DIC - kona kumu, lapaʻau

Ma hoʻolaha intravascular clotting koko mea he ulia koko clotting ma ka liʻiliʻi moku koko. E like me ka hopena, he mea mau kahe ana ke koko, a me ke koko clots, i mea i loko o kekahi mau mea o ke kino. Kēia kumu o ka hailonaʻana no complications, a alakai i ka malfunction o na mea he nui nā loko.

Ke etiology o DIC

Nā kumu i kauoha aku DIC, ua nui loa ka nohona. Kēia hiki e nui'ā, sepsis, vascular maʻi, hemorrhagic kŰia, nahesa nahu. Hoʻolaha intravascular coagulation o ke koko ia lŘlŘ ma transfusion o incompatible koko pae. Hāpai keiki DIC mea hiki i loko o ka hihia ia he mea he nui ano o ka preeclampsia. Kēia ke hiki mai i loko o nā ka mua, a ma ka hope trimester o ka hāpai keiki. Kēia maʻi pale ia lŘlŘ ka wā i kakahiaka poe o ke keiki, e like me ka pono me rhesus kaua. Ulia lilo abortion, like me ka hopena o i ka pau ana i ka hou ana o ka fetus mea i kekahi o ka causative kumumea ka hoʻopukaʻana i ka hooulu ana o DIC. Mau rula paka hypoxia likeʻole nā'aʻaʻa o ke kino, i ka poʻea pau ma ka nānā o metabolic acidosis.

Symptomatology o ka hoʻolaha intravascular coagulation

I ka papa kuhikuhiE symptoms characterizing DIC i mau kahe ana ke koko. Lakou hiki ana i loko o ka ihu, waha, rectum, vagina. Mawaho, nana e like iki redness mea. Nui weliweli ua posed ma na kahe ana ke koko. Ke kaumaha ma muli o ka maikaʻiʻole ia ma hui, symptoms ĸokoĸa ana nä pane. No ka laʻana, ka wā he mea hemorrhage i loko o ka maʻiʻaʻai hana hanu, pokole o ka hanu, ina ke kahe ana ke koko ma nā puʻupaʻa - hiki e oliguria paha anuria. Keʻano o ka neurological symptoms paipai i ka hemorrhage i loko o ka lolo. Ka oi kulu i loko o ke koko, i ka 'hanahana loa papa o ka maʻi pale. DIC ke i maʻi. Keia ua malama ia ma malignant hikoko. Ma keia hihia, manawa e ke hakuloli i ka manawa ana i ke kino nona. He hoʻomaka i ke kiʻekiʻe o compensate no ka mea kūpono 'aʻe'.

ʻike, a DIC

Hoʻolaha intravascular coagulation o ke koko ka loa paʻakikī e diagnose. I ua hele mai akamai i ia i kaʻike,, ia mea pono e hoʻomaka i ka piha a me ka hoʻokolokolo pono ninaninau ana o ke kino holoʻokoʻa. Inā i ka hōʻike i nā hualoaʻa i hōʻike no ka i ka wā hoʻokahi? Acaeoey o ke ahonui i ka hoailona o ke kahe ana ke koko a me ka thrombosis, ke lawe i ke alo o DIC. Mua o nā mea a pau, i ka hoʻokolokolo pono Ikepili o ke koko clotting nenoaiu. A manao D-dimer ua anaia mai ka manawa ma ka prothrombin manawa ua nānā 'ana i ka nui o ka fibrinogen i loko o ke koko. No ka meaʻike, ka mea, ua nui ka ike a me ka lākiō o na kumu mua i hanaʻia i loko o ke koko. I ka wā hoʻokahi coincidence o nā mea a pau PalekanaEND_LINK hiʻona e leie aku oe e waiho i ka definiteʻike, - DIC.

lapaʻau

Ma mua o ka iapaau ana o ka hoʻolaha intravascular coagulation o ke koko, E ke hōʻike 'a, ina he mea hiki, hoʻopau i ka mea e kena ae i ka maʻi pale. Ka hope lapaʻau ua lawe mai i loko o ka mālama nui malama ka mokuna 'ole ma o ka' Oihana o ka mālama nui malama. Mua o nā mea a pau, lawe mai i ka koko transfusion a me kona hana hehee wale. Mahope, heparin ua lawelawe - anticoagulant, a ālai 'i ke koko coagulation naoh. He OAXA e normalize hemodynamics. A laila, neʻe i ka iapaau ana o complications ma hope DIC.

E kau i ke alo o DIC maʻi pale hiki ke loaʻa ma ka kau Ka Ikepili. Inā 'oe i kekahi o Keōua, e pono koke e kelepona i kou kauka, e mai e ke kaʻina lawe kona papa. E malama i kou ola, a lawe malama o ke ola ana o kou unborn keiki.