DIC-syndrome - a ọrịa nke na-ekesa coagulation intravascular - a mebiri nke hemostasis, nke mgbanwe nke ọbara coagulability. Mkpụrụ ụyọkọ micro na mkpụrụ nke mkpụrụ ndụ ọbara na-akpata ụfụ nke microcirculation na mgbanwe nke ọkpụkpụ na akụkụ ahụ, na-eduga na mmepe ihu abụọ, thrombocytopenia na ọbara ọgbụgba.
Ihe kpatara mmepe nke DIC
Ọrịa DIC abụghị ọrịa dịgasị iche ma na - ebuli na nzụlite ndị na - esonụ:
- usoro izu asaa mgbe a na-amụ nwa, ime ahụ ike na ogologo oge catheterization nke nnukwu ụgbọ mmiri;
- ọnyá nke arịa ọbara, mgbidi dị iche iche na parenchyma nke akụkụ ahụ n'oge ịwa aka ma ọ bụ vascular prosthetics;
- ọrịa na obstetrics na gynecology, nnyefe ọrụ;
- ọnọdụ egwu, na-akpata mmerụ ahụ, cardiogenic, hemorrhagic na nsogbu ndị ọzọ;
- ọrịa ọbara na-egbu egbu (myeloma, erythremia);
- Mmetụta na-adịghị njọ na anụ anụ, prostate na pancreas;
- ọrịa autoimmune (lupus erythematosus, glomerulonephritis , hemorrhagic vasculitis);
- ọnụọgụ ọbara na ọkụ;
- ọnya na-egbu egbu mgbe agwọ na-agwọ agwọ na-abanye n'ọbara;
- eji ogologo oge mee ọgwụ na-eme ka ọbara na-akpụkọta ma na-eme ka e guzobe platelet.
Mgbaàmà nke ọrịa DIC
Ụlọ ọgwụ DIC na - ejikọta ya na ọrịa nke kpatara ọnọdụ a.
Nnukwu DIC-syndrome na-egosipụta onwe ya dịka ụzụ nke na-akpata site na mmebi nke njikọ niile nke hemostasis.
Site na DVS-syndrome na-adịghị ala ala ọ na-enwe mmụba nwayọọ nwayọọ na ngosipụta ahụike na ihe ịrịba ama:
- hypovolemia (ibelata ọbara na arịa ọbara);
- mmebi ahụ na-emebi ụbụrụ;
- nsogbu nke usoro nke metabolic.
N'oge DIC-syndrome, usoro ahụ bụ:
- Na nhazi mbu, hypercoagulation na hypotggregation nke platelets na-eme.
- Na mpaghara nke abụọ, enwere mgbanwe n'ọbara na-ejikọta (hypercoagulation ma ọ bụ ihu abụọ).
- N'ọnọdụ nke atọ, ọbara ahụ akwụsịghị ma ọlị.
- Na nkeji nke anọ, ọnụọgụ na-ebute ma ọ bụ nsogbu nke na-eduga na njedebe na-akpata ọnwụ.
- A na-ele nke anọ anya dị ka onye na-agbagha.
Nchoputa nke ICE-syndrome
Ọtụtụ mgbe, a chọpụtara na nchoputa ahụ na akara mbụ nke ọrịa DIC. Otú ọ dị, n'ọtụtụ ọrịa (dịka ọmụmaatụ, na-arịa ọrịa leukemia, lupus erythematosus), nyocha ọ siri ike. N'ọnọdụ ndị dị otú ahụ, a na-eme nchọpụta nyocha nke larịị nke ọrịa DIC, nke gụnyere:
- nchọpụta nke ọbara na-ejikọta ọnụego;
- nyocha ọbara na oge prothrombin;
- nchọpụta nke mmebi ke thromboelastogram;
- nyocha nke paracoagulation.
Ọgwụgwọ na igbochi ọrịa DIC
A na-agwọ ọrịa ọrịa DIC, dịka iwu, na-arụ ọrụ nlekọta ahụike siri ike ma na-ebute iwepụ mkpịsị ọbara ahụ, na-egbochi ịmịnye mkpịsị ọbara ọhụrụ, yana iweghasị ọbara na ịmịpụta ihe dị na ya. Na mgbakwunye, a na-eme ọgwụgwọ kpụ ọkụ n'ọnụ iji wepu onye ọrịa site na ọnọdụ nhụjuanya, Antibacterial ma ọ bụ usoro ọgwụgwọ ọzọ na-enye aka iguzogide ọrịa nje. Ndị ọrịa nwere ike ịhazi ọgwụ na-eme ka onye na-akwado ya, onye na-ekwekọghị ekwekọ, nke na-eme ihe na-egosi na ọ bụ ọgwụgwọ.
Dịka ọmụmaatụ, na ọrịa AIDS na-adịghị ala ala, dịka ọmụmaatụ, na ndị nwere ọrịa na-enweghị afọ ojuju, usoro plasmaphoresis dị irè. Ọ na-agụnye n'eziokwu bụ na a na-ewere ọrịa ahụ 600 plalasma, bụ nke a na-eji dochie ọgwụ plasma ọhụrụ. Usoro
Mgbochi nke ọrịa DIC bụ iji mee ka a kwụsị ihe ndị na-enye aka na mmepe ya. N'ime ihe mgbochi:
- nke ogwugwo, nke a na-eme site na usoro kachasi ike;
- ọgwụgwọ dị elu na-agwọ ọrịa ara;
- igbochi nsị agwọ na nsị ọjọọ;
- Nsonye nke ndị anticoagulants na ọgwụ nke ọrịa, wdg.