ʻO ka maʻi maʻi hemorrhagic ( maʻi maʻi -hemorrhagic) he mahele o ka hemoʻana mai kaʻili a me nā membmo mucous. I kēia hihia, hiki ke hoʻomanaʻoʻia ka hoʻokuʻuʻiaʻana o ke koko mai nā moku kīnāʻole. Hoʻopiliʻia ka maʻi i nā loli ma kahi aʻoi aku paha o nā loulou o ka hemostasis -ʻo ka'ōnaehana o ka'ōnaehana e mālama ai i ke koko i ka wai wai, e kāohi i ka holoʻana o ka wai a hoʻopau i nāʻokoʻa koko i hana i kā lākou mau hana.
Nā kumu o ka maʻi hemorrhagic
ʻO ka hapanui pinepine, he maʻi maʻi hemorrhagic e hoʻoulu i ke kumu o ka thrombocytopathy a me ka thrombocytopenia, ka hemahema o nā mea o ka maʻi prothrombin, ka maʻi thrombhemorrhagic, a me ka maʻi capillarotoxicosis. I kekahi mau kumu, pili ka maʻi o Vergolf i ka maʻi hemophilia, me ka nele o ka prothrombin i loko o ke koko.
Hiki ke hoʻomaluʻia ka uluʻana o ka maʻi hemorrhagic i ka hoʻohana lōʻihiʻana i nā lāʻau lapaʻau nui loa e hōʻinoʻia ai ka paleʻaina platelet a me ke kaheʻana o ke koko (nā mea āpau a me nā meaʻokoʻa). ʻO kēia kumuhana i kēia mau lā he kumu maʻamau o kēiaʻano pilikino. ʻAʻole hoʻokuʻiʻia nā kumu noʻonoʻo.
Nā hōʻailona a me nāʻano o nā maʻi hemorrhagic
ʻO nā hōʻailona nui o ka maʻi i kaheʻana o nāʻano a me nā hiʻona o ka paʻakikī a me kaʻehaʻana o ka ili. Hiki i nā hoʻohālua ke hana me ka manawaʻole a iʻole ma muli o ka hopena o kekahi mau mea i waho: ke kino o ke kino, ka mimiko, kaʻeha. Hōʻike kaʻike o kaʻili i keʻano he nui, hiki ke loaʻa iā lākou keʻano o ka hemorrhages hemorrhages, nā haʻalulu nui, nā hulu me ke kino necrotic ulcross, etc.
ʻElima mauʻano o ka maʻi hemorrhagic. E helu a kuhikuhiʻia kēlā me kēia mea:
- Hematomic - he mea maʻamau no ka hemophilia, ka nele i nā kumu coagulation. I kēia hihia, he nui nā hemorrhages i loko o nā io, nā mea palupalu a me nā hui nui, e hele pū me kaʻeha. ʻO ka hopena, ua māhuahua mau nā hana o ka pūnaewele musculoskeletal.
- ʻO ka microcircular (kahi iʻikeʻia) - i hōʻikeʻia e nā hemorrhages superficial ma lalo o kaʻili, kahi e hōʻeha ai i kahi maʻi liʻiliʻi loa. ʻO kēiaʻano keʻano pinepineʻia me ka thrombocytopathy, ka nele i ka fibrin, a me ka hemahema o nā mea hihia.
- ʻO ka microcirculatory-hematoma (i'āwiliʻia) - eʻikeʻia ana keʻano o nā heʻe koko petechial a me nā hematomas nui, me ka loliʻole o nā hamo i nā hono. ʻIkeʻia nāʻano pilina me kahi hemahema o nā mea hihia, ka hoʻouluʻana o nā meaʻokoʻa, nā maʻi thrombohemorrhagic, von von Willebrand maʻi.
- ʻO ka Vasculitis-purple - iʻikeʻia keʻano o nā hemorrhages i keʻano o kaʻulaʻula, hiki ke komo i ka wai a me ke koko. ʻO kēiaʻano o ka maʻi hemorrhagic e loaʻa me ka vascitis a me ka thrombocytopathy.
- ʻO Angiomatous - ua mālamaʻia me ka telangiectasias, angiomas a uaʻikeʻia e nā hemorrha hoʻomau i nā wahi o nā maʻi maʻi.
ʻO ka hōʻoia o ka maʻi hemorrhagic
No ka hōʻoiaʻana i ka hōʻailona, pono nā huahelu e pono ai, a penei:
- he 'ike piha o ke koko a me ka mimi;
- nā hoʻonāʻau hoʻoholo;
- e aʻo i ka nui o ka prothrombin a me fibrinogen;
- ka heluʻana o nā platelets i loko o ke koko āpau, a pēlā aku.
Hoʻomaʻoʻiaʻana o ka maʻi hemorrhagic
ʻO nā māhele o ka mālamaʻana i nā maʻi me ka maʻi hemorrhagic e hoʻoholoʻia e nā kumu o ka pathology, ka paʻakikī o nā maʻi a me nā maʻi concomitant. I ka mea e kau ai, ua kauʻia ka lāʻau a me ka hoʻohanaʻana i ka mau huamaila K, hemostatics, ascorbic acid, etc. Ma kekahiʻano, ua'ōleloʻia ka transfusion o plasma a me nā mea koko.