Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar

GET THE APP

Oral Direct Anticoagulants in Thrombosis Management

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Oral Direct Anticoagulants in Thrombosis Management

The Anti-phospholipid syndrome (APS) whether primary or associated with auto-immune disorders can be accompanied by many thrombotic events. Possible mechanisms include the effects of inflammatory activity and antiphospholipid antibodies (aPLs). The only available oral anticoagulant drugs have been vitamin K antagonists (VKA). New oral anti-coagulants have proved their effectiveness in other situations. It is the aim of this review to explore a possible role for the new Oral Direct Inhibitors (ODI) in the management of (APS)-associated thrombosis highlighting the possible obstacles of their use in that context. Primary Anti-phospholipid syndrome is characterized by thrombosis and/or pregnancy morbidity occurring in patients with persistent aPLs. It comprises a broad spectrum: a) asymptomatic aPL positivity (no history of thrombosis or pregnancy morbidity); b), livedo reticularis, thrombocytopenia, hemolytic anemia, cardiac valve disease, aPL-associated nephropathy, skin ulcers, or cognitive dysfunction; c) pregnancy morbidity (recurrent embryonic or fetal loss, preeclampsia, and growth restriction); d) venous, arterial, or small vessel thrombosis; and e) catastrophic Anti-phospholipid syndrome (CAPS) (multiple organ thromboses commonly associated with microangiopathy.

 Citation: Ragab G, Mattar M (2015) Oral Direct Anticoagulants in Thrombosis Management in Anti-Phospholipid Syndrome: Unanswered Questions. J Hematol Thrombo Dis 3:208. doi: 10.4172/2329-8790.1000208

  • Share this page
  • Facebook
  • Twitter
  • LinkedIn
  • Google+
  • Pinterest
  • Blogger
Top