ʻO nā maʻi hemorrhagic e pili ana i nā maʻi i hōʻike ʻia e ke kahe koko koke a i ʻole ke kahe koko iki ma hope o ka ʻeha ma muli o nā kumu genetic, congenital, a me nā mea i loaʻa e hopena i nā kīnā a i ʻole nā ​​​​​​mea ʻē i nā ʻano hemostatic e like me nā kīʻaha koko, nā platelets, anticoagulation, a me fibrinolysis. Nui nā maʻi hemorrhagic i ka hana lapaʻau, a ʻaʻohe huaʻōlelo e like me ka mea maʻamau. Eia nō naʻe, ʻo nā mea maʻamau ka allergic purpura, aplastic anemia, disseminated intravascular coagulation, leukemia, a pēlā aku.

1. ʻO ka purpura allergic: He maʻi autoimmune ia, ma muli o nā kumu hoʻoulu like ʻole, e hoʻoulu ai i ka hoʻonui ʻia ʻana o nā clones cell B, e hana ana i nā ʻeha i loko o nā kīʻaha koko liʻiliʻi ma ke kino holoʻokoʻa, e alakaʻi ana i ke kahe koko, a i ʻole e hele pū me nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka luaʻi ʻana, a me ka pehu a me ka ʻeha o nā hono;

2. Anemia Aplastic: Ma muli o ka hoʻoulu ʻana o ka lāʻau, ka radiation kino, a me nā mea ʻē aʻe, loaʻa nā hemahema i nā cell kumu hematopoietic, kahi e hoʻopilikia ai i ka hana pale o ke kino a me ka microenvironment o hematopoiesis, ʻaʻole ia e kūpono i ka hoʻonui ʻana a me ka hoʻokaʻawale ʻana o nā cell hematopoietic, hiki ke hoʻoulu i ke kahe koko, a hele pū me nā hōʻailona e like me ka maʻi, ke kuni, a me ka anemia holomua;

3. Hoʻolaha ka coagulation intravascular: hiki ke hana ʻia e nā kumu like ʻole, e hoʻoulu ana i ka ʻōnaehana coagulation. I nā pae mua, hōʻiliʻili nā fibrin a me nā platelets i loko o ka microvasculature a hana i nā clots koko. Ke holomua nei ke kūlana, hoʻopau nui ʻia nā mea coagulation a me nā platelets, e hoʻoulu ana i ka ʻōnaehana fibrinolytic, e alakaʻi ana i ke kahe koko a i ʻole e hele pū me nā hōʻailona e like me nā maʻi circulatory, ka hana ʻole o nā ʻōkana, a me ka haʻalulu;

4. Leukemia: No ka laʻana, i ka leukemia koʻikoʻi, ʻike ka mea maʻi i ka thrombocytopenia a he nui nā cell leukemia e hana i ka leukemia thrombi, e haki ai nā kīʻaha koko ma muli o ke kaomi ʻana, e alakaʻi ana i ke kahe koko, a hiki ke hele pū me ka anemia, ke kuni, ka hoʻonui ʻia ʻana o ka lymph node, a me nā kūlana ʻē aʻe.

Eia kekahi, hiki i ka myeloma a me ka lymphoma ke alakaʻi i ka hana coagulation, e hoʻoulu ai i ke kahe koko. ʻO ka hapa nui o nā maʻi me nā maʻi hemorrhagic e ʻike i ke kahe koko maʻamau ʻole ma ka ʻili a me ka submucosa, a me nā palapū nui ma ka ʻili. Hiki i nā hihia koʻikoʻi o ke kahe koko ke hōʻike pū me nā hōʻailona e like me ka luhi, ka maka keʻokeʻo, nā lehelehe, a me nā moena kui, a me nā hōʻailona e like me ka dizziness, ka hiamoe, a me ka ʻike pohihihi. Pono e mālama ʻia nā hōʻailona liʻiliʻi me nā lāʻau hemostatic. No ke kahe koko nui, hiki ke hoʻokomo ʻia ka plasma hou a i ʻole ke koko ʻāpana e like me ka mea e pono ai e hoʻohui i nā platelets a me nā mea coagulation i loko o ke kino.