Uyakhumbula xa wawa waza wakrwitshwa idolo ngelixa udlala usengumntwana? Xa umama wakho wayelihlamba, elifaka amayeza, waza wafaka iplasta, ukopha kwaphela emva kwexesha elithile. Yinto eqhelekileyo leyo. Kodwa ngamanye amaxesha, kwanenxeba elincinci aliyeki ukopha ixesha elide, akunjalo? Okanye abanye abantu banokubona nje ukuba imizimba yabo ijika ibe luhlaza okwesibhakabhaka kwiindawo ezithile. Isizathu sezinto ezinje kukungabikho kweproteni ekhethekileyo egazini lethu. Namhlanje, sithetha ngovavanyo lwegazi olubaluleke kakhulu abantu abaninzi abangazange beve ngalo, kodwa yinto esiyijongayo.
Ngamafutshane, yintoni i-fibrinogen?
Kulungile, masiyibeke ngolu hlobo. I-Fibrinogen luhlobo olukhethekileyo lweproteni eveliswa esibindini sethu. Ifana "neplasta yendalo" yomzimba wethu. Xa unenxeba okanye umkrwelo naphi na emzimbeni wakho, le protein ye-fibrinogen ingena ngokukhawuleza kwaye incede ekumiseni ukopha.
Khawuthelekelele ukuba xa usikekile ndaweni ithile emzimbeni wakho, i-fibrinogen ifana 'nesamente' eza kuvala inxeba. Le protein, kunye nezinye iiseli egazini (iiplatelets), zenza i-mesh ejikeleze inxeba ize ilivale. Kulapho ke ukopha kuyeka khona. Le nkqubo siyibiza ngokuba yi-blood clotting . Khawuthelekelele, kwenzeka ntoni ukuba le 'samente' okanye i-fibrinogen protein iyancipha egazini lethu? Njengokuba ungenakwakha udonga ngaphandle kwesamente, kuba nzima ukuyeka ukopha nokuba kukwinxeba elincinci.
Kuphantsi kweziphi iimeko apho ugqirha angacebisa olu vavanyo?
Ngokwesiqhelo, ugqirha akakuxeleli kwangoko olu vavanyo lwe-fibrinogen. Kuphela xa ujonga ezinye zeempawu ezibonakaliswa ngumzimba wakho okanye uzithelekisa nezinye iingxelo zovavanyo apho uqalisa ukurhanela khona. Makhe sibone ukuba zeziphi ezo mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukopha rhoqo kwiintsini | Ukuba iintsini zakho ziphuma igazi kungekuphela nje xa uhlamba amazinyo akho, kodwa naxa umi apho. |
| Ukopha rhoqo kwempumlo | Ukuba uphuma igazi rhoqo ngaphandle kwesizathu. |
| Ukudumba okungachazwanga emzimbeni | Ukuba awubethwa naphi na, kodwa endaweni yoko umzimba wakho ujika ube luhlaza okwesibhakabhaka kwaye ubonakale ngathi yimivumbo. |
| Igazi kumchamo okanye kwindle | Ukuba umchamo wakho ubomvu/umnyama okanye ubona igazi kwindle yakho. |
| Ukukhohlela igazi | Ukuba igazi lixutywe ne-mucus. |
| Ukopha kwinkqubo yokugaya ukutya | Iimpawu ezinje ngentlungu yesisu, ukuhlanza kunye nokopha. |
Ukongeza kwiimpawu ezinje, ugqirha unokucebisa olu vavanyo ngenxa yezizathu ezininzi.
- Izinto ezingaqhelekanga kwezinye iimvavanyo zegazi: Ukuba iziphumo zovavanyo ezilinganisa ukuba igazi lakho liqhekeka ngokukhawuleza kangakanani, njengeProthrombin Time (PT) kunye ne -Activated Partial Thromboplastin Time (APTT) , aziqhelekanga, ungacelwa ukuba wenze olu vavanyo lwe-fibrinogen ukuze ufumane unobangela.
- Isifo sokujiya kwegazi esirhanelwayo: Ukuba ugqirha wakho ukrokrela ukuba unesifo sokujiya kwegazi.
- Iimeko zempilo ezimandundu: Olu vavanyo luyimfuneko kwiimeko zempilo ezimandundu ezifana ne- Disseminated Intravascular Coagulation (DIC) .
- Ukuphuphuma kwesisu okuphindaphindiweyo: Oku kungabandakanywa phakathi kovavanyo olwenziweyo ukuze kufunyanwe unobangela wabasetyhini abalahlekelwa kukukhulelwa okuphindaphindiweyo.
- Izifo ezidluliselwa kwilifa: Ukuba kukho umntu kusapho oneengxaki zokujiya kwegazi.
Ngaba kukho iintlobo zokungabikho kwe-fibrinogen?
Ewe. Le meko inokwahlulwa ibe ziintlobo ezintathu eziphambili. Ezi zihlala zibangelwa zizizathu zemfuza, oko kukuthi, zizinto ezidluliselwa kwilifa.
| Uhlobo lokuswela | Intsingiselo | Ukuqheleka |
|---|---|---|
| I-Afibrinogenemia | Ukungabikho ngokupheleleyo kweprotheyini ye-fibrinogen egazini. | Kunqabile kakhulu, kwenzeka kumntu omnye kwisigidi. |
| I-Hypofibrinogenemia | Amanqanaba e-fibrinogen egazini aphantsi kunesiqhelo . | Ixhaphake kakhulu kune-afibrinogenemia. |
| I-Dysfibrinogenemia | Nangona amanqanaba e-fibrinogen eqhelekile, awasebenzi kakuhle . | Oku kuqhelekile kakhulu, kodwa kunzima ukukubona kuba abantu abaninzi ababonisi zimpawu. |
Ulungiselela njani olu vavanyo?
Le yeyona nxalenye ilungileyo. Olu vavanyo aludingi lungiselelo lukhethekileyo . Akunyanzelekanga ukuba uzile ukutya okanye wenze nantoni na enye.
Kodwa kukho into enye ebalulekileyo: Ukuba uthatha nantoni na enciphisa igazi lakho, njengemithi yokunciphisa igazi, ngokuqinisekileyo kufuneka uxelele ugqirha wakho. Uza kukuxelela ukuba kufuneka uyeke okanye ungayeki na ukuyithatha iintsuku ezimbalwa ngaphambi kovavanyo.
Elinye icebiso kukusela amanzi amaninzi ngaphambi kokuba uye kuvavanyo. Oku kuya kwenza kube lula kakhulu kumntu othatha igazi ukuba afumane umthambo wakho aze atsale igazi kuba imithambo yakho iya kuba igcwele.
Kwenzeka ntoni ngexesha lovavanyo? Ingaba kuyabuhlungu?
Oku kufana nje nokwenza uvavanyo lwegazi rhoqo. Awunasizathu sokoyika.
1. Okokuqala, umongikazi okanye igosa lezonyango liza kukhetha umthambo ofanelekileyo engalweni yakho, kufutshane nengqiniba yakho.
2. Emva koko hlamba loo ndawo kakuhle ngento efana notywala.
3. Okulandelayo, kufakwa inaliti encinci emthanjeni kwaye inani elifunekayo legazi liqokelelwa kwityhubhu encinci.
4. Nje ukuba igazi litsalwe, inaliti iyasuswa kwaye isiqwenga sekotoni okanye i-gauze pad sibekwe phezu kwendawo size sicinezelwe phantsi.
Yonke le nkqubo ithatha imizuzu embalwa kuphela. Kukho imvakalelo yokuhlaba kancinci xa inaliti ifakwa, kodwa iyaphela emva kwemizuzwana embalwa.
Nje ukuba uvavanyo lugqityiwe, ungaya ekhaya uqhubeke nemisebenzi yakho yesiqhelo. Akukho ngxaki ngaloo nto. Indawo apho inaliti ifakwe khona isenokuba luhlaza okwesibhakabhaka okanye ibe buhlungu kancinci. Oku kuya kuphela ngokupheleleyo emva kosuku olunye okanye ezimbini. Oku kuqhelekile.
Ithetha ukuthini le ngxelo?
Isampuli yegazi lakho iya kuvavanywa kwilebhu kwaye ubungakanani be-fibrinogen kuyo buya kulinganiswa. Ngokwesiqhelo, inqanaba le-fibrinogen lomntu omdala osempilweni kufuneka libe phakathi kwe-2 kunye ne-4 grams ngelitha (2-4 g/L) okanye i-200 kunye ne-400 milligrams nge-deciliter (200-400 mg/dL) .
Ukuba iziphumo zovavanyo lwakho zingaphantsi kolu luhlu luqhelekileyo, oko kunokuthetha ukuba:
- Une-fibrinogen enqongopheleyo.
- Imveliso ye-fibrinogen yehlile ngenxa yesifo sesibindi.
- Ukungondleki kakuhle.
Ukuba iziphumo ziphezulu kunesiqhelo, zinokuba ngenxa yosulelo, umhlaza, isifo sentliziyo, okanye uhlobo oluthile lokudumba emzimbeni.
Eyona nto ibalulekileyo kukuba, musa ukutsiba ufikelele kwizigqibo ngokusekelwe kumanani akule ngxelo. Ugqirha wakho ngumntu ofanelekileyo ukukuchazela intsingiselo yokwenyani yengxelo yakho, isizathu sokuba ikho, kunye nento ekufuneka uyenze ngokulandelayo.
Yintoni omawuyenze ukuba i-fibrinogen iphantsi?
Ukuba iziphumo zovavanyo lwakho ziqinisekisa ukuba amanqanaba akho e-fibrinogen aphantsi, ugqirha wakho uya kukunika unyango olufunekayo. Unyango luya kuxhomekeka ekubeni amanqanaba akho e-fibrinogen aphantsi kangakanani, uhlobo lweempawu zakho, kunye nempilo yakho iyonke.
Unyango oluphambili ludla ngokunika iimveliso ze-fibrinogen ngesisombululo se-saline (esifakwa nge-intravenous - IV). Oku kungenziwa yonke imihla okanye yonke imihla.
Olu nyango lunikezelwa ngakumbi kwiimeko apho kukho umngcipheko ophezulu wokopha. Umzekelo:
- Emva kwengozi enkulu.
- Ngaphambi kotyando olucwangcisiweyo.
- Xa okanye emva kokuba nomntwana.
Olu nyango lunokubuyisela amanqanaba e-fibrinogen egazini lakho kwimeko eqhelekileyo kwaye luthintele ukopha kakhulu.
Umyalezo Wokuya Ekhaya
- I-Fibrinogen yiproteni eveliswa esibindini eyimfuneko kwinkqubo yokujiya kwegazi emzimbeni wethu.
- Ukuba uneempawu ezifana nokopha kakhulu ngendlela engachazekiyo, ukopha rhoqo empumlweni, okanye ukukrweleka okungachazekiyo, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
- Uvavanyo lwe-fibrinogen luvavanyo lwegazi olulula kakhulu nolungenabungozi bungako. Akukho mfuneko yokoyika.
- Musa ukoyika okanye uzixilonge ngokwakho emva kokubona iziphumo zovavanyo. Soloko uthetha nogqirha wakho ngaloo nto.
- Ukuba inqanaba lakho le-fibrinogen liphantsi, kukho unyango olusebenzayo. Ugqirha wakho uza kukucebisa unyango olungcono kuwe.
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