Ungayiphucula njani i-Coagulation yeGazi engalunganga?


Umbhali: Succeeder   

Igazi lithatha indawo ebaluleke kakhulu emzimbeni womntu, kwaye liyingozi kakhulu ukuba ukujiya kwegazi kwenzeka kakubi. Xa ulusu luqhekekile nakweyiphi na indawo, luya kubangela ukuhamba kwegazi okuqhubekayo, lungakwazi ukujiya nokuphiliswa, nto leyo eya kusongela ubomi bomguli kwaye kufuneka inyangwe ngexesha elifanelekileyo. Ngoko ke, ungayinyanga njani i-coagulopathy? Ngokubanzi, kukho iindlela ezintathu zokujongana neengxaki zokujiya kwegazi.

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1. Utofelo-gazi okanye utyando

Ukuphazamiseka kokwaphuka kwegazi kubangelwa kukungabikho kwezinto ezibangela ukujiya kwegazi emzimbeni wesigulana, kwaye kuyimfuneko ukufumana indlela yokongeza esi sithako, njengokwandisa uxinzelelo lwezinto ezibangela ukujiya kwegazi ngokutofelwa iplasma entsha, ukuze umsebenzi we-hemostatic wesigulana ubuyiselwe, okuyindlela elungileyo yonyango lwe-coagulopathy. Nangona kunjalo, izigulana ezopha kakhulu zifuna ukulungiswa ngotyando, kulandele i-cryoprecipitation, i-prothrombin complex concentrate kunye nolunye unyango.

2. Ukusetyenziswa konyango lwe-hormone yokulwa nomchamo

Ukuze kunyangwe ngcono iingxaki zokujiya kwegazi, izigulana zikwadinga amayeza okulawula iimeko zangaphakathi zomzimba. Iyeza elisetyenziswa kakhulu ngoku yi-DDAVP, enefuthe lokulwa nomchamo kwaye inokusebenza njenge-factor VIII yokugcina izinto emzimbeni, ikakhulu kwizigulana ezibuthathaka; eli yeza linokongezwa ngemithambo yegazi kumanqanaba aphezulu nge-saline eqhelekileyo okanye amaconsi empumlo, kwaye idosi kunye noxinzelelo kufuneka zilungelelaniswe neemeko ezithile zesigulana.

3. Unyango lwe-hemostatic

Izigulana ezininzi zinokuba neempawu zokopha, kwaye kuyimfuneko ukuyeka unyango lokopha, ngesiqhelo ngeyeza elichasene ne-fibrinolytic; ingakumbi kwimeko yokukhupha amazinyo okanye ukopha ngomlomo, eli yeza lingasetyenziswa ukunceda ukuyeka ukopha ngokukhawuleza. Kukwakho namayeza, anjenge-aminotoluic acid kunye ne-hemostatic acid, anokusetyenziswa ukunyanga esi sifo, enye yeendlela zokujongana ne-coagulopathy.

Ngasentla, kukho izisombululo ezintathu ze-coagulopathy. Ukongeza, izigulane kufuneka ziphephe imisebenzi ngexesha lonyango kwaye kungcono zihlale ebhedini ixesha elithile. Ukuba kukho iimpawu ezifana nokopha okuphindaphindiweyo, zinokulungiswa ngokucinezela nge-ice pack okanye ngebhandishi ngokwendawo ethile yesifo. Emva kokuba indawo yokopha idumbile, ungenza imisebenzi efanelekileyo kwaye utye ukutya okulula.