Iqembu elibanzi lezifo, elibhekene nokuvutha kwamanzi njalo, emithini yezokwelapha ngokuvamile libizwa ngokuthi i-diathesis eyingozi. Ukukhubazeka kungaba yisifo esizimele noma ukubonakaliswa kwemitholampilo kwanoma yikuphi ukugula emzimbeni okuhlotshaniswa noshintsho ekwenzeni imithwalo yegazi.
Ukuhlukaniswa kwe-diathesis emangalisa
Ngokwemvelaphi, uhlobo oluthile lwesifo sokuzalwa (oluyisisekelo) noluthola (olwesibili) lwesifo lubonakala:
- Esikhathini sokuqala, lesi sifo asikwazi ukuphulukiswa, kodwa kuhlelwe kahle yizokwelapha ezifanele. Njengomthetho, imbangela ye-diathesis yesifo sangasese ikhona ekufeni.
- Uhlobo lwesibili lubangelwa isifo se-pathologies esithathelwanayo, isifo se-sepsis , ukusabela kwe-allergen, kanye nezifo ezibangela ukuwohloka kwesimo sezindonga zamasongo kanye nokuphazanyiswa kwegazi.
Ngesikhathi sokuhlukaniswa kwesifo se-diathesis, kuyakudingeka ukuba unake ukuhlukaniswa okunjalo ngokujwayelekile emibuthanweni yezokwelapha:
- Izifo ezihambisana nezinguquko ezakhiweni, inani lamaplatelet, kanye nemisebenzi yabo yomzimba.
- I-pathologies ebonakala ngenxa yokuphelelwa amandla kwezindonga zemithambo yegazi.
- Izifo ezithuthuka ngenxa yezinguquko ohlelweni lokuqhafaza kwamanzi kagesi.
Izimpawu zesifo se-diathesis esiyingozi
Ngezo zonke izinhlobonhlobo zesifo esibuzwayo, uphawu oluyinhloko luphuma egazini. Imvelo yayo incike esimweni se-diathesis.
Uma kwenzeka ushintsho kumakhiplatelet, lezi zibonakaliso zemitholampilo ziyabonakala:
- ukubola kwesisu emzimbeni nasemilenzeni;
- umbala ogqamile wamachashaza asukayo (kusukela obomvu kuya obomvu obomvu);
- ukuqhuma emathunjini, emiswini, esiswini, ukuphuma kwegazi;
- ukuqhuma kwemithwalo yegazi ku-retina yeso, okuvame ukuholela ekulahlekelweni kombono;
- ukulimaza ebuchosheni.
Uma ukuguqulwa kwezindonga zamasongo kuqhubeka, izimpawu zilandelayo:
- ukuqhuma okuncane emaphethelweni nasemiphakathini yemvelo;
- ubuhlungu besisu;
- ukukhukhumeza nokuzwa okungenakuzwakala kwamalungu;
- ukubonakala kokungcola kwegazi emcimbini.
Uma imbangela yalesi sifo ukwephulwa kwe-coagulability ye-fluid yemvelo, lezi zibonakaliso ezilandelayo ziphawulwe:
- ukuphuma kwegazi isikhathi eside ngomonakalo omncane wesisindo;
- i-hemarthrosis (ukubola kwegazi emgodleni wamalungu amakhulu).
Ukuxilongwa okungafani kwe-diathesis eyingozi
Ukuze kutholakale imbangela kanye nohlobo lwesifo, lezi zivivinyo ezilandelayo ze-laboratory zenziwa:
- ukuhlaziywa komtholampilo jikelele we-urine negazi;
- i-coagulogram;
- ukubeka isikhathi sokuvala isikhathi samanzi kagesi;
- ukuvivinya kwegazi okwenziwe ngegazi;
- ukuhlonza izingxenye ze-antigenic immunological ze-coagulation izici;
- ukubala inani lezinto ezilandelanayo eziqukethwe kwi-serum yegazi;
- ukuzimisela kokuhlushwa kanye nezakhiwo ze-prothrombin;
- ukusungulwa kwezinga lokulahlekelwa (in hemophilia) eplasma.
Izivivinyo eziningi nazo zenziwa:
- i-thrombin;
- i-prothrombin;
- isizukulwane se-thromboplastin;
- i-autocoagulogram (amasampula wokulungisa).
Ukwelashwa kwe-diathesis emangalisa
Ukwelapha kufanele kuhambisane nezifo ezihlukahlukene, kanye nezimbangela zayo. Ukwelashwa, njengomthetho, kuhlanganisa ekuqedeni izimpawu nokulungiswa okulandelayo kwesimo sesiguli.
Imithi elandelayo isetshenziswa:
- rutin;
- i-vitamin PP, K no-C;
- amalungiselelo anezinsimbi;
- i-corticosteroids (nge-thrombocytopenic purpura ne-vasculitis).
Indima ebalulekile idlalwe ngokunamathela ekudleni okunqunyiwe, ukuvivinya umzimba, i-hydrotherapy kanye ne-physiotherapy.
Ngegazi elibi futhi elivame ukungena, ngezinye izikhathi ukungenelela kokuhlinzwa kusetshenziselwa ( ukukhishwa kwesipere , ukuhlanza kwamakhemikhali ahlangene egazini, ekugqaseni).