Yakaparadzirwa intravascular coagulation (DIC)

Yakaparadzirwa intravascular coagulation (DIC) chirwere chakakomba umo mapuroteni anodzora kugwamba kweropa anowedzera kushanda.

Kana iwe ukakuvara, mapuroteni muropa ayo anogadzira kuwanda kweropa anoenda kunzvimbo yekukuvara kuti abatsire kumira kubuda kweropa. Kana mapuroteni aya achinge achishanda zvisina kujairika mumuviri wese, unogona kugadzira DIC. Icho chinokonzera chikonzero chinowanzo kuve nekuda kwekuzvimba, hutachiona, kana kenza.

Mune zvimwe zviitiko zveDIC, mashoma eropa anovhara mumidziyo yeropa. Mimwe yeaya mavhinga anogona kuvhara midziyo uye nekucheka kwese kupa ropa kunhengo dzakadai sechiropa, huropi, kana itsvo. Kushaikwa kweropa kuyerera kunogona kukuvadza uye kukonzera kukuvara kukuru kunhengo.

Mune zvimwe zviitiko zveDIC, mapuroteni anovhara muropa rako anopedzwa. Kana izvi zvikaitika, unogona kuve nenjodzi huru yekubuda ropa zvakanyanya, kunyangwe kubva mukukuvara kudiki kana pasina kukuvara. Iwe unogona zvakare kuve nekubuda ropa kunotanga zvega (pachako). Chirwere ichi chinogona zvakare kukonzera ako maseru matsvuku eropa kutsemuka uye kutsemuka kana vachifamba kuburikidza nemidziyo midiki izere nemaclots.

Njodzi zvinhu zveDIC zvinosanganisira:

• Kuwedzerwa kweropa
• Kenza, kunyanya mamwe marudzi eleukemia
• Kuzvimba kwepancreas (pancreatitis)
• Utachiona muropa, kunyanya nehutachiona kana chakuvhe
• Chiropa chirwere
• Kushushikana kwepamuviri (senge placenta inosara kumashure mushure mekusununguka)
• Nguva pfupi yapfuura kuvhiya kana anesthesia
• Kukuvadza kukuru kwemaviri (sekutsva nekukuvara kwemusoro)
• Yakakura hemangioma (tsinga yeropa isina kuumbwa mushe)

Zviratidzo zveDIC zvinogona kusanganisira chero yeanotevera:

• Kubuda ropa, kubva kunzvimbo zhinji mumuviri
• Ropa rinovhara
• Kutuka
• Kudonha BP
• Kufema kwekufema
• Kuvhiringidzika, kurasikirwa mundangariro kana shanduko yemaitiro
• Kupindwa nechando

Unogona kuva nechero bvunzo dzinotevera:

• Pedzisa kuwanda kweropa neropa smear bvunzo
• Yakasarudzika thromboplastin nguva (PTT)
• Prothrombin nguva (PT)
• Fibrinogen ropa bvunzo
• D-dhiza

Iko hakuna chaiyo kurapwa kweDIC. Chinangwa ndechekuona nekurapa chinokonzera DIC.

Mishonga inotsigira inogona kusanganisira:

• Kuisirwa Plasma kutsiva ropa rinovhara zvinhu kana kuwanda kweropa kuri kuitika.
• Ropa rakatetepa mushonga (heparin) kudzivirira kuvhara ropa kana kuwanda kwekuvhara kuri kuitika.

Mhedzisiro inoenderana nezviri kukonzera kusagadzikana. DIC inogona kutyisidzira hupenyu.

Zvinetso kubva kuDIC zvinogona kusanganisira:

• Kubuda ropa
• Kushaikwa kweropa kuyerera kumaoko, makumbo, kana nhengo dzakakosha
• Kurohwa

Enda kuimba yekukurumidzira kana kufonera 911 kana uine ropa risingamire.

Tora kurapwa nekukurumidza kwemamiriro anozivikanwa kuunza pane ichi chirwere.

Kushandisa coagulopathy; DIC

• Ropa kugadzirwa
• Meningococcemia pane mhuru
• Ropa rinovhara

Levi M. Yakaparadzirwa intravascular coagulation. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 139.

Napotilano M, Schmair AH, Kessler CM. Coagulation uye fibrinolysis. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits. 39.