Khawucinge nje, bekuya kwenzeka ntoni ukuba indlela yomzimba wakho yokumisa ukopha ngequbuliso ingalawuleki ize iyeke ngokupheleleyo? Amahlwili egazi amancinci akheka emzimbeni wakho wonke, zonke izinto ezifunekayo kuwo ziphelile, uze ungakwazi ukuyeka ukopha nokuba wenzakele kancinci. Le yenye yezifo ezinzulu nezintsonkothileyo esithetha ngazo namhlanje , i-DIC (Disseminated Intravascular Coagulation) . Nangona oku kuvakala njengegama eloyikisayo, masiliqonde ngokulula.
Yintoni kanye kanye i-DIC?
Ngamafutshane, i-DIC yimeko embi kakhulu echaphazela amandla egazi lakho okujiya. Okwenzekayo kukuba inkqubo yokujiya kwegazi emzimbeni wakho iyaphela ngokupheleleyo. Le meko inokwenzeka ngamanqanaba amabini aphambili.
1. Inqanaba 1 (Inqanaba Lokwakheka Kwamahlwili): Kule nqanaba, amawaka amahlwili egazi amancinci aqala ukwakheka emzimbeni wakho, ngaphakathi kwimithambo yegazi yakho . Ukuze senze la mahlwili, sisebenzisa iiplatelets ezininzi kunye nezinto ezibangela ukugabha. Kufana nokusebenzisa iibhloko zesamente ezininzi ukwakha iindonga ezincinci ezingafunekiyo kulo lonke isixeko. Ngale ndlela, ezi zinto zisetyenziswa ngokukhawuleza.
2. Inqanaba lesi-2 (Inqanaba lokopha): Ngoku, umzimba uphelelwe ziiplatelets kunye neeproteni ezifunekayo ukugoba igazi. Okwangoku, nokuba yingozi encinci ayinakuyithintela ukopha . Oku kungenxa yokuba umzimba awusenayo "isamente" efunekayo ukwenza i-blood clot. Oku kubangela ukopha okukhulu okungalawulekiyo. Eli lelona nqanaba liyingozi kakhulu lesi sifo kwaye lifuna unyango olukhawulezileyo.
Okubalulekileyo kukuba, i-DIC ayizenzeki yodwa. Ihlala isenzeka ngenxa yesinye isifo esinzima okanye ingxaki. Kubikwa ukuba iyenzeka kwi-1% yezigulana ezilaliswe esibhedlele.
Yintoni ebangela i-DIC?
Njengoko besitshilo ngaphambili, i-DIC ibangelwa yimeko yezonyango engaphantsi. Unobangela uyahluka ngokwesifo. Idla ngokuqala ngento engaqhelekanga (umz., iityhefu zebhaktheriya , iziqwenga zezicubu ezonakeleyo) ezingena egazini. Makhe sijonge izizathu eziphambili.
| Uhlobo lwesizathu | Imizekelo kunye neenkcazo |
|---|---|
| Izizathu ze-DIC ngequbuliso (ebukhali) |
|
| Izizathu ze-DIC engapheliyo |
|
Ziziphi iimpawu ezinokubakho ze-DIC?
Iimpawu ozifumanayo zixhomekeke ekubeni imeko ye-DIC ifika ngequbuliso (ngokukhawulezileyo) okanye kancinci (engapheliyo).
Iimpawu ze-Acute DIC
Uphawu oluphambili noluyingozi kakhulu loku kukuphuma kwegazi okungalawulekiyo.
- Ukopha kakhulu kwindawo yotyando, kwindawo yokuvula umthambo, impumlo, okanye kwiintsini.
- Imivumbo ivele emzimbeni wonke ngaphandle kwesizathu.
- Ukuhlanza igazi.
- Ukuphalaza igazi ngendle.
- Ukopha igazi engqondweni, kwindlela yokwetyisa, kwimisipha, okanye kwimingxunya yomzimba.
Iimpawu ze-DIC ezingapheliyo
Ingozi ephambili kolu hlobo ayikokuphuma kwegazi, kodwa kukuqhekeka kwegazi okwenzeka kwizigaba zokuqala. La mahlwili egazi anokuhamba aze avale imithambo yegazi kwizitho ezibalulekileyo.
- Ukungasebenzi kakuhle kwamalungu omzimba: Ukuba ihlwili legazi lithintela ukuhamba kwegazi ukuya kwisitho esifana nezintso, isibindi, okanye imiphunga.
- Istroke: Ukuba ihlwili legazi livala umthambo wegazi engqondweni.
- Ukuhlaselwa yintliziyo: Ukuba umthambo wegazi ohambisa igazi entliziyweni uyavaleka.
- I-Deep Vein Thromboembolism (DVT): Amahlwili egazi ayenzeka ngaphakathi kwimithambo yemilenze okanye iingalo, nto leyo ebangela ukudumba kunye nentlungu kwezo ndawo.
- Ubunzima bokuphefumla: Ukuba ihlwili legazi liya emiphungeni.
Ngamanye amaxesha, i-DIC eqala kancinci isenokungabangeli zimpawu. Kwakhona, ukopha kwiindawo ezintathu ezingadibaniyo ngaxeshanye (umz., ukopha empumlweni, kwiintsini, nakumchamo) kunokuba luphawu lwe-DIC.
Ziziphi iindlela zonyango ze-DIC?
Into yokuqala neyona ibalulekileyo eyenziwa ngoogqirha kwimeko ye-DIC kukunyanga imeko yezonyango ebangele i-DIC. Umzekelo, ukuba i-DIC ibangelwa lusulelo (i-sepsis), kuya kunikwa amayeza okubulala iintsholongwane kuloo sulelo.
Ukongeza, unyango lunikwa ukulawula iimpawu ezibangelwa yi-DIC.
- Utofelo-gazi olugqithisileyo: Ukuba kuye kwakho ukulahleka kwegazi okuninzi, i-plasma yegazi inikwa ukuze ithathe indawo yeeproteni (izinto ezibangela ukujiya kwegazi) ezifunekayo ukuze igazi lijiye.
- Utofelo-gazi lwePlatelet: Olu lunikwa ukubuyisela inani leePlatelet ezinciphileyo ngenxa yokopha.
- Unyango lweoksijini: Ukuba ukunikezelwa kwegazi kwisitho esithile kuphazamiseka ngenxa yokuqhekeka kwegazi, ioksijini inikwa ukuthintela umonakalo kweso sitho.
- Amayeza okulwa nokugabha kwegazi: Amayeza okugabha igazi afana ne -heparin angasetyenziswa. Usenokuba uzibuza, “Wow, kutheni umntu osele ephuma igazi efuna amayeza okugabha igazi amaninzi?” La mayeza asetyenziswa ngononophelo olukhulu. Anikwa ukuthintela ukwakheka kwamahlwili egazi ayingozi ngakumbi, ingakumbi kwi-DIC engapheliyo okanye kwizigaba zokuqala zesifo. Esi sisigqibo esinokwenziwa ngugqirha wakho kuphela.
I-Acute DIC yimeko engxamisekileyo yezonyango. Ifuna unyango kwicandelo labagula kakhulu (ICU) okanye kwicandelo labagula kakhulu (ETU). Kodwa ungakhathazeki, uninzi lwexesha oku kwenzeka ngexesha lotyando okanye lokubeleka, kwaye iqela lezonyango lilapho nawe.
Emva kokuba uphumile esibhedlele, ugqirha wakho uya kuqhubeka ekujonga kwaye ekujonga naziphi na iimeko zempilo ezingabonakaliyo kunye neengxaki ezibangelwa yi-DIC.
Umyalezo Wokuya Ekhaya
- I-DIC ayisosifo esizenzekela ngokwaso. Isoloko iyingxaki yesinye isifo esinzima (umz. i-sepsis, umhlaza, ukwenzakala okukhulu).
- Okwenzekayo kule meko kukuba okokuqala, amahlwili egazi ayenzeka ngokungeyomfuneko emzimbeni wonke, aze emva koko izinto ezifunekayo ukuze igazi lijike ziphume, nto leyo ekhokelela ekopheni okungalawulekiyo.
- Unyango lugxile ekunyangeni imeko ebangela i-DIC, kunye nokulawula iimpawu.
- Ukuba ufumana ukopha ngequbuliso okanye ukugruzuka okukhulu kwiindawo ezininzi zomzimba wakho ngaphandle kwesizathu esicacileyo, ingakumbi ukuba unesinye isifo esinzima, bona ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
I-DIC, Ukwahlulwa kwemithambo yegazi, iClot yegazi, ukopha, ukopha kwegazi, iSepsis, iimpawu
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho