{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/nw\/?page_id=1088"},"modified":"2024-02-28T05:55:15","modified_gmt":"2024-02-28T05:55:15","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET"},"content":{"rendered":"
\n
A v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-k\u00f3r (VWD)<\/a> a becsl\u00e9sek szerint felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt ( HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapot\u00fa n\u0151n\u00e9l.1 <\/sup>A v\u00e9rz\u00e9si rendelleness\u00e9gek a sz\u00fcl\u00e9s \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s egyik f\u0151 kock\u00e1zati t\u00e9nyez\u0151i is. Annak ellen\u00e9re, hogy a v\u00e9rz\u00e9si rendelleness\u00e9gek kiemelked\u0151 szerepet t\u00f6ltenek be a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9s okaik\u00e9nt, valamint az a t\u00e9ny, hogy a VWD a leggyakoribb v\u00e9rz\u00e9si rendelleness\u00e9g, a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9ssel j\u00e1r\u00f3 n\u0151knek csak egy r\u00e9sz\u00e9t vizsg\u00e1lj\u00e1k meg VWD-re.2<\/sup> <\/h5>\n<\/div>\n\n\"VWD\r\n\n\n
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A tudatoss\u00e1g \u00e9s az oktat\u00e1s hi\u00e1nya miatt a VWD gyakran diagnosztiz\u00e1latlan marad, vagy a diagn\u00f3zis k\u00e9sik. Diagn\u00f3zis \u00e9s kezel\u00e9s n\u00e9lk\u00fcl ezek a n\u0151k s\u00falyos fizikai \u00e9s pszichol\u00f3giai k\u00f6vetkezm\u00e9nyekkel j\u00e1rhatnak a HMB-vel kapcsolatban, bele\u00e9rtve a f\u00e1radts\u00e1got, an\u00e9mi\u00e1t, szorong\u00e1st \u00e9s depresszi\u00f3t.1<\/sup><\/p>\n<\/div>\n\n

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A n\u0151gy\u00f3gy\u00e1szok \u00e9s a sz\u00fcl\u00e9szorvosok szerepe<\/h3>\n<\/div>\n\n
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Majdnem minden reprodukt\u00edv korban l\u00e9v\u0151 VWD-ben szenved\u0151 n\u0151 t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9st tapasztal.3<\/sup> Ezen t\u00falmen\u0151en az er\u0151s menstru\u00e1ci\u00f3 gyakran az els\u0151 szembet\u0171n\u0151 v\u00e9rz\u00e9si t\u00fcnet, amikor a VWD-ben szenved\u0151 l\u00e1nyok pubert\u00e1sba l\u00e9pnek. . N\u0151gy\u00f3gy\u00e1szk\u00e9nt vagy sz\u00fcl\u00e9szk\u00e9nt gyakran \u00d6n az els\u0151 eg\u00e9szs\u00e9g\u00fcgyi szolg\u00e1ltat\u00f3, akivel ezek a l\u00e1nyok vagy gondoz\u00f3ik megbesz\u00e9lik a kiterjedt v\u00e9rz\u00e9si hajlamot. Az \u00d6n konzult\u00e1ci\u00f3ja teh\u00e1t az els\u0151 lehet\u0151s\u00e9g, hogy seg\u00edtsen azonos\u00edtani azokat a betegeket, akik sz\u00e1m\u00e1ra el\u0151ny\u00f6s lehet a v\u00e9rz\u00e9si rendelleness\u00e9g tov\u00e1bbi diagnosztikai \u00e9rt\u00e9kel\u00e9se. Ez a lehet\u0151s\u00e9g k\u00fcl\u00f6n\u00f6sen fontos azokban a t\u00e1rsadalmakban, amelyek megb\u00e9lyegzik a h\u00fcvelyi v\u00e9rz\u00e9st, vagy olyan betegek eset\u00e9ben, akik \u00e9rz\u00e9ketlenn\u00e9 v\u00e1ltak a heves menstru\u00e1ci\u00f3jukkal szemben, \u00e9s \u00fagy \u00e9rzik, hogy nem hallott\u00e1k vagy nem \u00e9rtik meg \u0151ket.2<\/sup> Ezen t\u00falmen\u0151en, mivel a v\u00e9rz\u00e9si rendelleness\u00e9gek, p\u00e9ld\u00e1ul a VWD \u00f6r\u00f6kletesek. A VWD diagn\u00f3zisa gyakran seg\u00edt azonos\u00edtani a tov\u00e1bbi vesz\u00e9lyeztetett csal\u00e1dtagokat.<\/p>\n<\/div>\n\n

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B\u00e1r az eg\u00e9szs\u00e9g\u00fcgyi szolg\u00e1ltat\u00f3k \u00e9s a betegek fokozott tudatoss\u00e1ga a legfontosabb l\u00e9p\u00e9s a v\u00e9rz\u00e9svesz\u00e9lyes betegek azonos\u00edt\u00e1s\u00e1ban, a VWD diagnosztiz\u00e1l\u00e1sa tov\u00e1bbra is kih\u00edv\u00e1st jelent a diagnosztikai folyamat \u00f6sszetetts\u00e9ge miatt. 2<\/sup> Ha valamelyik p\u00e1ciense a k\u00f6zelm\u00faltban t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9st tapasztalt, javasoljuk, hogy k\u00e9rje meg p\u00e1ciens\u00e9t, hogy dokument\u00e1lja a menstru\u00e1ci\u00f3j\u00e1t a menstru\u00e1ci\u00f3s t\u00e1bl\u00e1zatunkkal. <\/a>. Azt is javasolhatja, hogy v\u00e9gezze el p\u00e1ciens\u00e9vel a v\u00e9rz\u00e9si teszt\u00fcnket<\/a>. A teszt seg\u00edt \u00d6nnek eld\u00f6nteni, hogy sz\u00fcks\u00e9g van-e tov\u00e1bbi vizsg\u00e1latokra \u2013 \u00e9s ez megv\u00e1ltoztathatja p\u00e1ciense \u00e9let\u00e9t!<\/p>\n<\/div>\n\n

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Sz\u00e1mos kezel\u00e9si lehet\u0151s\u00e9g l\u00e9tezik a VWD-ben \u00e9s HMB-ben szenved\u0151 n\u0151k sz\u00e1m\u00e1ra, \u00e9s ir\u00e1nymutat\u00e1sok \u00e1llnak rendelkez\u00e9sre a VWD okozta HMB kezel\u00e9s\u00e9re.4<\/sup> A kezel\u00e9st egy\u00e9nre kell szabni, olyan t\u00e9nyez\u0151ket, mint az \u00e9letkor, az \u00e9letm\u00f3d, a terhess\u00e9g k\u00edv\u00e1ns\u00e1ga \u00e9s a p\u00e1ciens egy\u00e9b preferenci\u00e1i. Fontos megjegyezni, hogy egyes kezel\u00e9sek, pl. fogamz\u00e1sg\u00e1tl\u00f3k, gyakran hat\u00e9konyak a HMB szab\u00e1lyoz\u00e1s\u00e1ban, de nem v\u00e9dik meg VWD-ben szenved\u0151 p\u00e1cienseit a v\u00e9rz\u00e9st\u0151l trauma, baleset vagy m\u0171t\u00e9t sor\u00e1n<\/a> , ez\u00e9rt a teljes diagn\u00f3zis d\u00f6nt\u0151 fontoss\u00e1g\u00fa. Ezenk\u00edv\u00fcl a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9s gyakran megb\u00e9lyegz\u00e9ssel \u00e9s elbocs\u00e1t\u00e1ssal j\u00e1r. A mindennapi \u00e9letben, a fizikai tev\u00e9kenys\u00e9gekben \u00e9s a t\u00e1rsas interakci\u00f3kban a HMB miatti korl\u00e1tokkal egy\u00fctt ez az elismer\u00e9s hi\u00e1nya s\u00falyos szellemi teher<\/a> a p\u00e1ciensei sz\u00e1m\u00e1ra.5,6<\/sup> Elegend\u0151 szoci\u00e1lis t\u00e1mogat\u00e1s n\u00e9lk\u00fcl a VWD-ben szenved\u0151 betegekn\u00e9l szorong\u00e1s \u00e9s depresszi\u00f3 is kialakulhat.<\/p>\n<\/div>\n\n

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A VWD-s n\u0151k sikeres terhess\u00e9geket<\/a> \u00e9s eg\u00e9szs\u00e9ges bab\u00e1kat sz\u00fclni. Diagn\u00f3zis \u00e9s kezel\u00e9s n\u00e9lk\u00fcl azonban t\u00falzott v\u00e9rz\u00e9st tapasztalhatnak a sz\u00fcl\u00e9s alatt \u00e9s ut\u00e1n. Ez\u00e9rt a gondos tervez\u00e9s \u00e9s ellen\u0151rz\u00e9s elengedhetetlen a norm\u00e1l sz\u00e1ll\u00edt\u00e1s biztos\u00edt\u00e1s\u00e1hoz. Amikor csak lehets\u00e9ges, a terhess\u00e9get \u00e9s a sz\u00fcl\u00e9st j\u00f3 el\u0151re meg kell besz\u00e9lni \u00e9s meg kell tervezni, egy multidiszciplin\u00e1ris csapattal egy\u00fctt, amely egy speci\u00e1lis hematol\u00f3gust is mag\u00e1ban foglal egy kezel\u00e9sn\u00e9l. k\u00f6zpont<\/a>.8,9<\/sup> A VWDtest tov\u00e1bbi inform\u00e1ci\u00f3kat is k\u00edn\u00e1l a etiol\u00f3gia<\/a>, diagn\u00f3zis <\/a>\u00e9s a VWD kezel\u00e9se<\/a>, valamint betekint\u00e9s a tipikus \u00fatba<\/a> VWD-ben szenved\u0151 betegek eset\u00e9ben.<\/p>\n<\/div>\n\n

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Hivatkoz\u00e1sok<\/h6>\n<\/div>\n\n
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  1. Kadir RA et al. Lancet 1998; 351:485-9.<\/li>\n<\/div>\n\n
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  2. Corrales-Medina FF et al. Blood Rev<\/em><\/a> 2023; 58:101018.<\/li>\n<\/div>\n\n
    \n
  3. de Wee EM \u00e9s mtsai. Thromb Haemost 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  4. Connell NT et al. Blood Adv 2021; 5:301-25.<\/li>\n<\/div>\n\n
    \n
  5. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program 2022 1: 631-6.<\/li>\n<\/div>\n\n
    \n
  6. Sanigorska A, et al. Res Pract Thromb Haemost 2022; 6:e12652.<\/li>\n<\/div>\n\n
    \n
  7. Roberts JC \u00e9s mtsai. Haemophilia 2022; doi: 10.1111\/hae.14725.<\/li>\n<\/div>\n\n
    \n
  8. Leebeek FWG \u00e9s mtsai. V\u00e9r 2020; 136:2143-50.<\/li>\n<\/div>\n\n
    \n
  9. Janbain M \u00e9s Kouides P Int J Womens Health 2022; 14:1307-13.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    A v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-k\u00f3r (VWD) a becsl\u00e9sek szerint felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt ( HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapot\u00fa n\u0151n\u00e9l.1 A v\u00e9rz\u00e9si rendelleness\u00e9gek a sz\u00fcl\u00e9s \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s egyik f\u0151 kock\u00e1zati t\u00e9nyez\u0151i is. Annak ellen\u00e9re, hogy a v\u00e9rz\u00e9si rendelleness\u00e9gek kiemelked\u0151 szerepet t\u00f6ltenek be a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9s okaik\u00e9nt, valamint […]<\/p>\n","protected":false},"author":1,"featured_media":1096,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nVWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET - Backup Hungry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET - Backup Hungry\" \/>\n<meta property=\"og:description\" content=\"A v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-k\u00f3r (VWD) a becsl\u00e9sek szerint felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt ( HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapot\u00fa n\u0151n\u00e9l.1 A v\u00e9rz\u00e9si rendelleness\u00e9gek a sz\u00fcl\u00e9s \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s egyik f\u0151 kock\u00e1zati t\u00e9nyez\u0151i is. Annak ellen\u00e9re, hogy a v\u00e9rz\u00e9si rendelleness\u00e9gek kiemelked\u0151 szerepet t\u00f6ltenek be a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9s okaik\u00e9nt, valamint […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:site_name\" content=\"Backup Hungry\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-28T05:55:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vwdtest.com\/bkp-hu\/wp-content\/uploads\/sites\/62\/2023\/08\/gynaecology-img.png\" \/>\n\t<meta property=\"og:image:width\" content=\"611\" \/>\n\t<meta property=\"og:image:height\" content=\"904\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/\",\"url\":\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/\",\"name\":\"VWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET - Backup Hungry\",\"isPartOf\":{\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/#website\"},\"datePublished\":\"2023-08-14T07:52:15+00:00\",\"dateModified\":\"2024-02-28T05:55:15+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/vwdtest.com\/bkp-hu\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"VWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/#website\",\"url\":\"https:\/\/vwdtest.com\/bkp-hu\/\",\"name\":\"Backup Hungry\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/vwdtest.com\/bkp-hu\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"VWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET - Backup Hungry","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vwdtest.com\/bkp-hu\/vwd-and-gynaecology-obstetrics\/","og_locale":"en_US","og_type":"article","og_title":"VWD \u00c9S N\u0150gy\u00f3gy\u00e1szat \/ SZ\u00dcL\u00c9SZET - Backup Hungry","og_description":"A v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-k\u00f3r (VWD) a becsl\u00e9sek szerint felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt ( HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapot\u00fa n\u0151n\u00e9l.1 A v\u00e9rz\u00e9si rendelleness\u00e9gek a sz\u00fcl\u00e9s \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s egyik f\u0151 kock\u00e1zati t\u00e9nyez\u0151i is. 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