DIC - nezimbangela zayo, ukwelashwa

Ngo eqonda ekunqandeni intravascular igazi kuyinto okungazelelwe igazi ekunqandeni ezitsheni ezincane igazi. Ngenxa yalokho, kukhona ukopha eminingi, bese amahlule, ukuthi kukhona ezindaweni ezihlukahlukene zomzimba. Lokhu kubangela eziningi ngenxa yezinkinga kuholele ukungasebenzi izitho eziningi.

Etiology ka DIC

Izizathu ezibangela DIC, zahlukahlukene kakhulu. Lokhu kungaba ukusha olubanzi, sepsis, isifo semithambo, oluhambisana ukushaqeka, yokulunywa yizinyoka. Eqonda coagulation intravascular wegazi kwenzeka ngokusebenzisa ukumpompela akuhambisani lwegazi. Ukukhulelwa DIC kungenzeka esimweni lapho kukhona izinhlobo okunzima preeclampsia. Lokhu kungenzeka kokubili kuqala futhi senyanga okugcina enkathi yokukhulelwa. Lesi sifo kwenzeka lapho umuntu lamabutho ekuseni umzanyana, kanye ukungqubuzana Rhesus. Ngokuzumayo aphuthelwe isisu, ngenxa lapho ayeke ukuqhubeka umbungu futhi esinye sezici causative iqhaza ekuthuthukiseni DIC. Lezi zimo ukukhiqiza kwezicubu hypoxia ezihlukahlukene zomzimba, okuyinto enomthelela ukubukeka lactic umzimba.

Symptomatology ka eqonda coagulation intravascular

Izimpawu main esibonisa DIC ukopha amaningi. Abakwazi zenzeka ikhala, umlomo, ingemuva, esithweni sangasese somuntu wesifazane. Ngaphandle, abaprofethi bamanga babukeka kanjani ububomvu kancane. ingozi okukhulu owabuzwa ukopha zangaphakathi. Kuye isitho ethintekile, izimpawu ziyahlukahluka. Ngokwesibonelo, uma kukhona ukopha emaphashini basebenzile ukuphefumula, iphika, uma ukopha e izinso - kungaba oliguria noma anuria. Ukubukeka izimpawu zokungasebenzi kahle kwemizwa kusikisela ukopha ebuchosheni. I iconsi elibukhali blood pressure kubonisa Yiqiniso ezinzima yalesi sifo. DIC kungase kudingeke ezingamahlalakhona. Lokhu kwaqashelwa izimila ebulalayo. Kulokhu, umzimba has isikhathi ukujwayela isimo samanje. Useqala kancane kancane isinxephezelo ukwephulwa okuholela.

Ukuxilongwa DIC

Eqonda coagulation intravascular wegazi kunzima kakhulu ukuxilonga. Ukuze ochwepheshe laba bafikile ukubashaya kokutshelwa ngokukhubazeka kwengane, kubalulekile ukuqhuba luhlolo okugcwele obuphelele yokukhula komzimba wonke. Uma imiphumela yokuhlolwa kubonisa ukuthuthukiswa ngesikhathi esisodwa izimpawu isiguli ukopha futhi thrombosis, kuthathwa khona DIC. Okokuqala, kokuhlaziya uhlelo igazi ekunqandeni. Sincumo D-dimer kukalwa isikhathi prothrombin kunqunywa inani fibrinogen egazini. Ukuze kuhlonzwe kubalulekile ukwazi futhi isilinganiso izakhi kwakheka igazi. Kwaziqondanela nje ukuba ngesikhathi esisodwa zonke izici zokuxilonga ikuvumela ukubeka ukuxilongwa ocacile - DIC.

ukwelashwa

Ngaphambi ekwelapheni eqonda intravascular coagulation wegazi, kufanele bavezwe futhi, uma kunokwenzeka, imbangela ezibangele syndrome. Ukwelapha okwalandela wenziwa labagula noma eMnyangweni esegumbini labagula kakhulu. Okokuqala, afeze ukumpontshelwa igazi futhi izakhi zalo kwakhiwa. Ngemva kwalokho, heparin iqondiswa - anticoagulant, okuyinto amabhlogo ukusabela igazi coagulation. Kuphoqelekile kulesetayelekile hemodynamics. Khona-ke ukuthuthela ekwelapheni izinkinga ngemva DIC.

Ukuze sithole khona DIC syndrome bungatholakala ngokubeka ukuhlaziywa. Uma uneminye izinsolo, kumele ngokushesha xhumana nodokotela wakho, ungavumeli inqubo busebenze. Nakekela impilo yakho futhi unakekele impilo ingane yakho engakazalwa.