E phatlalalitse coagulation ea methapo ea methapo (DIC)

Disseminated intravascular coagulation (DIC) ke lefu le tebileng moo liprotheine tse laolang ho hoama ha mali li kenang haholo.

Ha u tsoa likotsi, liprotheine tse maling tse etsang masela a mali li ea sebakeng sa kotsi ho thusa ho emisa ho tsoa mali. Haeba liprotheine tsena li sebetsa ka mokhoa o sa tloaelehang 'meleng oohle, o ka ba le DIC. Hangata sesosa se bakoa ke ho ruruha, tšoaetso kapa mofetše.

Maemong a mang a DIC, mali a manyenyane a hlaha methapong ea mali. A mang a masela ao a ka koala methapo 'me a khaole mali a tloaelehileng a tsoang lithong tse kang sebete, boko kapa liphio. Ho haella ha phallo ea mali ho ka senya le ho baka likotsi tse kholo ho litho tsa 'mele.

Maemong a mang a DIC, liprotheine tse koalang mali li sebelisoa. Ha sena se etsahala, o kanna oa ba le kotsi e kholo ea ho tsoa mali a mangata, esita le ho tsoa kotsi e nyane kapa ntle le kotsi. U kanna oa ba le ho tsoa mali ho qalang ka bohona (ka bohona). Lefu lena le ka boela la etsa hore lisele tse khubelu tsa mali tse phetseng hantle li arohane ebe lia robeha ha li feta likepeng tse nyane tse tlatsitsoeng.

Lisosa tse kotsi tsa DIC li kenyelletsa:

• Karabelo ea tšelo ea mali
• Kankere, haholo-holo mefuta e meng ea kankere ea mali
• Ho ruruha ha manyeme (pancreatitis)
• Tšoaetso maling, haholo-holo ke libaktheria kapa fungus
• Lefu la sebete
• Mathata a bokhachane (joalo ka placenta e setseng kamora ho pepa)
• Phekolo ea morao-rao kapa thethebatso
• Likotsi tse mpe tsa lisele (joalo ka ha li chesa le ho tsoa hlooho)
• Hemangioma e kholo (sejana sa mali se sa thehoang hantle)

Matšoao a DIC a ka kenyelletsa tse latelang ho tse latelang:

• Ho tsoa mali, ho tsoa libakeng tse ngata 'meleng
• Ho koala mali
• Ho rohakana
• Lahlela khatello ea mali
• Phefumoloho e khutšoanyane
• Pherekano, tahlehelo ea mohopolo kapa phetoho ea boitšoaro
• Feberu

O kanna oa ba le liteko tse latelang:

• Palo e felletseng ea mali ka tlhahlobo ea smear ea mali
• Nako ea karoloana ea thromboplastin (PTT)
• Nako ea Prothrombin (PT)
• Teko ea mali ea Fibrinogen
• D-lefifi

Ha ho na kalafo e khethehileng bakeng sa DIC. Morero ke ho tseba le ho sebetsana le sesosa sa DIC.

Litlhare tse tšehetsang li ka kenyelletsa:

• Litšelo tsa mali tse nkeloang sebaka ke lintho tse thibang mali haeba ho tsoa mali a mangata.
• Moriana o fokolang mali (heparin) ho thibela ho koala mali haeba ho hoama ho hoholo ho etsahala.

Sephetho se ipapisitse le se bakang bothata. DIC e ka beha bophelo kotsing.

Mathata a tsoang DIC a ka kenyelletsa:

• Ho tsoa mali
• Ho hloka phallo ea mali matsohong, maotong, kapa lithong tsa bohlokoa
• Leqeba

E-ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 haeba u tsoa mali e sa emeng.

Fumana kalafo e potlakileng bakeng sa maemo a tsejoang hore a tlisa boloetse bona.

Tšebeliso ea coagulopathy; DIC

• Ho thehoa ha mali
• Meningococcemia ka manamane
• Ho koala mali

Levi M. E phatlalalitse coagulation ea methapo. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 139.

Napotilano M, Schmair AH, Kessler CM. Coagulation le fibrinolysis. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 39.