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Comprendre la thrombophilie
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Medical ReferenceWomen's HealthGenetic Conditions
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Publisher: Independently Published
Pages: 260
Weight: 0.78
Height: 0.55 Width: 6.00 Depth: 9.00
Language: French
VOUS VENEZ D'APPRENDRE QUE VOUS AVEZ UNE THROMBOPHILIE ET PERSONNE NE VOUS A RIEN EXPLIQUÉ
Un dosage anormal, une mutation trouvée après une phlébite, un bilan demandé après des fausses couches, un dépistage familial. Le mot tombe, il fait peur, et l'information manque.
CE QUE VOUS TROUVEREZ DANS CE LIVRE
- Chaque anomalie en détail: facteur V Leiden, mutation G20210A de la prothrombine, déficit en antithrombine, déficits en protéine C et en protéine S, groupe sanguin et facteur VIII, et pourquoi le test MTHFR ne devrait plus jamais être prescrit.
- Les thrombophilies acquises: syndrome des antiphospholipides, cancer et thrombose, syndromes myéloprolifératifs et mutation JAK2, hémoglobinurie paroxystique nocturne, thrombopénie induite par l'héparine.
- La thrombose veineuse profonde et l'embolie pulmonaire, du premier signe au diagnostic: phlébite, scores de Wells et de Genève, D-dimères, écho-doppler, angioscanner, syndrome post-thrombotique.
- Le bilan de thrombophilie: ce qu'il contient réellement, qui doit être testé et qui ne doit pas l'être, quand le prélèvement doit être fait, les pièges d'interprétation, et ce que le résultat change ou ne change pas pour votre traitement.
- Les traitements anticoagulants: héparines, fondaparinux, antivitamines K et surveillance de l'INR, anticoagulants oraux directs, durée du traitement, risque hémorragique, alimentation, interactions médicamenteuses, soins dentaires, sport et vie quotidienne.
LA THROMBOPHILIE N'EST PAS DE LA STÉRILITÉ
Des femmes s'entendent dire qu'une anomalie de leur sang les empêche d'avoir des enfants. C'est faux, et ce livre le démontre point par point. La coagulation n'intervient ni dans l'ovulation, ni dans la fécondation, ni dans le transport de l'embryon. Une thrombophilie n'impose pas davantage un don d'ovocytes, dont les indications reposent sur la réserve ovarienne, la qualité ovocytaire et l'âge, jamais sur un bilan d'hémostase. Essais randomisés, revue Cochrane et recommandations internationales sont cités et expliqués.
GROSSESSE, CONTRACEPTION ET SITUATIONS À RISQUE
Le risque réel pendant la grossesse et le post-partum, anomalie par anomalie, avec les chiffres. Qui reçoit une prophylaxie par héparine et qui n'en a pas besoin. L'accouchement et la péridurale. La contraception oestroprogestative et les alternatives sans sur-risque. Le traitement hormonal de la ménopause. La chirurgie, les plâtres, l'hospitalisation, les vols long-courriers et le cancer.
UN LIVRE ÉCRIT AVEC DES CHIFFRES, PAS AVEC DES IMPRESSIONS
Risque relatif et risque absolu, seuils décisionnels, essais nommés et datés, recommandations françaises et internationales citées précisément. De quoi comprendre sa situation et poser les bonnes questions en consultation.
Pour les patients, leurs proches, et tous ceux à qui l'on a remis un compte rendu sans explication.
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