Sei vakadzi vane pamuviri nevakazvara vachifanira kungwarira shanduko dzemagaro? Chikamu Chechipiri


Munyori: Succeeder   

1. Kuvhara kwetsinga dzeropa dzinorasirwa muropa (DIC)
Vakadzi panguva yekuzvitakura vakawedzera nekuwedzera kwemavhiki ekuzvitakura, kunyanya zvinhu zvinokonzera kuvharika kweropa II, IV, V, VII, IX, X, nezvimwewo panguva yekupedzisira yekuzvitakura, uye ropa revakadzi vane pamuviri riri mumhepo yakawanda. Izvi zvinopa hwaro hwezvinhu, asi zviri nyorewo kutungamira mukuitika kweDIC dzepamuviri. Chirwere chechirwere chinowanzo konzera kufa kwemadzimai. Ongororo yakaitwa muJapan inoratidza kuti kuwanda kweDIC yekuzvitakura negynecology i0.29% uye huwandu hwerufu i38.9%. Pakati pehuwandu hweDIC dze2471 munyika yangu, pathological obstructions inosvika 24.81%, yechipiri chete kubva kuDIC yehutachiona, iri pachinzvimbo chechipiri.
Kubuda ropa panguva yekuzvitakura kunogona kuitika munguva pfupi, kana kuti kwenguva pfupi panguva yekuzvitakura, pakusununguka, kana mushure mekusununguka. Kubuda ropa panguva yekuzvitakura (kushaya simba kwekudzikira kwechibereko, kubvaruka kwechizvaro chemuromo wechibereko, kuputika kwechibereko), kubvisa pamuviri neutachiona hwemukati mechibereko, chiropa chine mafuta panguva yekuzvitakura, uye dzimwe nzira dzekubvisa pamuviri dzinogonawo kukonzera DIC.

2. Yakanyorwa zviri nyore
Uipi ndicho chinhu chechipiri chikuru chinokonzera VTE panguva yekuzvitakura, uye chimwe chezvikonzero zvekubvisa pamuviri kakawanda uye kusabereka. Pakati pevarwere vane VTE panguva yekuzvitakura uye mushure mekusununguka, 20%-50% vane chirwere chinofungirwa, uye njodzi yekuwana mukana wekuwana VTE panguva yekuzvitakura yakawedzera njodzi yekuzvitakura. Kune vanhu veHan, 50% yekureruka kwetsika inokonzerwa nekushaikwa kweprotein inorwisa kuungana kweropa. Anticoagulain inosanganisira PC, PS, uye AT. AT ndiyo inonyanya kukosha physiological plasma anticoagulant, ichikonzera 70-80% yemigumisiro ye physiological anticoagulant ye intravagged system. Kubvisa kunogona kudzivirira kuitika kwe venous thrombosis uye kuwana zvikonzero zvekubvisa pamuviri kakawanda uye kusabereka.