Tsɔe be èle amagbewo lãm le dzodoƒe eye nètso asi le vo me. Alo míagblɔ be ɖevi sue aɖe dze anyi esime wòle fefem eye eƒe klo vuvu. Gbã la, ʋu vi aɖe nɔa eme, gake le ɣeyiɣi aɖe megbe la, ne míewɔ naneke o hã la, ɖeko ʋua nu tsona, alo? Menye nu bubu aɖe koe esia nye o. Esia nye ametakpɔnu wɔnuku aɖe le míaƒe ŋutilã me. Le atikewɔwɔ me la, míeyɔa esia be ʋumenugbagbeviɣidɔ . Kpuie ko la, esiae nye dzɔdzɔmenuwɔna si nana ʋu si dona le abi me eye wòdzraa ŋutilãa ɖo be wòada abi ma.
Eyata aleke nuwɔna sia si woyɔna be ʋumenugbagbeviɣidɔ dzɔnae?
Esia ɖi ŋutinya dodzidzɔname aɖe ŋutɔ. Akpa evee le nya hemostasis me. "Hemo" gɔmee nye "ʋu" eye "stasis" gɔmee nye "be woatɔ" alo "be woalé ɖe te." Ne míagblɔe bɔbɔe la, efia be "woatɔ te ʋu ƒe sisi." Dɔ sia dzea egɔme le sɛkɛnd ʋɛ aɖewo ko me tso esime wòxɔ abi. Enye nusi sɔ be ʋu nado le abi si woxɔ ta aɖabaƒoƒo eve va ɖo adre.
Esia menye afɔɖeɖe ɖeka ko o. Edzɔna le afɔɖeɖe siwo kplɔ wo nɔewo ɖo me, abe aɖaŋudɔwɔla bibiwo ƒe ƒuƒoƒo aɖe si le dɔ wɔm ɖekae be yewoawu dɔ aɖe nu ene. Na míalé ŋku ɖe afɔɖeɖe vevi eneawo ŋu.
| Afɔɖeɖewo | Nusi dzɔna (le nya bɔbɔewo me) . |
|---|---|
| Afɔɖeɖe 1: Ʋukawo ƒe ʋuʋu | Ʋukawo (ʋukawo) siwo le afisi abi la le la me sẽna, abe tsi ƒe pɔmpi mimi ene. Esia nana ʋu ƒe sisi dzi ɖena kpɔtɔna. |
| Afɔɖeɖe 2: Ɣeyiɣi kpui aɖe ƒe plug wɔwɔ | Ʋumenugbagbevi dzĩwo, si nye lãmenugbagbevi sue aɖe ƒomevi si nɔa tsia dzi le míaƒe ʋu me, ƒua du yia afisi abi la le eye woléna ɖe eŋu. Woƒoa ƒu ɖekae eye wotrea abi la nu hena ɣeyiɣi aɖe. Ele abe ɖe wotsɔ nutsyɔnu de aŋetu me ene. Wogayɔa esia be ʋumenugbagbeviɣidɔ gbãtɔ . |
| Afɔɖeɖe 3: Coagulation kɔsɔkɔsɔa gɔmedzedze | Fifia dɔ ŋutɔŋutɔ dze egɔme. Nukae le ʋua meProtein siwo woyɔna be coagulation factors wɔa dɔ ɖe wo nɔewo yome, si gadoa ŋusẽ ɣeyiɣi kpui aɖe ƒe nutrenu ma ɖe edzi. Esia le abe kɔsɔkɔsɔ ƒe nuwɔna ene. Woyɔa esia be ʋumenugbagbeviɣidɔ evelia . |
| Afɔɖeɖe 4: Ʋu ƒe sisi si nɔa anyi ɖaa ƒe wɔwɔ | Mlɔeba la, ʋumenugbagbevi dzĩwo kple protein tɔxɛ aɖe si woyɔna be fibrin va ƒoa ƒu wɔa ʋu si me ʋu sina tona sesĩe ŋutɔ, si nɔa anyi ɖaa, abe anyikpe kple aŋɔ si le gli tum ene. Esia xea abi la keŋkeŋ. Emegbe ne abi la le hayahayam la, ʋuka sia ʋẽna eye ŋutigbalẽ yeye va dona. |
Kpuie ko la, ʋu ƒe sisi nye míaƒe ŋutilã ƒe dzɔdzɔme "plaster." Ema manɔmee la, ƒoƒo sue aɖe gɔ̃ hã ate ŋu ana ʋu nado le mía me fũ eye wòate ŋu ade míaƒe agbe afɔku me gɔ̃ hã.
Nukae adzɔ ne ɖoɖo sia meva yi nyuie o?
Togbɔ be zi geɖe la, ɖoɖo sia wɔa dɔ nyuie ŋutɔ hã la, ɣeaɖewoɣi la, ate ŋu agblẽ. Ekema kuxi eve ate ŋu ado mo ɖa:
1. Hypocoagulability: Esia nye ne ʋua metsi nyuie ne ehiã o. Abi sue aɖe gɔ̃ hã ate ŋu ana ʋu nado le eɖokui me ɣeyiɣi didi, si ana wòaxɔ abi kple abi.
2. Hypercoagulability: Esia nye ne ʋu ƒe sisi le ŋutilãa me ne womehiã o. Esia ate ŋu anye afɔku gã aɖe.
Ne ʋu ƒe sisi dzi ɖe edzi akpa (Hypercoagulability) .
Esia nye afɔku elabena ʋuka siwo míedi o siwo dzɔna le ŋutilãa me (si míeyɔna be ʋumenugbagbeviɣidɔ ) ate ŋu ato ʋukawo me eye woatsi ŋutinu veviwo abe ahɔhɔ̃, dzi, kple lãkusi ene me. Nenemae wòdzɔna.
- Ʋusɔgbɔdɔ: Ne ʋu ƒe sisi xe ʋuka aɖe si tsɔa ʋu yia ahɔhɔ̃a me.
- Dzidɔ: Ne ʋu ƒe sisi xe ʋuka aɖe si naa ʋu yia dzia gbɔ.
- Aklã me Ʋuʋudedi: Esia ate ŋu adzɔ ne ʋu ƒe sisi ( Deep Vein Thrombosis - DVT ), si dzɔna zi geɖe le ʋuka si me goglo me le afɔa me, gbã eye wòge ɖe ʋuka aɖe me le lãkusi me.
Kansa ƒomevi aɖewo, domenyiŋusẽfianu ƒe nɔnɔmewo (e.g. Factor V Leiden , Protein C ƒe anyimanɔmanɔ ), kple atikewɔwɔ me nɔnɔme bubuwo (e.g. Antiphospholipid syndrome , dɔlékui sesẽwo - sepsis ) ate ŋu ana ʋu ƒe sisi nadzi ɖe edzi le mɔ sia nu.
Ne ʋu ƒe sisi dzi ɖe kpɔtɔ akpa (Hypocoagulability) .
Esia to vovo na ema. Esi wò ʋu metsina nyuie o ta la, abi ɖesiaɖe ate ŋu anye afɔku. Ne wotsoe sue aɖe gɔ̃ hã la, ate ŋu ana ʋu nado fũu akpa. Ʋu si womate ŋu akpɔ o hã ate ŋu anɔ ametia me.
Esia ƒe kpɔɖeŋu veviwoe nye:
- Ʋusɔgbɔdɔ: Esia nye domenyiŋusẽfianu ƒe dɔléle si me ŋutilãa mewɔa nusiwo hiã na ʋu ƒe sisi dometɔ ɖeka alo esi wu nenema o.
- Von Willebrand ƒe dɔléle: Esia nye domenyiŋusẽfianu ƒe dɔléle si bɔ si ɖi ʋusɔgbɔdɔ.
- Thrombocytopenia: Ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ, siwo nye lãmenugbagbevi vevitɔ siwo naa ʋu ʋuna. Woate ŋu akpɔ nɔnɔme sia le kansa ƒomevi aɖewo me (e.g., ʋumenugbagbeviɣidɔ ).
Aleke nàwɔ anya ne kuxi aɖewo li abe esia ene?
Ne dzesi siawo le ŋuwò la, wò ɖɔkta aɖo wò ɖe ʋumenugbagbeviɣidɔdala gbɔ. Abia nya tso wò dzesiwo ŋu eye wòaɖe gbe be woawɔ ʋudodokpɔ siwo hiã.
Dodokpɔ mawo dometɔ aɖewoe nye:
- Ʋu Xexlẽme Blibo (CBC) .
- Ʋumenugbagbeviɣidɔ ƒe Xexlẽme
- Ʋudodo Ɣeyiɣi
- Prothrombin Ɣeyiɣi (PT) .
- Thromboplastin ƒe Akpa aɖe ƒe Ɣeyiɣi si Wowɔ Dɔ (aPTT) .
- Fibrinogen ƒe Agbɔsɔsɔme
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne dzesi aɖewo le ŋuwò la, mele be nàŋe aɖaba aƒu wo dzi gbeɖe o . Esiawo ate ŋu anye nudzɔdzɔ kpatawo.
| Dzesiwo ƒe hatsotso | Nusiwo ŋu wòle be woalé ŋku ɖo |
|---|---|
| Dzesi siwo fia be ʋu ƒe sisi dzi ɖe edzi (Hypercoagulability) - Esiawo nye nudzɔdzɔ kpatawo, yi ETU enumake! | |
| Ahɔhɔ̃ (nuwɔametɔnyenye) . | Ametia ƒe akpa ɖeka ƒe ʋuʋu, nuƒoƒo sesẽ, mo ƒe akpa ɖeka ƒe ŋeŋe, taɖuame sesẽ. |
| Dzi (dzidɔ) . | Akɔtave, gbɔgbɔ sesẽ, gbɔdzɔgbɔdzɔ, dzi ƒe tsotso kabakaba, alɔ̃madɔmadɔ. |
| Le lãkusi me (Pulmonary Embolism) . | Gbɔgbɔtsixe kpata, akɔtave, ʋu ƒe kɔdzi, nuyiwo alo asibidɛwo ƒe nugbɔ blɔ, alɔ̃madɔmadɔ. |
| Le afɔ me (DVT) . | Vevesese, vuvu, kple abibibi le akɔta ƒe akpa si alo afɔa ƒe teƒe bubu. |
| Hypocoagulability ƒe dzesiwo - ƒo nu kple wò ɖɔkta ne esiawo le ŋuwò. | |
| Nusiwo bɔ | • Ʋu si dona le ŋɔti me enuenu eye wòsesẽna be woatɔ te wo. • Ʋu si dona le aɖuwo me ne èle aɖuwo klɔm. • Abi sue aɖe gɔ̃ hã ʋuna ɣeyiɣi didi. • Abi (teƒe siwo le blɔ/aɖabɛ) le ŋutilã ŋu le susu aɖeke manɔmee. |
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋusɔgbɔdɔ nye dzɔdzɔmenu vevi aɖe si dzi míaƒe ŋutilã tona dzudzɔa ʋu si dona le abi si míexɔ ta.
- Esia nye dɔ sesẽ aɖe si me afɔɖeɖe geɖe le.
- Ɣeaɖewoɣi la, ɖoɖo sia ate ŋu agblẽ. Nɔnɔme evea siaa, siwo woyɔna be ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ ate ŋu anye afɔku.
- Dzesiwo abe akɔtave kpata, gbɔgbɔ sesẽ, alo ame ƒe susu ƒe dɔwɔwɔ le ŋutilã ƒe akpa ɖeka ate ŋu anye ʋu ƒe sisi ƒe dzesi. Le nɔnɔme mawo me la, yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Ne èle abi ɖum le susu aɖeke ta o, alo ne ʋu le dodom le ŋuwò le abi suewo ta la, mègaŋe aɖaba ƒu edzi o eye nàƒo nu kple wò ɖɔkta godoo .
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