Imikhiqizo yokucekelwa phansi kwe-Fibrin yokuhlolwa kwegazi

Imikhiqizo yokwehliswa kwe-Fibrin (i-FDPs) yizinto ezisele ngemuva lapho amahlule encibilika egazini. Ukuhlolwa kwegazi kungenziwa ukukala le mikhiqizo.

Kudingeka isampula yegazi.

Imithi ethile ingashintsha imiphumela yokuhlolwa kwegazi.

• Tshela umhlinzeki wakho wezempilo ngayo yonke imithi oyiphuzayo.
• Umhlinzeki wakho uzokutshela uma udinga ukumisa okwesikhashana ukuphuza noma imiphi imithi ngaphambi kokwenza lokhu kuhlolwa. Lokhu kufaka phakathi izinciphisi zegazi ezifana ne-aspirin, i-heparin, i-streptokinase, ne-urokinase, okwenza kube nzima ngegazi ukuminyana.
• Ungayeki noma ushintshe imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulinyazeka okuncane. Lokhu maduzane kuyaphela.

Lokhu kuhlolwa kwenziwa ukubona ukuthi uhlelo lwakho lwe-clot-dissolving (fibrinolytic) lusebenza kahle yini. Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zokusatshalaliswa kwe-intravascular coagulation (DIC) noma esinye isifo sokuqedwa kwe-clot.

Umphumela uvame ukuba ngaphansi kuka-10 mcg / mL (10 mg / L).

Qaphela: Amabanga wamanani ajwayelekile angahluka kancane kumalabhorethri ahlukile. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezihlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ama-FDP akhuphukile angaba wuphawu lwe-fibrinolysis eyinhloko noma yesibili (umsebenzi wokuqedwa kwe-clot) ngenxa yezimbangela ezahlukahlukene, kufaka phakathi:

• Izinkinga zokuvala igazi
• Kushe
• Inkinga ngesakhiwo senhliziyo nomsebenzi okhona lapho kuzalwa (isifo senhliziyo esizelwe)
• Kusatshalaliswe i-coagulation ye-intravascular (DIC)
• Izinga eliphansi le-oxygen egazini
• Izifo
• Umdlavuza wegazi
• Isifo sesibindi
• Inkinga ngesikhathi sokukhulelwa njenge-preeclampsia, i-placenta abruptio, ukuphuma kwesisu
• Ukumpontshelwa igazi kwakamuva
• Ukuhlinzwa kwakamuva okubandakanya iphampu yenhliziyo namaphaphu, noma ukuhlinzwa ukwehlisa umfutho wegazi ophakeme esibindini
• Isifo sezinso
• Ukwenqaba ukufakelwa
• Ukusabela kokumpontshelwa

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo iyehluka ngobukhulu ukusuka komunye umuntu iye komunye, futhi kusukela kolunye uhlangothi lomzimba kuye kolunye. Ukuthola isampula yegazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ngokukhishwa kwegazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ama-FDP; Ama-FSP; Imikhiqizo ehlukaniswe nge-Fibrin; Imikhiqizo yokuwohloka kwe-Fibrin

IChernecky CC, iBerger BJ. Imikhiqizo yokuwohloka kwe-Fibrinogen (imikhiqizo yokucekelwa phansi kwe-fibrin, i-FDP) - igazi. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 525-526.

ULevi M. Kusatshalaliswe i-coagulation ye-intravascular. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 139.