ʻO ka DIC-syndrome - he maʻi no ka weheweheʻana i ka'ōwili intravascular - he kaʻeʻana o nā hemostasis, i hōʻikeʻia e nā loli i ke kāpili toto. ʻO ka hopena o nā'ōpū liʻiliʻi a me nā hōʻiliʻili o nā pūpū koko ke kumu o ka hanaʻole o ka microcirculation a me nā hoʻololi o ka'āpana o nā'ōpū, e ulu ana i ka hoʻopunipuni, ka thrombocytopenia a me ka kahe.
Nā kumu o ka uluʻana i ka maʻi DIC
ʻO ka DIC-syndromeʻaʻole ia he maʻi kūʻokoʻa a hoʻonui i ke kūlana o nāʻano maʻiʻole:
- nā hana maʻamau i ka wā hānau, ka maʻi'ōkiko a me ka hoʻopau lōʻihiʻana o nā moku nui;
- ka eha o nā kīʻaha koko, nā vascular a me nā parenchyma o nā'ōpū i loko o ka wā o ka wā o ka hanaʻana a me nāʻano prosthetics;
- nā maʻi pilikino a me nā kīkīkika, ka laweʻana i ka hana;
- nā hopena weliweli, nā hopena o nāʻeha, ka maʻi o ka maʻi, ka hemorrhagic a me nā maʻi'ē aʻe;
- nā maʻi koko kūlohelohe (myeloma, erythremia);
- Nā hanaʻino i loko o kaʻiʻo o ka'ōpū, ka prostate a me ka pancreas;
- nā maʻi autoimmune (lupus erythematosus, glomerulonephritis , vasculitis hemorrhagic);
- ka hamo me ka wela;
- nā meaʻawaʻawa i ka wā e komo ai kaʻiʻo o ka nahe i loko o ke koko;
- hoʻohanaʻia nā lāʻau lapaʻau i ka lōʻihi e hoʻonui ai i nā koko a hanaʻia ka papapiula.
Nā Symptoms of DIC syndrome
ʻO ka DIC ka maʻi maʻi pili i kahi maʻi i hoʻopiʻi i kēiaʻano.
ʻO ka DIC-syndrome nui ka hōʻikeʻana iā ia iho me kahi kūlana hōʻeha i hanaʻia ma ka uhakiʻana i nā loulou a pau o nā hemostasis.
Me ka loaʻaʻana o ka DVS-syndrome i kēia manawa, piʻi mālie ka hōʻikeʻana o nā hōʻailona me nā hōʻailona:
- hypovolemia (hoʻemi i ke koko i nā kīʻaha koko);
- nā meaʻino i nā meaʻino;
- nā haunaele o nā hana hana.
I loko o ka DIC-syndrome, eia nā paepae:
- I ka wā mua, hanaʻia ka hypercoagulation a me ka poni o nā platelets.
- I ka lua o ka manawa, hiki ke hoʻololiʻia ke koko i ka hana (hypercoagulation a me ka hoʻokamani).
- I kaʻekolu o ka manawa, ua pau ka hāʻule o ke koko.
- Ma ka paeʻahā, nā palena hemostatic a iʻole ka hopena o ka hopena a iʻole ka hopena o ka hopena.
- ʻO ka hā o ka manawa ua manaʻoʻia heʻae.
ʻIke i ka ICE-syndrome
ʻO ka pinepineʻana, ua hoʻokumuʻia ka hōʻailona ma ka hōʻailona mua o ka maʻi DIC. Eia nō naʻe, i loko o kekahi mau maʻi (e like paha me ka maʻi leukemia, lupus erythematosus), he paʻakikī ka hōʻailona. I loko o ia mau hihia, ua hoʻokōʻia ka weheweheʻana i ka DIC syndrome,ʻo ia hoʻi:
- ka weheweheʻana i nā uku o nā koko ;
- ka huihuʻi koko a me ka manawa manawa;
- ʻikeʻia o nā hanaʻino ma ka thromboelastogram;
- nā hoʻonāʻawa.
Ka mālama a me ka paleʻana i ka maʻi DIC
Hanaʻia keʻano o ka maʻi DIC, ma keʻano he kūlana, i loko o ka pūnaewele mālama ikaika a makemakeʻia e hoʻopau i nāʻili o ke koko i hanaʻia, e kāohi ana i ke kūkuluʻana i ke koko hou, a me ka hoihoi houʻana i ke koko a me ka hoʻoponoponoʻana i nā hemostasis. Hoʻopiliʻia, ua hoʻokōʻia ka hoʻoukaʻana i mea e hoʻokuʻu ai i ka mea maʻi mai kahi noho weliweli, Antibacterial a me nā mea'ē aʻeeiotropic therapy e hiki ai ke pale i kekahi mea maʻi. Hiki i nā maʻi ke kau i ka'ōlelo hoʻohuihui, ke kuʻikahi, fibrinolytic a hoʻololi i ka hoʻokele.
I ka maʻi ICE-syndrome, no ka mea, i nā maʻi me ka lawaʻole o ke kino, pono keʻano o plasmaphoresis. Aia ia i ka mea i laweʻia ka maʻi i 600 ml o ka plasma, kahi i paniʻia e nā hoʻomākaukauʻana o ka plasma hou. Ke Kumu
ʻO ka palekanaʻana i ka maʻi DIC e hoʻoholo nuiʻia e hoʻoneʻe i nā kumu e kākoʻo i kona uluʻana. Ma waena o nā mea pale:
- ka hanaʻokoʻa, ke alakaʻiʻia e ke ala liʻiliʻi liʻiliʻi;
- ka mālamaʻana i nā maʻi koko;
- ka paleʻana i nā'ūpona a me ka lāʻauʻawaʻawa nui;
- Ka hoʻokomoʻana i nā mea hanaʻeleʻele i ka maʻi o nā maʻi maʻi, a pēlā aku.