Ukujiya kwegazi kuyindlela evamile yokuvikela emzimbeni. Uma kwenzeka ukulimala kwendawo, izici zokujiya kwegazi zizoqongelela ngokushesha ngalesi sikhathi, okubangela ukuba igazi lijiye libe yi-blood clot efana ne-jelly futhi kugweme ukulahlekelwa igazi ngokweqile. Uma ukungasebenzi kahle kokujikeleza kwegazi, kuzoholela ekulahlekelweni kwegazi ngokweqile emzimbeni. Ngakho-ke, lapho kutholakala ukungasebenzi kahle kokujikeleza kwegazi, kubalulekile ukuqonda izizathu ezingathinta umsebenzi wokujikeleza kwegazi bese ukwelapha.

 

Iyini imbangela yokungasebenzi kahle kwe-coagulation?

1. I-Thrombocytopenia

I-Thrombocytopenia yisifo esivamile segazi esingase senzeke ezinganeni. Lesi sifo singaholela ekunciphiseni ukukhiqizwa komnkantsha wamathambo, ukusetshenziswa ngokweqile, kanye nezinkinga zokuxuba igazi. Iziguli zidinga imithi yesikhathi eside ukuze zilawule lesi sifo. Ngenxa yokuthi lesi sifo singabangela ukubhujiswa kwama-platelet futhi sibangele nokukhubazeka kokusebenza kwama-platelet, lapho isifo sesiguli sibi kakhulu, sidinga ukwengezwa ukuze sisize isiguli sigcine ukusebenza kokuqina kwegazi.

2. Ukunciphisa igazi

I-Hemodilution ibhekisela kakhulu ekufakweni koketshezi oluningi esikhathini esifushane. Lesi simo sizonciphisa ukugcwala kwezinto egazini futhi sisebenze kalula uhlelo lokujiya. Phakathi nalesi sikhathi, kulula ukubangela i-thrombosis, kodwa ngemva kokusetshenziswa kwenani elikhulu lezinto ezijiya, kuzothinta umsebenzi ojwayelekile wokujiya, ngakho-ke ngemva kokuphuma kwegazi, ukungasebenzi kahle kokujiya kwegazi kuvame kakhulu.

3. I-Hemophilia

I-Hemophilia yisifo esivamile segazi. Inkinga ye-coagulopathy iyisibonakaliso esiyinhloko se-hemophilia. Lesi sifo sibangelwa ukukhubazeka kwezinto ezibangela ukujiya kwegazi ezizuzwe njengefa, ngakho-ke asinakwelashwa ngokuphelele. Uma lesi sifo sivela, sizobangela ukungasebenzi kahle kwe-prothrombin, futhi inkinga yokopha igazi izoba yingozi kakhulu, okungabangela ukopha kwemisipha, ukopha kwamalunga kanye nokopha kwangaphakathi kwezitho zomzimba.

4. ukuntuleka kwamavithamini

Ukuntuleka kwamavithamini nakho kungenzeka kubangele ukungasebenzi kahle kokuqina kwesibindi, ngoba izici ezahlukahlukene zokuqina kwesibindi kudingeka zenziwe esibindini kanye ne-vitamin k. Le ngxenye ye-coagulation factor ibizwa ngokuthi i-vitamin k-dependent coagulation factor. Ngakho-ke, uma kungekho amavithamini, i-coagulation factor nayo izontuleka futhi ayikwazi ukuhlanganyela ngokugcwele emsebenzini wokuqina kwesibindi, okuholela ekungasebenzi kahle kokuqina kwesibindi.

5. ukuntuleka kwesibindi

Ukungasebenzi kahle kwesibindi kuyimbangela evamile yezokwelapha ethinta ukusebenza kokuqina kwegazi, ngoba isibindi siyindawo eyinhloko yokwenziwa kwezinto ezibangela ukuqina kwegazi kanye namaprotheni okuvimbela. Uma ukusebenza kwesibindi kungukungasebenzi kahle, ukwenziwa kwezinto ezibangela ukuqina kwegazi kanye namaprotheni okuvimbelayo akukwazi ukugcinwa, futhi kusesibindini. Uma ukusebenza kuphazamiseka, ukusebenza kokuqina kwegazi kwesiguli nakho kuzoshintsha kakhulu. Isibonelo, izifo ezifana ne-hepatitis, i-liver cirrhosis, kanye nomdlavuza wesibindi kungabangela izinkinga zokopha ngamazinga ahlukahlukene. Lena inkinga ebangelwa ukusebenza kwesibindi okuthinta ukuqina kwegazi.

 

Ukungasebenzi kahle kokuqina kwemithambo yegazi kungabangelwa yizizathu eziningi, ngakho-ke uma kutholakala ukungasebenzi kahle kokuqina kwemithambo yegazi, kufanele uye esibhedlela ukuze uyohlolwa ngokuningiliziwe ukuze uthole imbangela ethile futhi unikeze ukwelashwa okuqondiwe kwembangela.