maikaʻi a me ka hana pū ʻana me kāu hui mālama ola.

Eia nā hana hana hiki iā ʻoe ke hana e hoʻemi i kou pilikia clot:

E noho ikaika kino ma ka hoʻoikaika mau a me ka pale ʻana i nā manawa lōʻihi o ka noho ʻana a i ʻole ka moe ʻana. ʻO nā hana maʻalahi e like me ka hele wāwae a i ʻole ka hoʻolōʻihi ʻana i kou mau wāwae i nā lele lōʻihi hiki ke kōkua i ka hoʻomau ʻana i kou koko.

E mālama i ka kaumaha olakino no ka mea hoʻonui ka kaumaha nui i kou pilikia o nā ʻōpala koko. Hiki i ka ʻai kaulike a me ka hoʻoikaika mau ke kōkua iā ʻoe e hoʻokō a mālama i kahi kaumaha olakino.

Mai puhi a i ʻole e haʻalele inā puhi ʻoe i kēia manawa. Hoʻonui nui ka puhi ʻana i kou pilikia o nā ʻōpala koko, ʻoi aku hoʻi ke hui pū ʻia me ka Factor V Leiden.

E kūkākūkā pono i ka hoʻohana hormone me kāu kauka. Hiki i nā pīni birth control a me ka hormone replacement therapy ke hoʻonui i ka pilikia clot, no laila pono ʻoe e kaupaona i nā pono a me nā pilikia me kāu mea mālama ola.

I nā manawa pilikia kiʻekiʻe e like me ka ʻoki, hāpai, a i ʻole nā ​​manawa lōʻihi o ka neʻe ʻole, hiki i kāu kauka ke kuhikuhi i nā hana pale aku hou aku e like me nā lole compression a i ʻole nā ​​lāʻau lapaʻau blood-thinning.

Pehea e ʻike ʻia ai ka Factor V Leiden?

Hoʻomaopopo ʻia ka Factor V Leiden ma o nā ho'āʻo koko e ʻimi ana i ka mutation genetic a i ʻole ke ana i ke ʻano o kou koko i ka activated protein C. E kauoha pinepine kāu kauka i kēia mau ho'āʻo inā loaʻa iā ʻoe nā mea pilikia a i loaʻa paha iā ʻoe kahi ʻōpala koko.

ʻO ka ho'āʻo maopopo loa, ʻo ia ka ho'āʻo genetic e ʻimi pololei ana i ka mutation Factor V Leiden i kāu DNA. Hiki i kēia ho'āʻo ke haʻi iā ʻoe inā loaʻa iā ʻoe hoʻokahi a ʻelua paha mau kope o ka mutation, ka mea e hoʻopilikia i kou pae o ka pilikia.

ʻO kekahi ho'āʻo i kapa ʻia ʻo ka activated protein C resistance test e ana i ka maikaʻi o ka pane ʻana o kou koko i ka activated protein C. Inā ʻaʻole pane maʻamau kou koko, e hōʻike ana paha ʻoe i ka Factor V Leiden a i ʻole kekahi maʻi clotting ʻē aʻe.

Hiki i kāu kauka ke kauoha i nā ho'āʻo koko hou aku e ʻimi i nā maʻi clotting hoʻoili ʻē aʻe, no ka mea loaʻa i nā kānaka i kekahi manawa nā kūlana he nui e hoʻonui ai i ko lākou pilikia o nā ʻōpala koko.

He aha ka lapaʻau no ka Factor V Leiden?

Kūleʻa ka lapaʻau no ka Factor V Leiden i ka pale ʻana i nā ʻōpala koko ma mua o ka mālama ʻana i ke kūlana genetic ponoʻī. ʻAʻole pono ka hapa nui o nā kānaka me ka Factor V Leiden i ka lapaʻau ke loaʻa ʻole iā lākou kahi ʻōpala koko a i ʻole loaʻa iā lākou nā mea pilikia kiʻekiʻe loa.

Inā loaʻa iā ʻoe kahi ʻōpala koko, e kuhikuhi kāu kauka i nā lāʻau anticoagulant, i kapa pinepine ʻia ʻo nā mea hoʻoemi koko. ʻAʻole kēia mau lāʻau e hoʻoemi maoli i kou koko akā e kōkua i ka pale ʻana i nā ʻōpala hou mai ka hana ʻana a me nā ʻōpala e noho nei mai ka nui ʻana.

Nā lāʻau hoʻoemi koko maʻamau:

• Warfarin, ka mea e pono ai ka nānā koko mau
• Nā anticoagulants waha pololei e like me rivaroxaban, apixaban, a i ʻole dabigatran
• Nā inikini Heparin no ka mālama koke a i ʻole ke kūpono ʻole nā ​​pīni

ʻO ka lōʻihi o ka mālama ʻana e hilinaʻi ana i nā kumu like ʻole, me ka mea inā ʻo kēia kāu clot mua, ka mea i hoʻonāukiuki iā ia, a me kou pilikia holoʻokoʻa o ka loaʻa ʻana o nā clots i ka wā e hiki mai ana. Pono kekahi poʻe i ka mālama pōkole, ʻoiai pono kekahi poʻe i ka anticoagulation lōʻihi.

Hiki i kāu kauka ke kuhikuhi i ka mālama pale i nā manawa pilikia kiʻekiʻe, e like me ma mua o ka ʻoki a i ʻole i ka wā hāpai, ʻoiai inā ʻaʻole ʻoe i loaʻa i kahi clot ma mua.

Pehea e mālama ai i ka Factor V Leiden ma ka home?

ʻO ka mālama ʻana i ka Factor V Leiden ma ka home e komo pū ana i ka hana ʻana i nā koho ola e hōʻemi i kou pilikia o nā ʻōpala koko ʻoiai e mālama ana i kou olakino holoʻokoʻa a me ka maikaʻi o ke ola.

E noho ikaika a neʻe i loko o kou lā. E lawe i nā hoʻomaha mau mai ka noho ʻana, ʻoi aku hoʻi i nā huakaʻi kaʻa lōʻihi a i ʻole nā ​​lele. Hiki i nā hana maʻalahi e like me nā calf raises a i ʻole nā ​​ankle circles ke kōkua i ka hoʻomau ʻana i kou koko.

E komo i nā lole compression inā kuhikuhi kāu kauka iā lākou, ʻoi aku hoʻi i ka wā huakaʻi a i ʻole nā ​​manawa e emi ai kou neʻe ʻana. Kōkua kēia mau lole kūikawā e hoʻomaikaʻi i ke kahe koko i kou mau wāwae.

E noho wai maikaʻi, ʻoi aku hoʻi i ka wā huakaʻi a i ʻole ke anilā wela. Hiki i ka dehydration ke hana i kou koko i ʻoi aku ka mānoanoa a hoʻonui i ka pilikia clot.

E ʻike i nā hōʻailona hoʻomaopopo o nā ʻōpala koko a e ʻimi i ka mālama ola kino koke inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu wāwae koke, ʻeha umauma, a i ʻole ka pilikia hanu.

Inā lawe ʻoe i nā lāʻau lapaʻau blood thinning, e hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka dosing a me ka nānā ʻana. E mālama i ka papa inoa o kāu mau lāʻau lapaʻau a e haʻi aku i nā mea mālama ola a pau e pili ana i kāu ʻike Factor V Leiden.

Pehea ʻoe e hoʻomākaukau ai no kāu kauka appointment?

ʻO ka hoʻomākaukau ʻana no kāu appointment e kōkua iā ʻoe e loaʻa ka nui loa mai kāu manawa me kāu kauka a e hōʻoia iā ʻoe e loaʻa ka mālama maikaʻi loa no kāu Factor V Leiden.

E hōʻiliʻili i kāu moʻolelo ola kino ʻohana, ʻoi aku ka ʻike e pili ana i nā ʻōpala koko, nā hahau, a i ʻole nā ​​hoʻouka puʻuwai i kou mau hoahānau. E hoʻomaopopo i ka makahiki i hana ai kēia mau hanana a me nā mea hoʻonāukiuki i ʻike ʻia.

E papa inoa i kāu mau lāʻau lapaʻau āpau, me nā lāʻau lapaʻau kuhikuhi, nā lāʻau lapaʻau over-the-counter, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau ke hoʻopilikia i kou pilikia clotting a i ʻole ke launa pū me nā mea hoʻoemi koko.

E kākau i kou mau hōʻailona inā loaʻa iā ʻoe kekahi, me ka wā i hoʻomaka ai lākou, ka mea e hoʻomaikaʻi ai a i ʻole ka hoʻopilikia ʻana iā lākou, a pehea lākou e hoʻopilikia ai i kāu mau hana i kēlā me kēia lā.

E hoʻomākaukau i kāu mau nīnau ma mua. E noʻonoʻo e nīnau e pili ana i kou pae pilikia pilikino, inā pono ʻoe i ka lapaʻau, nā hoʻololi ola āu e hana ai, a i ka wā e ʻimi ai ʻoe i ka mālama pilikia.

E lawe mai i kahi lālā ʻohana a i ʻole hoaaloha inā makemake ʻoe i ke kākoʻo, ʻoi aku hoʻi inā kūkākūkā ʻoe i nā koho lapaʻau paʻakikī a i ʻole inā manaʻo ʻoe e hopohopo e pili ana i kāu ʻike.

He aha ka mea nui e pili ana i ka Factor V Leiden?

ʻO ka Factor V Leiden kahi kūlana genetic maʻamau e hoʻonui ai i kou pilikia o nā ʻōpala koko, akā hiki ke mālama ʻia me ke ala kūpono a me ka mālama lapaʻau. Nui nā kānaka me kēia kūlana e ola ana i ke ola maʻamau, olakino.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole ʻo ka loaʻa ʻana o ka Factor V Leiden ʻo ia hoʻi e loaʻa maoli iā ʻoe nā ʻōpala koko. ʻO kāu pilikia maoli e hilinaʻi ana i nā kumu he nui, me kou ola, nā kūlana olakino ʻē aʻe, a me nā kūlana ola kikoʻī.

ʻO ka hana pū ʻana me kāu hui mālama ola, ke noho ʻana i ka ʻike e pili ana i kou kūlana, a me ka hana ʻana i nā koho ola maikaʻi hiki ke hōʻemi nui i kou pilikia o nā pilikia. Mai hoʻokuʻu i ka Factor V Leiden i kou ola, akā e lawe pono iā ia e lawe i nā hoʻoholo ʻike e pili ana i kou olakino.

E hoʻomanaʻo e hoʻomau ana ka noiʻi lapaʻau e hoʻomaikaʻi i ko kākou hoʻomaopopo ʻana i ka Factor V Leiden a me ka hoʻomohala ʻana i nā lapaʻau maikaʻi aʻe. E noho pili me kāu mea mālama ola no ka alakaʻi hou loa e pili ana i ka mālama ʻana i kou kūlana.

Nā nīnau pinepine e pili ana i ka Factor V Leiden

Hiki iaʻu ke hoʻoili i ka Factor V Leiden i kaʻu mau keiki?

ʻAe, ʻo ka Factor V Leiden kahi kūlana genetic hoʻoili hiki iā ʻoe ke hoʻoili i kāu mau keiki. Loaʻa i kēlā me kēia keiki kahi manawa 50% o ka hoʻoili ʻana i ke kūlana inā loaʻa i hoʻokahi mākua. Inā loaʻa i nā mākua ʻelua ka Factor V Leiden, ʻoi aku ka nui o nā manawa, a hiki i nā keiki ke hoʻoili i ʻelua mau kope o ka mutation, ka mea e hoʻonui nui ai i ko lākou pilikia clot. Hiki i ka genetic counseling ke kōkua iā ʻoe e hoʻomaopopo i nā pilikia kikoʻī no kou ʻohana.

Ua palekana anei ka lawe ʻana i nā pīni birth control inā loaʻa iaʻu ka Factor V Leiden?

Hiki i nā pīni birth control ke hoʻonui i kou pilikia o nā ʻōpala koko, a ʻoi aku ka nui o kēia pilikia inā loaʻa iā ʻoe ka Factor V Leiden. Eia naʻe, ʻaʻole ʻo ka hoʻoholo ʻo "ʻaʻole" - e hilinaʻi ana i kāu mau mea pilikia pilikino, moʻolelo ʻohana, a inā loaʻa iā ʻoe nā clots ma mua. E kaupaona kāu kauka i nā pono a me nā pilikia me ka mālama a hiki ke kuhikuhi i nā ʻano contraceptive ʻē aʻe a i ʻole ka nānā kokoke inā koho ʻoe i ka hormonal contraception.

Pono anei au e lawe i nā mea hoʻoemi koko no ke koena o koʻu ola?

ʻAʻole pono. ʻAʻole pono ka nui o nā kānaka me ka Factor V Leiden i nā mea hoʻoemi koko. Inā loaʻa iā ʻoe kahi ʻōpala koko, ʻo ka lōʻihi o ka mālama ʻana e hilinaʻi ana i nā kumu he nui, me ka mea i hana i ka clot, inā ʻo ia kāu mua, a me kou pilikia holoʻokoʻa o nā clots i ka wā e hiki mai ana. Pono kekahi poʻe i ka mālama no nā mahina wale nō, ʻoiai pono kekahi poʻe i ka therapy lōʻihi. E loiloi hou kāu kauka i kāu pono no ka mālama mau.

Hiki iaʻu ke hoʻoikaika maʻamau me ka Factor V Leiden?

ʻAe, he pono a kuhikuhi ʻia ka hoʻoikaika mau no nā kānaka me ka Factor V Leiden. Kūleʻa ka hana kino i ka hoʻomaikaʻi ʻana i ke kahe koko a hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o nā ʻōpala koko. ʻAʻole pono ʻoe e pale aku i nā ʻano hoʻoikaika kikoʻī ke lawe ʻoe i nā lāʻau lapaʻau blood thinning, i kēlā me kēia hihia hiki i kāu kauka ke kuhikuhi i ka pale ʻana i nā haʻuki hoʻopili e hiki ke hana i nā hōʻeha kahe koko.

He aha kāu e hana ai inā manaʻo ʻoe e hana i ka ʻoki?

E haʻi aku i kāu hui ʻoki e pili ana i kāu ʻike Factor V Leiden ma mua o kāu kaʻina hana. Hoʻonui ka ʻoki i ka pilikia o nā ʻōpala koko no nā kānaka a pau, a ʻoi aku ka nui o kēia pilikia inā loaʻa iā ʻoe ka Factor V Leiden. Hiki i kāu mau kauka ke kuhikuhi i nā hana pale aku e like me nā lāʻau lapaʻau blood thinning, nā lole compression, a i ʻole ka hoʻoneʻe koke ʻana ma hope o ka ʻoki. ʻO ke ala kikoʻī e hilinaʻi ana i ke ʻano o ka ʻoki a me kāu mau mea pilikia pilikino. Mai haʻalele i kēia kamaʻilio - he mea nui ia no kou palekana.