I-pneumonia entsha ye-coronavirus (COVID-19) ka-2019 isasazeke kwihlabathi liphela. Izifundo zangaphambili zibonise ukuba usulelo lwe-coronavirus lunokubangela iingxaki zokujiya kwegazi, ezibonakala kakhulu njengexesha elide elisebenzayo le-partial thromboplastin (APTT), i-thrombocytopenia, i-D-dimer (DD) Amanqanaba aphezulu kunye ne-dissemed intravascular coagulation (DIC), ezinxulunyaniswa nokufa okuphezulu.

Uhlalutyo lwakutshanje lwe-meta-analysis yomsebenzi wokujiya kwegazi kwizigulana ezine-COVID-19 (kuquka izifundo ezili-9 ezijongisisiweyo kunye nezigulana ezili-1 105 zizonke) lubonise ukuba xa kuthelekiswa nezigulana ezibuthathaka, izigulana ezine-COVID-19 ezinzima zazinamaxabiso aphezulu kakhulu e-DD, ixesha le-Prothrombin (PT) lalilide; ukunyuka kwe-DD kwakuyinto ebangela umngcipheko wokwanda kwegazi kunye nomngcipheko wokufa. Nangona kunjalo, uhlalutyo lwe-Meta olukhankanyiweyo apha ngasentla luquke izifundo ezimbalwa kwaye luquke izifundo ezimbalwa zophando. Kutshanje, izifundo ezininzi zeklinikhi ezinkulu malunga nomsebenzi wokujiya kwegazi kwizigulana ezine-COVID-19 zipapashwe, kwaye iimpawu zokujiya kwegazi kwizigulana ezine-COVID-19 ezixeliweyo kwizifundo ezahlukeneyo nazo azichanekanga.

Uphononongo lwakutshanje olusekelwe kwidatha yesizwe lubonise ukuba ama-40% ezigulana ze-COVID-19 zisengozini enkulu ye-venous thromboembolism (VTE), kwaye i-11% yezigulana ezisengozini enkulu zikhula ngaphandle kwamanyathelo okuthintela. VTE. Iziphumo zolunye uphando zibonise ukuba ama-25% ezigulana ze-COVID-19 ezinzima ziphuhlise i-VTE, kwaye izinga lokufa kwezigulana ezine-VTE laliphezulu ukuya kuma-40%. Lubonisa ukuba izigulana ezine-COVID-19, ingakumbi izigulana ezibuthathaka okanye ezigula kakhulu, zinomngcipheko ophezulu we-VTE. Isizathu esinokwenzeka kukuba izigulana ezibuthathaka nezigula kakhulu zinezifo ezingaphantsi, njengembali ye-cerebral infarction kunye ne-malignant tumor, zonke ezizizinto ezinobungozi kwi-VTE, kwaye izigulana ezibuthathaka nezigula kakhulu zilala ebhedini ixesha elide, zithomalaliswe, zingasebenzi, kwaye zibekwe kwizixhobo ezahlukeneyo. Amanyathelo onyango afana neetyhubhu nawo ayingozi ye-thrombosis. Ke ngoko, kwizigulana ze-COVID-19 ezinzima nezigula kakhulu, uthintelo lwe-VTE ngoomatshini, njengee-elastic stockings, i-intermittent inflatable pump, njl.njl., lunokwenziwa; kwangaxeshanye, imbali yezonyango yangaphambili yesigulana kufuneka iqondwe ngokupheleleyo, kwaye umsebenzi wesigulana wokujiya kwegazi kufuneka uhlolwe ngexesha elifanelekileyo. Kwizigulane, ukuthintela ukujiya kwegazi kunokuqaliswa ukuba akukho zithintelo.

Iziphumo zangoku zibonisa ukuba iingxaki zokujiya kwegazi zixhaphake kakhulu kwizigulane ze-COVID-19 eziqatha, ezigula kakhulu, nezifayo. Inani leeplatelet, i-DD kunye ne-PT zihambelana nobunzima besifo kwaye zingasetyenziswa njengezibonakaliso zesilumkiso kwangethuba zokuwohloka kwesifo ngexesha lokulaliswa esibhedlele.