Iboka rakakura rezvirwere, iro rinoratidzwa nekugara kwenguva refu, mumishonga inowanzonzi hemorrhagic diathesis. Chirwere chinogona kuva chirwere chakazvimirira kana kliniki kuratidzwa kwehutano cheropi mumuviri unobatanidzwa nekushandura muhutano hwemitsipa yeropa.
Kurongwa kwehemorrhagic diathesis
Kubvira pakutanga, chirwere chekutanga (chekutanga) uye chinowanikwa (chechipiri) chirwere chinoratidzika:
- Muchiitiko chekutanga, chirwere hachigoni kuporeswa, asi chakanyatsogadziriswa nemishonga yakakodzera yemishonga. Sezvo mutemo, chinokonzerwa ne congenital diathesis chiri muhutano.
- Rudzi rwechipiri rwunopesana nemamiriro ekutapukira kwepabonde, sepsis , kugadziriswa kwezvimwe zvirwere, pamwe nezvirwere zvinokonzera kuora kwemamiriro emadziro edzimba uye kukanganiswa kwekuvhara ropa.
Munguva yekusiyanisa kwehemorrhagic diathesis, zvakakosha kuti titeerere kune zvakadaro zvakagamuchirwa zvakagadzirwa mune zvezvechiremba:
- Zvirwere zvinoshandiswa nekushandurwa muzvinhu, nhamba yemaplatelet, pamwe chete nemabasa avo emagetsi.
- Kurapa kunoonekwa nekuda kwekushaya kukwana kwemasvingo emidziyo yeropa.
- Zvirwere zvinowanzoitika nekuda kwekuchinjwa muhutambo hwekuvhara ropa kwehupenyu hwehupenyu.
Zviratidzo zvehemorrhagic diathesis
Nezvose zvakasiyana-siyana zvechirwere chiri mubvunzo, chiratidzo chikuru chinobuda ropa. Chimiro chayo chinoenderana neshoko re diathesis.
Muchiitiko chekuchinja mu platelet properties, zvakadaro zvipatara zviratidzo zvinowanikwa:
- kurwisa kwemuviri kune muviri nomuviri;
- ruvara rwakatsvuka rwemavara anotarisa (kubva ku-red kusvika kumusvizha wepepuru);
- kupindira kumukaka, nenyuchi, gastric, uterine kubuda ropa;
- kuputika midziyo yeropa mu retina yeziso, iyo inowanzoita kuti kurasikirwa kwemaonero;
- kuora kwemhepo muuropi.
Kana kushayikwa kwemasvingo emasasa kunopera, zviratidzo zvinotevera:
- kamukira kadiki pamigumo uye torso yemhepo yakashata;
- kurwadziwa kwepamuviri;
- manyawi uye kusanzwisisika kunzwisiswa muzvibatanidza;
- kuonekwa kweropa risina kuchena mumugini.
Kana icho chikonzero chechirwere ichi kuputsa kwe coagulability yehupenyu hwehupenyu, zviratidzo zvinotevera zvinowanikwa:
- kubuda ropa kwenguva refu nekukuvara kwechidiki zviduku;
- hemarthrosis (kuora ropa mukati memumvuri wezvikamu zvikuru).
Differential diagnosis of hemorrhagic diathesis
Kuti uise chinokonzera uye chirwere chechirwere ichi, zvinotevera ma laboratory anoedzwa:
- general clinical analysis of urine neropa;
- coagulogram;
- kugadzirisa nguva yekuvhara kwehupenyu hwehupenyu;
- kuongorora kwehupenyu hwehupenyu;
- Kuzivikanwa kweAn antigenic immunological components of coagulation factors;
- kuverenga nhamba yekutsanangurira zvinhu zviri muropa serum;
- kutsunga kwemajeri uye zvinhu zveprothrombin;
- kugadziriswa kwehuwandu hwechikanganiso (mu hemophilia) mu plasma.
Mimwe miedzo inoitwawo:
- thrombin;
- prothrombin;
- chizvarwa che thromboplastin;
- autocoagulogram (correction samples).
Kurapa kwehemorrhagic diathesis
Chirwere chacho chinofanira kufanana nezvakasiyana-siyana zvechirwere, pamwe chete nezvinokonzera. Kurapa, sekutonga, kunosanganisira kubviswa kwezviratidzo uye kugadziriswa kwechiitiko chemurwere.
Mishonga inotevera inoshandiswa:
- rutin;
- vitamini PP, K uye C;
- simbi-ine chinyorwa;
- corticosteroids (ne thrombocytopenic purpura uye vasculitis).
Basa rinokosha rinowanikwa nekuteerera kune zvakatemerwa kudya, exercise exercise, hydrotherapy uye physiotherapy.
Mukukurumidza uye kubuda ropa nguva dzose, kupindira kwekuvhiya dzimwe nguva kunoshandiswa ( kubviswa kwepleen , kuchenesa majoka akabatanidzwa kubva muropa, kuputika).