Cov ntshav txhaws, txawm tias lawv tshwm sim hauv lub ntsws lossis cov leeg ntshav, poob rau hauv qeb "venous thromboembolism" lossis VTE (venous thromboembolism). Cov tsos mob thiab cuam tshuam ntawm cov ntshav txhaws sib txawv nyob ntawm qhov uas lawv tshwm sim hauv lub cev. Txawm li cas los xij, txhua qhov ntshav txhaws tuaj yeem ua rau tuag taus yog tias tsis kho, suav nrog mob plawv thiab mob hlab ntsha tawg. Nrhiav kom paub txog kev tiv thaiv ntshav khov yog thawj kauj ruam tseem ceeb rau koj.
Kauj ruam
Ntu 1 ntawm 2: Nkag Siab Qhov Risk
Kauj Ruam 1. Ceev faj yog tias koj yog neeg laus
Qhov pheej hmoo muaj ntshav khov thawj zaug (VTE) yog 100 hauv 100,000. Txawm li cas los xij, qhov kev pheej hmoo no nce nrawm nrog hnub nyoog: thaum muaj hnub nyoog 80 xyoo, VTE tus nqi yog 500 hauv 100,000. Thaum koj loj tuaj, koj yuav tsum saib xyuas koj kev noj qab haus huv tag nrho los ntawm kev kuaj mob tas mus li.
Txoj kev pheej hmoo ntawm cov ntshav khov nce ntxiv yog tias koj nyuam qhuav tau phais lossis tau tawg ib ceg lossis pob tw
Kauj Ruam 2. Xav txog koj qib kev ua ub no
Cov tib neeg uas ua lub neej nyob ntsiag to lossis ua lub neej nyob tsis tswm muaj kev pheej hmoo loj ntawm kev tsim kab mob hauv lub ntsws, lossis ntshav txhaws hauv lub ntsws. Cov neeg uas zaum ntau dua rau teev nyob rau ib hnub hauv lawv lub sijhawm so yog ob zaug uas yuav raug kev txom nyem los ntawm kev mob ntsws ntsws zoo li cov uas zaum tsawg dua ob teev. Lub sijhawm zaum, pw, lossis sawv hauv ib qhov chaw ntev tuaj yeem ua rau cov ntshav ntws mus tsis tau, uas thaum kawg tuaj yeem ua rau ntshav txhaws. Qhov no yog ib qho laj thawj vim li cas VTE muaj ntau nyob hauv cov neeg mob pw hauv tsev kho mob (tshwj xeeb yog tom qab phais) thiab cov neeg uas mus kev deb.
Kauj Ruam 3. Xam koj lub cev qhov hnyav ntsuas (BMI)
Cov tib neeg uas poob rau hauv qeb ntawm kev rog rog muaj kev pheej hmoo tsim VTE ntau dua li cov neeg uas muaj lub cev hnyav. Qhov kev sib txheeb no tsis nkag siab tag nrho, tab sis cov kws tshaj lij ntseeg tias nws yog vim cov tshuaj estrogen tsim los ntawm cov rog rog. Estrogen yog qhov kev pheej hmoo ywj pheej uas ua rau ntshav khov. Cov rog rog tseem tsim cov protein hu ua "cytokines", uas tuaj yeem ua lub luag haujlwm hauv qhov tshwm sim ntawm VTE. Thaum qhov no tsis yog qhov tseeb, cov neeg rog rog feem ntau muaj lub neej nyob ntsiag to piv rau cov neeg uas hnyav nyob hauv thaj tsam noj qab haus huv.
- Siv tus lej BMI online xws li Mayo Clinic lub vev xaib los xam koj li BMI. Txhawm rau kom tau txais txiaj ntsig, koj yuav tsum nkag mus rau koj lub hnub nyoog, hnyav, qhov siab thiab poj niam txiv neej.
- Cov neeg rog yog cov neeg uas muaj BMI ntawm 30 lossis ntau dua. Qhov muaj txiaj ntsig los ntawm 25 txog 29.9 yog rau cov tib neeg uas poob rau hauv qeb rog. BMI rau ib tus neeg ib txwm yog 18.5 txog 24.9. Thiab BMI nrog tus nqi qis dua 18.5 suav tias yog qhov hnyav.
Kauj Ruam 4. Saib koj cov qib tshuaj hormones
Cov tshuaj hormones hloov pauv, tshwj xeeb yog cov koom nrog cov tshuaj estrogen, tuaj yeem ua rau tib neeg muaj kev pheej hmoo rau VTE. Qhov no feem ntau tshwm sim rau cov poj niam tom qab cev xeeb tub uas noj tshuaj estrogen ua ib feem ntawm kev kho tshuaj hloov tshuaj. Cov poj niam uas tiv thaiv cev xeeb tub los ntawm kev siv tshuaj tiv thaiv kab mob hormonal thiab poj niam cev xeeb tub kuj tseem muaj feem yuav tsim cov ntshav txhaws.
Sib tham txog cov kev pheej hmoo thiab kev xaiv uas koj xaiv nrog koj tus kws kho mob ua ntej pib kho tshuaj hormone
Kauj Ruam 5. Ceev faj ntawm hypercoagulation
Coagulation yog lwm lub npe rau khov, uas yog txheej txheem ib txwm muaj nyob hauv cov ntshav. Tsis muaj coagulation, koj tuaj yeem tuag los ntawm ntshav thaum koj raug mob! Txawm hais tias coagulation yog ib txwm muaj, hypercoagulation yog ib qho mob thaum muaj ntshav khov ntau dhau, txawm tias thaum cov ntshav tseem nyob hauv lub cev. Hypercoagulation tuaj yeem tshwm sim los ntawm kev dag dag lossis zaum ntev, haus luam yeeb, lub cev qhuav dej, mob qog noj ntshav, thiab kho tshuaj hormone. Koj yuav muaj kev pheej hmoo rau hypercoagulation yog tias:
- Koj muaj tsev neeg keeb kwm ntawm cov ntshav tsis txawv txav.
- Koj tsim cov ntshav txhaws thaum tseem hluas.
- Koj muaj ntshav khov thaum koj cev xeeb tub.
- Koj tau muaj ntau yam kev nchuav menyuam tsis muaj laj thawj.
- Ib tus lej ntawm cov teeb meem caj ces (xws li Factor 5 Leiden Disorder lossis Lupus Anticoagulant) kuj tuaj yeem ua rau tib neeg muaj tus mob no.
Kauj Ruam 6. Kawm txog lwm yam kev mob nkeeg uas tuaj yeem ua rau koj muaj feem pheej hmoo tsim cov ntshav txhaws
Atrial fibrillation (lub plawv tsis xwm yeem) thiab kev tsim cov plaques roj hauv cov hlab ntshav tuaj yeem ua rau ntshav txhaws.
- Lub plawv dhia tsis xwm yeem tiv thaiv cov ntshav los ntawm kev txav mus los, tom qab ntawd sau rau qee qhov, thiab pib khov.
- Cov neeg uas muaj atrial fibrillation tuaj yeem muaj lub plawv dhia tsis xwm yeem tsis muaj lwm yam tsos mob. Qhov no feem ntau pom thaum lub sijhawm kuaj xyuas tas li. Qhov mob no tuaj yeem kho nrog ntshav ntshav lossis lwm yam tshuaj, hloov pauv kev ua neej, thiab qee zaum kev phais lossis lub tshuab ua kom lub zog nrawm.
- Cov quav hniav zoo li cov roj cholesterol tuaj yeem txhim kho hauv cov hlab ntshav (qee zaum ib feem ntawm atherosclerosis), thiab yog tias lawv tawg, lawv tuaj yeem pib txheej txheem khov. Feem ntau mob hlab ntsha tawg thiab plawv nres tshwm sim thaum cov quav hniav hauv lub hlwb lossis lub plawv tawg.
Ntu 2 ntawm 2: Tiv Thaiv Kev Mob Ntshav
Kauj Ruam 1. Ua haujlwm tas li
Kev tshawb fawb qhia pom tias 150 feeb ntawm kev qoj ib ce kom muaj zog ib lub lim tiam tuaj yeem txo qhov kev pheej hmoo ntawm ntau yam teeb meem kev noj qab haus huv. Qhov no txhais tau tias koj yuav tsum ua haujlwm aerobic (piv txwv li caij tsheb kauj vab, taug kev, ua haujlwm qoj ib ce, thiab lwm yam) li 20 txog 30 feeb hauv ib hnub. Xaiv qhov kev lom zem kom koj tuaj yeem ua nws! Kev tawm dag zog ua kom cov ntshav khiav tau zoo, tiv thaiv VTE, thiab txhim kho kev noj qab haus huv tag nrho.
Kauj Ruam 2. Tsa koj txhais ko taw ib ntus txhua hnub
Qhov no tuaj yeem ua tiav thaum koj so lossis tsaug zog. Muab tso rau sab qis dua siab dua ko taw ntawm tus menyuam nyuj. Yog li, tsis yog hauv caug siab. Tsis txhob muab lub hauv ncoo tso rau hauv qab koj lub hauv caug kom txhawb nqa koj ob txhais ceg. Hloov chaw, tsa koj txhais ceg qis txog 15 cm siab dua koj lub siab. Tsis txhob hla koj ob txhais ceg.
Kauj Ruam 3. Sib faib lub sijhawm zaum ntev los ntawm kev ua ub no
Thaum nws yog ib qho tseem ceeb rau kev tawm dag zog txhua hnub, nws tsis txaus los tsuas yog zaum txhua hnub thiab taug kev li 20 feeb. Yog tias koj yuav tsum tau pw lossis zaum ntev ntev (xws li thaum mus ncig, ua haujlwm pem hauv ntej ntawm lub computer screen, lossis so hauv txaj), koj yuav tsum siv sijhawm rau kev tawm dag zog. Txhua ob teev, sawv thiab ua qee yam kev ua si. Koj tuaj yeem taug kev lossis ua qoj ib ce qoj ib ce los ntawm wiggling koj pob taws thiab ntiv taw rov qab.
Cov xwm txheej uas koj zaum nrog koj lub hauv caug khoov (ib txwm zaum zaum zaum) ua rau koj muaj kev pheej hmoo ntshav khov
Kauj Ruam 4. Tsis txhob haus dej ntau
Lub cev qhuav dej hnyav yuav "ua kom tuab" cov ntshav thiab txhawb kev tsim cov ntshav txhaws. Txhua tus, tshwj xeeb yog cov neeg laus thiab lwm tus uas muaj kev pheej hmoo siab, yuav tsum haus dej kom ntau. Lub Tsev Haujlwm Saib Xyuas Tshuaj pom zoo kom txiv neej haus 13 khob dej (peb litres) ib hnub, thiab poj niam yuav tsum haus 9 khob (2.2 litres).
- Tsis txhob cia koj tus kheej nqhis dej. Kev nqhis dej yog thawj zaug thiab pom tseeb tshaj plaws uas tus neeg lub cev qhuav dej. Yog tias koj xav tias nqhis dej, koj nyob ze ntawm lub cev qhuav dej.
- Lwm qhov cim qhia ntxov yog qhov ncauj qhuav lossis tawv nqaij qhuav heev.
- Tam sim ntawd haus dej kom rov ua kua hauv lub cev. Yog tias koj ntuav lossis ntuav, lossis tawm hws ntau, koj yuav xav tau cov tshuaj electrolyte xws li Gatorade kom rov ua kua.
Kauj Ruam 5. Tau txais kev kuaj mob tas li thaum cev xeeb tub
Cov qib estrogen siab ua rau poj niam muaj kev pheej hmoo siab dua ntawm kev tsim VTE. Txawm li cas los xij, thaum koj cev xeeb tub koj yuav tsis tuaj yeem tswj cov tshuaj estrogen uas koj lub cev tsim tawm. Yam koj tuaj yeem ua yog sim zam lwm yam kev pheej hmoo (xws li haus luam yeeb lossis zaum ntev ntev) thiab xyuas kom koj li xwm txheej tseem raug tshuaj xyuas los ntawm koj tus kws kho mob.
- Yog tias koj tau ntsib VTE hauv lub cev, koj tus kws kho mob tuaj yeem sau tshuaj noj uas muaj kev nyab xeeb rau cev xeeb tub kom cov ntshav khov tsis kis mus rau lub hlwb lossis lub ntsws, uas tuaj yeem ua rau tuag taus.
- Siv cov tshuaj ua kom ntshav qis thaum cev xeeb tub ua rau muaj kev pheej hmoo vim tias nws tuaj yeem cuam tshuam nrog kev txuas ntxiv ntawm lub tsho me nyuam.
- Txawm li cas los xij, hauv qhov xwm txheej pheej hmoo VTE, Lovenox tuaj yeem muaj txiaj ntsig zoo rau kev cawm neeg txoj sia. Tom qab yug me nyuam, leej niam yuav tsum hloov mus rau Coumadin, uas tuaj yeem siv tau zoo thaum pub niam mis.
- VTE yog thawj qhov ua rau menyuam mos tuag hauv Asmeskas thiab Western Europe.
Kauj Ruam 6. Tham nrog koj tus kws kho mob txog kev kho tshuaj hormone hloov (HRT)
Kev kho HRT (uas ua tiav los tswj cov tsos mob menopausal) tuaj yeem ua rau muaj kev pheej hmoo ntshav nce ntxiv. Lwm txoj kev kho yam tsis muaj cov tshuaj hormones tuaj yeem ua tiav los ntawm kev sim kua isoflavone kho xws li Estroven, txhawm rau pab nrog kub kub (qhov hnov ntawm tshav kub uas tshwm sim rau poj niam ua ntej lub cev ntas), tab sis tsis ua rau muaj kev pheej hmoo ntawm VTE. Koj tseem tuaj yeem tau txais cov kua los ntawm ntau yam khoom noj xws li taum taum, taum paj, lossis kua mis. Txawm li cas los xij, tsis muaj phau ntawv qhia meej txog qhov koob tshuaj.
Koj tseem tuaj yeem xaiv nyob nrog cov tsos mob menopause yam tsis tau noj tshuaj. Txawm hais tias tsis xis nyob, lub cev ntas tsis cuam tshuam rau kev noj qab haus huv
Kauj Ruam 7. Noj cov tshuaj tiv thaiv hormonal tsuas yog tom qab tau txais kev pom zoo los ntawm koj tus kws kho mob
Kev sib xyaw ntawm cov tshuaj estrogen thiab progestin pom hauv feem ntau cov tshuaj tiv thaiv kev yug menyuam tuaj yeem ua rau muaj kev pheej hmoo ntawm ntshav khov peb txog plaub zaug. Txawm li ntawd los, kev pheej hmoo tag nrho hauv cov poj niam noj qab haus huv uas tsis muaj lwm yam kev pheej hmoo tseem tsawg heev, kwv yees li ntawm ib ntawm 3,000 tus neeg uas tau ntsib VTE.
- Cov poj niam uas muaj ntshav los hnyav thaum lub cev ntas los lossis muaj cov kab mob hauv lub tsev menyuam txawv txav yuav tsum siv cov tshuaj tsis muaj tshuaj hormonal, yog tias muaj. Txiav txim siab siv cov tshuaj tiv thaiv hormonal yam tsis muaj tshuaj estrogen (progesterone nkaus xwb) lossis txawm tias tsis yog cov tshuaj tiv thaiv hormonal xws li IUD.
- Txawm hais tias koj muaj keeb kwm lossis muaj kev pheej hmoo ntshav khov, kev siv tshuaj tiv thaiv kab mob tseem tuaj yeem siv tau yog tias koj noj tshuaj anticoagulants. Cov kws kho mob tseem tuaj yeem xaiv cov tshuaj tiv thaiv kab mob nrog cov tshuaj estrogen qis heev (lossis txawm tias tsis muaj tshuaj estrogen), uas tuaj yeem txo qhov kev pheej hmoo ntawm ntshav txhaws.
Kauj Ruam 8. Khaws koj qhov hnyav kom nyob zoo
Vim tias cov rog rog ntau dhau hauv cov neeg rog rog cuam tshuam nrog kev pheej hmoo tsim VTE, sim poob phaus kom muaj kev noj qab haus huv yog tias koj rog (BMI tus qhab nia ntawm 30 lossis ntau dua). Txoj kev noj qab haus huv tshaj plaws kom poob phaus yog ua ke nrog kev noj zaub mov zoo. Thaum koj yuav tsum txwv koj cov calories kom tsawg, feem ntau cov kws noj zaub mov tsis pub koj noj tsawg dua 1200 calories ib hnub. Tus lej tuaj yeem siab dua yog tias koj nquag ua kis las. Tham nrog tus kws noj zaub mov kom tau txais cov calories uas yog rau koj.
- Hnav lub ntsuas ntsuas lub plawv thaum qoj ib ce los ntsuas koj lub plawv dhia.
- Txhawm rau suav koj lub plawv lub hom phiaj, ua ntej xam koj lub plawv dhia siab tshaj, uas yog 220 rho koj lub hnub nyoog.
- Muab tus lej koj tau txais los ntawm 0.6 kom tau txais lub plawv dhia koj yuav tsum tau ua lub hom phiaj, thiab sim ua kom lub plawv dhia tsawg kawg 20 feeb thaum ua haujlwm tsawg kawg 4 zaug hauv ib lub lis piam.
- Piv txwv li, rau tus poj niam uas muaj hnub nyoog 50 xyoos, lub hom phiaj ntawm lub plawv dhia yuav yog (220-50) x 0.6 = 102.
Kauj Ruam 9. Muab cov thom khwm thom khwm los thom khwm
Cov thom khwm zuaj kuj tseem hu ua TET (thromboembolism-deterrent) thom khwm. Cov neeg uas ib txwm taug kev ntau teev, piv txwv tias yog tus tos lossis kws kho mob thiab kws saib xyuas neeg mob, feem ntau hnav cov thom khwm no txhawm rau txhim kho cov ntshav ncig. Nws kuj tseem tuaj yeem hnav tom qab koj muaj ntshav khov los daws qhov mob thiab o. Qee zaum cov thom khwm no tseem siv rau cov neeg mob hauv tsev kho mob uas tuaj yeem siv sijhawm nyob hauv txaj xwb.
Cov thom khwm ntim tau tuaj yeem yuav tom khw muag tshuaj thiab khw muag tshuaj. Cov cuab yeej no txuas nrog lub hauv caug txhawm rau txhim kho cov ntshav ncig
Kauj Ruam 10. Tham nrog koj tus kws kho mob txog tshuaj tiv thaiv
Yog tias koj tus kws kho mob xav tias koj muaj kev pheej hmoo siab rau VTE, nws lossis nws yuav muab tshuaj tiv thaiv rau koj. Nyob ntawm koj tus mob, koj tus kws kho mob yuav sau ntawv tshuaj (xws li Lovenox lossis Coumadin) lossis cov tshuaj tsis yog tshuaj (xws li tshuaj aspirin).
- Coumadin yog cov tshuaj yuav tshuaj uas feem ntau noj ntawm koob tshuaj 5 mg ib hnub ib zaug. Txawm li cas los xij, hauv tib neeg sib txawv, cov tshuaj no tuaj yeem ua rau muaj kev cuam tshuam sib txawv nrog cov vitamin K, yog li nws tuaj yeem ua teeb meem rau cov ntshav khov. Yog li, qhov ntau npaum li cas tuaj yeem sib txawv rau txhua tus neeg.
- Lovenox yog cov tshuaj yuav tshuaj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj uas koj tuaj yeem txhaj koj tus kheej hauv tsev. Koj yuav tau txhaj koob txhaj tshuaj uas yuav tsum tau txhaj ob zaug ib hnub. Qhov koob tshuaj nyob ntawm lub cev qhov hnyav.
- Aspirin yog cov tshuaj tom khw uas zoo rau cov neeg muaj kev pheej hmoo tsawg. Cov tshuaj no tau pov thawj los tiv thaiv qhov tshwm sim ntawm thrombosis vim ntshav txhaws uas ua rau mob plawv thiab mob hlab ntsha tawg.
Kauj Ruam 11. Nug cov tshuaj tshwj xeeb yog tias koj muaj mob qog noj ntshav
Ib ntawm tsib tus neeg mob qog noj ntshav ua rau mob VTE. Qhov no tshwm sim rau ntau yam laj thawj, suav nrog kev mob cuam tshuam nrog mob qog noj ntshav, tsis muaj kev txav mus los, lossis yog ib qho kev mob tshwm sim ntawm cov tshuaj. Cov neeg mob qog noj ntshav nrog VTE yuav tsum tau muab Lovenox lossis Coumadin thiab yuav muaj IVC (qis dua vena cava) lim ntxig rau. IVC lim ua zoo li lub lim dej thaum cov hlab ntshav txhaws tawg hauv txhais ceg. Cov cuab yeej no tiv thaiv cov ntshav txhaws los ntawm lub ntsws lossis lub plawv, uas tuaj yeem ua rau tuag taus.
Kauj Ruam 12. Siv tej yam ntuj tso los ua kev ntsuas
Thaum muaj cov ntaub ntawv keeb kwm hais txog kev kho ntuj uas siv los txo qhov kev pheej hmoo ntawm cov ntshav txhaws hauv cov neeg mob qog noj ntshav, tsis muaj kev txhawb nqa txuj ci rau qhov no. Muaj kev sib cav seb phytonutrients tuaj yeem tiv thaiv VTE hauv cov neeg mob qog noj ntshav lossis tsis tau. Txawm li cas los xij, cov txheej txheem uas cov zaub mov no tuaj yeem cuam tshuam cytokine ntau lawm thiab tiv thaiv kev mob qog noj ntshav tseem tsis tau paub, raws li tau sib cav. Qee cov zaub mov pom zoo hauv cov zaub mov no suav nrog:
- Txiv hmab txiv ntoo: Apricots, blackberries, txiv kab ntxwv, txiv lws suav, plums, pineapples, thiab blueberries.
- Cov txuj lom: Curry, paprika, chili, thyme, Ginger, turmeric, ginkgo, thiab licorice.
- Cov vitamins: Vitamin E (almonds thiab walnuts, lentils, oats thiab nplej), thiab Omega 3 fatty acids (ntses ntses xws li ntses ntses lossis ntses salmon).
- Cov peev txheej los ntawm cov nroj tsuag: noob paj noob hlis, roj safflower, thiab roj canola.
- Cov tshuaj ntxiv: Ginko biloba, qej, vitamin C, thiab nattokinase tshuaj ntxiv.
- Zib ntab thiab cawv txiv hmab.
Ceeb toom
- Yog tias koj muaj qhov o, mob lossis ua rau tawv nqaij, ua rau xim daj lossis xim liab ntawm koj cov tawv nqaij, lossis muaj kev sov siab ntawm ib txhais ceg, koj yuav muaj Deep Vein Thrombosis (DVT) thiab mus ntsib kws kho mob sai li sai tau.
- Yog tias koj ua tsis taus pa, kiv taub hau lossis tsaus muag, mob hnyav hauv koj lub hauv siab, lub plawv dhia nrawm lossis hnoos cov hnoos qeev uas muaj ntshav tsis pom qhov laj thawj, koj yuav muaj Pulmonary Embolism (PE) thiab xav tau mus rau tom tsev kho mob tam sim lossis hu xov tooj xwm ceev kev pabcuam Muaj qhov ua tau tias qhov no yog ntshav khov uas tshwm sim hauv lub ntsws thiab xav tau kev kho mob tam sim.
