Fibrin cov khoom lag luam kuaj ntshav

Cov tshuaj Fibrin ua rau (FDPs) yog cov tshuaj uas tso tseg thaum cov ntshav txhaws nyob rau hauv cov ntshav. Kev kuaj ntshav tuaj yeem tsim los ntsuas cov khoom no.

Xav tau cov ntshav ntxiv.

Qee hom tshuaj tuaj yeem hloov cov kev kuaj ntshav.

• Qhia koj tus kws kho mob txog txhua yam tshuaj koj noj.
• Koj tus kws kho mob yuav qhia koj yog tias koj xav tau ib ntus tso tseg tsis noj ib qho tshuaj ua ntej koj mus kuaj mob no. Qhov no suav nrog cov tshuaj ua kom ntshav ntau dua xws li cov tshuaj aspirin, heparin, streptokinase, thiab urokinase, uas ua rau nws cov ntshav txhaws nyuaj.
• Tsis txhob tsum lossis hloov koj cov tshuaj yam tsis tau tham nrog koj tus kws khomob ua ntej.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov duav lossis pob me me. Tsis ntev no ploj mus.

Qhov kev ntsuas no tau ua tiav los xyuas seb koj cov roj ntsha-zom (fibrinolytic) ua haujlwm zoo. Koj tus kws kho mob yuav xaj kom kuaj mob no yog koj muaj cov cim ntawm kev sib kis mob txoj hlab ntshav (DIC) lossis lwm yam kev cuam tshuam txog cov ntshav ua kom tsis haum.

Qhov tshwm sim feem ntau tsawg dua 10 mcg / mL (10 mg / L).

Nco tseg: Tus lej ib txwm muaj nuj nqis yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis sim cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Nce FDPs tej zaum yuav yog qhov pom ntawm thawj lossis qib siab fibrinolysis (khov-zom ua si) vim muaj ntau yam ua rau, suav nrog:

• Teeb meem ntshav txhaws
• Hlawv
• Teeb meem nrog lub plawv tus qauv thiab kev ua haujlwm uas muaj thaum yug los (mob plawv yug menyuam)
• Kev nthuav tawm ntawm qhov nqaij ntshav sib luag (DIC)
• Theem qis ntawm cov pa oxygen hauv cov ntshav
• Kab mob
• Mob ntshav siab
• Mob siab
• Cov teeb meem thaum cev xeeb tub xws li preeclampsia, placenta abruptio, nchuav menyuam
• Tsis ntev los no ntshav
• Kev phais kho tsis ntev los no uas koom nrog lub plawv thiab lub ntsws bypass lub twj tso kua mis, lossis kev phais txhawm rau kom txo cov ntshav siab hauv lub siab
• Mob raum
• Kev tsis lees txais kev hloov tsheb
• Hloov ntshav tiv thaiv

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm tus, thiab los ntawm ib sab ntawm lub cev mus rau lwm qhov. Mus nqa cov ntshav los ntawm ib cov neeg tej zaum yuav nyuaj tshaj li los ntawm lwm tus.

Lwm yam kev phom sij nrog kev tso ntshav tawm me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

FDPs; FSPs; Fibrin cais cov khoom lag luam; Fibrin cov khoom tawg yooj yim

Chernecky CC, Berger BJ. Fibrinogen khoom tawg yooj yim (fibrin hloov kho cov khoom, FDP) - cov ntshav. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 525-526.

Levi M. Disseminated intravascular coagulation. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 139.