Muviri wemunhu ane hutano, maitiro ekuumbwa kwe thrombi (ropa clots) uye kuparadzwa kwavo nguva dzose zvinowanzoitika. Kubudirira kwehutachiona kana kukanganiswa kwepidermal kunotungamirira kushandiswa kwemitemo yakawanda inotarisirwa kubvisa kukanganisa. Thrombi inoumbwa kubva kumagetsi zvinhu zvakasunungurwa kubva mumatumbu akaparara, uye kubva kune noncellular, yakagadzirwa muchiropa. Saka, kazhinji zvakaipa coagulability inoratidza kuvapo kwezvinetso nemuviri uyu. Ngationgororei zvimwe zvikonzero zvekukura kwechirwere ichi.
Zvinokonzera chirwere
Kushaya ropa kuvhara kunogona kuitika nokuda kwezvikonzero zvinotevera:
- chizvarwa chetrabeculation (platelet defects);
- chiropa chechiropa (kunyanya, hepatitis), iyo inokonzera kuderera kwenhamba yezvinhu zvinobatanidzwa muropa coagulation;
- kurasikirwa kweropa kudarika, izvo, pasinei nekuderedzwa, kunoderedza kuwanda kwezvinhu zvinodzima;
- kuderera kwehuwandu hweplatelet zvichienderana ne-thrombocytopenia, kukwana kwezvinhu X, V, II uye VII;
- rudzi rwemapapiro e-capillary-hematoma rinowanikwa muDIC syndrome, Villebrant chirwere uye XIII kushayikwa kwezvinhu;
- kuvapo kwe hypofrinogenemia kunosangana ne capillary hemorrhage, umo mahematomas nemashizha aripo paganda;
- kushaya ropa coagulability kunowanzokonzerwa nechirwere chakadai seDIC syndrome, iyo inokonzerwa nokushamiswa, kuparadzana kwepakutanga kwepentecenta uye sepsis;
- apo masvingo emidziyo yacho akaparara nekudzivirira zvirwere zvekuzvidzivirira, intestinal hemorrhages, ganda rakasviba nephritis rinoitika.
Kupindura mubvunzo wekuti nei pane zvakaipa coagulability yeropa, hatigoni kudzivisa zvirwere zvinokonzerwa nehutachiwana (kukwana kweVII chikonzero uye hemophilia). Uyewo, chikonzero chekubuda ropa ndechekudarika kweanticoagulants, umo ropa rinopinda mumasumbu, mumatumbo, pasi peganda, mapundu anoonekwa.
Kushaya ropa kuvhara ropa - zviratidzo
Zviratidzo zvechirwere ichi zvinoratidza pachavo sezvizvi:
- kunyanya kubuda ropa uye maronda;
- maronda anopinza anogona kuendeswa neropa kubva mumhino kana kubva kune dzimwe nzvimbo;
- kuoma mukuedza kumira ropa.
Kune zviratidzo zvevarombo ropa coagulation kunofanirwa kunzi kuve kuonekwa kwemadiki madhimoni. Kana ichi chiitiko ichicherechedza muhuduku, saka chikonzero chinogona kunge chiri chirwere cheMalabrand.
Kurapa kwechirwere
Kuwedzerwa kuwanda kwezvinhu zvinogadzirisa zvinogona kuwanikwa kuburikidza nekushandiswa kwemimwe mishonga. Iyo nzira yekurapa pachayo yakareba kwenguva refu. Muchiitiko chechirwere chekuzvarwa, murwere anofanira kutora mishonga muupenyu hwose. Kana kukanganisa kwekugadzirisa kwakagadzirwa nekuda kwehutachiona hwehutachiona, murwere anorayirwa nzira yekurapa neyekugadzirisa kwenguva refu.
Zvinoreva kurwisa varombo ropa coagulability uye kurapa kwayo kunosarudzwa, zvichienderana nezvinokonzera chirwere ichi:
- Pakubuda ropa, ma-coagulants anowanikwa kubva kune anopa plasma anoshandiswa. Iyo hemostatic tube inoshandiswa pamusoro pekumira
kubuda ropa kwediki kudarika sosudikov. Hondo yekurwisa hypofrinogenemia inowanikwa nejoyo inoputika ye fibrinogen. - Aminomethylbenzoic uye aminocaproic acid uye Contrikal vane nhaka yakanaka kwazvo yehemostatic. Iyi mishonga inokwanisa kudzivirira kupererwa kweropa.
- Kushandiswa kwekakoti yakadai, kufanana ne vitamini K, kunobatsira kudzorera basa rekuvhara zvinhu zvinowira muchiropa. Iyi mishonga inoshandiswawo kudarika kudarika kweanticoagulants uye hypoprothrombinemia.
- Kurapa kwekusava neropa kuvhara kunokonzerwa nechirwere cheVillenbrand uye hemophilia kunosanganisa kuvharwa kwepravenous ya cryoprecipitate uye sendima ye plasma nejet.