{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/ro\/?page_id=1088"},"modified":"2025-09-26T12:32:32","modified_gmt":"2025-09-26T12:32:32","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/ro\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VWD \u0218I OBSTETRICA \/ GINECOLOGIA"},"content":{"rendered":"<div class=\"default-block container\">\n<h5 class=\"bleeding-symptoms-title vwd\">Se estimeaz\u0103 c\u0103 tulbur\u0103rile de s\u00e2ngerare, inclusiv <a href=\"https:\/\/vwdtest.com\/ro\/von-willebrand-disease\/\">Boala von Willebrand (VWD)<\/a>, sunt responsabile pentru s\u00e2ngerarea menstrual\u0103 abundent\u0103 (HMB) \u00een cazul uneia din cinci femei ce suf\u0103r\u0103 de aceast\u0103 afec\u021biune.<sup>1<\/sup> Tulbur\u0103rile de s\u00e2ngerare sunt, de asemenea, un factor de risc major pentru s\u00e2nger\u0103ri excesive \u00een timpul na\u0219terii \u0219i postpartum. \u00cen ciuda faptului c\u0103 tulbur\u0103rile de s\u00e2ngerare au un rol proeminent \u00een cauzarea s\u00e2nger\u0103rii vaginale excesive \u0219i a faptului c\u0103 VWD este cea mai frecvent\u0103 tulburare de s\u00e2ngerare, doar o parte dintre femeile care prezint\u0103 s\u00e2ngerare vaginal\u0103 excesiv\u0103 sunt testate pentru VWD.<sup>2<\/sup><\/h5>\n<\/div>\n\n<img decoding=\"async\" src=\"https:\/\/vwdtest.com\/ro\/wp-content\/uploads\/sites\/53\/2023\/08\/gynaecology-img.png\" alt=\"VWD \u0218I OBSTETRICA \/ GINECOLOGIA\" class=\"page_thumbnail d-xl-none\">\r\n\n\n<div class=\"default-block container\">\n<p class=\"full\">Lipsa con\u0219tientiz\u0103rii \u0219i a educa\u021biei duc frecvent la absen\u021ba sau \u00eent\u00e2rzierea diagnosticului de VWD. F\u0103r\u0103 diagnostic \u0219i tratament, aceste femei se pot confrunta cu consecin\u021be fizice \u0219i psihologice grave ca urmare a s\u00e2nger\u0103rii menstruale abundente, precum oboseal\u0103, anemie, anxietate \u0219i depresie. <sup>1<\/sup><\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<h3>Rolul medicului obstetrician \/ ginecolog <\/h3>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full push-text\">Aproape toate femeile cu VWD aflate la v\u00e2rsta reproductiv\u0103 se confrunt\u0103 cu s\u00e2ngerare vaginal\u0103 excesiv\u0103.<sup>3<\/sup> \u00cen plus, menstrua\u021biile abundente sunt adesea primul simptom proeminent al s\u00e2nger\u0103rii, pe m\u0103sur\u0103 ce fetele cu VWD ajung la pubertate. \u00cen calitate de ginecolog sau obstetrician, e\u0219ti adesea primul furnizor de asisten\u021b\u0103 medical\u0103 cu care aceste fete sau p\u0103rin\u021bii lor discut\u0103 despre o tendin\u021b\u0103 de s\u00e2ngerare excesiv\u0103. Prin urmare, consulta\u021biile reprezint\u0103 o prim\u0103 oportunitate de a ajuta la identificarea pacien\u021bilor care ar putea beneficia de o evaluare suplimentar\u0103 \u00een vederea diagnostic\u0103rii cu o tulburare de s\u00e2ngerare. Aceast\u0103 oportunitate este deosebit de important\u0103 \u00een societ\u0103\u021bile care stigmatizeaz\u0103 s\u00e2nger\u0103rile vaginale sau pentru pacientele care \u0219i-au pierdut sensibilitatea \u00een leg\u0103tur\u0103 cu menstua\u021biile abundente \u0219i se pot sim\u021bi neauzite sau ne\u00een\u021belese insuficient.<sup>2<\/sup> \u00cen plus, pentru c\u0103 tulbur\u0103rile de s\u00e2ngerare ca VWD sunt afec\u021biuni ereditare, diagnosticarea ajut\u0103 la identificarea altor membri al familiei expu\u0219i riscului.<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full push-text\">De\u0219i cre\u0219terea gradului de con\u0219tientizare \u00een r\u00e2ndul furnizorilor de asisten\u021b\u0103 medical\u0103 \u0219i al pacien\u021bilor este cel mai important pas \u00een identificarea pacien\u021bilor cu risc de s\u00e2ngerare, diagnosticarea VWD r\u0103m\u00e2ne o sarcin\u0103 dificil\u0103 din cauza complexit\u0103\u021bii procesului de diagnosticare.<sup>2<\/sup> Dac\u0103 una dintre paciente tale s-a confruntat recent cu s\u00e2ngerare vaginal\u0103 excesiv\u0103, recomandarea noastr\u0103 este s\u0103 \u00eei solici\u021bi acesteia s\u0103 \u00ee\u0219i documenteze menstrua\u021bia cu ajutorul <a href=\"https:\/\/vwdtest.com\/ro\/heavy-periods\/#showPdf\">diagramei noastre de evaluare<\/a>. De asemenea, \u00eei po\u021bi sugera s\u0103 face\u021bi \u00eempreun\u0103 <a href=\"https:\/\/vwdtest.com\/ro\/take-test\/\">testul nostru de s\u00e2ngerare<\/a>. Acest test te va ajuta s\u0103 iei o prim\u0103 decizie \u00een ceea ce prive\u0219te necesitatea efectu\u0103rii unor investiga\u021bii suplimentare \u0219i i-ar putea schimba via\u021ba pacientei tale!<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full push-text\">Exist\u0103 mai multe op\u021biuni de tratament pentru femeile cu VWD \u0219i s\u00e2ngerare menstrual\u0103 abundent\u0103 (HMB) \u0219i sunt disponibile ghiduri pentru gestionarea HMB cauzat\u0103 de VWD.<sup>4<\/sup> Tratamentul trebuie personalizat, lu\u00e2nd \u00een considerare factori precum v\u00e2rsta, stilul de via\u021b\u0103, dorin\u021ba de a r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u0219i alte preferin\u021be ale pacientei. Este important de re\u021binut c\u0103 unele tratamente, precum contraceptivele, sunt adesea eficiente \u00een controlul HMB, dar nu vor proteja pacien\u021bii cu VWD de s\u00e2ngerarea dup\u0103 un traumatism, o accidentare sau \u00een timpul unei <a href=\"https:\/\/vwdtest.com\/ro\/i-live-with-vwd\/#surgery\">interven\u021bii chirurgicale<\/a>, prin urmare un diagnostic complet este vital. \u00cen plus, s\u00e2ngerarea vaginal\u0103 excesiv\u0103 este adesea \u00eent\u00e2mpinat\u0103 cu stigmatizare \u0219i excludere. \u00cempreun\u0103 cu limit\u0103rile din via\u021ba de zi cu zi legate de activit\u0103\u021bile fizice \u0219i interac\u021biunile sociale, aceast\u0103 lips\u0103 de recunoa\u0219tere poate reprezenta o <a href=\"https:\/\/vwdtest.com\/ro\/i-live-with-vwd\/#mental-health\">povar\u0103 mental\u0103<\/a> grea.<sup>5,6<\/sup> F\u0103r\u0103 sprijin social suficient, pacien\u021bii t\u0103i cu VWD pot dezvolta chiar anxietate \u0219i depresie.<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full push-text\">Femeile cu VWD pot r\u00e2m\u00e2ne <a href=\"https:\/\/vwdtest.com\/ro\/i-live-with-vwd\/#childbirth\">\u00eens\u0103rcinate<\/a> cu succes \u0219i pot da na\u0219tere unor bebelu\u0219i s\u0103n\u0103to\u0219i. Cu toate aceste, \u00een lipsa diagnosticului \u0219i a tratamentului, se pot confrunta cu hemoragii excesive \u00een timpul na\u0219terii \u0219i postpartum. De aceea, planificarea \u0219i monitorizarea cu aten\u021bie sunt esen\u021biale pentru o na\u0219tere normal\u0103. Ori de c\u00e2te ori acest lucru este posibil, sarcina \u0219i na\u0219terea trebuie discutate \u0219i planificate \u00een avans, \u00eempreun\u0103 cu o echip\u0103 multidisciplinar\u0103, ce include un medic hematolog \u0219i un <a href=\"https:\/\/vwdtest.com\/ro\/helpful-resources\/#region\">centru de tratament<\/a>.<sup>8,9<\/sup> De asemenea, website-ul VWDtest ofer\u0103 informa\u021bii suplimentare despre <a href=\"https:\/\/vwdtest.com\/ro\/von-willebrand-disease\/\">etiologia<\/a>, <a href=\"https:\/\/vwdtest.com\/ro\/von-willebrand-disease\/\">diagnosticarea<\/a> \u0219i <a href=\"https:\/\/vwdtest.com\/ro\/i-live-with-vwd\/#vwd-management\">gestionarea VWD<\/a>, precum \u0219i o perspectiv\u0103 \u00een ceea ce prive\u0219te <a href=\"https:\/\/vwdtest.com\/ro\/helpful-resources\/#journey\">parcursul specific<\/a> pacien\u021bilor cu VWD. <\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<h6>Referin\u021be<\/h6>\n<\/div>\n\n<div class=\"default-block container\">\n<ol type=\"1\"><div class=\"default-block container\">\n<li>Kadir RA et al. <em>Lancet <\/em>1998; 351:485-9.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36210240\/\" target=\"_blank\" rel=\"noreferrer noopener\">Corrales-Medina FF et al. <em>Blood Rev<\/em><\/a> 2023; 58:101018.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>de Wee EM, et al. <em>Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Connell NT et al. <em>Blood Adv<\/em> 2021; 5:301-25.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>VanderMeulen H, et al. <em>Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Sanigorska A, et al. <em>Res Pract Thromb Haemost<\/em> 2022; 6:e12652.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Roberts JC, et al. <em>Haemophilia <\/em>2022; doi: 10.1111\/hae.14725.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Leebeek FWG, et al. <em>Blood <\/em>2020; 136:2143-50.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Janbain M and Kouides P <em>Int J Womens Health<\/em> 2022; 14:1307-13.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Se estimeaz\u0103 c\u0103 tulbur\u0103rile de s\u00e2ngerare, inclusiv Boala von Willebrand (VWD), sunt responsabile pentru s\u00e2ngerarea menstrual\u0103 abundent\u0103 (HMB) \u00een cazul uneia din cinci femei ce suf\u0103r\u0103 de aceast\u0103 afec\u021biune.1 Tulbur\u0103rile de s\u00e2ngerare sunt, de asemenea, un factor de risc major pentru s\u00e2nger\u0103ri excesive \u00een timpul na\u0219terii \u0219i postpartum. \u00cen ciuda faptului c\u0103 tulbur\u0103rile de s\u00e2ngerare [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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