Chii Chinonzi Antiphospholipid Syndrome? Zviratidzo, Zvinokonzera, & Kurapa

Antiphospholipid syndrome (APS) chirwere che autoimmune umo masero ako emuviri anoshandisa mapuroteni ari muropa rako zvisina kunaka, zvichiita kuti ropa riome nyore. Funga nezvazvo sekuti sisitimu yako yekuomerera kweropa iri kushanda zvakanyanya kupfuura zvaifanira. Chirwere ichi chinotapukira varume nevakadzi, kunyange zvazvo chiri nyore kuvakadzi vane makore ekubereka, uye kunyange zvazvo richinzwa sekutyisa, rinogona kudzorwa nekuchengetedzwa kwakakodzera kwechiremba.

Chii Chinonzi Antiphospholipid Syndrome?

Antiphospholipid syndrome inoitika kana masero ako emuviri achigadzira maantibody anorwisa phospholipids nemapuroteni anobatanidza phospholipids muropa rako. Phospholipids mafuta anokosha anobatsira kuchengetedza mamembranes ematishu uye ane basa rinokosha mukuomerera kweropa.

Kana aya maantibody akarwisa, anokanganisa maitiro ekumerera kweropa. Panzvimbo yekumerera chete kana wakakuvadzwa, ropa rako rinonyanya kuomerera mukati memidziyero yeropa kana usingazvidi. Izvi zvinogona kukonzera matambudziko akakomba senge kurohwa neropa, kurwara kwemoyo, kana matambudziko ekubata pamuviri.

APS inogona kuitika pachayo, inonzi primary antiphospholipid syndrome, kana pamwe chete nemamwe marwere e autoimmune senge lupus, inonzi secondary antiphospholipid syndrome. Mashoko akanaka ndeakuti nekurapwa kwakakodzera, vanhu vakawanda vane APS vanogona kurarama hupenyu hunowanzoitika, hune hutano.

Ndeapi Zviratidzo zveAntiphospholipid Syndrome?

Zviratidzo zveAPS zvinogona kusiyana zvakanyanya nekuti zvinoenderana nekuti ropa rinoumera kupi mumuviri mako. Vamwe vanhu vangave vasina zviratidzo zvachose kusvika ropa racho rikaoma, nepo vamwe vangave nezviratidzo zvishoma nezvishoma zvinoita kuti zviwedzere kuipa.

Aya ndiwo zviratidzo zvakajairika zvaunogona kuona:

• Kurwadziwa kwemukati, kuzvimba, kana kupisa (kazhinji mumukati mumwe chete)
• Kushaya mweya kana kurwadziwa pachipfuva
• Kurwadziwa kwemusoro kazhinji kana migraines
• Kuneta kunoshaya kugadziriswa nekuzorora
• Matambudziko ekurangarira kana kuoma kuisa pfungwa
• Kuzvitarisa kana matambudziko ekururamisa
• Kuchinja kwe ganda senge ganda rakaita senge tsvimbo pamaoko nemakumbo
• Kushaya kunzwa kana kupisa pamaoko kana tsoka

Kuvakadzi, zviratidzo zvine chekuita nekutama zvinogona kusanganisira kupera kwenguva dzakawanda, kunyanya mune wechipiri kana wechitatu trimester, kana matambudziko senge preeclampsia. Aya maratidzo anoitika nekuti ropa rinogona kukanganisa kuyerera kweropa kuenda ku placenta.

Vamwe vanhu vane APS vangavewo nezviratidzo zvisingawanzoitika senge kuchinja kwekuona kamwe kamwe, kutaura kwakaoma, kana kushaya simba kune rumwe rutivi rwemukati. Kunyange zvazvo izvi zvinogona kunetesa, yeuka kuti kwete munhu wese ane APS achava nezviratidzo izvi zvose, uye mazhinji anogona kudzorwa zvakakwana nekurapa.

Ndeapi Marudzi eAntiphospholipid Syndrome?

APS kazhinji inokamurwa kuva marudzi maviri makuru zvichienderana nekuti inoitika pachayo kana nemamwe marwere. Kunzwisisa rudzi rwaunaro kunobatsira chiremba wako kugadzira chirongwa chekurapa chakakodzera kwauri.

Primary antiphospholipid syndrome inoitika kana uine APS pasina chimwe chirwere che autoimmune. Iyi ndiyo fomu yakareruka, umo matambudziko ekumerera kweropa ndiwo anonyanya kunetseka. Vanhu vakawanda vane primary APS vanopindura zvakanaka kumishonga inononotsa ropa.

Secondary antiphospholipid syndrome inoitika pamwe chete nemamwe marwere e autoimmune, kazhinji systemic lupus erythematosus (SLE kana lupus). Anenge 30-40% yevanhu vane lupus vanewo antiphospholipid antibodies. Mamwe marwere anogona kuitika neAPS anosanganisira rheumatoid arthritis, scleroderma, uye Sjögren's syndrome.

Panewo fomu isingawanzoitika asi yakakomba inonzi catastrophic antiphospholipid syndrome (CAPS), inotapura vashoma kupfuura 1% yevanhu vane APS. MuCAPS, ropa rinoumera zvakanyanya mumuviri wose, zvichikoshesa kurapwa nekukurumidza kwemurapwa. Kunyange zvazvo izvi zvichinzwa sekutyisa, hazviwanzoitika uye kazhinji zvinorapika kana zvakawanikwa pakutanga.

Chii Chinokonzera Antiphospholipid Syndrome?

Chikonzero chaicho cheAPS hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinoitika kubva kusanganiswa kwezvinhu zvemagwenya nezvinokonzera zvakatipoteredza. Sisitimu yako yekudzivirira inonyanya kusanzwisisa uye inotanga kurwisa mapuroteni emuviri wako.

Zvinhu zvakati wandei zvinogona kuita kuti APS ibude:

• Zvinhu zvemagwenya - mamwe majeni anogona kukugadzira kuti uve nyore kutapukirwa
• Zvirwere senge hepatitis C, HIV, kana mamwe mabhakitiriya
• Mishonga yakati, kusanganisira mamwe maantibiotic nemishonga yemoyo
• Mamwe marwere e autoimmune, kunyanya lupus
• Kuchinja kwemahomoni, kunyanya panguva yekubata pamuviri kana uchishandisa birth control
• Kunetseka kana chirwere chikuru chinokanganisa sisitimu yako yekudzivirira

Zvakakosha kunzwisisa kuti kuva nezvinokonzera njodzi hazvirevi kuti uchava neAPS. Vanhu vakawanda vane izvi zvinokonzera njodzi havazombovi nechirwere ichi, nepo vamwe vasina zvinokonzera zvakajeka vanoita.

Dzimwe nguva, vanhu vanogona kuva ne antiphospholipid antibodies muropa ravo pasina kuoneka zviratidzo kana ropa rakaoma. Izvi zvakasiyana nekuva neAPS pachayo, uye vanhu vakawanda ava havazombodi kurapwa.

Rini Unofanira Kuona Chiremba weAntiphospholipid Syndrome?

Unofanira kuona chiremba nekukurumidza kana ukaona zviratidzo zvinogona kuratidza ropa rakaoma, sezvo kurapwa pakutanga kunogona kudzivirira matambudziko akakomba. Usamirire kuona kana zviratidzo zvichinzwa zviri nani pachazvo.

Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona:

• Kurwadziwa kwemukati kamwe kamwe, kwakasimba nekuzvimba
• Kurwadziwa pachipfuva kana kuoma kufema
• Kurwadziwa kwemusoro kamwe kamwe kwakasimba kwakasiyana nekwawakambova nako
• Kushaya simba kamwe kamwe, kushaya kunzwa, kana kuoma kutaura
• Kuchinja kwekuona kana kurasikirwa nekuona
• Kurwadziwa kwemudumbu kwakasimba

Unofanirawo kuita appointment nechikomba chako kana uine kupera kwenguva dzakawanda, kunyanya kana uine kupera kwenguva kaviri kana kupfuura. Kunyange zvazvo kupera kwenguva kunogona kuva nezvikonzero zvakawanda, kupera kwenguva dzakawanda kunogona kuratidza APS kana chimwe chirwere chinorapika.

Kana uine nhoroondo yemhuri yeropa rakaoma kana marwere e autoimmune, taura izvi nechiremba wako. Vangakurudzira bvunzo yeAPS, kunyanya kana uri kuronga kubata pamuviri kana kutanga kushandisa hormonal birth control, zvose izvi zvinogona kuwedzera njodzi yekumerera kweropa.

Ndeapi Zvinokonzera Njodzi dzeAntiphospholipid Syndrome?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana APS, kunyange zvazvo kuva nezvinokonzera njodzi hazvirevi kuti uchava nechirwere ichi. Kunzwisisa njodzi yako kunokubatsira iwe nechikomba chako kuramba muri vakangwarira pazviratidzo zvepakutanga.

Zvinokonzera njodzi zvinonyanya kukosha zvinosanganisira:

• Kuva mukadzi, kunyanya pakati pemakore 20-50
• Kuva ne lupus kana chimwe chirwere che autoimmune
• Nhoroondo yemhuri yeAPS kana matambudziko ekumerera kweropa
• Ropa rakaoma kare kana matambudziko ekubata pamuviri
• Zvirwere zvakati, kunyanya hepatitis C kana HIV
• Kushandisa mishonga yakati kwenguva yakareba
• Kusvuta, izvo zvinoita kuti njodzi yekumerera kweropa iwedzere zvakanyanya

Zvimwe zviitiko zvechinguva zvinogona zvakare kuwedzera njodzi yako yekumerera kweropa kana uine APS. Izvi zvinosanganisira kubata pamuviri, kuvhiyiwa, kuzorora kwenguva yakareba, kana kushandisa estrogen-containing birth control kana hormone replacement therapy.

Zera rinotambawo basa, sezvo njodzi yekuwana APS ichiwedzera nezera, kunyange zvazvo ichigona kuitika pazera ripi zvaro. Vana vanogona kuwana APS, asi hazviwanzoitika kupfuura muvakuru.

Ndeapi Matambudziko Anogona Kuitika eAntiphospholipid Syndrome?

Kunyangwe matambudziko eAPS achinzwa sekakomba, vanhu vakawanda vane kurapwa kwakakodzera nekuongororwa vanogona kuadzivirira zvachose. Chinhu chikuru ndechekunzwisisa zvekutarisa uye kushanda pedyo nechikwata chako chekurapa.

Matambudziko akajairika anosanganisira:

• Deep vein thrombosis (ropa rakaoma mumidziyero yemukati)
• Pulmonary embolism (ropa rakaoma mumidziyero yemhepo)
• Kurohwa neropa, kunyanya muvechidiki
• Kurwara kwemoyo, kunyange zvazvo kushoma kupfuura kurohwa neropa
• Matambudziko ekubata pamuviri anosanganisira kupera kwenguva nekuzvarwa kwenguva isati yakwana
• Matambudziko etsinga kubva kweropa rakaoma mumidziyero yetsinga

Vamwe vanhu vane APS vangave nematambudziko asingawanzoitika asi akakomba. Izvi zvinogona kusanganisira ropa rakaoma munzvimbo dzisingawanzoitika senge chiropa, maziso, kana uropi, izvo zvinogona kukonzera zviratidzo senge matambudziko ekuona, kusanzwisisa, kana kuita seizures.

Fomu isingawanzoitika yeAPS inogona kukonzera kupera kwemasimba emuviri, asi izvi zvinoitika muvashoma kupfuura 1% yevanhu vane APS. Nezvikwata zvemazuva ano zve kurapa, kunyange matambudziko akakomba kazhinji anogona kudzivirirwa kana kurapika kana akawanikwa pakutanga.

Antiphospholipid Syndrome Inoziiwa Sei?

Kuziva APS kunoda uchapupu hwezvokurapa (senge ropa rakaoma kana matambudziko ekubata pamuviri) uye kusimbiswa kwe laboratory kwe antiphospholipid antibodies. Chiremba wako kazhinji anoda kusimbisa chirwere nebvunzo mbiri dzakanaka dzeropa dzakatorwa kwemavhiki gumi nemaviri zvichienderana.

Maitiro ekurapa kazhinji anosanganisira nhanho dzakati. Kutanga, chiremba wako achakubvunza nezvenhoroondo yako yekurapa, achikubvunza nezve ropa rakaoma, matambudziko ekubata pamuviri, kana zviratidzo zvawakamboona. Vachaitawo bvunzo yemuviri vachitarisa zviratidzo zvematambudziko ekumerera kweropa.

Bvunzo dzeropa ndidzo chinhu chikuru chekuziva APS. Bvunzo huru inotarisa marudzi matatu e antiphospholipid antibodies: anticardiolipin antibodies, anti-beta-2 glycoprotein I antibodies, uye lupus anticoagulant. Pasinei nezita rayo, lupus anticoagulant inonyanya kuwedzera njodzi yekumerera kweropa pane kudzivirira.

Chiremba wako angavewo achida bvunzo dzimwe kuti adzivise mamwe marwere kana kutarisa matambudziko. Izvi zvinogona kusanganisira bvunzo dzekuona senge ultrasounds kuti aone ropa rakaoma, kana bvunzo dzekuongorora tsinga, mwoyo, kana basa reuropi kana uine zviratidzo zvinokanganisa nhengo idzi.

Kurapa kweAntiphospholipid Syndrome Kudii?

Kurapa kweAPS kunotarisa pakudzivirira ropa rakaoma uye kudzora chero matambudziko akaitika kare. Mashoko akanaka ndeakuti nekurapwa kwakakodzera, vanhu vakawanda vane APS vanogona kurarama hupenyu hunowanzoitika, hunoshanda pasina miganho mikuru.

Nzira huru dzekurapa dzinosanganisira:

• Mishonga inononotsa ropa (anticoagulants) senge warfarin kana mishonga mitsva
• Mishonga ye antiplatelet senge low-dose aspirin
• Hydroxychloroquine, kunyanya kana uinewo lupus
• Statins kubatsira kuderedza kuzvimba nenjodzi yekumerera kweropa
• Kurapwa kwakakosha panguva yekubata pamuviri kudzivirira matambudziko

Chirongwa chako chekurapa chichaenderana nemamiriro ako. Kana wakambova neropa rakaoma kare, iwe ungada anticoagulation kwenguva yakareba. Kana uine APS asi usina kumbova neropa rakaoma, chiremba wako angakurudzira low-dose aspirin sechinhu chekudzivirira.

Kuvakadzi vanoronga kubata pamuviri, kurapwa kazhinji kunosanganisira kusanganiswa kwe low-dose aspirin ne heparin injections. Aya mishonga yakachengeteka panguva yekubata pamuviri uye inoderedza zvakanyanya njodzi yematambudziko ekubata pamuviri. Chiremba wako achakutevera pedyo panguva yekubata pamuviri uye angachinja kurapwa kwako sezvinodiwa.

Kuongororwa nguva dzose kunokosha kune munhu wese ane APS. Uchada bvunzo dzeropa nguva nenguva kuti uone basa rekuomerera kweropa uye uve nechokwadi chekuti mishonga yako iri kushanda zvakanaka. Chiremba wako achazotarisawo chero zviratidzo zvematambudziko kana zvinokonzerwa nekurapa.

Maitiro Ekurapa Kumba Panguva yeAntiphospholipid Syndrome?

Kudzorera APS kumba kunosanganisira kutora mishonga yako nguva dzose uye kuita sarudzo dzehupenyu dzinosimudzira hutano hwako hwese. Kunyange zvazvo kurapwa kwakakosha, pane zvakawanda zvaunogona kuita kumba kubatsira kudzora mamiriro ako zvakakwana.

Kutevedzera mishonga ndicho chinhu chakakosha chekurapa kumba. Tora mishonga yako inononotsa ropa sezvakarayirwa, panguva imwe chete zuva rega rega. Kana uri pa warfarin, uchada bvunzo dzeropa nguva dzose kuti uongorore mazinga ako, saka chengeta maappointment ako ese uye utevedzere chero zvirambidzo zvechikafu zvinokurudzirwa nachiremba wako.

Kuchinja mararamiro kunogona kubatsira zvikuru kudzora APS yako:

• Rambai muri vakasimba nekuita zvemitambo zvakapfava senge kufamba kana kushambira
• Dzivisa kugara kwenguva yakareba kana kuzorora mubhedha kana zvichibvira
• Rega kusvuta, sezvo zvinoita kuti njodzi yekumerera kweropa iwedzere
• Chengetera uremu hwakanaka
• Rambai muchinwa mvura yakawanda, kunyanya panguva yekufamba kana chirwere
• Pfekai masokisi ekumanikidza kana zvakakurudzirwa nachiremba wako

Chenjera muviri wako uye tarisa zviratidzo zvekuonekwa kweropa rakaoma. Chengeta rondedzero yezviratidzo zvekuona, uye usambotya kubata chiremba wako kana ukaona chimwe chinhu chinokunetsa. Zviri nani kubvunza chikwata chako chekurapa pane kuregeredza zviratidzo zvinogona kuva zvakakomba.

Kana uri kuronga kuvhiyiwa kana kurapwa kwemazino, ita shuwa kuti unoudza vanachiremba vako nezve APS yako nemishonga yaunotora. Vangada kuchinja kurapwa kwako kwenguva pfupi kuderedza njodzi yekubuda ropa panguva yekurapwa.

Ungagadzirira Sei Kuona Chiremba Wako?

Kuagadzirira kuona chiremba wako kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nechikomba chako uye kunobatsira kuti vakupa rubatsiro rwakanyanya. Kugadzirira kwakapfava kunogona kuita musiyano mukuru mukurapa kwako.

Usati waona chiremba wako,unganidza ruzivo nezvezviratidzo zvako nenhoroondo yako yekurapa. Nyora pasi nguva yazvakatanga, zvinhu zvinoita kuti zvinzwe zviri nani kana zvakaipa, uye maitiro azvinoita pahupenyu hwako hwemazuva ese. Kana wakambova neropa rakaoma kana matambudziko ekubata pamuviri, nyora mazuva uye zvakadzama.

Uya nerondedzero yakazara yemishonga yese yaunotora, kusanganisira mishonga yekutengwa pasina kuraira, zvinowedzerwa, nezvinomera. Zvimwe izvi zvinogona kukanganisa mishonga inononotsa ropa kana kukanganisa mhinduro dzako, saka zvakakosha kuti chiremba wako azive nezve zvese zvaunotora.

Gadzira rondedzero yemibvunzo yekubvunza chiremba wako. Ungada kuziva nezve:

• Zvinoreva mhinduro dzako
• Sarudzo dzekurapa nezvinokonzerwa nazvo
• Nguva yaunoda maappointment ekutevera
• Zviratidzo zvekuona
• Miganho yekufamba kana kuchinja mararamiro
• Kuongorora mhuri kana zvichibvira

Kana uri kuona nyanzvi kekutanga, bvunza chiremba wako kuti atumire rekodhi yako yekurapa kare. Izvi zvinosanganisira chero mhinduro dzebvunzo dzeropa kare, bvunzo dzekuona, kana rekodhi dzekurapa dzine chekuita nemamiriro ako.

Chii Chinonyanya Kukosha Nezve Antiphospholipid Syndrome?

Chinhu chakakosha kunzwisisa nezve APS ndechekuti kunyange zvazvo iri chirwere chakakomba, chinogona kurapika zvakanyanya kana chakadzorwa zvakanaka. Vanhu vakawanda vane APS vanowana kurapwa kwakakodzera vanogona kutarisira kurarama hupenyu hunowanzoitika, hune hutano nemiganhu shoma.

Kuziva nekukurumidza nekurapa zvinokosha pakudzivirira matambudziko. Kana uine zviratidzo zvinogona kuratidza ropa rakaoma kana uine zvinokonzera njodzi zveAPS, usambotya kutaura nazvo nachiremba wako. Bvunzo dzeropa dzinogona kuona nyore nyore maantibody anokonzera APS, uye kurapwa kunogona kutanga nekukurumidza kana zvichidiwa.

Yeuka kuti kuva neAPS hazvirevi kuti uri kuenda kuva neropa rakaoma kana mamwe matambudziko. Nekuchengetedzwa kwakakodzera kwechiremba, kutevedzera mishonga, uye sarudzo dzehupenyu dzakanaka, unogona kudzora mamiriro aya zvakakwana. Vanhu vakawanda vane APS vanoenderera mberi vachibata pamuviri zvakanaka, mabasa anoshanda, uye hupenyu hunogutsa.

Rambai muchibatanidzwa nechikwata chenyu chekurapa uye musatya kubvunza mibvunzo kana kutaura zvinokunetsa. Kuita kwako kwakanyanya mukurapa kwako chimwe chezvinhu zvinokosha zvikuru mukubudirira kudzora APS.

Mibvunzo InowanzoBvunzwa Nezve Antiphospholipid Syndrome

Antiphospholipid syndrome inogona kurapika here?

Parizvino, hapana mushonga weAPS, asi inogona kudzorwa zvakanyanya nemishonga nekuchinja mararamiro. Vanhu vakawanda vane APS vanowana kurapwa kwakakodzera vanogona kudzivirira ropa rakaoma uye kurarama hupenyu hunowanzoitika. Vatsvakurudzi vanoramba vachidzidza kurapwa kwemishonga kunogona kupa zvibereko zvakanaka mune ramangwana.

Ndichada mishonga inononotsa ropa here kwoupenyu hwese?

Izvi zvinoenderana nemamiriro ako. Kana wakambova neropa rakaoma, iwe ungada anticoagulation kwenguva yakareba kudzivirira ropa rakaoma ramangwana. Kana uine APS asi usina kumbova neropa rakaoma, chiremba wako angakurudzira low-dose aspirin kana kuongororwa pasina mishonga inononotsa ropa. Chirongwa chako chekurapa chingachinja nekufamba kwenguva zvichienderana nezvinokonzera njodzi uye kupindura kwako pakurapa.

Ndingava nevana here ndine antiphospholipid syndrome?

Hungu, vakadzi vakawanda vane APS vane kubata pamuviri kwakabudirira nekurapwa kwakakodzera kwechiremba. Kurapwa panguva yekubata pamuviri kazhinji kunosanganisira low-dose aspirin ne heparin injections, izvo zvakachengeteka kune amai nemwana. Uchada kuongororwa pedyo panguva yekubata pamuviri, asi vakadzi vakawanda vane APS vanogona kubata vana vavo kusvika pakupera kwenguva zvakanaka.

Antiphospholipid syndrome inogona kuwanikwa kubva kumhuri here?

APS inogona kuwanikwa kubva kumhuri, asi haina kuwanikwa zvakananga senge mamwe marwere emagwenya. Ungawana majeni anoita kuti uve nyore kutapukirwa neAPS, asi kuva nemumhuri ane APS hazvirevi kuti uchava nayo. Kana uine nhoroondo yemhuri yeAPS kana ropa rakaoma, taura izvi nachiremba wako kuti aongorore zvakakodzera.

Kunetseka kunogona kuita kuti antiphospholipid syndrome iwedzere kuipa here?

Kunyangwe kunetseka kusina kukonzera APS zvakananga, kunogona kuwedzera njodzi yako yeropa rakaoma nekukanganisa sisitimu yako yekudzivirira uye kuwedzera kuzvimba. Kudzora kunetseka kuburikidza nemazano ekusununguka, kurovedza muviri nguva dzose, uye hope dzakakwana kunogona kuva kunobatsira kune hutano hwako hwese uye kunogona kubatsira kuderedza njodzi yako yekumerera kweropa.