Trombofilia, o cauza a infertilitatii - 57 -
Raspunsuri - Pagina 17
MeAlex spune:
QiaoBing, mai bine faci cand o sa ai testul pozitiv, daca tot nu mai are relevanta daca faci maine analiza.
Gena MTHFR, mutatia C677T heterozigot, Gena PAI, mutatia 4G/4G homozigot
2 sarcini oprite in evolutie la 7 s, respectiv la 9 s
pentru 
QiaoBing spune:
nu am stare si scotocesc pe net:
Monitoring Anticoagulation During Pregnancy
It is not clear whether the dose of low-molecular weight heparin needs to be adjusted, when used in full, weight-based, adjusted-dose or "therapeutic" intensity to treat or prevent VTE. On the basis of small studies demonstrating the need for increased low-molecular-weight heparin to maintain anti–factor Xa levels in the 0.6 to 1.0 U/mL range, some advocate the performance of periodic (every 1 to 3 months) anti-factor Xa levels 4 to 6 hours after injection, but other studies have shown that few women actually require increased doses when low-molecular-weight heparin is used. It is our practice to obtain an anti-factor Xa level approximately 4 hours after injection within the first week of starting therapy and then repeat the level monthly at routine prenatal visits, adjusting the level upward or downward as necessary. When patients are converted to unfractionated heparin in the last month of pregnancy, we check an activated partial thromboplastin time (aPTT) once or twice a week and adjust their dose of heparin to maintain the mid-dose aPTT at the lower end of the therapeutic range.
Patients receiving low-intensity anticoagulation should not need any monitoring, but our protocol calls for us to check an anti–factor Xa level or aPTT 1 week after starting therapy or making a dose change. The purpose is to make sure we are not overly anticoagulating a patient.
The Chest guidelines recommend platelet counts every 2 or 3 days during the first two weeks of unfractionated heparin therapy and do not recommend routine platelet counts in obstetric patients who are receiving only low-molecular-weight heparin. It is our practice to check a platelet count along with an anti–factor Xa level 1 week after starting low-molecular-weight heparin and repeating the platelet count one week later.
de aici: http://asheducationbook.hematologylibrary.org/cgi/content/full/2009/1/277#T3
mda, m-am cam lamurit (deocamdata). mai bine ma duc sa 
si cu proxima ocazie, la o saptamana dupa ce incep iar clexanelul fac si anti-fxa si pe urma monitorizez lunar. numai sa nu uit pana atunci 
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MTHFR A1298C, PAI-1 675 4G, PAI-1 844G Heterozigote
sarcini obtinute natural 2000 - extrauterina cu pierdere de trompa, 2007 - chiuretaj terapeutic la recomandarea dr, 2010 - sarcina oprita in evolutie 6-7s, tratament cu Clexane 0,4 1/zi in s6
Tratament actual de pregatire: Femibion1 1/zi, CETEBE+Zn 2/zi, MagneB6 2/zi, Q10 1/zi, Folowise 1/zi, aspenter 2/sapt
ileanasi spune:
| Citat: |
| citat din mesajul lui QiaoBing nu am stare si scotocesc pe net: Monitoring Anticoagulation During Pregnancy It is not clear whether the dose of low-molecular weight heparin needs to be adjusted, when used in full, weight-based, adjusted-dose or "therapeutic" intensity to treat or prevent VTE. On the basis of small studies demonstrating the need for increased low-molecular-weight heparin to maintain anti–factor Xa levels in the 0.6 to 1.0 U/mL range, some advocate the performance of periodic (every 1 to 3 months) anti-factor Xa levels 4 to 6 hours after injection, but other studies have shown that few women actually require increased doses when low-molecular-weight heparin is used. It is our practice to obtain an anti-factor Xa level approximately 4 hours after injection within the first week of starting therapy and then repeat the level monthly at routine prenatal visits, adjusting the level upward or downward as necessary. When patients are converted to unfractionated heparin in the last month of pregnancy, we check an activated partial thromboplastin time (aPTT) once or twice a week and adjust their dose of heparin to maintain the mid-dose aPTT at the lower end of the therapeutic range. Patients receiving low-intensity anticoagulation should not need any monitoring, but our protocol calls for us to check an anti–factor Xa level or aPTT 1 week after starting therapy or making a dose change. The purpose is to make sure we are not overly anticoagulating a patient. The Chest guidelines recommend platelet counts every 2 or 3 days during the first two weeks of unfractionated heparin therapy and do not recommend routine platelet counts in obstetric patients who are receiving only low-molecular-weight heparin. It is our practice to check a platelet count along with an anti–factor Xa level 1 week after starting low-molecular-weight heparin and repeating the platelet count one week later. de aici: http://asheducationbook.hematologylibrary.org/cgi/content/full/2009/1/277#T3 mda, m-am cam lamurit (deocamdata). mai bine ma duc sa si cu proxima ocazie, la o saptamana dupa ce incep iar clexanelul fac si anti-fxa si pe urma monitorizez lunar. numai sa nu uit pana atunci --------------------------------------------- MTHFR A1298C, PAI-1 675 4G, PAI-1 844G Heterozigote sarcini obtinute natural 2000 - extrauterina cu pierdere de trompa, 2007 - chiuretaj terapeutic la recomandarea dr, 2010 - sarcina oprita in evolutie 6-7s, tratament cu Clexane 0,4 1/zi in s6 Tratament actual de pregatire: Femibion1 1/zi, CETEBE+Zn 2/zi, MagneB6 2/zi, Q10 1/zi, Folowise 1/zi, aspenter 2/sapt |
Qiao, asa cum am scris, pe buletinul de analiza de la Fundeni apare ca interval de referinta la anti-factor Xa 0-0.10. Asa cum am scris mie mi-a iesit 0.20 la 12 ore de la injectarea cu Innohep; d-na dr. si d-na Viorica nu au dat prea mare importanta acestei valori, eram doar la 3 zile de la inceperea tratamentului, mi-au zis ca o voi repeta cand voi veni la Fundeni, dar nu mi-au precizat cand (adica cat de des se face monitorizarea). CAnd am plecat a ramas ca asteapta eco de 7 sapt. sa vedem ce mai facem dupa aceea.
Din cate stiu, analiza se mai face la Synevo si costa 200 RON. Cum eu sunt novice in ale tratamentului, ma rog la Doamne-Doamne sa fie totul bine, caci daca stau sa ma gandesc doar la analize si para-analize innebunesc.
La Fundeni mi-au mai facut Prot. C, Prot. S, ATIII, prot. C globala, INR si toate au iesit bine. Poate de aia nu au insistat pe analize.
Oricum, eu iau si Aspenter la 2 zile, si toate celelalte vit. de la semnatura.
Pupici la toata lumea. Azi ma duc in sfarsit sa-mi ridic reteta de la medicul specialist. Viotimis, reteta e gratuita.
MTHFR 1298 heterozigota, PAI-1 675-4G heterozigota, PAI-1 844G heterozigota, o sarcina oprita in evolutie la 9 saptamani; zilnic Aspenter, acid folic, Vit E, Q10, MgB6, Cetebe, Femibion
INNOHEP 0.35 ml
insarcinata in 5 +
QiaoBing spune:
Neata fetele !
Gata, m-am mai linistit 
Analiza nu am mai facut-o, chiar nu avea rost acum si pt piticul de pe creier nu merita sa cheltuiesc 200RON mai als ca acum nici macar nu s-a prins, deci nu pot sa dau vina pe clexane.
mi-am cumparat aseara macca, am mai luat si acum 1 an, poate mai cresc endometrul ala ca prea micut a fost.
acum astept sa imi vina si om vedea ce facem in viitor.
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MTHFR A1298C, PAI-1 675 4G, PAI-1 844G Heterozigote
sarcini obtinute natural 2000 - extrauterina cu pierdere de trompa, 2007 - chiuretaj terapeutic la recomandarea dr, 2010 - sarcina oprita in evolutie 6-7s, tratament cu Clexane 0,4 1/zi in s6
Tratament actual de pregatire: Femibion1 1/zi, CETEBE+Zn 2/zi, MagneB6 2/zi, Q10 1/zi, Folowise 1/zi, aspenter 2/sapt
danezza spune:
Neata, ma bucur ca te-ai mai linistit un pic.
Lorena ai PM!
| Citat: |
| citat din mesajul lui QiaoBing Neata fetele ! Gata, m-am mai linistit Analiza nu am mai facut-o, chiar nu avea rost acum si pt piticul de pe creier nu merita sa cheltuiesc 200RON mai als ca acum nici macar nu s-a prins, deci nu pot sa dau vina pe clexane.mi-am cumparat aseara macca, am mai luat si acum 1 an, poate mai cresc endometrul ala ca prea micut a fost. acum astept sa imi vina si om vedea ce facem in viitor. --------------------------------------------- MTHFR A1298C, PAI-1 675 4G, PAI-1 844G Heterozigote sarcini obtinute natural 2000 - extrauterina cu pierdere de trompa, 2007 - chiuretaj terapeutic la recomandarea dr, 2010 - sarcina oprita in evolutie 6-7s, tratament cu Clexane 0,4 1/zi in s6 Tratament actual de pregatire: Femibion1 1/zi, CETEBE+Zn 2/zi, MagneB6 2/zi, Q10 1/zi, Folowise 1/zi, aspenter 2/sapt |
MTHFR C677 Homozigot
anioana2002 spune:
buna fetelor...
se pare ca si eu sunt o mutanta...am si MTHFR si PAI homozigote...am dat lovitura nu gluma...
as vrea sa ajung la doamna dr uscatescu dar am sunat si nu raspunde nimeni...stie cineva daca este sapt asta sau viitoare la spital?
danezza spune:
Din pacate eu nu stiu sa-ti spun. Ideea e sa nu intri in panica .. cu tratament, toate se rezolva! avem exemple
PS: te stiu cumva si de pe celalalt forum?
| Citat: |
| citat din mesajul lui anioana2002 buna fetelor... se pare ca si eu sunt o mutanta...am si MTHFR si PAI homozigote...am dat lovitura nu gluma... as vrea sa ajung la doamna dr uscatescu dar am sunat si nu raspunde nimeni...stie cineva daca este sapt asta sau viitoare la spital? |
MTHFR C677 Homozigot
anioana2002 spune:
| Citat: | ||
| citat din mesajul lui danezza Din pacate eu nu stiu sa-ti spun. Ideea e sa nu intri in panica .. cu tratament, toate se rezolva! avem exemple PS: te stiu cumva si de pe celalalt forum?
MTHFR C677 Homozigot |
mersi de raspuns...da sunt si pe celalalt forum...
am intrebat pt ca am citit ca au fost fete la ea in perioada asta si mie imi spusese ca nu este la spital...si as prefera sa ma duc sapt asta sau sapt viitoare si sa nu mai stau pana la sfarsitul lunii...
danezza spune:
Abia astept sa vii sa ne spui ce ti-a zis!
[/quote]
mersi de raspuns...da sunt si pe celalalt forum...
am intrebat pt ca am citit ca au fost fete la ea in perioada asta si mie imi spusese ca nu este la spital...si as prefera sa ma duc sapt asta sau sapt viitoare si sa nu mai stau pana la sfarsitul lunii...
[/quote]
MTHFR C677 Homozigot
anioana2002 spune:
gata am reusit sa vorbesc..
mi-a spus ca nu este doamna doctor saptamana asta ca e la un congres dar sapt viitoare o sa fie...
am scris ca poate le e de folos si altor fete informatia...