ʻO ke kumu o ka make ʻana o ka wahine hāpai ma hope o ke kahe koko papa waena, ka embolism wai amniotic, ka embolism pulmonary, ka thrombosis, ka thrombocytopenia, ka maʻi puerperidal i helu ʻia ma nā ʻelima kiʻekiʻe. ʻO ka ʻike ʻana i ka hana coagulation maternal hiki ke pale pono i ke kumu ʻepekema o ka DIC acute a me ka maʻi thrombosis i hoʻokumu ʻia e ke kahe koko postpartum i ka wā hānau keiki i ka wā hānau keiki.

1. Ke kahe koko ma hope o ka hānau ʻana
ʻO ke kahe koko ma hope o ka hānau ʻana kekahi o nā kumu nui o nā pilikia o ka obstetrics i kēia manawa a me nā kumu nui o ka make ʻana o nā wahine hāpai, a ʻo ka helu hanana no 2%-3% o ka huina o ka hānau ʻana. ʻO nā kumu nui o ke kahe koko ma hope o ka hānau ʻana, ʻo ia ka ʻūlū momona, nā mea placenta, ka ʻoki palupalu o ka laceration a me ka hana coagulation. I waena o lākou, ʻo ke kahe koko i hoʻokumu ʻia e ka hana coagulation he nui pinepine ia o ke kahe koko i paʻakikī ke kāohi. ʻO Essence PT, APTT, TT, a me FIB nā hoʻokolohua nānā maʻamau i hoʻohana pinepine ʻia i ka mea coagulation plasma.

2. Maʻi Thromic
Ma muli o nā ʻano physiological kūikawā o nā wahine hāpai, ua kiʻekiʻe ke koko - hoʻonohonoho ʻia a lohi ke kahe ʻana o ke koko. Hoʻonui ka nui o nā wahine hāpai ʻelemakule a me nā wahine hāpai kiʻekiʻe. ʻO ka pilikia o nā wahine hāpai me ka thrombosis he 4 a 5 mau manawa ma mua o nā wahine hāpai ʻole. vein. ʻO ka maʻi thrombosis ka thrombosis vein hohonu ma nā lālā haʻahaʻa. ʻO ka make o ka embolism pulmonary i hoʻokumu ʻia e ka thrombosis he 30%. Ua hoʻoweliweli nui ia i ka palekana o nā wahine hāpai, no laila he mea nui ia no ka ʻike mua ʻana a me ka mālama ʻana i ka thrombosis venous. ʻOi loa ka ʻāpana cesarean o ke kahe koko postpartum a i ʻole ka maʻi, a i ʻole nā ​​​​maʻi me nā maʻi e like me ka momona, hypertension, maʻi autoimmune, maʻi puʻuwai, maʻi cell sickle, multi-pregnancy, pre-periodic periodic complications a i ʻole nā ​​​​pilikia obstetric. Ua hoʻonui nui ʻia ka pilikia o ka thrombosis intravenous.