He ʻano pale maʻamau ke kāpili ʻana o ke koko i loko o ke kino. Inā loaʻa kahi ʻeha kūloko, e hōʻiliʻili koke nā mea kāpili i kēia manawa, e hoʻoulu ai i ke koko e kāpili i loko o kahi ʻūpā koko e like me ka jelly a pale aku i ka nalowale nui o ke koko. Inā hana hewa ke kāpili ʻana, e alakaʻi ia i ka nalowale nui o ke koko i loko o ke kino. No laila, i ka wā e ʻike ʻia ai ka hana hewa o ke kāpili ʻana, pono e hoʻomaopopo i nā kumu e hoʻopilikia ai i ka hana kāpili ʻana a mālama iā ia.

 

He aha ke kumu o ka hoʻopilikia ʻana o ka coagulation koko?

1. ʻO ka thrombocytopenia

He maʻi koko maʻamau ka Thrombocytopenia e hiki ke loaʻa i nā keiki. Hiki i kēia maʻi ke alakaʻi i ka emi ʻana o ka hana ʻana o ka iwi iwi, ka ʻai nui ʻana, a me nā pilikia hoʻoheheʻe koko. Pono nā maʻi i ka lāʻau lapaʻau lōʻihi e kāohi iā ia. No ka mea hiki i kēia maʻi ke hoʻopau i ka platelet a hoʻoulu pū i nā hemahema o ka hana platelet, i ka wā e ʻoi aku ka koʻikoʻi o ka maʻi o ka mea maʻi, pono e hoʻohui ʻia e kōkua i ka mea maʻi e mālama i ka hana coagulation koko.

2. Hoʻomāmā i ke koko

ʻO ka hemodilution ka mea nui e pili ana i ka hoʻokomo ʻana o kahi nui o ka wai i loko o kahi manawa pōkole. E hōʻemi kēia kūlana i ka nui o nā mea i loko o ke koko a hoʻāla maʻalahi i ka ʻōnaehana coagulation. I loko o kēia wā, he mea maʻalahi ke hana i ka thrombosis, akā ma hope o ka hoʻopau ʻia ʻana o ka nui o nā mea coagulation, e hoʻopilikia ia i ka hana coagulation maʻamau, no laila ma hope o ka dilution koko, ʻoi aku ka maʻamau o ka hana coagulation.

3. Hemophilia

He maʻi koko maʻamau ka Hemophilia. ʻO ka pilikia o ka coagulopathy ka hōʻailona nui o ka hemophilia. Hoʻokumu ʻia kēia maʻi e nā hemahema o nā kumu coagulation hoʻoilina, no laila ʻaʻole hiki ke ho'ōla loa ʻia. Ke hiki mai kēia maʻi, e hana ia i ka hana pono ʻole o ka prothrombin, a e koʻikoʻi loa ka pilikia o ke kahe ʻana o ke koko, hiki ke hana i ke kahe ʻana o nā ʻiʻo, ke kahe ʻana o nā hono a me ke kahe ʻana o nā ʻōpū o loko.

4. nele i ka wikamina

ʻO ka nele o ka wikamina kekahi mea e hoʻoulu ai i ka hana coagulation, no ka mea, pono e hoʻohui ʻia nā ʻano mea coagulation like ʻole i loko o ke akepaʻa me ka wikamina k. Ua kapa ʻia kēia ʻāpana o ka mea coagulation he mea coagulation e pili ana i ka wikamina k. No laila, i ka nele o nā wikamina, e nele pū ka mea coagulation a ʻaʻole hiki ke komo piha i ka hana coagulation, e hopena ai i ka hana coagulation.

5. ka lawa ʻole o ke akepaʻa

ʻO ka hemahema o ke akepaʻa kahi kumu lapaʻau maʻamau e hoʻopilikia ai i ka hana coagulation, no ka mea, ʻo ke akepaʻa ke kahua synthesis nui o nā mea coagulation a me nā protein inhibitory. Inā lawa ʻole ka hana o ke akepaʻa, ʻaʻole hiki ke mālama ʻia ka synthesis o nā mea coagulation a me nā protein inhibitory, a aia ia i loko o ke akepaʻa. Ke hoʻopilikia ʻia ka hana, e loli nui hoʻi ka hana coagulation o ka mea maʻi. No ka laʻana, hiki i nā maʻi e like me ka hepatitis, ka cirrhosis ate, a me ke kanesa ate ke hana i nā pilikia koko o nā kekelē like ʻole. ʻO kēia ka pilikia i hoʻokumu ʻia e ka hana ate e hoʻopilikia ana i ka coagulation koko.

 

Hiki ke hana ʻia ka hana coagulation dysfunction e nā kumu he nui, no laila ke ʻike ʻia ka hana coagulation dysfunction, pono ʻoe e hele i ka haukapila no ka hoʻokolokolo kikoʻī e ʻike ai i ke kumu kikoʻī a hāʻawi i ka lāʻau lapaʻau i kuhikuhi ʻia no ke kumu.