Chinoongorora kuvharika kweropa chishandiso chinoshandiswa pakuongorora kuvharika kweropa nguva dzose. Chishandiso chinodiwa pakuongorora muchipatara. Chinoshandiswa kuona kana ropa richivharika uye thrombosis iri kubuda. Chii chinoshandiswa pakuongorora uku mumadhipatimendi akasiyana-siyana?
Pakati pezvinhu zvinoedzwa zve blood coagulation analyzer, PT, APTT, TT, uye FIB pane zvinhu zvina zvinoedzwa nguva dzose kuti ropa rivhare. Pakati pazvo, PT inoratidza huwandu hwezvinhu zvinovhara ropa II, V, VII, uye X mu plasma yeropa, uye ndicho chikamu chakakosha che exogenous coagulation system. Bvunzo yekuongorora inonzwisisika uye inowanzoshandiswa; APTT inoratidza huwandu hwezvinhu zvinovhara ropa V, VIII, IX, XI, XII, fibrinogen, uye fibrinolytic activity mu plasma, uye ibvunzo yekuongorora inoshandiswa nguva dzose ye endogenous systems; Kuyerwa kweTT kunonyanya kuratidza kana ropa Kuvapo kwezvinhu zvisingawanzoitiki zvinodzivirira ropa: FIB i glycoprotein iyo, pasi pe hydrolysis ne thrombin, inozopedzisira yagadzira insoluble fibrin kuti imise kubuda ropa.
1. Varwere vane mabvi ndivo varwere vazhinji vane mabvi anokonzerwa nezvikonzero zvakasiyana-siyana, zvakawanda zvacho zvinoda kurapwa kwekuvhiyiwa. Mushure mekutyoka, nekuda kwekukuvara kwetsandanyama nemapfupa, chikamu chetsinga dzeropa chinoputika, kuvharirwa kweropa mukati metsinga nemasero zvinomutsa nzira yekubatanidza ropa, kuunganidzwa kwemaplatelet, uye kuumbwa kwefibrinogen. Izvi zvinozadzisa chinangwa che hemostasis. Kushanda kwe fibrinolytic system yekupedzisira, thrombolysis, uye kugadziriswa kwetishu. Maitiro aya ese anokanganisa data rekuongorora kutyoka kweropa nguva dzose vasati vavhiyiwa uye mushure mekuvhiyiwa, saka kuonekwa panguva yakakodzera kwezviratidzo zvakasiyana-siyana zvekutyoka kweropa kwakakosha zvikuru pakufanotaura nekurapa kubuda ropa kusingawanzoitiki uye thrombosis muvarwere vakatyoka.
Kubuda ropa zvisina kujairika uye thrombosis ndizvo zvinetso zvinowanzoonekwa pakuvhiyiwa. Kune varwere vane maitiro asina kujairika ekuvhara ropa, chikonzero chechirwere ichi chinofanira kuwanikwa vasati vavhiyiwa kuti chive nechokwadi chekuti kuvhiyiwa kwacho kunobudirira.
2. DIC ndiyo chirwere chinobuda ropa chinonyanya kukonzerwa nekuzvitakura uye gynecology, uye huwandu husina kujairika hweFIB hunokwira zvakanyanya. Zvakakosha zvikuru mukurapa kuziva shanduko dzisiri dzeropa dzinoenderana nenguva, uye zvinogona kuona nekudzivirira DIC nekukurumidza.
3. Mishonga yemukati ine zvirwere zvakasiyana-siyana, kunyanya zvirwere zvemwoyo, zvirwere zvemudumbu, varwere vane chirwere chemwoyo neropa. Muongororo dzenguva dzose dzekudzivirira ropa, mwero wePT neFIB wakakwira zvakanyanya, kunyanya nekuda kwekudzivirira ropa kubuda muropa, thrombolysis nedzimwe nzira dzekurapa. Saka, zvakakosha kuita bvunzo dzenguva dzose dzekudzivirira ropa kubuda muropa pamwe nezvimwe zvinhu zvekuongorora ropa kubva muropa kuti zvive hwaro hwekugadzira hurongwa hwekurapa hwakakodzera.
4. Zvirwere zvinotapukira zvinonyanya kuva chirwere chehepatitis chakanyanya uye chisingaperi, uye PT, APTT, TT, uye FIB zvechirwere chehepatitis chakanyanya zviri mukati mehuwandu hwakajairika. Muchirwere chehepatitis chisingaperi, cirrhosis, uye hepatitis yakanyanya, nekuwedzerwa kwekukuvara kwechiropa, kugona kwechiropa kugadzira zvinhu zvinosunga maronda kunoderera, uye mwero wekuona PT, APTT, TT, uye FIB usingawanzoonekwi unowedzera zvakanyanya. Nokudaro, kuona kusimba kweropa nguva dzose uye kutarisa kwakasimba kwakakosha zvikuru pakudzivirira nekurapa kubuda ropa uye kufungidzira fungidziro.
Saka, kuongororwa kwakarurama kwebasa rekuonda kweropa kunobatsira pakupa hwaro hwekuongorora nekurapa kwekiriniki. Zviyereso zvekuongorora ropa zvinofanira kushandiswa zvine musoro mumadhipatimendi akasiyana-siyana kuti zviite basa guru.
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