Chirwere chekubuda ropa, dzimwe nguva chinonzi coagulopathy, chinongova chiitiko chinokuita kuti iwe uwedzere kubuda kupfuura munhu wepakati. Muviri haugoni kuumba chivharo zvakanaka. Izvi zvinosanganisira chimwe chezvikamu zveganda redu (kubuda uye kuvhara) system.
Iroagulation system inofanira kunge yakaenzana, kwete kunyanya kubuda ropa asiwo kwete kunyanya kuvhara.
Chimwe chikamu chebasa racho chinosanganisira maplatelet , rimwe remasero edu eropa. Chikamu chechipiri chinowanika munharaunda yemvura yeropa redu rinonzi coagulation zvinhu. Vanhu dzimwe nguva vanotaura nezvevanhu vane dambudziko rekubuda ropa se "bluerers vakasununguka."
Zviratidzo
Zviratidzo zve chirwere chekubuda ropa chinogona kusiyana zvikuru. Havasi varwere vose vane zvirwere zvekubuda ropa vachave nezviratidzo izvi zvose.
- Kuramba kana kwenguva refu nosebleeds
- Kugara kwenguva refu kana kubuda ropa kwenguva refu
- Kuenda kumwedzi kunowedzera kunonzi menorrhagia pamwe nekuwedzerwa ropa rinotevera postpartum (mushure mokuberekwa)
- Kubuda ropa kwenguva refu mushure mekunyora tsono (ropa kuteka kana kujekesa semushonga)
- Kunyanya kubuda ropa panguva kana kuti mushure mekuvhiyiwa kunoda zvimwe kuedza kumira ropa
- Matambudziko makuru
Kungoti iwe unogona kuwana chimwe chezviratidzo izvi hazvirevi kuti iwe unenge uine chirwere chekubuda ropa. Iwe unofanirwa kukurukura zvinetso zvako nemutengi wako wehutano.
Zvinokonzera
- Inhaka : Dzimwe zvirwere zvinokonzera ropa sezvinoita hemophilia uye Von Willebrand zvirwere zvakagara nhaka, zvinoreva kuti munhu anoberekwa ane chirwere.
- Chirwere chepachivande : Iroagulation zvinhu zvinowanzoitwa muchiropa. Vanhu vane chirwere chakakomba chechiropa havakwanisi kubereka zvakakwana zvekugadzirisa zvinhu uye saka vanowanzova neropa.
- Vitamin K kusimba : Zvizhinji zve-coagulation zvinoda kuti Vitamin K inoshanda zvakanaka saka vanhu vane Vitamin K vasina simba vanowanzova neropa.
- Anticoagulation therapy : Vanhu vane anticoagulation therapy (mishonga inodzivisa kuvhara) inowedzera ngozi yekubuda ropa.
- Platelet disorders : Kana maplatelet asingakwanisi kushanda zvakanaka, haagoni kuumba ganda rakanaka rinogona kukonzera kubuda ropa.
Aina
- Hemophilia : Zvichida chirwere chinonyanya kubuda ropa chinonzi hemophilia. Vanhu vane hemophilia vanoshaya chimwe chezvakagadzirwa nazvo. Zita remhando yavo yehemophilia inotsamira pane chimwe chinhu chiripo. Rudzi rwakanyanya kunyanya hemophilia A; ava varwere vanoshaya chinokonzera 8 kubva ku coagulation system. Panewo hemophilia B (chinokwana 9 chinoshaya) uye hemophilia C (chikonzero chekushaya 11). Hemophilia inotora nhaka (inodarika mumhuri). Inosanganisira Y chromosome saka varume vanobatwa zvikuru. Vanhu vane hemophilia vanogona kuva neropa rinokosha kubva mukukuvadzwa kana kuti pasina (pasina kukuvara) kubuda ropa.
- Von Willebrand chirwere : Von Willebrand chirwere (VWD) chirwere chinowanzobuda ropa pasi rose. Inofungidzirwa kuti 1% yevanhu vane imwe nzira yeVon Willebrand chirwere. VWD inotorawo nhaka asi varume nevadzimai vanogona kuenzana. Kuwanda kweropa kunogona kusiyana zvikuru zvichienderana nehupi hweVWD munhu anowana nhaka.
- Chirwere chechiropa: Kana chiropa chisina kushanda zvakanaka, hachikwanise kuburitsa chigamba chezvinhu. Pasina zvikonzero izvi, varwere vanogona kuva neropa rinokosha.
- Low platelet count (thrombocytopenia) : Pane zvikonzero zvakawanda zveplatelet count yakaderera kusanganisira leukemia , imwe yechirwere chemotherapy, immune thrombocytopenia (uko maitiro ezvirwere zvemuviri anoparadza maplatelet).
- Platelet function disorders : Pamusoro peplate platelet nhamba dzinokonzera kubuda ropa, kana maplatelet asingashande zvakanaka, kubuda ropa kunogona kuitika.
Kurapa
Kune zvakawanda zvinogona kurapwa kubuda ropa mumunhu ane chirwere chekubuda ropa.
Mushonga wakasarudzwa unobva pachikonzero chechirwere chekubuda ropa kana nzvimbo yekubuda ropa.
- Chinhu chinotsiviwa : Varwere vane hemophilia vanogona kuzvigadzirisa nezvinhu zvinoshandiswa zvinoshandiswa zvinogona kurapa kubuda ropa. Mazuva ano, varwere vakawanda vane hemophilia vanoita kuti pave nekugadzirisa zvinhu nguva dzose kuitira kudzivirira kubuda ropa zvikamu.
- Desmopressin (inowanikwawo nezita rokuti Stimate): Desmopressin inotsiviwa nehomoni vasopressin. Kutora demopressin kunokonzerwa nekuwedzera kwenguva pfupi kweWelver Willebrand antigen uye chinokonzera 8 icho chinogona kumira kubuda ropa kune varwere vane hemophilia inonono A kana von Willebrand chirwere.
- Platelet kuwedzerwa : Kana platelet yakaverengwa yakadzika kana kuti maplatelet haashande zvakanaka, kuwedzerwa kweplatelet kunogona kupiwa kuchengetedza / kurapa kuteura ropa.
- Mvura yakachena yema plasma : Kubatanidza zvinhu zvinowanikwa mu plasma (inokonzerwa neropa). Kana munhu akashaya zvinhu zvakasiyana-siyana, sehutachiona kukundikana, kukanganiswa kwemvura yakachena yeplasma inogona kupiwa.
- Vitamin K : Kana murwere kana Vitamin K isina simba, kuwedzererwa kunogona kupiwa.
- Antifibrinolytics : Mishonga iyi inodzivisa kuteura ropa zvakanyanya nokudzikama. Izvi zvinonyanya kushandiswa kugadzirisa kubuda ropa mumuromo kana nguva huru yekuenda kumwedzi.
Nguva Yokuona Chiremba Wako
Kana iwe uchifunga kuti une ropa rinowedzera, zvikurukuru kana vamwe vanhu vari mumhuri yako vachiitawo saizvozvo, iwe unofanira kufungisisa izvi nechiremba wako. Kana chiremba wako ane hanyawo, vanogona kutanga basa rekutanga reropa kana kukutsanangurira kune anhematologist, chiremba anonyanya kugadzirisa zvirwere zveropa.