DIC - kubangelwa, unyango

In ziyithumele igazi amahlwili intravascular segazi amahlwili ngesiquphe kwimikhumbi ezincinci zegazi. Ngenxa yoko, kukho ukopha, kunye egazi igazi ezininzi, ukuba kwiindawo ezahlukeneyo zomzimba. Oku kubangela ezininzi iingxaki yaye kungakhokelela ukungasebenzi kwamalungu ezininzi.

I-umyalezo we DIC

Izizathu ezibangela DIC, zahlukahlukene kakhulu. Le ingaba ukutsha kakhulu, nokudumba, isifo semithambo, ukopha othukile, inyoka ukuluma. Esasaziweyo coagulation intravascular igazi kwenzeka ngokusebenzisa ukutofelwa lwegazi ezingahambelaniyo. Ukukhulelwa DIC kunokwenzeka xa kukho iintlobo kakhulu yokukhulelwa. Oku kwenzeka kuzo zombini lokuqala kunye ezintathu zokugqibela zokukhulelwa. Esi sifo kwenzeka xa wona yokuqala ngumkhaya, kwakunye nongquzulwano rhesus. Ngesiquphe waphuthelwa isisu, ngenxa apho ayeke uphuhliso oluqhubekayo umbungu nalo ngomnye wemiba causative igalelo kuphuhliso DIC. Ezi meko ukuvelisa izicwili hypoxia ezahlukeneyo umzimba, leyo eyenza igalelo imbonakalo lactic metabolic.

Symptomatology of eqonda coagulation intravascular

Iimpawu eziphambili eziphawula DIC ukopha ezininzi. Abanako kwenzeka impumlo, umlomo, ezinqeni, lobufazi. Ngokwangaphandle, bakhangeleka ngathi ububomvu encinane. nengozi enkulu into ebangelwa yophela ngaphakathi. Kuxhomekeka organ abachaphazelekayo, iimpawu ziyahluka. Umzekelo, kukho nini na legazi emiphungeni endaphuka yiyo ukuphefumla, ukuphelelwa umoya, ukuba ukopha kwi izintso - ingaba oliguria okanye anuria. Imbonakalo Iimpawu luvo icebisa legazi ebuchotsheni. Ukuhla elibukhali uxinzelelo lwegazi ibonisa indlela kakhulu le onaso. DIC kungenzeka engapheliyo. Oku iqatshelwe ngamathumba amabi. Kulo mzekelo, umzimba ixesha ukuqhelana ekhona. Eqalisa ukuvala kancinci ngenxa ukunyhashwa ngenxa.

Uxilongo lwe DIC

Esasaziweyo coagulation intravascular igazi kunzima kakhulu ukubona. Kwiingcali beze isifo esinjalo, oko kuyimfuneko ukuqhuba uviwo ngokupheleleyo ngokucokisekileyo umzimba wonke. Ukuba iziphumo zovavanyo kubonisa kuphuhliso ngaxeshanye kwemiqondiso yomguli ngayo ukopha kunye thrombosis, sigqibe phambi DIC. Okokuqala, ucazululo ngokucokisekileyo inkqubo ekunqandeni igazi. Umiselo D-dimer ulinganiswa yi ixesha prothrombin umiselwa isixa lwefibrinogen egazini. Kuba uphethwe kubalulekile ukwazi kunye nesanty sokubekwa kwe eziqalelo kwasekwa egazini. kwenzeka ngaxeshanye zonke iimpawu diagnostic ikuvumela ukuba abeke isifo ecacileyo - DIC.

unyango

Phambi kokuba unyango zahanjiswa intravascular coagulation igazi, kufuneka kuchongwa kwaye, ukuba kunokwenzeka, ukuphelisa le nto ibangele onaso. Olona nyango elandelayo oluqhutywa labagula kakhulu okanye isebe labagula kakhulu. Kuqala kwinto zonke, yisa ukutofelwa igazi kunye nezinto zawo ndakubumba. Emva koko, lweeHedfowuni ilawulwa - anticoagulant, apho iibhloko indlela coagulation igazi. Kunyanzelekile ukuba bunjani hemodynamics. Ngoku yisa kwimpatho iingxaki emva DIC.

Ukuze ubone ubukho DIC syndrome enokwen- ngokubeka uhlalutyo. Ukuba unayo nayiphi na ukukrokrelana, kufuneka ngoko nangoko qhagamshelana nogqirha wakho, musa ukuvumela inkqubo uthathe indawo yawo. Thatha Ukunyamekela impilo yakho uze uthathe unonophelo lwempilo usana lwakho olungekazalwa.