Chirwere cheCoronavirus pneumonia (COVID-19) chegore ra2019 chapararira pasi rose. Ongororo dzakapfuura dzakaratidza kuti hutachiona hweCoronavirus hunogona kukonzera matambudziko ekugwamba kweropa, anowanzoonekwa sekuita kwenguva refu kwenguva refu (APTT), thrombocytopenia, D-dimer (DD) Kuwedzera kwemazinga uye kugovaniswa kweropa muropa (DIC), izvo zvine chekuita nekufa kwakanyanya.

Ongororo ichangobva kuitwa yekuongorora mashandiro ekugwamba kweropa muvarwere vane COVID-19 (kusanganisira zvidzidzo zvipfumbamwe zvekudzoka shure nevarwere vese vanosvika 1 105) yakaratidza kuti zvichienzaniswa nevarwere vasina kusimba, varwere vane COVID-19 vakakomba vaiva nehuwandu hweDD hwakakwira zvakanyanya, nguva yeProthrombin (PT) yaive yakareba; kuwedzera kweDD kwaive chinhu chine njodzi yekuwedzera uye chikonzero cherufu. Zvisinei, kuongororwa kweMeta kwataurwa pamusoro apa kwaisanganisira zvidzidzo zvishoma uye kwakabatanidza zvidzidzo zvishoma zvekutsvagisa. Munguva pfupi yapfuura, zvidzidzo zvakakura zvekiriniki pamusoro pekushanda kwekugwamba kweropa muvarwere vane COVID-19 zvakaburitswa, uye hunhu hwekugwamba kweropa hwevarwere vane COVID-19 hwakataurwawo muzvidzidzo zvakasiyana-siyana hazvisizvo chaizvo.

Ongororo yakaitwa munguva pfupi yapfuura yakavakirwa padata renyika yakaratidza kuti 40% yevarwere veCOVID-19 vari panjodzi huru ye venous thromboembolism (VTE), uye 11% yevarwere vane njodzi huru vanokura vasina matanho ekudzivirira. VTE. Mhedzisiro yeimwe ongororo yakaratidzawo kuti 25% yevarwere vane COVID-19 vakakomba vakarwara neVTE, uye huwandu hwerufu rwevarwere vane VTE hwaive hwakakwira kusvika 40%. Izvi zvinoratidza kuti varwere vane COVID-19, kunyanya varwere vane njodzi huru kana kuti vakakomba, vane njodzi huru yeVTE. Chikonzero chingangove ndechekuti varwere vane njodzi huru uye vakakomba vane zvirwere zvakawanda, zvakaita senhoroondo ye cerebral infarction uye bundu rinotyisa, izvo zvese zviri zvinhu zvine njodzi yeVTE, uye varwere vane njodzi huru uye vakakomba vanogara pamubhedha kwenguva yakareba, vachirara, vasingafambi, uye vachiiswa pamidziyo yakasiyana-siyana. Matanho ekurapa akadai semachubhu zvakare zvinhu zvine njodzi ye thrombosis. Saka, kune varwere vane COVID-19 vane njodzi huru uye vakakomba, kudzivirira VTE ne mechanical, senge elastic stockings, intermittent inflatable pump, nezvimwewo, zvinogona kuitwa; Panguva imwe chete, nhoroondo yezvekurapa yemurwere yekare inofanira kunzwisiswa zvizere, uye basa remurwere rekuonda rinofanira kuongororwa nenguva. Kuvarwere, mushonga wekudzivirira kuonda kweropa unogona kutanga kana pasina zvinopesana.

Zvakabuda pari zvino zvinoratidza kuti matambudziko ekudzivirira ropa anowanzoitika muvarwere vane COVID-19 vakakomba, vanorwara zvakanyanya, uye vari kufa. Kuwanda kwemaplatelet, DD uye PT zvinoenderana nekuoma kwechirwere uye zvinogona kushandiswa sechiratidzo chekunyevera kwekutanga kwekudzikira kwechirwere panguva yekuiswa muchipatara.