Njira Zitatu Zothandizira Kusauka kwa Coagulation


Wolemba: Wolowa m'malo   

Magazi amakhala ndi malo ofunikira kwambiri m'thupi la munthu, ndipo ndi owopsa ngati kusakhazikika bwino kumachitika.Khungu likaphulika pamalo aliwonse, lidzachititsa kuti magazi aziyenda mosalekeza, osatha kugwirizanitsa ndi kuchiritsa, zomwe zidzabweretse chiopsezo cha moyo kwa wodwalayo ndipo ziyenera kuthandizidwa panthawi yake.Ndiye, momwe mungachiritsire coagulopathy?Nthawi zambiri, pali njira zitatu zothetsera vuto la coagulation.

1. Kuikidwa magazi kapena opaleshoni

Matenda a coagulation amayamba chifukwa cha kusowa kwa zinthu zomwe zimapangidwira m'thupi la wodwalayo, ndipo m'pofunika kupeza njira zowonjezera izi, monga kuonjezera kuchuluka kwa coagulation zinthu ndi kuikidwa kwa plasma yatsopano, kuti ntchito ya hemostatic ya wodwalayo ibwezeretsedwe. , yomwe ndi njira yabwino yothandizira coagulopathy.Komabe, odwala omwe ali ndi magazi ambiri amafunika kukonzanso opaleshoni, kutsatiridwa ndi cryoprecipitation, prothrombin complex concentrate ndi mankhwala ena.

2. Kugwiritsa ntchito mankhwala a antidiuretic hormone

Kuti athetse matenda a coagulation, odwala amafunikanso mankhwala kuti athetse vuto la mkati mwa thupi.Mankhwala omwe amagwiritsidwa ntchito kwambiri pakali pano ndi DDAVP, yomwe imakhala ndi antidiuretic effect ndipo imakhala ngati yosungirako bwino VIII m'thupi, makamaka kwa odwala ofatsa;mankhwala akhoza kuwonjezeredwa m`nsinga pa mkulu ndende ndi yachibadwa saline kapena m`mphuno madontho, ndi mlingo ndi ndende ayenera ogwirizana ndi yeniyeni zikhalidwe za wodwalayo.

3. Chithandizo cha Hemostatic

Odwala ambiri akhoza kukhala ndi zizindikiro za magazi, ndipo m'pofunika kusiya chithandizo cha magazi, kawirikawiri ndi mankhwala okhudzana ndi antifibrinolytic;makamaka pankhani yochotsa dzino kapena kutuluka magazi mkamwa, mankhwalawa angagwiritsidwe ntchito kuti athetse magazi mwamsanga.Palinso mankhwala, monga aminotoluic acid ndi hemostatic acid, omwe angagwiritsidwe ntchito pochiza matendawa, omwe ndi njira imodzi yothanirana ndi coagulopathy.

Pamwambapa pali njira zitatu zothetsera coagulopathy.Komanso, odwala ayenera kupewa ntchito pa mankhwala ndipo makamaka kukhala pabedi kwa kanthawi.Ngati pali zizindikiro monga magazi mobwerezabwereza, zikhoza kukhazikitsidwa ndi kupanikizana ndi paketi ya ayezi kapena bandeji malinga ndi malo enieni a matendawa.Pambuyo pa kutuluka kwa magazi, mukhoza kuchita zinthu zoyenera ndikudya chakudya chochepa.