DIC-Syndrome

DIC-syndrome - chirwere chekuparadzirwa kwepravascular coagulation - kutyora kwehemostasis, inoratidzwa nekuchinja muropa coagulability. Izvozvo zvinokonzerwa nema-cluster uye masangano eropa rimwechete ndizvo zvinokonzera kusashanda kwe microcirculation uye dystrophic kuchinja munhengo, zvichiita kuti kukurudzirwa kwe hypocoagulation, thrombocytopenia uye kubuda ropa.

Zvinokonzera kukura kweDIC syndrome

DIC-syndrome haisi chirwere chakasiyana uye inopesana nechekuita kwezvinhu zvinotevera zvinetso:

• septic nzira panguva yekuberekwa, kubvisa pamuviri uye kubvisa catheterization kwenguva refu yemidziyo huru;
• kushungurudzika kwemidziyo yeropa, masvingo evascular uye parenchyma yomuviri wechipfuva panguva yekupindira chirwere kana vascular prosthetics;
• zvirwere zvekuvhiringidzika uye gynecology, kushandiswa kwebasa;
• zvinhu zvinotyisa, zvichikonzerwa nekukuvara, chirwere chepfungwa, hemorrhagic nezvimwe zvinetso;
• zvirwere zvekenza zvirwere (myeloma, erythremia);
• Zviratidzo zvinosvibisa mumapapu, mapirate nemakanda;
• zvirwere zvinodzivirira (lupus erythematosus, glomerulonephritis , hemorrhagic vasculitis);
• hemolysis nemoto;
• zvinokonzera tsvina kana nyoka yenyoka inopinda muropa;
• kushandiswa kwenguva refu kwemishonga inoita kuti kuwedzerwa ropa kuvhara uye kuita kuti platelet ishandiswe.

Zviratidzo zveDIC syndrome

DIC chirwere chemakiriniki inobatanidza nechirwere chakakonzera chirwere ichi.

Acute DIC-syndrome inoratidza sekutya kunokonzerwa nokuputsa kwehutano hwose hwe hemostasis.

Nekusingaperi DVS-syndrome kune kuwedzera zvishoma nezvishoma mumakiriniki mazviratidzo nezviratidzo:

• hypovolemia (kuderedza ropa mukati memidziyo yeropa);
• dystrophic nhengo yomuviri;
• kushungurudzika kwezvinetso zvemagetsi.

Panguva yeDIC-syndrome, zvikamu zvinotevera:

1. Mutsara wokutanga, hypercoagulation uye hyperaggregation yeplatelet inoitika.
2. Muchikamu chechipiri, pane kuchinja muropa clotting (hypercoagulation kana hypocoagulation).
3. Mutsara wechitatu, ropa rinorega kuparara zvachose.
4. Muchikamu chechina, hemostatic parameters zvinowanzosimudzira kana zvinetso zvinoitika zvinotungamirira kuhutu hunouraya.
5. Chikamu chechina chinonzi kubvumidzwa.

Kuongororwa kweAIDS-syndrome

Kazhinji kacho, kuongororwa kunowanikwa pachiratidzo chokutanga cheDIC syndrome. Zvisinei, mune zvimwe zvirwere (somuenzaniso, muukamera, lupus erythematosus), kuongororwa kwakaoma. Mumamiriro ezvinhu akadaro, bhakato rinorwara reDIC syndrome rinoitwa, iro rinosanganisira:

• kuonekwa kweropa kuvhara mari;
• ropa clot analysis uye prothrombin nguva;
• kuonekwa kwekuputsa mu thromboelastogram;
• paracoagulation tests.

Kurapa uye kudzivirira kweDIC syndrome

Kurapa kweDIC syndrome, sekutonga, kunoitwa muchikwata chekuchengetedza kwakanyanya uye inotarisirwa kubvisa ropa rakagadzirwa, kuvhara kuumbwa kweropa remitsva, pamwe nekudzorera kushandiswa kweropa uye kutonga hemostasis. Mukuwedzera, kurapa kwakanyanya kunoitwa kuti abvise murwere kubva kune chinotyisa, Antibacterial kana mamwe etiotropic therapy inobvumira kurwisa hutachiona hunotapukira. Varwere vangave vakanyorerwa anticoagulant, disaggregant, fibrinolytic uye kugadzirisa kurapa.

Mune zvisingaperi ICE-syndrome, somuenzaniso, kune varwere vane ruzivo rwekushaya simba, nzira ye plasmaphoresis inoshanda. Inosanganisira mukuti murwere anotorwa 600 ml ye plasma, iyo inotsiviwa nekugadzirwa kwema plasma yakangoerekana yakanyanyisa. Method chinangwa chekubvisa kubva mumuviri wechikamu cheproteine ​​uye immune complexes, pamwe chete nekugadziriswa kwekuvhara zvinhu.

Kudzivirirwa kweDIC syndrome kunonyanya kugadziriswa kubvisa zvikonzero zvinobatsira pakuvandudzwa kwayo. Pakati pezvinodzivirira:

• kupindira kupindira, kwakarongedzwa nenzira inoshungurudza;
• yepamusoro-bhidhiyo kurapwa kwemakumbo;
• kudzivirira kunyoka nyoka uye kutyisa kwakanyanya;
• Kubatanidzwa kweanticoagulants mukurapa kwezvirwere zvinotapukira, nezvimwewo.