Emzimbeni womntu onempilo, iinkqubo zokwakhiwa kwe-thrombi (i-clots zegazi) kunye nokutshatyalaliswa kwazo zihlala ziqhubeka. Ukuvela kwamathambo okanye umonakalo we-epidermal kukhokelela ekusebenziseni ezininzi iinkqubo ezijoliswe ekupheliseni isiphoso. I-Thrombi yenziwe kwizinto eziselunxwemeni ezikhutshwe kwiimfucu ezibhubhileyo, nakwi-noncellular, eyenziwe kwisibindi. Ngako oko, i-coagulability ekhohlakeleyo ibonisa ubukho beengxaki zalo mzimba. Makhe siqwalasele ezinye izinto ezibalulekileyo zokuphuhliswa kwesi sifo.
Izizathu zokugula
Ukulahleka kwegazi okungahambi kakuhle kunokwenzeka ngenxa yezi zizathu zilandelayo:
- ukuxhamla ifa (iipletelet defects);
- isifo sesibindi (ngokukodwa, isifo se-hepatitis), esiyimbangela yokunciphisa inani lezinto ezibandakanyeka kwigazi lokuguqula igazi;
- ukulahlekelwa kwegazi ngokugqithiseleyo, okuthi, nangona ukunyuswa kwegazi, kunciphisa inani lempahla yokuqhawula;
- ukwehla kwenani leeplatelet ngenxa ye-thrombocytopenia, ukusilela kwezinto X, V, II kunye neVII;
- Uhlobo lwe-capillary-hematoma lwe-hemorrhage lubonakala kwi-DIC syndrome, isifo se-Villebrant kunye ne-XIII yokungakwazi;
- Ubukho be-hypofrinogenemia buhamba kunye ne-capillary hemorrhage, apho i-hematomas kunye neengqungquthela zikhona ekhumbeni;
- I-coagulability yegazi embi ihlala iphuma kwizifo ezinjenge-DIC syndrome, ebangelwa kukutshatyalaliswa, ukuhlukana kwangaphambili kwe-placenta kunye ne-sepsis;
- xa iindonga zeempahla zonakaliswe ngama- vasculitis omzimba, izibilini ze-intestinal, i-skin rashes nephritis zenzeka.
Ukuphendula umbuzo obangela ukuba kukho i-coagulability engafanelekanga yegazi, asikwazi ukuphepha izifo ezifa (ubunqongophala be-VII kunye ne-hemophilia). Kwakhona, imbangela yokuphuma kwegazi i-overdose ye-anticoagulants, apho igazi lingena emiswini, emathunjini, phantsi kwesikhumba, amaqumrhu ayabonwa.
Ukungasebenzi kwegazi ngegazi - iimpawu
Imiqondiso yesi sifo ibonakalisa ngokwalo lulandelayo:
- ukuphuma kwegazi kunye namanxeba;
- izibhamu ezibukhali ezinokuhamba kunye nokuphuma kumphunga okanye kwezinye iindawo;
- ubunzima bokuzama ukuyeka igazi.
Ukubonakaliswa kweempawu ze-blood coagulation ezihlwempuzekileyo kufuneka zibhekiswe kwi-hematomas encinci. Ukuba le nto ibonakaliswa ebuntwaneni, oko kubangela ukuba izifo zibe yi-Villebrand.
Unyango lwesifo
Ukwandisa inani lezinto zokuqhawula zingenziwa ngokusetyenziswa kwamachiza athile. Inkqubo yonyango ngokwayo ide kakhulu. Kwimeko yesifo sokuzalwa, isiguli kufuneka sithathe amayeza kuwo wonke umphefumlo. Ukuba ukutshabalalisa kwe-coagulation kuphuhliswe ngenxa yezilwanyana ezinzima, isigulane sichazwe ikhosi yeyeza kunye nokuvuselelwa kwexesha elide.
Kuthetha ukulwa nokungahambi kakuhle kwegazi kunye nokunyangwa kwawo kunyulwa, ngokusekelwe kwizizathu zesifo:
- Xa kuphuma igazi, ama-coagulants atholakala kumxhasi we-plasma asetyenziswa. I-tube ye-hemostatic isetyenziselwa ukuhamba
ukuphuma kwe-sosudikov encinci. Ukulwa no-hypofrinogenemia kwenzeka nge-injection of fibrinogen. - I-Aminomethylbenzoic kunye ne-aminocaproic acid kunye ne-Contrikal inempahla ephezulu kakhulu ye-hemostatic. Ezi zi yobisi ziyakwazi ukuthintela ukuchithwa kwegazi.
- Ukusetyenziswa kwe-coagulant, efana ne-vitamin K, kukunceda ukubuyisela umsebenzi wezinto ezinqamlekileyo ezenzeka kwisibindi. Eli phephelo lisetyenziselwa ukudlula i-anticoagulants kunye ne-hypoprothrombinemia.
- Ukunyangwa kwegazi elibi elibangelwa zizifo ze-Villenbrand kunye ne-hemophilia kubandakanya ukungenwa kwe-cryoprecipitate kunye ne-plasma ye-antihemophiki nge-jet.