Igazi lithatha indawo ebaluleke kakhulu emzimbeni womuntu, futhi liyingozi kakhulu uma kwenzeka ukujiya okungafanele. Uma isikhumba siqhuma kunoma yisiphi isikhundla, kuzoholela ekugelezeni kwegazi okuqhubekayo, kungakwazi ukujiya nokuphulukiswa, okuzobeka impilo yesiguli engozini futhi kumele kwelashwe ngesikhathi. Ngakho-ke, ungayiphatha kanjani i-coagulopathy? Ngokuvamile, kunezindlela ezintathu zokubhekana nezinkinga zokujiya.
1. Ukumpontshelwa igazi noma ukuhlinzwa
Izinkinga zokuqina kwemithambo yegazi zibangelwa ukuntuleka kwezinto ezibangela ukuqina kwemithambo yegazi emzimbeni wesiguli, futhi kuyadingeka ukuthola izindlela zokwengeza lesi sici, njengokwandisa ukugcwala kwezinto ezibangela ukuqina kwemithambo yegazi ngokumpontshelwa i-plasma entsha, ukuze umsebenzi we-hemostatic wesiguli ubuyiselwe, okuyindlela enhle yokwelapha i-coagulopathy. Kodwa-ke, iziguli ezinesifo sokopha kakhulu zidinga ukulungiswa kokuhlinzwa, kulandelwe yi-cryoprecipitation, i-prothrombin complex concentrate kanye nezinye izindlela zokwelapha.
2. Ukusebenzisa ukwelashwa kwama-hormone okulwa nokukhipha isisu
Ukuze kwelashwe kangcono izinkinga zokujiya kwegazi, iziguli zidinga nemithi yokulawula izimo zangaphakathi zomzimba. Umuthi osetshenziswa kakhulu njengamanje yi-DDAVP, onomphumela wokulwa nokukhipha isisu futhi osebenza njengesici sokugcina esingcono VIII emzimbeni, ikakhulukazi ezigulini ezithambile; lo muthi ungangezwa ngemithambo yegazi ngamaconsi aphezulu kasawoti noma amaconsi avamile ekhaleni, futhi umthamo kanye namaconsi kufanele kulungiselelwe izimo ezithile zesiguli.
3. Ukwelashwa kwe-hemostatic
Iziguli eziningi zingase zibe nezimpawu zokopha, futhi kuyadingeka ukuyeka ukwelashwa kokopha, ngokuvamile ngomuthi ohlobene ne-antifibrinolytic; ikakhulukazi uma kukhishwa amazinyo noma ukopha ngomlomo, lo muthi ungasetshenziswa ukusiza ukuyeka ukopha ngokushesha. Kukhona nemithi, njenge-aminotoluic acid kanye ne-hemostatic acid, engasetshenziswa ukwelapha lesi sifo, okungenye yezindlela zokubhekana ne-coagulopathy.
Ngenhla, kunezixazululo ezintathu ze-coagulopathy. Ngaphezu kwalokho, iziguli kufanele zigweme imisebenzi ngesikhathi sokwelashwa futhi kungcono zihlale embhedeni isikhathi esithile. Uma kunezimpawu ezifana nokopha okuphindaphindiwe, zingalungiswa ngokucindezelwa ngephakethe leqhwa noma ngebhandeji ngokuya ngendawo ethile yesifo. Ngemva kokuba indawo yokopha isivuvukele, ungenza imisebenzi efanele futhi udle ukudla okulula.
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