DIC-Syndrome

DIC-ciwo - wani ciwo na watsa fassarar intravascular - wani cin zarafin hemostasis, halin da canje-canje a cikin jini coagulability. Sakamakon magungunan ƙwayoyin magungunan nama da magungunan jini suna haifar da rashin aiki na microcirculation da canji na dystrophic a cikin gabobin, wanda zai haifar da ci gaban hypocoagulation, thrombocytopenia da zub da jini.

Sanadin ci gaban DIC cuta

DIC-ciwo ba cututtuka ne daban ba kuma yana tasowa akan bayanan yanayin yanayin rashin lafiya:

• matakan bakwai a lokacin haihuwar haihuwa, zubar da ciki na likita da kuma kullun catheterization na manyan tasoshin;
• ciwo na jini, jijiyoyin jini ganuwar da parenchyma na gabobin ciki a lokacin m intervention ko vascular prosthetics;
• pathologies a cikin obstetrics da gynecology, bayarwa aiki;
• yanayin da ya faru, sakamakon sakamakon raunin da ya faru, cututtukan zuciya, rashin lafiya da sauran cututtuka;
• cututtuka na jini (myeloma, erythremia);
• Magunguna masu kyau a cikin ƙwayar jikin huhu, prostate da pancreas;
• cututtuka na autoimmune (lupus erythematosus, glomerulonephritis , hemorrhagic vasculitis);
• hemolysis tare da konewa;
• Magunguna masu guba lokacin da maciji ya shiga cikin jini;
• Yin amfani da kwayoyi masu tsawo don bunkasa jini da kuma haifar da samfurin platelet.

Cutar cututtuka na ciwon DIC

Cibiyar ƙwayar cuta ta DIC tana hade da cutar da ta haifar da yanayin.

Dick-DIC-syndrome ya nuna kansa a matsayin wata ƙasa da ta haifar da cin zarafin duk haɗin hemostasis.

Tare da ciwon dajin DVS na yau da kullum akwai haɓakawa a hankali a cikin bayyanar asibiti tare da alamun:

• hypovolemia (rage yawan jini a cikin jini);
• dystrophic organ damage;
• disturbances na rayuwa matakai.

A lokacin DIC-ciwo, matakai sune:

1. A mataki na farko, hypercoagulation da hyperaggregation na platelets na faruwa.
2. A karo na biyu, akwai canje-canje a cikin clotting jini (hypercoagulation ko munafukai).
3. A mataki na uku, jinin yana daina rushewa.
4. A karo na hudu, siginar hemostatic ko dai zane ko rikitarwa ya haifar da sakamakon sakamako.
5. Mataki na hudu an dauke su da haɓaka.

Sanin asalin ICE-syndrome

Mafi yawancin lokuta, an gano asirin ta a farkon alamar ciwon DIC. Duk da haka, a cikin wasu cututtuka (alal misali, a cikin cutar sankarar bargo, lupus erythematosus), ganewar asali mawuyacin hali ne. A irin waɗannan lokuta, an gano gwajin gwaji na DIC ciwo, wanda ya haɗa da:

• gano jini yana yayyafa rates;
• Jirgin jini da bincike da lokacin prothrombin;
• ganowa da laifuffuka a cikin thromboelastogram;
• gwaje-gwaje na paracoagulation.

Jiyya da rigakafin ciwo na DIC

Yin jiyya na ciwo na DIC, a matsayin mai mulkin, ana aiwatar da shi a cikin kulawar kulawa mai kulawa da gaske kuma yana nufin kawar da jinin jini da aka kafa, hana rigar sabon jini, da kuma sake dawowa da jini da gyaran hemostasis. Bugu da ƙari, ana gudanar da farfadowa mai tsanani don cire mai haƙuri daga jihohi mai ban tsoro, Antibacterial ko kuma sauran hanyoyin iliotropic don ba da damar tsayayya da kwayoyin cutar. Ana iya sanya wa marasa lafiya takalma, rashin daidaituwa, fibrinolytic da sauyawa.

A cikin ciwon ICE-ciwo na yau da kullum, misali, a cikin marasa lafiya da ƙananan nakasa, hanyar hanyar plasmaphoresis yana da tasiri. Ya ƙunshi cewa an ɗauke marasa lafiya 600 ml na plasma, wanda aka maye gurbinsu da shirye-shirye na plasma mai sauƙi. Hanyar da nufin kawar da jikin wani ɓangare na furotin da kuma magance ƙwayoyin cuta, da kuma kunna abubuwan da ke rufewa.

Rigakafin ciwo na DIC yana nufin kawar da maɗaukakawa da ke taimakawa wajen ci gabanta. Daga cikin m matakan:

• Tarancin kwakwalwa, ta hanyar hanya mafi mahimmanci;
• yin jiyya na ciwon sukari;
• yin rigakafin maciji mai guba da guba mai tsanani;
• Haɗakar da mutane masu tasowa cikin farfado da cututtuka, da dai sauransu.