Kuperewera kwa magazi

Mu thupi la munthu wathanzi, njira yopanga thrombi (magazi oundana) ndi kusungunuka kwawo nthawi zonse zimachitika. Kuphulika kwa minofu kapena epidermal kuwonongeka kumayambitsa kukhazikitsa njira zambiri zolinga kuthetsa vutolo. Thrombi amapangidwa kuchokera ku zinthu zomwe zimatulutsidwa ku ziphuphu zakuwonongeka, komanso kuchokera ku noncellular, zomwe zimapangika m'chiwindi. Choncho, nthawi zambiri zoipa coagulability zimasonyeza kupezeka kwa mavuto ndi thupi. Tiyeni tione zina mwazimene zimayambitsa chitukukochi.

Zimayambitsa matenda

Kuperewera kwa magazi kumatheka chifukwa cha izi:

• kulandira cholowa (mbale zopanda pake);
• matenda a chiwindi (makamaka, chiwindi cha chiwindi), zomwe zimayambitsa kuchepa kwa chiwerengero cha zinthu zomwe zimakhudza magazi coagulation;
• kuwonongeka kwa magazi, komwe, ngakhale kulowetsedwa, kumachepetsa kuchuluka kwa zinthu zowonongeka;
• kuchepa kwa chiwerengero cha mapaleti chifukwa cha thrombocytopenia, kusowa kwa zinthu X, V, II ndi VII;
• Mtundu wamadzi wa capillary-hematoma umapezeka mu matenda a DIC, matenda a Villebant ndi kuchepa kwa XIII;
• Kukhalapo kwa hypofrinogenemia kumaphatikizapo ndi capillary magazi, omwe mahematomas ndi mitsempha alipo pakhungu;
• Nthenda yosauka ya magazi nthawi zambiri imachokera ku matenda monga DIC matenda, omwe amachititsa mantha, kupatukana koyamba kwa placenta ndi sepsis;
• pamene makoma a zotengerazo awonongeka ndi chitetezo cha mthupi, matumbo a m'mimba, ziphuphu za khungu ndi nephritis zimachitika.

Kuyankha funso chifukwa chake pali coagulability yamagazi, sitingapewe matenda obadwa nawo (kusowa kwa VII ndi chiwerengero cha hemophilia). Komanso, chifukwa choyeretsera magazi ndi kupitirira malire kwa anticoagulants, kumene magazi amalowa m'misumbo, m'matumbo, pansi pa khungu, zimagwiritsidwa ntchito.

Kusasamala kwa magazi - zizindikiro

Zizindikiro za matendawa zimadziwonetsera motere:

• kutaya magazi kwambiri ndi zilonda;
• mikwingwirima yamphamvu yomwe ikhoza kutsagana ndi kutuluka m'mphuno kapena kumalo ena;
• zovuta kuyesa kuimitsa magazi.

Kwa zizindikiro za magazi osalala a coagulation ayenera kutchulidwa kuti kutuluka kwa ziwalo zazing'ono. Ngati chodabwitsachi chimachitika ali mwana, ndiye chifukwa chake chikhoza kukhala matenda a Villebrand.

Kuchiza kwa matendawa

Kuonjezera chiwerengero cha zinthu zowonongeka kungapezeke mwa kugwiritsa ntchito mankhwala ena. Njira yothandizira yokhayo ndi yaitali. Pankhani ya matenda opatsirana, wodwalayo ayenera kumwa mankhwala m'moyo. Ngati kuwonongeka kwa coagulation kunayambika chifukwa cha matenda ovuta, wodwalayo akuuzidwa njira yothandizila ndi kukonzanso nthawi yaitali.

Njira yolimbana ndi mavuto osauka a magazi coagulability ndipo mankhwala ake amasankhidwa, pogwiritsa ntchito zifukwa za matendawa:

1. Pogwiritsira ntchito magazi, zimagwiritsidwa ntchito pogwiritsa ntchito mankhwalawa. The hemostatic chubu imagwiritsidwa ntchito pamwamba poyimitsa Kutuluka magazi kwaching'ono kwambiri sosudikov. Kulimbana ndi hypofrinogenemia kumachitika ndi jekeseni wa fibrinogen.
2. Aminomethylbenzoic ndi aminocaproic acid ndi Contrikal ali ndi katundu wabwino kwambiri. Mankhwalawa amatha kuteteza kutaya kwa magazi.
3. Kugwiritsiridwa ntchito kwa coagulant, monga vitamini K, kumathandiza kubwezeretsa ntchito zowonongeka zomwe zimachitika m'chiwindi. Mankhwalawa amagwiritsidwanso ntchito poyerekeza kwambiri ndi anticoagulants ndi hypoprothrombinemia.
4. Kuchiza kwa magazi osauka chifukwa cha matenda a Villenbrand ndi hemophilia zimaphatikizapo jekeseni wothandizira wa cryoprecipitate ndi plasma ya antihemophilic ndi jet.