Meta na halayen coagulation a cikin marasa lafiya na COVID-19


Marubuci: Magaji   

2019 novel coronavirus pneumonia (COVID-19) ya yadu a duniya.Nazarin da suka gabata sun nuna cewa kamuwa da cuta na coronavirus na iya haifar da rikice-rikice na coagulation, galibi ana bayyana shi azaman lokacin thromboplastin na dogon lokaci mai kunnawa (APTT), thrombocytopenia, D-dimer (DD) Matsayi masu girma da kuma watsawar coagulation na intravascular (DIC), waɗanda ke da alaƙa da mace-mace mafi girma.

Wani bincike-bincike na kwanan nan na aikin coagulation a cikin marasa lafiya tare da COVID-19 (ciki har da binciken 9 na baya-bayan nan tare da jimlar marasa lafiya 1 105) ya nuna cewa idan aka kwatanta da marasa lafiya masu rauni, masu cutar COVID-19 masu tsanani suna da ƙimar ƙimar DD sosai, lokacin Prothrombin (PT) ya fi tsayi;ƙarar DD shine haɗarin haɗari don haɓakawa da haɗarin mutuwa.Koyaya, Meta-binciken da aka ambata a sama ya haɗa da ƙarancin karatu kuma ya haɗa da ƴan abubuwan bincike.Kwanan nan, an buga ƙarin ƙarin manyan binciken asibiti game da aikin coagulation a cikin marasa lafiya tare da COVID-19, kuma halayen coagulation na marasa lafiya tare da COVID-19 da aka ruwaito a cikin bincike daban-daban suma ba daidai bane.

Wani bincike na baya-bayan nan dangane da bayanan kasa ya nuna cewa kashi 40% na marasa lafiya na COVID-19 suna cikin babban haɗari ga thromboembolism venous (VTE), kuma 11% na masu haɗari masu haɗari suna haɓaka ba tare da matakan kariya ba.VTESakamakon wani binciken kuma ya nuna cewa kashi 25% na marasa lafiya na COVID-19 masu tsanani sun haɓaka VTE, kuma adadin mace-mace na marasa lafiya tare da VTE ya kai kashi 40%.Ya nuna cewa marasa lafiya da ke da COVID-19, musamman masu tsanani ko marasa lafiya, suna da haɗarin VTE mafi girma.Dalili mai yiwuwa shi ne, marasa lafiya masu tsanani da marasa lafiya suna da cututtuka da yawa, irin su tarihin ciwon ƙwayar cuta da ƙwayar cuta, wanda duk abubuwan haɗari ne ga VTE, kuma marasa lafiya masu tsanani da rashin lafiya suna kwance na dogon lokaci, kwantar da hankali, rashin motsi. , kuma an sanya shi akan na'urori daban-daban.Matakan jiyya kamar bututu suma abubuwan haɗari ne na thrombosis.Don haka, ga marasa lafiya na COVID-19 mai tsanani da rashin lafiya, ana iya yin rigakafin VTE na inji, kamar safa na roba, famfo mai kumburin lokaci, da sauransu,;a lokaci guda, ya kamata a fahimci tarihin likita na baya-bayan nan da ya gabata, kuma ya kamata a yi la'akari da aikin coagulation na mai haƙuri a cikin lokaci.na marasa lafiya, ana iya fara maganin rigakafi na prophylactic idan babu contraindications

Sakamakon na yanzu yana nuna cewa cututtukan coagulation sun fi kowa a cikin masu tsanani, marasa lafiya, da masu mutuwa na COVID-19.Ƙididdigar platelet, DD da PT suna da alaƙa da tsananin cutar kuma ana iya amfani da su azaman alamun gargaɗin farko na tabarbarewar cuta yayin asibiti.