Meta ye coagulation maitiro muCOVID-19 varwere


Munyori: Mutsivi   

Iyo 2019 novel coronavirus pneumonia (COVID-19) yapararira pasirese.Zvidzidzo zvakapfuura zvakaratidza kuti hutachiona hwekoronavirus hunogona kutungamira mukunetsekana kwecoagulation, kunyanya kuratidzwa sekurebesa activated partial thromboplastin nguva (APTT), thrombocytopenia, D-dimer (DD) Yakakwirisa mazinga uye kuparadzira intravascular coagulation (DIC), ayo ane hukama nehuwandu hwekufa.

Iyo ichangoburwa meta-kuongorora ye coagulation basa muvarwere vane COVID-19 (kusanganisira 9 retrospective zvidzidzo nehwerengedzo yevarwere 1 105) yakaratidza kuti zvichienzaniswa nevarwere vakapfava, varwere vakanyanya COVID-19 vaive nepamusoro zvakanyanya DD kukosha, Prothrombin nguva (PT) yakanga yakareba;yakawedzera DD yaive njodzi yekuwedzera uye njodzi yekufa.Zvisinei, Meta-analysis yataurwa pamusoro apa yaisanganisira zvidzidzo zvishomanana uye yaisanganisira zvidzidzo zvishomanana zvekutsvakurudza.Munguva pfupi yadarika, zvimwe zvakakura-zviyero zvidzidzo zvekiriniki nezve coagulation basa muvarwere vane COVID-19 zvakaburitswa, uye hunhu hwekubatirana kwevarwere vane COVID-19 hwakataurwa mune dzakasiyana zvidzidzo zvakare Kwete chaizvo.

Ongororo ichangoburwa yakavakirwa padhata renyika yakaratidza kuti makumi mana muzana evarwere veCCIDID-19 vari panjodzi huru yevenous thromboembolism (VTE), uye 11% yevarwere vari panjodzi huru vanokura pasina matanho ekudzivirira.VTE.Mhedzisiro yeimwe ongororo yakaratidzawo kuti makumi maviri neshanu muzana evarwere veCCIDID-19 vakagadzira VTE, uye huwandu hwekufa kwevarwere vane VTE hwakakwira kusvika makumi mana%.Zvinoratidza kuti varwere vane COVID-19, kunyanya varwere vakanyanya kana vanorwara zvakanyanya, vane njodzi yakanyanya yeVTE.Chikonzero chinogona kunge chiri chekuti varwere vanorwara zvakanyanya uye vanorwara zvakanyanya vane zvirwere zvakanyanya, senge nhoroondo yecerebral infarction uye bundu rinouraya, izvo zvese zvine njodzi yeVTE, uye varwere vakanyanya uye vanorwara zvakanyanya vanorara kwenguva yakareba, vakarara, vasina simba. , uye yakaiswa pamidziyo yakasiyana-siyana.Matanho ekurapa akadai semachubhu zvakare ane njodzi ye thrombosis.Naizvozvo, kune varwere vakanyanya uye vanorwara zvakanyanya neCCIDID-19, kudzivirira kwemuchina kweVTE, senge elastic masokisi, inopindirana inflatable pombi, nezvimwewo, inogona kuitwa;panguva imwecheteyo, nhoroondo yezvehutano yakapfuura yemurwere inofanira kunzwisiswa zvakakwana, uye basa remurwere coagulation rinofanira kuongororwa panguva yakakodzera.yevarwere, prophylactic anticoagulation inogona kutangwa kana pasina contraindications

Mhedzisiro yazvino inoratidza kuti coagulation kusagadzikana kunowanikwa mune zvakanyanya, vanorwara zvakanyanya, uye vari kufa COVID-19 varwere.Platelet count, DD uye PT kukosha kwakabatana nekuoma kwechirwere uye inogona kushandiswa seyambiro yepakutanga zviratidzo zvekudzikira kwechirwere panguva yekurapwa.