Yini engathinta i-coagulation?


Umbhali: Olandelayo   

1. Thrombocytopenia

I-Thrombocytopenia yisifo segazi esivame ukuphatha izingane.Inani lokukhiqizwa komnkantsha ezigulini ezinalesi sifo lizoncipha, futhi zivame ukuba nezinkinga zokuncipha kwegazi, okudinga imithi yesikhathi eside yokulawula lesi sifo.

Ngaphansi kwethonya le-thrombocytopenia, ama-platelet ayabhujiswa, okuholela ekulimazeni ekusebenzeni kweplatelet.Ngakho-ke, ama-platelet adinga ukwengezwa ohlelweni lokuwohloka okuqhubekayo kwesifo, ukuze umsebenzi we-coagulation wesiguli ungagcinwa.

2. Ukwehluleka kwesibindi

Emisebenzini yomtholampilo, ukungasebenzi kahle kwesibindi nakho kuyimbangela ebalulekile ethinta ukusebenza kwe-coagulation.Ngenxa yokuthi izici ze-coagulation kanye namaprotheni avimbelayo ahlanganiswa esibindi, lapho umsebenzi wesibindi wonakalisiwe, ukuhlanganiswa kwezici ze-coagulation kanye namaprotheni avimbelayo kuzophinde kuvinjwe ngokufanele, okuzothinta umsebenzi we-coagulation weziguli.

Isibonelo, izifo ezifana ne-hepatitis kanye ne-cirrhosis yesibindi zizobangela ukuthi umzimba ube nezinga elithile lezinkinga ze-hemorrhagic, ezibangelwa ithonya le-blood coagulation function lapho umsebenzi wesibindi wonakaliswa.

3. Izinzwa

I-anesthesia ingase ibangele izinkinga ngokujiya kwegazi.Ngesikhathi sokuhlinzwa, i-anesthesia ivame ukusetshenziselwa ukusiza ekuqedeni ukuhlinzwa.

Kodwa-ke, ukusetshenziswa kwezidakamizwa ezibulala izinzwa kungase futhi kuthinte kabi ukusebenza kweplatelet, njengokuvimbela ukukhululwa nokuhlanganiswa kwezinhlayiya zeplatelet.

Kulokhu, umsebenzi we-coagulation wesiguli nawo uzosebenza kabi, ngakho-ke kulula kakhulu ukubangela ukungasebenzi kahle kwe-coagulation ngemuva kokuhlinzwa.

4. Ukuncipha kwegazi

Okubizwa ngokuthi i-hemodilution kubhekisela ekufakweni koketshezi oluningi emzimbeni ngesikhathi esifushane, lapho ukuhlangana kwento ethile egazini kuncipha.Lapho igazi lihlanjululwe, uhlelo lwe-coagulation lusebenza, olungaholela kalula ezinkingeni ze-thrombosis.

Uma i-coagulation factor idliwe ngobuningi, umsebenzi ojwayelekile wokuhlanganisa uzothinteka.Ngakho-ke, ngemva kokuba igazi lihlanjululwe ngokudla, kulula futhi ukubangela ukuhluleka kwe-coagulation.

5. I-Hemophilia

I-Hemophilia yisifo segazi esivame kakhulu uphawu lwaso oluyinhloko ukungasebenzi kahle kwe-coagulation yegazi.Ngokuvamile, lesi sifo sibangelwa ikakhulukazi ukukhubazeka okuzuzwe ngefa ezicini zokujiyisa, ngakho alikho ikhambi eliphelele.

Uma isiguli sine-hemophilia, umsebenzi wokuqala we-thrombin uzophazamiseka, okuzoholela ezinkingeni ezinzima zokopha, njengokuphuma kwemisipha, ukopha kwamalunga, ukopha kwe-visceral nokunye.

6. Ukuntuleka kwamavithamini

Uma amazinga amavithamini emzimbeni ephansi, angabangela nezinkinga ngokujiya kwegazi.Ngenxa yokuthi izici ezihlukahlukene zokuhlangana zidinga ukuhlanganiswa kanye novithamini K, lezi zici zokuhlangana zingancika kakhulu kumavithamini.

Ngakho-ke, uma kukhona ukuntuleka kwamavithamini emzimbeni, kuzoba nezinkinga ngezici ze-coagulation, bese umsebenzi ojwayelekile we-coagulation awukwazi ukugcinwa.
Ukufingqa, kunezimbangela eziningi zokungasebenzi kahle kwe-coagulation, ngakho-ke uma iziguli zelapha ngobumpumputhe ngaphandle kokwazi imbangela ethile, ngeke zihluleke nje ukuthuthukisa izimo zazo, kodwa zingase ziholele ngisho nezifo ezimbi kakhulu.

Ngakho-ke, iziguli zidinga ukukhomba izizathu ezithile, bese ziqala ukwelashwa okuhlosiwe.Ngakho-ke, kwethenjwa ukuthi uma kukhona ukwehluleka kwe-coagulation, kufanele uye esikhungweni sezokwelapha esijwayelekile ukuze uhlolwe, futhi wenze ukwelashwa okuhambisanayo ngokuya ngezincomo zikadokotela.