Makhalidwe a coagulation mwa odwala a COVID-19


Wolemba: Wolowa m'malo   

Chibayo cha 2019 cha coronavirus (COVID-19) chafalikira padziko lonse lapansi.Kafukufuku wam'mbuyomu awonetsa kuti matenda a coronavirus amatha kuyambitsa zovuta za coagulation, zomwe zimawonetsedwa ngati nthawi yayitali ya thromboplastin (APTT), thrombocytopenia, D-dimer (DD) Miyezo yokwera ndikufalitsa intravascular coagulation (DIC), yomwe imalumikizidwa ndi kufa kwakukulu.

Kuwunika kwaposachedwa kwa magwiridwe antchito a coagulation mwa odwala omwe ali ndi COVID-19 (kuphatikiza maphunziro 9 obwereza omwe ali ndi odwala 1 105) adawonetsa kuti poyerekeza ndi odwala ofatsa, odwala kwambiri a COVID-19 anali ndi ma DD apamwamba kwambiri, nthawi ya Prothrombin (PT) anali wautali;kuwonjezeka kwa DD kunali chinthu chowopsa cha kuwonjezereka komanso chiopsezo cha imfa.Komabe, kusanthula kwa Meta komwe tatchula pamwambapa kunaphatikizapo maphunziro ocheperako ndipo kumaphatikizapo maphunziro ochepa ofufuza.Posachedwa, maphunziro apamwamba azachipatala okhudza coagulation mwa odwala omwe ali ndi COVID-19 adasindikizidwa, ndipo mawonekedwe a coagulation a odwala omwe ali ndi COVID-19 omwe adanenedwa m'maphunziro osiyanasiyana nawonso sali ndendende.

Kafukufuku waposachedwa wotengera zomwe dzikolo adawonetsa adawonetsa kuti 40% ya odwala a COVID-19 ali pachiwopsezo chachikulu cha venous thromboembolism (VTE), ndipo 11% ya odwala omwe ali pachiwopsezo chachikulu amakula popanda njira zodzitetezera.VTE.Zotsatira za kafukufuku wina zidawonetsanso kuti 25% ya odwala omwe ali ndi COVID-19 adapanga VTE, ndipo chiwerengero cha kufa kwa odwala omwe ali ndi VTE chinali chokwera mpaka 40%.Zikuwonetsa kuti odwala omwe ali ndi COVID-19, makamaka odwala kwambiri kapena omwe akudwala kwambiri, ali pachiwopsezo chachikulu cha VTE.Chifukwa chotheka ndi chakuti odwala kwambiri komanso odwala kwambiri amakhala ndi matenda ambiri, monga mbiri ya infarction cerebral infarction ndi chotupa choopsa, zomwe ziri zoopsa za VTE, ndipo odwala kwambiri ndi odwala kwambiri amakhala chigonere kwa nthawi yaitali, okhazikika, osasunthika. , ndi kuikidwa pa zipangizo zosiyanasiyana.Njira zochizira monga machubu ndizomwe zimayambitsa thrombosis.Chifukwa chake, kwa odwala kwambiri komanso odwala kwambiri a COVID-19, kupewa VTE kumakina, monga masitonkeni otanuka, pampu yopumira, ndi zina zotero, zitha kuchitidwa;panthawi imodzimodziyo, mbiri yakale yachipatala ya wodwalayo iyenera kumveka bwino, ndipo ntchito ya coagulation ya wodwalayo iyenera kuyesedwa panthawi yake.mwa odwala, prophylactic anticoagulation ikhoza kuyambitsidwa ngati palibe zotsutsana

Zotsatira zaposachedwa zikuwonetsa kuti matenda a coagulation amapezeka kwambiri mwa odwala kwambiri, odwala kwambiri, komanso omwe akumwalira ndi COVID-19.Kuwerengera kwa Platelet, DD ndi PT zimayenderana ndi kuopsa kwa matenda ndipo zitha kugwiritsidwa ntchito ngati chenjezo loyambirira la kuwonongeka kwa matenda panthawi yogonekedwa m'chipatala.