{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/hu\/?page_id=1088"},"modified":"2026-01-19T15:13:01","modified_gmt":"2026-01-19T15:13:01","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/hu\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VWD \u00c9S N\u0150GY\u00d3GY\u00c1SZ \/ SZ\u00dcL\u00c9SZ"},"content":{"rendered":"
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Becsl\u00e9sek szerint a v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-betegs\u00e9g (VWD)<\/a>, felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt (HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapottal \u00e9l\u0151 n\u0151 eset\u00e9ben.1<\/sup> A v\u00e9rz\u00e9si rendelleness\u00e9gek szint\u00e9n a sz\u00fcl\u00e9s alatti \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s f\u0151 kock\u00e1zati t\u00e9nyez\u0151i. Annak ellen\u00e9re, hogy a v\u00e9rz\u00e9si rendelleness\u00e9gek kiemelked\u0151 szerepet j\u00e1tszanak a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9s okak\u00e9nt, \u00e9s annak ellen\u00e9re, hogy a VWD a leggyakoribb v\u00e9rz\u00e9si rendelleness\u00e9g, a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9ssel \u00e9l\u0151 n\u0151knek csak egy t\u00f6red\u00e9k\u00e9t tesztelik 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 ezekn\u00e9l a n\u0151kn\u00e9l a HMB s\u00falyos fizikai \u00e9s pszichol\u00f3giai k\u00f6vetkezm\u00e9nyeket okozhat, \u00fagymint f\u00e1radts\u00e1got, v\u00e9rszeg\u00e9nys\u00e9get, szorong\u00e1st \u00e9s depresszi\u00f3t.1<\/sup><\/p>\n<\/div>\n\n

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A n\u0151gy\u00f3gy\u00e1sz \u00e9s sz\u00fcl\u00e9sz szerepe<\/h3>\n<\/div>\n\n
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Szinte minden sz\u00fcl\u0151k\u00e9pes kor\u00fa VWD-s n\u0151nek t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9se van.3<\/sup> S\u0151t, az er\u0151s menstru\u00e1ci\u00f3 gyakran az els\u0151 szembet\u0171n\u0151 v\u00e9rz\u00e9ses t\u00fcnet, amikor a VWD-s l\u00e1nyok bel\u00e9pnek a pubert\u00e1skorba. N\u0151gy\u00f3gy\u00e1szk\u00e9nt vagy sz\u00fcl\u00e9szorvosk\u00e9nt gyakran \u00d6n az els\u0151 eg\u00e9szs\u00e9g\u00fcgyi szolg\u00e1ltat\u00f3, akivel ezek a l\u00e1nyok vagy gondoz\u00f3ik megbesz\u00e9lik a fokozott v\u00e9rz\u00e9si t\u00fcneteiket. Az \u00d6n konzult\u00e1ci\u00f3i teh\u00e1t az els\u0151 lehet\u0151s\u00e9get jelentik annak, hogy seg\u00edtsenek azonos\u00edtani azokat a betegeket, akiknek el\u0151ny\u00f6s lehet a v\u00e9rz\u00e9si rendelleness\u00e9g tov\u00e1bbi diagnosztikus \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 sz\u00e1m\u00e1ra, akik hi\u00e1ba kommunik\u00e1lt\u00e1k az er\u0151s menstru\u00e1ci\u00f3jukat, \u00e9s \u00fagy \u00e9rezt\u00e9k, hogy nem hallgatj\u00e1k meg a panaszaikat vagy f\u00e9lre \u00e9rtik \u0151ket.2<\/sup> Tov\u00e1bb\u00e1, mivel a v\u00e9rz\u00e9si rendelleness\u00e9gek, mint p\u00e9ld\u00e1ul a VWD, \u00f6r\u00f6kletes \u00e1llapotok, 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 tudatoss\u00e1g\u00e1nak n\u00f6vel\u00e9se a legfontosabb teend\u0151 a v\u00e9rz\u00e9ses betegek azonos\u00edt\u00e1s\u00e1ban, a VWD diagnosztiz\u00e1l\u00e1sa tov\u00e1nbbra is kih\u00edv\u00e1st jelent a diagnosztikai folyamat \u00f6sszetetts\u00e9ge miatt.2 <\/p>\n<\/div>\n\n

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Ha egyik betege t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9ssel jelentkezik,, javasoljuk, hogy k\u00e9rje meg beteg\u00e9t, hogy dokument\u00e1lj\u00e1k menstru\u00e1ci\u00f3jukat a menstru\u00e1ci\u00f3s \u00e9rt\u00e9kel\u0151 t\u00e1bl\u00e1zatunk seg\u00edts\u00e9g\u00e9vel. Javasolhatja a p\u00e1ciensnek a v\u00e9rz\u00e9ses teszt elv\u00e9gz\u00e9s\u00e9t is. A teszt seg\u00edt \u00d6nnek abban, hogy d\u00f6nt\u00e9st hozzon arr\u00f3l, hogy van-e sz\u00fcks\u00e9g tov\u00e1bbi vizsg\u00e1latokra –ami megv\u00e1ltoztathatja a p\u00e1ciens \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 rendelkez\u00e9sre \u00e1llnak a VWD okozta HMB kezel\u00e9s\u00e9re vonatkoz\u00f3 ir\u00e1nyelvek is.4<\/sup> A kezel\u00e9st egy\u00e9nre kell szabni, figyelembe v\u00e9ve olyan t\u00e9nyez\u0151ket, mint az \u00e9letkor, az \u00e9letm\u00f3d, a terhess\u00e9gi tervek \u00e9s a beteg 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 a VWD-ben szenved\u0151 betegeket a v\u00e9rz\u00e9st\u0151l trauma, baleset vagy m\u0171t\u00e9t<\/a> sor\u00e1n, 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\u00e1sokkal j\u00e1rhat. A mindennapi \u00e9let, a fizikai aktivit\u00e1s \u00e9s a t\u00e1rsas kapcsolatok ban a HMB korl\u00e1taival mellett a mell\u0151z\u00f6tts\u00e9g s\u00falyos ment\u00e1lis terhet<\/a> r\u00f3hat a p\u00e1cienseire.5,6<\/sup> Megfelel\u0151 szoci\u00e1lis t\u00e1mogat\u00e1s n\u00e9lk\u00fcl a VWD-ben szenved\u0151 betegekn\u00e9l ak\u00e1r szorong\u00e1s \u00e9s depresszi\u00f3 is kialakulhat.<\/p>\n<\/div>\n\n

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A VWD-ben szenved\u0151 n\u0151k terhess\u00e9ge<\/a> sikeres lehet, \u00e9s eg\u00e9szs\u00e9ges csecsem\u0151ket hozhatnak vil\u00e1gra. 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 nyomon k\u00f6vet\u00e9s elengedhetetlen a norm\u00e1l sz\u00fcl\u00e9s 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, bele\u00e9rtve a kezel\u00e9si k\u00f6zpont<\/a> hematol\u00f3gus specialist\u00e1j\u00e1t is.8,9<\/sup> A VWDtest tov\u00e1bbi inform\u00e1ci\u00f3kat is k\u00edn\u00e1l a VWD etiol\u00f3gi\u00e1j\u00e1r\u00f3l<\/a>, diagn\u00f3zis\u00e1r\u00f3l<\/a> \u00e9s menedzsel\u00e9s\u00e9r\u0151l<\/a>, valamint betekint\u00e9st ny\u00fajt a VWD-s betegek tipikus kezel\u00e9s\u00e9be .<\/p>\n<\/div>\n\n

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Referenci\u00e1k<\/h6>\n<\/div>\n\n
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    \n
  1. Kadir RA et al. Lancet <\/em>1998; 351:485-9.<\/li>\n<\/div>\n\n
    \n
  2. Corrales-Medina FF et al. Blood Rev<\/em><\/a> 2023; 58:101018.<\/li>\n<\/div>\n\n
    \n
  3. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  4. Connell NT et al. Blood Adv<\/em> 2021; 5:301-25.<\/li>\n<\/div>\n\n
    \n
  5. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div>\n\n
    \n
  6. Sanigorska A, et al. Res Pract Thromb Haemost<\/em> 2022; 6:e12652.<\/li>\n<\/div>\n\n
    \n
  7. Roberts JC, et al. Haemophilia <\/em>2022; doi: 10.1111\/hae.14725.<\/li>\n<\/div>\n\n
    \n
  8. Leebeek FWG, et al. Blood <\/em>2020; 136:2143-50.<\/li>\n<\/div>\n\n
    \n
  9. Janbain M and Kouides P Int J Womens Health<\/em> 2022; 14:1307-13.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Becsl\u00e9sek szerint a v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-betegs\u00e9g (VWD), felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt (HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapottal \u00e9l\u0151 n\u0151 eset\u00e9ben.1 A v\u00e9rz\u00e9si rendelleness\u00e9gek szint\u00e9n a sz\u00fcl\u00e9s alatti \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s f\u0151 kock\u00e1zati t\u00e9nyez\u0151i. Annak ellen\u00e9re, hogy a v\u00e9rz\u00e9si rendelleness\u00e9gek kiemelked\u0151 szerepet j\u00e1tszanak a t\u00falzott h\u00fcvelyi v\u00e9rz\u00e9s okak\u00e9nt, \u00e9s annak […]<\/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\u00d3GY\u00c1SZ \/ SZ\u00dcL\u00c9SZ - Hungary<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\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\u00d3GY\u00c1SZ \/ SZ\u00dcL\u00c9SZ - Hungary\" \/>\n<meta property=\"og:description\" content=\"Becsl\u00e9sek szerint a v\u00e9rz\u00e9si rendelleness\u00e9gek, k\u00f6zt\u00fck a von Willebrand-betegs\u00e9g (VWD), felel\u0151sek az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s\u00e9rt (HMB) minden \u00f6t\u00f6dik ilyen \u00e1llapottal \u00e9l\u0151 n\u0151 eset\u00e9ben.1 A v\u00e9rz\u00e9si rendelleness\u00e9gek szint\u00e9n a sz\u00fcl\u00e9s alatti \u00e9s a sz\u00fcl\u00e9s ut\u00e1ni t\u00falzott v\u00e9rz\u00e9s f\u0151 kock\u00e1zati t\u00e9nyez\u0151i. 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