Ma'aunin halayen coagulation a cikin marasa lafiya na COVID-19


Marubuci: Magaji   

Sabuwar cutar huhu ta coronavirus (COVID-19) ta bazu a duniya baki ɗaya. Nazarin da aka yi a baya ya nuna cewa kamuwa da cutar coronavirus na iya haifar da matsalolin coagulation, galibi suna bayyana a matsayin lokacin thromboplastin mai aiki na tsawon lokaci (APTT), thrombocytopenia, D-dimer (DD). Matakan da suka fi yawa da kuma coagulation na jini da aka watsa a cikin jijiyoyin jini (DIC), waɗanda ke da alaƙa da yawan mace-mace.

Wani bincike na baya-bayan nan game da aikin coagulation a cikin marasa lafiya da ke fama da COVID-19 (gami da nazarin baya guda 9 tare da jimillar marasa lafiya 1,105) ya nuna cewa idan aka kwatanta da marasa lafiya masu laushi, marasa lafiya masu tsanani na COVID-19 suna da ƙimar DD mafi girma, lokacin Prothrombin (PT) ya fi tsayi; ƙaruwar DD shine abin da ke haifar da ta'azzara kuma abin da ke haifar da mutuwa. Duk da haka, nazarin Meta da aka ambata a sama ya haɗa da ƙananan bincike kuma ya haɗa da ƙananan batutuwa na bincike. Kwanan nan, an buga manyan nazarin asibiti kan aikin coagulation a cikin marasa lafiya da ke fama da COVID-19, kuma halayen coagulation na marasa lafiya da ke fama da COVID-19 da aka ruwaito a cikin bincike daban-daban suma ba daidai ba ne.

Wani bincike da aka yi kwanan nan bisa bayanan ƙasa ya nuna cewa kashi 40% na marasa lafiya na COVID-19 suna cikin haɗarin kamuwa da cutar thromboembolism ta jijiyoyin jini (VTE), kuma kashi 11% na marasa lafiya masu haɗarin kamuwa da cutar suna tasowa ba tare da matakan rigakafi ba. VTE. Sakamakon wani bincike ya kuma nuna cewa kashi 25% na marasa lafiya masu tsananin COVID-19 sun kamu da cutar VTE, kuma adadin mace-macen marasa lafiya da ke fama da cutar VTE ya kai kashi 40%. Ya nuna cewa marasa lafiya da ke fama da cutar COVID-19, musamman marasa lafiya masu tsanani ko masu tsananin rashin lafiya, suna da haɗarin kamuwa da cutar VTE. Dalilin da zai yiwu shi ne cewa marasa lafiya masu tsanani da masu tsananin rashin lafiya suna da cututtuka masu tsanani, kamar tarihin bugun kwakwalwa da ciwon daji mai tsanani, waɗanda duk abubuwan haɗari ne ga VTE, kuma marasa lafiya masu tsanani da masu tsananin rashin lafiya suna kwance a gado na dogon lokaci, suna kwantar da hankali, suna hana motsi, kuma ana sanya su a kan na'urori daban-daban. Matakan magani kamar bututu suma abubuwan haɗari ne na thrombosis. Saboda haka, ga marasa lafiya masu tsanani da masu tsananin rashin lafiya na COVID-19, ana iya yin rigakafin VTE na inji, kamar safa mai laushi, famfon da za a iya hura iska a lokaci-lokaci, da sauransu; a lokaci guda, ya kamata a fahimci tarihin lafiyar majiyyaci na baya, kuma a tantance aikin coagulation na majiyyaci cikin lokaci. Daga cikin marasa lafiya, ana iya fara rigakafin coagulation idan babu wasu abubuwan hanawa.

Sakamakon da aka samu a yanzu ya nuna cewa matsalolin da suka shafi jini sun fi yawa a cikin marasa lafiya masu fama da cutar COVID-19 masu tsanani, masu tsananin rashin lafiya, da kuma waɗanda ke mutuwa. Yawan platelets, ƙimar DD da PT suna da alaƙa da tsananin cutar kuma ana iya amfani da su azaman alamun gargaɗi na farko na lalacewar cutar yayin asibiti.