Trombofilia can be fatal

Dizziness, vertigo, shortness of breath, chest pain, and recurrent miscarriage should be wary of. That could be a symptom trombofilia. Symptoms of this disease is very quiet, often unconscious, but can be deadly. 

Hematology-Medical Oncology Experts from RSUP Kariadi, Semarang, Chatarina Suharti, late last February, explaining, trombofilia or hypercoagulability is a condition of increased risk of thrombosis, aka blood clots easily occur. In society, it is better known as disease gore. "The condition can be inherited through a genetic abnormality, or acquired," he said. 

Symptoms trombofilia newly discovered in the 1990s. Now his case began to be found, but there are still many doctors who do not understand. Trombofilia caused disruption in the body's immune system where antibodies attack the body's turn. The antibodies damage cells of blood vessels and trigger the clotting of blood. 

Blood clots in people with trombofilia can happen anywhere, for example in the arteries in the heart, blood vessels in the lung or brain, even in blood vessels in the retina (eye) and ears. "The danger threatens when the small blood clot off and join the circulation of blood throughout the body. Prone to blood clots that lodged in small blood vessels and cause a blockage, "said Suharti. 

Blockage of a blood clot in the coronary arteries can cause heart attacks. If a blood clot to the brain blood vessels, can lead to stroke. Blood clot that lodged in the pulmonary veins can cause pulmonary embolism. All conditions that can lead to tissue death and ending the death of the patient. Blood clots that obstruct blood vessels in the eye causing the patient to lose the ability to see. If there is in the ear, hearing loss was sudden. 

Women trombofilia patients can experience recurrent miscarriage due to supply oxygen and nutrients through the placenta obstructed blood clot. It was experienced Parma Andhika Puspita (36), a resident of Semarang, Central Java. Three times he lost the fetus in the womb aged between six months and seven months. 

In the fourth pregnancy, Andhika checked by testing for TORCH (toxoplasmosis, other infections, rubella, cytomegalovirus, and herpes simplex virus). From the test results, found no viruses. After another blood test, the new note, Andhika thrombosis risk, easy blood thickens. Doctors require Andhika injected heparin every day until the baby is born. Injections were necessary to thin the blood so that the supply of oxygen and nutrients to the fetus is going well. 

Can be prevented Various complications, according to Suharti, can be prevented if detected early trombofilia. Trombofilia greatest risk experienced by patients with orthopedic surgery. Therefore, the operation allows the damage to the walls of veins (veins) that trigger blood clotting. Moreover, orthopedic patients are generally elderly people are susceptible to trombofilia. 

In addition, postoperative orthopedic usually people do not move too much. In fact, thrombosis can occur in case of immobility (not move) more than three days. Something similar could happen to someone who traveled far in a long time. Sitting for more than seven hours without changing the position facilitate blood coagulation. 

Trombofilia diagnosis can only be enforced by a physician based on laboratory test results and combined with the patient's clinical condition. If the patient does not have a problem with the fund, said Suharti, usually will be the examination of antibodies, ie, anticardiolipin antibodies (ACA). If the patient is classified as less capable, the doctor will focus on handling. 

Drugs used for patients is split trombofilia platelets. Antiplatelets the most widely used and most affordable is aspirin. However, patients with gastric inflammation can not consume the drug. Usually the doctor will give another drug that has no side effects to the stomach for patients with gastric inflammation, such as clopidogrel. 

Another alternative is an anticoagulant drug that works on blood plasma. Usually used anticoagulant is warfarin. Many patients, said Suharti, asked how long they should take medication to keep his blood does not coagulate. "I never could answer that question. At least I say the medicine is considered vitamins alone, "he said. 
source: KOMPAS.com (Amanda Princess Nugrahanti)