Meta ea litšobotsi tsa coagulation ho bakuli ba COVID-19


Mongoli: Mohlahlami   

Pale ea 2019 ea "coronavirus pneumonia" (COVID-19) e hasane lefatšeng ka bophara.Liphuputso tse fetileng li bonts'itse hore ts'oaetso ea coronavirus e ka lebisa mathateng a coagulation, haholo-holo a bonahatsoang e le nako e telele ea nako ea thromboplastin (APTT), thrombocytopenia, D-dimer (DD) Maemo a phahameng le ho hasanya intravascular coagulation (DIC), e amanang le lefu le phahameng.

Tlhahlobo ea morao-rao ea ts'ebetso ea coagulation ho bakuli ba nang le COVID-19 (ho kenyeletsoa lithuto tse 9 tsa morao-rao tse nang le kakaretso ea bakuli ba 1 105) li bonts'itse hore ha ho bapisoa le bakuli ba bonolo, bakuli ba matla ba COVID-19 ba ne ba e-na le boleng bo phahameng haholo ba DD, nako ea Prothrombin (PT) e ne e le telele;DD e eketsehileng e ne e le kotsi ea ho mpefala le kotsi ea lefu.Leha ho le joalo, tlhahlobo ea Meta e boletsoeng ka holimo e kenyelelitse lithuto tse fokolang mme e kenyelletsa lithuto tse fokolang tsa lipatlisiso.Haufinyane tjena, ho phatlalalitsoe lithuto tse kholo tsa bongaka tse mabapi le ts'ebetso ea coagulation ho bakuli ba nang le COVID-19, mme litšobotsi tsa coagulation tsa bakuli ba nang le COVID-19 tse tlalehiloeng lithutong tse fapaneng le tsona ha li joalo.

Phuputso ea morao-rao e thehiloeng ho data ea naha e bonts'itse hore 40% ea bakuli ba COVID-19 ba kotsing e kholo ea venous thromboembolism (VTE), mme 11% ea bakuli ba kotsing e kholo ba hola ntle le mehato ea thibelo.VTE.Liphetho tsa phuputso e 'ngoe li boetse li bonts'itse hore 25% ea bakuli ba matla ba COVID-19 ba thehile VTE, mme sekhahla sa lefu la bakuli ba nang le VTE se ne se le holimo ho 40%.E bontša hore bakuli ba nang le COVID-19, haholo bakuli ba matla kapa ba kulang haholo, ba na le kotsi e kholo ea VTE.Lebaka le ka 'nang la etsahala ke hore bakuli ba matla le ba kulang haholo ba na le mafu a mangata, a kang histori ea lefu la boko le hlahala e kotsi, e leng mabaka a kotsi bakeng sa VTE,' me bakuli ba matla le ba kulang haholo ba robala nako e telele, ba khutsitse, ba sa khone ho tsamaea. , 'me e behiloe lisebelisoa tse fapaneng.Mehato ea phekolo e kang li-tubes le tsona ke mabaka a kotsi bakeng sa thrombosis.Ka hona, ho bakuli ba COVID-19 ba matla le ba kulang haholo, ho ka etsoa thibelo ea mochini ea VTE, joalo ka li-stockings tse elastic, pompo ea inflatable ea nakoana, joalo-joalo, e ka etsoa;ka nako e ts'oanang, histori ea bongaka ea mokuli ea nakong e fetileng e lokela ho utloisisoa ka botlalo, 'me mosebetsi oa mokuli oa coagulation o lokela ho hlahlojoa ka nako e loketseng.Bakeng sa bakuli, prophylactic anticoagulation e ka qalisoa haeba ho se na li-contraindications

Liphetho tsa hajoale li fana ka maikutlo a hore mathata a coagulation a atile haholo ho bakuli ba matla, ba kulang haholo le ba shoang ba COVID-19.Platelet count, DD le PT boleng li hokahane le ho teba ha mafu 'me li ka sebelisoa e le matšoao a lemosang a ho senyeha ha mafu nakong ea ho kena sepetlele.