Uyakhumbula lapho uwa futhi wakhubeka idolo lakho ngenkathi udlala useyingane? Lapho umama wakho eligeza, efaka umuthi, futhi efaka iplasta, ukuphuma kwegazi kwaphela ngemva kwesikhashana. Lokho kuvamile. Kodwa ngezinye izikhathi, ngisho nesilonda esincane kakhulu asiyeki ukuphuma kwegazi isikhathi eside, akunjalo? Noma abanye abantu bangase baqaphele ukuthi imizimba yabo ishintsha umbala ube luhlaza okwesibhakabhaka ezindaweni ezithile. Isizathu sezinto ezinjengalezi kungaba ukuntuleka kweprotheni ekhethekile egazini lethu. Namuhla, sikhuluma ngokuhlolwa kwegazi okubaluleke kakhulu abantu abaningi abangakaze bakuzwe, kodwa kuyinto esiyihlolayo.
Kalula nje, iyini i-fibrinogen?
Kulungile, ake sikubeke ngale ndlela. I-Fibrinogen uhlobo olukhethekile lweprotheyini ekhiqizwa esibindini sethu. Ifana "neplasta yemvelo" yomzimba wethu. Uma unesilonda noma umvimbo noma kuphi emzimbeni wakho, le phrotheyini ye-fibrinogen iyashesha futhi isize ekumiseni ukopha.
Cabanga ukuthi uma usikeka endaweni ethile emzimbeni wakho, i-fibrinogen ifana 'nesimende' esiza ukuvala inxeba. Le phrotheni, kanye namanye amaseli egazini (ama-platelet), yakha i-mesh ezungeze inxeba bese ilivala. Yilapho ukuphuma kwegazi kuyeka khona. Sibiza le nqubo ngokuthi ukujiya kwegazi . Ngakho cabanga, kwenzekani uma le 'simende' noma iphrotheni ye-fibrinogen yehla egazini lethu? Njengoba nje ungeke wakhe udonga ngaphandle kwesimende, kuba nzima ukuyeka ukuphuma kwegazi ngisho nasenxebeni elincane.
Kukuziphi izimo udokotela angancoma lolu vivinyo?
Ngokuvamile, udokotela akakushiyi ngokushesha lokhu kuhlolwa kwe-fibrinogen. Kuphela uma ubheka ezinye zezimpawu umzimba wakho ozibonisayo noma uziqhathanisa neminye imibiko yokuhlolwa lapho uqala ukusola khona. Ake sibone ukuthi ziyini lezo zimpawu.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ukopha njalo ezinsinini | Uma izinsini zakho ziphuma igazi hhayi kuphela lapho uxubha amazinyo akho, kodwa futhi nalapho umi lapho nje. |
| Ukopha igazi njalo | Uma uvame ukuphuma igazi ekhaleni ngaphandle kwesizathu. |
| Ukuphuka okungachazeki emzimbeni | Uma ungashayi ndawo, kodwa kunalokho umzimba wakho uphenduka ube luhlaza okwesibhakabhaka futhi ubonakale sengathi unamanxeba. |
| Igazi emchameni noma esitulweni | Uma umchamo wakho ubomvu/umnyama noma ubona igazi endle yakho. |
| Ukukhwehlela igazi | Uma igazi lixubene ne-mucus. |
| Ukopha ohlelweni lokugaya ukudla | Izimpawu ezifana nobuhlungu besisu, ukuhlanza kanye nokopha. |
Ngaphezu kwezimpawu ezinjengalezi, udokotela angase ancome lokhu kuhlolwa ngezinye izizathu eziningana.
- Ukungahambi kahle kwezinye izivivinyo zegazi: Uma imiphumela yezivivinyo ezilinganisa ukuthi amahlule egazi lakho ashesha kangakanani, njenge -Prothrombin Time (PT) kanye ne -Activated Partial Thromboplastin Time (APTT) , ingavamile, ungase ucelwe ukuthi wenze lesi sivivinyo se-fibrinogen ukuze uthole imbangela.
- Izinkinga zokujiya kwegazi ezisolwayo: Uma udokotela wakho esola ukuthi unesifo sokujiya kwegazi.
- Izimo zezokwelapha ezibucayi: Lokhu kuhlolwa kuyimpoqo ezimweni zezifo ezinzima njenge- Disseminated Intravascular Coagulation (DIC) .
- Ukuphuphuma kwezisu okuphindaphindiwe: Lokhu kungafakwa phakathi kokuhlolwa okwenziwa ukuthola imbangela yabesifazane abalahlekelwa ukukhulelwa okuphindaphindiwe.
- Izifo ezidluliselwa ngofuzo: Uma othile emndenini enezinkinga zokujiya kwegazi.
Ingabe zikhona izinhlobo zokuntuleka kwe-fibrinogen?
Yebo. Lesi simo singahlukaniswa ngezinhlobo ezintathu eziyinhloko. Lezi zivame ukubangelwa yizimbangela zofuzo, okungukuthi, izici zofuzo.
| Uhlobo Lokuntuleka | Incazelo | Ukufana |
|---|---|---|
| I-Afibrinogenemia | Ukungabikho ngokuphelele kweprotheyini ye-fibrinogen egazini. | Kuyinto engavamile kakhulu, eyenzeka cishe kubantu oyedwa kwabayisigidi. |
| I-Hypofibrinogenemia | Amazinga e-fibrinogen aphansi kunokuvamile egazini. | Kuvame kakhulu kune-afibrinogenemia. |
| I-Dysfibrinogenemia | Ngisho noma amazinga e-fibrinogen ejwayelekile, awasebenzi kahle . | Lokhu nakho kuvamile impela, kodwa kunzima ukukubona ngoba abantu abaningi ababonisi zimpawu. |
Ulungiselela kanjani lolu vivinyo?
Lena yingxenye engcono kakhulu. Lokhu kuhlolwa ngokuvamile akudingi ukulungiselela okukhethekile . Akudingeki uzile ukudla noma wenze noma yini enye.
Kodwa kukhona into eyodwa ebalulekile: Uma uthatha noma yini enciphisa igazi lakho, njengemithi yokunciphisa igazi, kufanele utshele udokotela wakho nakanjani. Uzokweluleka ukuthi kufanele uyeke yini ukuyiphuza izinsuku ezimbalwa ngaphambi kokuhlolwa.
Elinye icebiso ukuphuza amanzi amaningi ngaphambi kokuya kohlolwa. Lokhu kuzokwenza kube lula kakhulu kumuntu othatha igazi ukuthola umthambo wakho bese ekhipha igazi ngoba imithambo yakho izobe igcwele.
Kwenzekani ngesikhathi sokuhlolwa? Ingabe kuyabuhlungu?
Lokhu kufana nje nokuhlolwa kwegazi njalo. Awunaso isizathu sokwesaba.
1. Okokuqala, umhlengikazi noma isikhulu sezokwelapha sizokhetha umthambo ofanele engalweni yakho, eduze kwendololwane yakho.
2. Bese uhlanza indawo kahle ngento efana notshwala.
3. Okulandelayo, kufakwa inaliti encane emthanjeni bese inani legazi elidingekayo liqoqwa lifakwe epayipini elincane.
4. Uma igazi selikhishiwe, inaliti iyasuswa bese kubekwa ucezu lwekotini noma i-gauze pad phezu kwendawo bese icindezelwa phansi.
Yonke inqubo ithatha imizuzu embalwa kuphela. Kuba nomuzwa omncane wokuhlaba lapho inaliti ifakwa, kodwa iyaphela ngemizuzwana embalwa.
Uma ukuhlolwa sekuqediwe, ungaya ekhaya uqhubeke nemisebenzi yakho evamile. Akukho nkinga ngalokho. Indawo lapho inaliti ifakwe khona ingaba luhlaza okwesibhakabhaka noma ibe buhlungu kancane. Lokhu kuzophela ngokuphelele ngosuku olulodwa noma ezimbili. Lokhu kuvamile.
Usho ukuthini umbiko?
Isampula yegazi lakho lizohlolwa elabhorethri futhi inani le-fibrinogen elikulo lizolinganiswa. Ngokuvamile, izinga le-fibrinogen lomuntu omdala onempilo kufanele libe phakathi kwamagremu angu-2 no-4 ngelitha (2-4 g/L) noma amamiligremu angu-200 no-400 nge-deciliter (200-400 mg/dL) .
Uma imiphumela yakho yokuhlolwa ingaphansi kwaleli banga elijwayelekile, kungasho ukuthi:
- Une-fibrinogen entula.
- Ukukhiqizwa kwe-fibrinogen kwehlile ngenxa yesifo sesibindi.
- Ukungondleki kahle okukhulu.
Uma umphumela uphakeme kunojwayelekile, kungaba ngenxa yokutheleleka, umdlavuza, isifo senhliziyo, noma uhlobo oluthile lokuvuvukala emzimbeni.
Into ebaluleke kakhulu ukuthi, ungasheshi ufinyelele eziphethweni ngokusekelwe ezinambeni ezikulo mbiko. Udokotela wakho ungumuntu ongcono kakhulu wokukuchazela incazelo yangempela yombiko wakho, ukuthi kungani ukhona, nokuthi yini okudingeka uyenze ngokulandelayo.
Yini okufanele uyenze uma i-fibrinogen iphansi?
Uma imiphumela yokuhlolwa kwakho iqinisekisa ukuthi amazinga akho e-fibrinogen aphansi, udokotela wakho uzokunikeza ukwelashwa okudingekayo. Ukwelashwa kuzoncika ekutheni amazinga akho e-fibrinogen aphansi kangakanani, uhlobo lwezimpawu zakho, kanye nempilo yakho iyonke.
Ukwelashwa okuyinhloko kuvame ukuba ukunikeza imikhiqizo ye-fibrinogen ngesisombululo sikasawoti (esifakwa nge-intravenous - IV). Lokhu kunganikezwa nsuku zonke noma njalo ngemva kosuku olulodwa.
Lokhu kwelashwa kunikezwa ikakhulukazi ezimweni lapho kunobungozi obukhulu bokuphuma kwegazi. Isibonelo:
- Ngemva kwengozi enkulu.
- Ngaphambi kokuhlinzwa okuhleliwe.
- Uma noma ngemva kokuba nomntwana.
Lokhu kwelashwa kungabuyisela izinga le-fibrinogen egazini lakho esimweni esijwayelekile futhi kuvimbele ukopha ngokweqile.
Umlayezo Wokuya Nawe Ekhaya
- I-Fibrinogen iyiprotheni ekhiqizwa esibindini ebalulekile enkambisweni yokujiya kwegazi emzimbeni wethu.
- Uma unezimpawu ezifana nokopha kakhulu okungachazeki, ukopha impumulo njalo, noma ukuklwebheka okungachazeki, kufanele nakanjani ubone udokotela.
- Ukuhlolwa kwegazi kwe-fibrinogen kulula kakhulu, futhi akunangozi eningi. Akunasidingo sokukwesaba.
- Ungesabi noma uzihlolele wena ngemva kokubona imiphumela yokuhlolwa. Khuluma nodokotela wakho ngaso sonke isikhathi ngakho.
- Uma izinga lakho le-fibrinogen liphansi, kunezindlela zokwelapha ezisebenzayo. Udokotela wakho uzoncoma ukwelashwa okungcono kakhulu kuwe.
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