DIC - zimayambitsa, chithandizo

Mu mwiniwakeyo magazi intravascular clotting ndi mwadzidzidzi magazi clotting m'zotengera kakang'ono ka magazi. Chifukwa, pali angapo magazi, ndipo magazi kuundana, amene ali malo osiyanasiyana m'thupi. Zimenezi zimachititsa kwambiri matendawo ndi kuyambitsa wonongeka ziwalo zambiri.

The etiology wa DIC

zifukwa zimene zimachititsa DIC, ndi yosiyanasiyana. Zimenezi zingakhale amayaka yaikulu, sepsis, matenda mtima, hemorrhagic mantha, njoka kuluma. Mwiniwakeyo intravascular coagulation magazi kumachitika mwa kuikidwa gulu atakwatirana magazi. Mimba DIC n'zotheka choncho pamene pali mitundu choopsa cha preeclampsia. Izi zingachitike onse woyamba ndi trimester otsiriza wa mimba. syndrome Izi zimachitika pamene detachment oyambirira latuluka, komanso monga nkhondo rhesus. Mwadzidzidzi anaphonya mimba, chifukwa cha zimene kuletsa pofuna kukwaniritsa mwana wosabadwayo komanso ndi chimodzi mwa zinthu causative zimathandiza kuti chitukuko cha DIC. zinthu izi kubala hypoxia zimakhala zosiyanasiyana za thupi, amene kumathandiza kuti maonekedwe a acidosis kagayidwe kachakudya.

Symptomatology wa mwiniwakeyo intravascular coagulation

Zizindikiro zazikulu amakhala DIC ndi magazi angapo. Iwo angayambe mu mphuno, pakamwa, rectum, nyini. Kunja, amaoneka ngati redness pang'ono. pangozi yaikulu ndi wochititsidwa ndi magazi mkati. Malinga limba akhudzidwa, zizindikiro zosiyanasiyana. Mwachitsanzo, pamene pali kukha magazi mu mapapo adakangalika kupuma, kufupika kwa mpweya, ngati magazi mu impso - kungakhale oliguria kapena anuria. Maonekedwe zizindikiro ubongo lingaliro kukha magazi mu ubongo. Dontho lakuthwa magazi limasonyeza Inde choopsa cha matendawa. DIC mwina aakulu. Izi anati mu zotupa zilonda. Pankhaniyi, thupi lili ndi nthawi kuti azolowere boma pano. Iye anayamba pang'onopang'ono zoperewerazo kuyan'anila chifukwa.

Matenda a DIC

Mwiniwakeyo intravascular coagulation magazi ndi zovuta matenda. Kuti akatswiri afika matenda amenewa, m'pofunika kuchita kufufuza zonse ndi bwino thupi lonse. Ngati zotsatira ali zimasonyeza kukula munthawi yomweyo zizindikiro za magazi ndi thrombosis wodwalayo, kukhulupirira pamaso pa DIC. Choyamba, kupenda mosamalitsa dongosolo magazi clotting. A mtima D-dimer kumadziŵika ndi prothrombin nthawi anatsimikiza ndi kuchuluka kwa fibrinogen m'magazi. Pakuti matenda ndikofunika kudziwa ndi chiŵerengero cha zinthu anapanga magazi. Munthawi yomweyo mwangozi mbali zonse matenda limakupatsani kuika yotsimikizika matenda - DIC.

chithandizo

Pamaso mankhwalawa mwiniwakeyo intravascular coagulation magazi, ayenera kuzindikira, ngati n'kotheka, kuthetsa chifukwa zomwe zinatipangitsa matendawa. Mankhwalawa wotsatira ikuchitika odwala mwakayakaya kapena mu dipatimenti ya odwala mwakayakaya. Choyamba, kugwira magazi ndi zinthu ake anapanga. Kenako, heparin chikuyendetsedwera - anticoagulant, amene atilakwira ndi magazi coagulation anachita. Ndi kuvomerezedwa ndi matenda hemodynamics. Pite ku mankhwala a mavuto pambuyo DIC.

Kudziwa pamaso pa syndrome DIC chingapezeke mwa kuika kusanthula. Ngati muli kukaikira kulikonse, muyenera yomweyo kudziwitsa dokotala anu, musalole ndondomeko Ndipotu. Kusamalira thanzi lanu ndi kusamalira thanzi la mwana wosabadwa.