{"id":1230,"date":"2020-01-31T15:07:02","date_gmt":"2020-01-31T15:07:02","guid":{"rendered":"http:\/\/stemcellsbank.ro\/blog\/?p=1230"},"modified":"2020-01-31T15:07:02","modified_gmt":"2020-01-31T15:07:02","slug":"exista-tratament-pentru-trombofilie-in-timpul-sarcinii-care-sa-nu-afecteze-fatul","status":"publish","type":"post","link":"http:\/\/stemcellsbank.ro\/blog\/exista-tratament-pentru-trombofilie-in-timpul-sarcinii-care-sa-nu-afecteze-fatul","title":{"rendered":"Exist\u0103 tratament pentru trombofilie \u00een timpul sarcinii care s\u0103 nu afecteze f\u0103tul?"},"content":{"rendered":"<p><a href=\"http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/Stem-Cells-Bank-Trombofilie-2.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-1237 size-full\" src=\"http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/Stem-Cells-Bank-Trombofilie-2.png\" alt=\"Stem-Cells-Bank-Trombofilie-2\" width=\"1200\" height=\"628\" srcset=\"http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/Stem-Cells-Bank-Trombofilie-2.png 1200w, http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/Stem-Cells-Bank-Trombofilie-2-300x157.png 300w, http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/Stem-Cells-Bank-Trombofilie-2-1024x535.png 1024w, http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/Stem-Cells-Bank-Trombofilie-2-600x314.png 600w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Boala <strong>tromboembolic\u0103<\/strong> este o probelm\u0103 major\u0103 de s\u0103n\u0103tate, cu repercursiuni severe \u0219i risc vital, dar care se poate preveni.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De aceea, riscul tromboembolic trebuie evaluat individual, pentru toate pacientele aflate la prima consulta\u021bie prenatal\u0103, deoarece sarcina cre\u0219te riscul trombotic de 5-10 ori.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Standardizarea conduitei terapeutice trebuie s\u0103 fie \u00eentr-o continu\u0103 dinamic\u0103 \u00eentre medicul obstetrician, hematolog \u0219i anestezist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Analiza Cochrane a concluzionat c\u0103 heparina cu greutate moleculara mic\u0103 determin\u0103 mai pu\u021bine reac\u021bii adverse locale, alergice sau de s\u00e2ngerare \u0219i mai pu\u021bine pierderi fetale.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Recomandarea optim\u0103 a heparinoterapiei trebuie s\u0103 \u021bin\u0103 cont de:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Istoricul personal, ereditar sau dob\u00e2ndit de boala tromboembolic\u0103 (factori unici sau combina\u021bii de factori)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Istoricul familial<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Monitorizarea matern\u0103 const\u0103 \u00een evaluarea hematologic\u0103 seriat\u0103, pe parcursul sarcinii \u0219i \u00een lauzia imediat\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Monitorizarea fetal\u0103 este recomandat\u0103 la un interval de 4-6 s\u0103pt\u0103m\u00e2ni, \u00eencep\u00e2nd cu s\u0103pt\u0103m\u00e2nile 18-20 de amenoree, pentru a evalua ecografic cre\u0219terea fetal\u0103, volumul de lichid amniotic \u0219i parametrii Doppler.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Atunci c\u00e2nd situa\u021bia obstetrical\u0103 o permite, recomandarea este na\u0219terea pe cale natural\u0103. Medicul curant trebuie s\u0103 planifice na\u0219terea prin inducerea travaliului la v\u00e2rsta gestational\u0103 de 39-39<\/span><span style=\"font-weight: 400;\">+6\u00a0 <\/span><span style=\"font-weight: 400;\">s\u0103pt\u0103m\u00e2ni, astfel \u00eenc\u00e2t s\u0103 poat\u0103 \u00eentrerup\u0103 anticoagularea cu 12-24 ore \u00eenainte.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Opera\u021bia cezarian\u0103 cre\u0219te riscul de boala tromboembolic\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Studiile clinice au demonstrat faptul c\u0103 heparina cu greutate moleculara mic\u0103 este sigur\u0103 \u00een cursul al\u0103pt\u0103rii.<\/span><\/p>\n<p><em>Dac\u0103 \u021bi-a pl\u0103cut articolul, d\u0103-i share pe Facebook!<\/em><\/p>\n<p><em>Dr. Mihaela\u00a0Steriu<\/em><\/p>\n<p><a href=\"http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/medlife-med-mihaela-steriu.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-1233 size-thumbnail\" src=\"http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/medlife-med-mihaela-steriu-150x150.png\" alt=\"medlife-med-mihaela-steriu\" width=\"150\" height=\"150\" srcset=\"http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/medlife-med-mihaela-steriu-150x150.png 150w, http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/medlife-med-mihaela-steriu-300x300.png 300w, http:\/\/stemcellsbank.ro\/blog\/wp-content\/uploads\/2020\/01\/medlife-med-mihaela-steriu.png 345w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Boala tromboembolic\u0103 este o probelm\u0103 major\u0103 de s\u0103n\u0103tate, cu repercursiuni severe \u0219i risc vital, dar care se poate preveni. De aceea, riscul tromboembolic trebuie evaluat individual, pentru toate pacientele aflate la prima consulta\u021bie prenatal\u0103, deoarece sarcina cre\u0219te riscul trombotic de [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1237,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"_links":{"self":[{"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/posts\/1230"}],"collection":[{"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/comments?post=1230"}],"version-history":[{"count":4,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/posts\/1230\/revisions"}],"predecessor-version":[{"id":1238,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/posts\/1230\/revisions\/1238"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/media\/1237"}],"wp:attachment":[{"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/media?parent=1230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/categories?post=1230"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/stemcellsbank.ro\/blog\/wp-json\/wp\/v2\/tags?post=1230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}