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دکتر صاحباری - بیماری سندرم آنتی فسفولیپید
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درباره وبلاگ


این وبلاگ به پاسخدهی سوالات رایج در مورد بیماری های روماتیسمی و شیوه درمان و عوارض آنها و راههای پیشگیری از عوارض و ابتلا به بیماری های شایع جامعه کنونی مانند آرتروز و پوکی استخوان می پردازد

مدیر وبلاگ : دکتر مریم صاحباری
نظرسنجی
وبلاگ پیش رو چقدر در پاسخ دهی به سوالات شما مفید است؟




این سندرم که شامل مجموعه علائم ازمایشگاهی و بالینی مثل سقط های مکرر بخصوص بعد از هفته دهم بارداری در صورتی که جنین و یا رحم مشکلی نداشته و علل شایعتر سقط رد شده باشد، یا پراکلامپسی و یا جنین با وزن کم  در بارداری اتفاق بیفته  و لخته شدن خون در ورید و یا شریان مثل ورید های پا و سکته مغزی در سنین پایین و ....

همزمان امکان دارد نوعی از کم خونی و یا کاهش پلاکت رو بهمراه داشته باشه. گاه علائم جلدی به صورت تغییر رنگ روی دستها و پاها به رنگ بنفش رنگ به اسم "لیودو رتیکولاریس" . برای تشخیص قطعی تست های ازمایشگاهی این بیماری باید به فاصله دوازده هفته از هم مجدد چک بشه و اگر با اندازه قابل قبولی بالا بود با وجود علائم مذکور تشخیص داده میشه

گاهی همراه با لوپوس هست و درمان های لوپوس هم به اون اضافه میشه

در مورد مبتلایان به این بیماری باید گفت که در صورت ایجاد لخته در بدن  باید مداوم  داروهای ضد اتعقاد مثل وارفارین مصرف کنند. اگر حوادث بارداری اتفاق افتاده باشه باید در طول حاملگی جدید بسته به میزان مشکلات قبلی از آسپرین و یا هپارین استفاده کنند و مراقبت های ویژه بارداری داشته باشند.

از آن جا که لخته ها می تونه به ریه پرتاب بشه  و یا باعث اسیب مغزی بشه مصرف درست داروها مهم است

اگر فقط تست ها مثبت باشه و بدون علائم واضح در مورد مصرف اسپرین هنوز اتفاق نظر نیست ولی اکثرا تجویز میشه

اما این افراد باید آگاه بشوند واگر جراحی و یا بستری طولانی دارند باید برای پیشگیری از ایجاد لخته هپارین دریافت کنند.

مصرف وارفارین ملزمات خاص خودش رو داره و بسیار مهم  است . همیشه نوشته ای همراه خود داشته باشید که از این دارو استفاده می کنید. هیچ داروی دیگری رو بدون اینکه با پزشک معالج مشورت کنید و یا چک کنید که تداخل دارویی نداره با وارفارین استفاده نکنید. مصرف اسپرین ، سیر و آب گریپ فروت اثر خونریزی دهنده اون رو تشدید می کنه.

باید مرتبا انعقاد خون شما چک بشه

بیماری آنتی فسفولیپید بهبود دائم نداره و باید طولانی مدت برای جلوگیری از لخته دارو مصرف کرد.

در مواردی که این بیماری باعث ایجاد لخته خون در اندام و یا مغز و ویا جای خاصی شده است معمولا با وارفارین درمان می کنیم. وارفارین باید تستINR که آزمایشی است که رقت خون را نشان میدهد بین 2 تا 3 نگهدارد و در مواقع لخته شریانی بین 3 تا 4 و یا مصرف همزمان وارفارین و اسپرین با هم با INR 2 تا 3 . در سایر موارد که تست ها به کرات مثبت ولی لخته خون نداریم اسپیرین ، هیدروکسی کلروکین و آتورواستاتین تجویز می شود. در مواردی که علت سقط ها و یا مرده زایی این سندرم است باید در دوران حاملگی از داروی هپارین ویا انوکساپارین زیر جلدی استفاده کرد طبق نظر پزشک . در صورت وجود سابقه لخته همزمان میزان تجویز این داروها دوبرابر می شود. آسپرین هیدرکسی کلروکین را می توان در بارداری ادامه داد. گاه کاهش پلاکت همزمان دادن این داروها را که ریسک خونریزی رو زیاد می کنن سخت می کنه.





نوع مطلب : درمان، عوارض، 
برچسب ها :
لینک های مرتبط :
          
پنجشنبه 11 اردیبهشت 1393
چهارشنبه 23 مرداد 1398 09:57 ب.ظ
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چهارشنبه 16 مرداد 1398 01:02 ب.ظ
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یکشنبه 16 تیر 1398 10:38 ب.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park
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He could be handsome. Brown hair slicked back, glasses for his face,
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‘Why Andrew? You're so handsome. I'd never reject you ', I only say He smiles at me, biting his lip.



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"So, can you mind if I kissed you right now?' he said as I am more detailed him and kiss him.

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چهارشنبه 5 تیر 1398 04:17 ق.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.
I'm having black coffee, he's creating a cappuccino. He or she is
handsome. Brown hair slicked back, glasses that fit his face,
hazel eyes and the most amazing lips I've seen. They are well
developed, with incredible arms including a chest that sticks out during
this sweater. We're standing in the front of each other speaking about our way of life,
what we want money, what we're seeking on another
person. He starts telling me that he's got been rejected lots of times.


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me, biting his lip.

‘Oh, I would not know. Everything happens for a good reason right.
But identify, make use of reject me, would
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"So, utilize mind if I kissed you at this time?' he explained as I get more detailed him and kiss him.

‘Next occasion don't ask, simply do it.' I reply.

‘I like the way you think.' , he said.

While waiting, I start scrubbing my heel bone as part of his leg, massaging it slowly. ‘What exactly do you prefer ladies? And, Andrew, don't spare me the details.' I ask.

‘I like determined women. Someone to know whatever they want. Someone that won't say yes although I said yes. Someone who's unafraid when attemping new stuff,' he says. ‘I'm never afraid when you try interesting things, especially on the subject of making something totally new in the bedroom ', I intimate ‘And I like women who are direct, who cut through the chase, like you just did. To get
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سه شنبه 4 تیر 1398 06:22 ب.ظ
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دوشنبه 3 تیر 1398 09:06 ب.ظ
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پنجشنبه 30 خرداد 1398 09:20 ب.ظ
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پنجشنبه 30 خرداد 1398 10:17 ق.ظ
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چهارشنبه 22 خرداد 1398 06:08 ب.ظ
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یکشنبه 19 خرداد 1398 10:00 ق.ظ
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پنجشنبه 26 اردیبهشت 1398 02:29 ق.ظ
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چهارشنبه 25 اردیبهشت 1398 10:00 ب.ظ
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دوشنبه 23 اردیبهشت 1398 04:54 ب.ظ
Index Search Villas and lofts for rental, search by region, find during first minutes a villa
to rent by city, many different rooms lofts and villas.
Be thankful for the wonderful pictures and information that they have to
supply you. The site is a center for all of you the ads inside field, bachelorette party?
Play with someone who leaves Israel? It doesn't matter what the reason why you need to rent a villa for a
future event or perhaps a group recreation well suited for any age.

The site is also center of rooms because of
the hour, which has already been another subject, for lovers who want
an opulent room equipped for discreet entertainment having a spouse or lover.

Whatever you want, the 0LOFT website will make a hunt for you to find rentals for loft villas
and rooms throughout Israel, North South and Gush Dan.
 
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