Kodi mumatuluka magazi ambiri kuchokera pachilonda chaching'ono? Tiyeni tiphunzire za mayeso a Fibrinogen!

Kodi mukukumbukira pamene munagwa ndi kuvulala bondo lanu mukusewera muli mwana? Pamene amayi anu analitsuka, kupaka mankhwala, ndi kupaka pulasitala, kutuluka magazi kunatha patapita kanthawi. Zimenezo n’zachibadwa. Koma nthawi zina, ngakhale bala laling’ono kwambiri silimasiya kutuluka magazi kwa nthawi yaitali, sichoncho? Kapena anthu ena angazindikire kuti thupi lawo likusintha kukhala labuluu m’malo ena. Chifukwa cha zinthu ngati izi chikhoza kukhala kusowa kwa mapuloteni apadera m’magazi athu. Lero, tikulankhula za mayeso ofunikira kwambiri a magazi omwe anthu ambiri sanamvepo, koma ndi chinthu chomwe tikuchifufuza.

Mwachidule, kodi fibrinogen ndi chiyani?

Chabwino, tiyeni tinene motere. Fibrinogen ndi mtundu wapadera wa puloteni yomwe imapangidwa m'chiwindi chathu. Ili ngati "pulasitiki yachilengedwe" ya thupi lathu. Mukakhala ndi chotupa kapena bala kulikonse m'thupi lanu, puloteni iyi ya fibrinogen imalowa mwachangu ndikuthandiza kuletsa kutuluka kwa magazi.

Tangoganizani kuti mukavulala kwinakwake m'thupi lanu, fibrinogen imakhala ngati 'simenti' yomwe imabwera kudzatseka bala. Puloteni iyi, pamodzi ndi maselo ena m'magazi (ma platelet), imapanga ulusi kuzungulira bala ndikutseka. Pamenepo ndi pomwe kutuluka magazi kumasiya. Timatcha njira iyi kuti magazi amaundana . Ndiye tangoganizani, chimachitika ndi chiyani ngati 'simenti' iyi kapena puloteni ya fibrinogen ikachepa m'magazi athu? Monga momwe simungamangire khoma popanda simenti, zimakhala zovuta kuletsa kutuluka magazi ngakhale kuchokera pabala laling'ono.

Kodi dokotala angalimbikitse mayeso awa pazochitika ziti?

Kawirikawiri, dokotala salamula nthawi yomweyo kuti munthu ayesedwe fibrinogen. Mukangoyang'ana zizindikiro zina zomwe thupi lanu likuwonetsa kapena kuziyerekeza ndi malipoti ena a mayeso, mumayamba kukayikira. Tiyeni tiwone zizindikiro zimenezo.

Kuwonjezera pa zizindikiro ngati izi, dokotala angakulimbikitseni mayesowa pazifukwa zina zingapo.

• Zolakwika pa mayeso ena a magazi: Ngati zotsatira za mayeso omwe amayesa momwe magazi anu amaundana mofulumira, monga Prothrombin Time (PT) ndi Activated Partial Thromboplastin Time (APTT) , sizili zachilendo, mungapemphedwe kuti muchite mayeso a fibrinogen kuti mupeze chomwe chikuyambitsa.
• Matenda okayikiridwa otsekereza magazi: Ngati dokotala akukayikira kuti muli ndi matenda otsekereza magazi.
• Matenda oopsa: Kuyezetsa kumeneku n'kofunikira pakakhala matenda oopsa monga Disseminated Intravascular Coagulation (DIC) .
• Kutaya mimba mobwerezabwereza: Izi zitha kuphatikizidwanso pakati pa mayeso omwe amachitidwa kuti apeze chomwe chimayambitsa kutayika kwa mimba mobwerezabwereza.
• Matenda obadwa nawo: Ngati wina m'banjamo ali ndi vuto la magazi kuundana.

Kodi pali mitundu ina ya kusowa kwa fibrinogen?

Inde. Vutoli lingagawidwe m'magulu atatu akuluakulu. Izi nthawi zambiri zimachitika chifukwa cha zinthu zomwe zimayambitsa majini, kutanthauza kuti, chifukwa cha zinthu zomwe zimayambitsa matenda.

Kodi mumakonzekera bwanji mayesowa?

Iyi ndi gawo labwino kwambiri. Mayesowa nthawi zambiri safuna kukonzekera kwapadera . Simuyenera kusala kudya kapena kuchita china chilichonse.

Malangizo ena ndi kumwa madzi ambiri musanapite kukayezetsa. Izi zipangitsa kuti munthu amene akutenga magazi apeze mtsempha wanu ndikutenga magazi mosavuta chifukwa mitsempha yanu idzakhala yodzaza.

Kodi chimachitika ndi chiyani panthawi yoyezetsa? Kodi zimapweteka?

Izi zili ngati kuyezetsa magazi nthawi zonse. Palibe chifukwa choopera.

1. Choyamba, namwino kapena dokotala adzasankha mtsempha woyenera kuchokera m'dzanja lanu, pafupi ndi chigongono chanu.

2. Kenako yeretsani malowo bwino ndi chinthu monga mowa.

3. Kenako, singano yaying'ono imalowetsedwa mu mtsempha ndipo magazi ofunikira amasonkhanitsidwa mu chubu chaching'ono.

4. Magazi akatengedwa, singano imachotsedwa ndipo chidutswa cha thonje kapena gauze chimayikidwa pamalopo ndikukanikizidwa pansi.

Ntchito yonseyi imatenga mphindi zochepa chabe. Pamakhala kumverera kowawa pang'ono singano ikalowetsedwa, koma imatha pakatha masekondi ochepa.

Mukamaliza mayeso, mutha kupita kunyumba ndikupitiliza ndi zochita zanu zachizolowezi. Palibe vuto ndi zimenezo. Malo omwe singano inalowetsedwapo akhoza kukhala abuluu pang'ono kapena opweteka pang'ono. Izi zidzatha kwathunthu patatha tsiku limodzi kapena awiri. Izi ndi zachilendo.

Kodi lipotilo likutanthauza chiyani?

Magazi anu adzayesedwa mu labu ndipo kuchuluka kwa fibrinogen komwe kuli mkati mwake kudzayesedwa. Kawirikawiri, kuchuluka kwa fibrinogen kwa munthu wathanzi kuyenera kukhala pakati pa magalamu 2 ndi 4 pa lita (2-4 g/L) kapena mamiligalamu 200 ndi 400 pa deciliter (200-400 mg/dL) .

Ngati zotsatira zanu zili pansi pa mtengo wapakati uwu, zingatanthauze:

• Muli ndi vuto la fibrinogen.
• Kupanga kwa fibrinogen kwachepa chifukwa cha matenda a chiwindi.
• Kusowa zakudya m'thupi kwambiri.

Ngati zotsatira zake zili zapamwamba kuposa zachizolowezi, zitha kukhala chifukwa cha matenda, khansa, matenda a mtima, kapena kutupa kwa thupi.

Kodi ndiyenera kuchita chiyani ngati fibrinogen ili yochepa?

Ngati zotsatira za mayeso anu zitsimikizira kuti kuchuluka kwa fibrinogen m'thupi lanu kuli kotsika, dokotala wanu adzakupatsani chithandizo chofunikira. Chithandizocho chidzadalira momwe kuchuluka kwa fibrinogen m'thupi lanu kulili kotsika, mtundu wa zizindikiro zanu, komanso thanzi lanu lonse.

Chithandizo chachikulu nthawi zambiri chimakhala kupereka mankhwala a fibrinogen kudzera mu saline solution (yoperekedwa kudzera mu mtsempha - IV). Izi zitha kuperekedwa tsiku lililonse kapena tsiku lina lililonse.

Mankhwalawa amalimbikitsidwa makamaka ngati pali chiopsezo chachikulu cha kutuluka magazi. Mwachitsanzo:

• Pambuyo pa ngozi yaikulu.
• Asanachite opaleshoni yokonzedweratu.
• Pa nthawi yobereka mwana kapena mutatha kubereka.

Mankhwalawa angathandize kuti kuchuluka kwa fibrinogen m'magazi anu kubwerere mwakale ndikuletsa kutuluka magazi kwambiri.