Hemolysis - He aha ka keia? Hemolysis o ke koko, hapa hemolysis

Loa ia'na o ka ula koko aeeaʻili lahilahi, a excretion o hemoglobin i loko o ka wai koko ua kapaia hemolysis. Kēia kaʻina ia lŘlŘ aie i ka hana o ka kūikawā waiwai haemolysin (hemolysin). ʻili o ka ula koko aeee e hoʻomaka i ole ma muli o ke toxins a bakerialnyh hua nā mea'aʻaʻa. Currently, ua hōʻike 'kauka i ka helu o nāʻano likeʻole o kēia kaʻina. Ka mea, i hoʻolaha ke kaumaha ma muli o ka ano o ka hoʻonaʻauao 'ana, mai ka wahi i i ka mea, hele mai nā mea e hiki i ia.

Ike i hemolysis - i ka make ana o kaʻulaʻula koko keena, ma i ka hemoglobin ua hookuu mai ia, he nui loa mai i maopopo, i mea aha kēia e hiki mai ana.

Makaʻu e alakai ai i ka make ana o ka erythrocyte membranes

E hana me ke kaʻina, ia mea pono e loaʻa mai, i mea ke kumu o ka make ana o kaʻulaʻula koko aeee e hoʻomaka. Ke kaumaha ma muli o ka hananaʻano papa hana, na kēiaʻano o ka hemolysis.

1. Natural. Kēia kaʻina hana i wahi noke i loko o ke kino, e hoʻomaka ma ka pau ana o ka mau ola kalapona o kela a me keia o ka ula koko keena, a noho ma kahi o 100-130 lā.

2. Nine. Ua lŘlŘ ka wā o ka ula koko aeee e e paku ole ia i waiwai e hiki hoike maiʻili lahilahi lipids. O nā i ka likeʻole mekala 'åkilikai, waiʻona mai ke kino, la o Etera, chloroform. No ka laʻana, ua hai hemolysis ina he kanaka uaʻapu kōheoheo nui mahele lāʻau o aceticʻakika.

3. kālaimeaola. erythrocytes wahi hoʻomaka e degrade ma muli o ka waiū hemolytic hoomake iho no hoi, e laʻa me, like me ka hopena o insectʻaki a me nahesa. Nō hoʻi, liluwelo hemolysis ia lŘlŘ aie i ka transfusion o incompatible koko.

4. Ka Mahana. I ka ke kūpaleʻana koko erythrocyte hau nā pōaka i hana. Ma hope o kona thawing kipi mai no lakou i ka iwi.

5. Mechanical. I ka hukiʻino maila i kekahi moku me ke koko, a me kona pumping i hoʻomākaukauʻia i artificially kākoʻo holo, wela erythrocytes.

6. Ka osmotic. Inā kaʻulaʻula corpuscles haule ma Wednesday, ma ka osmotic puʻe e e haʻahaʻa ma mua i loko o ke koko, ka mea, e poha. Ka mea, o ko lakou waiwai ua hoʻohana 'ia no kaʻike, o ka anaemia a akepaʻa maʻi.

Kumu o ka hemolysis

E maopopo mea a me ka wā e hele mai i ka ula koko keena, e pono e hoʻomaopopo loa ana i ka manawa e like me hemolysis. Kēia luku iwi koko aeee hiki i hoʻomaka ai intracellularly a me nā ipu. IeAUPIIe, IAa IO kēia mau 'ano o ka hemolysis, kena ae la ia e maʻi likeʻole. Akā, hiki e luku i ka erythrocyteʻili lahilahi ma kaʻimi hoʻopunipuni 'ana i loko o keʻena hoʻokolohua haʻawina.

I ka wa e hele mai i ka intravascular hemolysis, ka iwi o kaʻulaʻula corpuscles i loko o ka hihia i poino ma ke kaʻina hana o ke koko holo. Kēia ia lŘlŘ ma ka kēia mau maʻi:

- hemolytic anaemia me autoimmune;

- paroxysmal nocturnal hemoglobinuria;

- paroxysmal anu agglutinins maʻi.

No hoi vntutrisosudisty hemolysis e hōʻike kaʻapu kōheoheo hemolytic hoomake iho no hoi.

Ka luku ana o erythrocytes ia lŘlŘ loko keena ma ke akepaʻa, a me spleen iwi ka lolo. Ua Ua malama ma ka ola pilikia i microspherocytosis hereditary, autoimmune anaemia, a thalassemia. Ike e pili ana i na kumu e alakai ai i ka make ana o kaʻulaʻula koko aeea membranes, ka mea i ike i hemolysis - ia mea pilikia loa. Incidentally, i kēia mau intracellular keʻano o ka hanaʻana i pinepine pu ma ka hoʻonui o ka spleen a me ka ake nui.

Nā symptoms o hemolysis

Inā ke kanaka kino, hoomaka ae la e uhai iho i koe o kaʻulaʻula koko keena, alaila, hai ia wale nō ka wā o ka huʻi papa o ka maʻi. Ka loa, he pono ole symptoms o kipi luku ana o erythrocytes i poe: yellowness integuments a pallor, hoemiia puʻe, kokololio ka lāʻau ikiʻai. Na hoailona no hoi, nā brittle kui a me ka lauoho.

Akā, he nui a hiki loa aku pinepine me ka ike ole i ka mea i hana i ka hemolysis o ke koko. He aha ka mea e hiki ke aʻo loa ai ma ka ulia, he 'inikua hōʻike. Akā, me ka huʻi papa pinepine i nausea, pōniuniu, luhi, nawaliwali, a me ka hiki kuni.

Hemolysis hiki i anaemia, a ma ka huli ka mea, no ka mea, hiki i kiʻekiʻe koko clots a alakai i ka cholelithiasis.

He kumu e panic?

Aia nā hihia ma kahi e hoʻomanawanui iki mai i puʻe wale akula kēlā i ka lawe hou ana keʻena hoʻokolohua ho'āʻo ma aie i ka mea i hemolysis mai ai. He nui e hoomaka ana e nana i na ouli o ka pilikia maʻi,ʻawahia lesions a wale kaʻapu kōheoheo. Akā, ma ka hapanui o na hihia aole he kumu no e hopohopo nei, no ka mea, i ke lukuia ma muli o ke ÿano aʻe i ka erythrocyteʻili lahilahi. No ka laʻana, pinepine koko aeee i ke poino ma ke kaʻina hana o ke koko transfusion i loko o ka hoao şarkı, ina oi aku wiwi kui kele a kahu koke pushes koko. lanakila Erythrocytes ku ei ka şarkı paia a me ka moku. E like me ka hopena, i ka wai koko lilo a pink, a hookaawale ia i loko o ka centrifuge i hiki ole.

Ma na hihia a ke i aku nei au ia mea, ua he hapa hemolysis. Ia mea,ʻaʻole he maʻi akā, i ka hopena o ke kūpono koko mea hōʻikeʻikeʻuʻuku kona pūnaewele, amo paha lawelawe ana. No ka ike loea Ka Ikepili pono i ka mahele okoa, o ke koko. Ke hoomanawanui i loko o keia hihia, ma mua hou i ka mea o loko i ka manao, e inu i ka wai maʻemaʻe.

huʻi hemolysis

Akā, inā i ke kumu o ka disintegration oʻulaʻula koko keena - ole la ia i kahu hewa, ua e kamailio e pili ana i ka pilikia nui. Loa pinepine huʻi hemolysis ia lŘlŘ ma ke koko transfusions ka wā ma laila e incompatible ulaula keena. E like me ka hopena, ua hiki aku i ka ho'ā hope o ka hoʻokō'ōnaehana, coagulation a me humoral e hoʻonele.

He oluolu i ka hōʻike, no ka mea, i loko o kēia hihia hemolysis - keia mea he nui pilikia, a haawi i ka maopopo lapaʻau kiʻi. Inā ka hoʻomanawanui mea ike, oia e ohumu o ka umauma eha, hoʻi eha, abdominalʻeha, manaʻo pīhoihoi, aloha o ke kuni, tachycardia. Puʻe i ia e hoemiia. Inā hemolysis ka hoʻomaka 'ana i ka hana, lawe mai ma lalo mau anesthesia, na hoailona makemake e kahe ana ke koko palapu, a ina he mea kekahi urinary catheter - malaila e e mimi pouli ʻulaʻula paha iʻeleʻele.

keʻena hoʻokolohua noiʻi

e ho'āʻo ai i ia e hōʻoia i kaʻike,. Inā ka hoʻomanawanui hemolysis, laila, i ka hopena o ke koko e ho'āʻo ai e e hoikeia mai thrombocytopenia, hemoglobinemia, bilirubinemia, hoemi i ka auhau o ka anticoagulant a me ka fibrinolytic. I mimi, ke hoʻomanawanui, e i, e hana hemoglobinuria, hyperkalemia me neia ke kiekie pae o ka creatine, ua hoʻemi dala o ka mimi a kona piha e kaawale aku.

Ma ka hōʻoiaʻiʻo aku i e luku i ke unchecked koko keena, kūpono lapaʻau ai e haawiia mai.

lapaʻau

Pau ana hemolysis kēia lapaau loa o ka poe ikaika no lakou. Inā ka mea i kauoha ia e ke koko transfusion, e e pahuna ka pākōlea ana ma ka cessation o hostilities infusion oʻulaʻula koko keena. Eia hou kekahi, ia meaʻano nui e hoʻomaka i ka transfusion o kūikawā pāʻoihana e hiki ole ai i ka hooulu ana o ka hypovolemia,ʻaʻa puʻuwai hypoperfusion. No hoi plasmapheresis ka mea, lawe mai i AIM ma ka wehe 'ana o hoʻolahaʻia noa hemoglobin i loko o ke koko. No keia mea, i loko o ka hapanui o na hihia o ka injected Agena "Heparin" intravenously Via infusomats. Ua kōkua e Makuakane me ka huʻi hemolysis a me ka lāʻau "Prednisolone". All hookohu i i ka nānā 'ana ma luna o ke ahonui o ka ana, ia mea e ike pehea la ka loihi o aku neiʻo ia ka hoʻomaka' hemolysis i nui. Kēia kōkua kauka hooholo ma ka lapaʻau nā kaʻa mokulele, no ka mea, i loko o kekahi hihia ia mea pono, e paa i ka ulia pōpilikia hemodialysis. No ka laʻana, ka mea i pono, ina ka mea i loaʻa i ka hoʻomanawanui ka huʻiʻaʻa puʻuwai ole.

Ka lapaʻauʻia me he mea hemolysis

Ma ka hoʻohana 'ana o kekahi mau lapaʻauʻia erythrocytes hiki e luku no hoi. Ka lilo ana o na la hemolysis o ke koko, nā kekahi mau pūʻulu o ka ai '.

1. Analgesics: "Amidopyrine", "Aspirin", "Antipyrin".
2. Diuretics: "Fonurit", "Diakarb".
3. Nitrofurans "furadonin", "Furazolin".
4. Sulfonamides "Sulfalen", "salazosulfapiridina", "salazopiridazina", "Sulfapiridazin".
5. Hypoglycemic ai ', "Tolbutamide", "Hlorpropamid".
6. Anati-TB ai ', "Isoniazid", "Pas".
7. Antimalarial ai ', "Quinine", "Akrikhin", "Primaquine."

I ka hoʻohana 'ana i kēia mau Luna hiki e malama hemolysis. 'Aʻole i kēia hōʻike i kekahi pilikia, oia akaka me he pane i ka iapaau ana.