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Специалист занимается диагностикой, лечением и профилактикой патологий, связанных с нарушением баланса между свёртываемостью крови и противосвёртывающими механизмами [3](https://www.smclinic.ru/doctors/gemostaziolog.html)[7](https://www.eko-rb.ru/spravochnik-spetsialnostey/gemostaziolog/).\n\n## Заболевания\nНекоторые заболевания, которые лечит гемостазиолог: \n* **Тромбофилии** — наследственные (мутации F5, F2, PAI-1, MTHFR и др.) и приобретённые (антифосфолипидный синдром — АФС) состояния повышенного тромбообразования [1](https://emmaclinic.ru/napravleniya/priem-vracha/priyom-gemostaziologa/). \n* **Тромбозы и тромбоэмболии** — глубоких вен, тромбоэмболия лёгочной артерии, артериальные тромбозы [1](https://emmaclinic.ru/napravleniya/priem-vracha/priyom-gemostaziologa/). \n* **Кровоточивость (геморрагические диатезы)** — гемофилии, болезнь Виллебранда, тромбоцитопении, тромбоцитопатии [1](https://emmaclinic.ru/napravleniya/priem-vracha/priyom-gemostaziologa/). \n* **ДВС-синдром (диссеминированное внутрисосудистое свёртывание)** — состояние, из-за которого сначала образуется множество микротромбов, которые блокируют мелкие сосуды и капилляры, позже это приводит к истощению работы свёртывающей системы крови и кровоточивости [4](https://t1.headache.ru/services/consultation/gemostaziologiia/konsulytatsiia-gemostaziologa/). \n* **Патологии гемостаза при беременности** (гестозы, ЗВУР, ПОНРП), онкологии, аутоиммунных заболеваниях, после операций и травм [1](https://emmaclinic.ru/napravleniya/priem-vracha/priyom-gemostaziologa/).\n\n## Диагностика\nДля выявления нарушений в системе свёртывания крови гемостазиолог назначает **лабораторные исследования** [3](https://www.smclinic.ru/doctors/gemostaziolog.html)[9](https://kdl.ru/patient/blog/o-chem-rasskazhet-svertyvaemosti-krovi). Некоторые из них: \n* **Коагулограмма** — комплекс показателей, которые оценивают различные аспекты гемостаза [10](https://www.synex.ru/blog/koagulogramma-chto-eto-za-analiz-pokazaniya-i-norma-issledovaniya-/)[12](https://gemotest.ru/info/spravochnik/analizy/koagulogramma/). \n* **Исследование специфических факторов свёртывания** — определение уровней конкретных факторов (II, V, VII, VIII, IX, X) позволяет выявить дефициты или их дисфункции, характерные для наследственных коагулопатий [9](https://kdl.ru/patient/blog/o-chem-rasskazhet-svertyvaemosti-krovi). \n* **Анализ антител к факторам свёртывания** — выявление ингибиторов (антител) к факторам свёртывания помогает диагностировать приобретённые формы коагулопатий [9](https://kdl.ru/patient/blog/o-chem-rasskazhet-svertyvaemosti-krovi).\n\n## Лечение\nЛечение, назначаемое гемостазиологом, зависит от характера и выраженности нарушений [6](https://mknvek.ru/services/gemostaziologiya/). Например: \n* **При гиперкоагуляции** — терапия с использованием кроворазжижающих препаратов, средств для растворения тромбов [16](https://www.smclinic.ru/diseases/koagulopatiya/). \n* **При недостаточной свёртываемости крови** — устранение кровотечений с помощью местных средств (гемостатических губок, специального клея) и системного лечения (введение факторов свёртывания крови, витамина К, переливание крови и её компонентов) [16](https://www.smclinic.ru/diseases/koagulopatiya/). \n* **Если лечение не даёт эффекта**, — хирургическое вмешательство от малоинвазивных методик (тампонады, прижигание и клипирование сосудов) до масштабных операций [16](https://www.smclinic.ru/diseases/koagulopatiya/).\n\n## Рекомендации\nВрач-гемостазиолог даёт рекомендации по образу жизни, планированию беременности или операции и дальнейшему наблюдению [1](https://emmaclinic.ru/napravleniya/priem-vracha/priyom-gemostaziologa/). 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