Sehlopha se sengata sa maloetse, se tsejoang ka ho tloaeleha ha mali, meriana hangata e bitsoa hemorrhagic diathesis. Bothata ba mafu bo ka ba lefu le ikemetseng kapa pontšo ea kliniki ea mafu leha e le afe 'meleng o amanang le phetoho ea methapo ea mali.
Sebopeho sa lefu la diathesis
Ka tlhaho, mofuta oa congenital (oa mathomo) le o fumanoang (oa bobeli) oa lefu o khetholloa:
- Boemong ba pele, lefu lena le ke ke la phekoloa, empa le hantle le fetohile ka phekolo e nepahetseng ea lithethefatsi. Ha e le molao, sesosa sa congenital diathesis ke tsa bophelo.
- Mofuta oa bobeli o tsoela pele ho fapana le tšoaetso ea mafu a tšoaetsanoang, lefu la sepsis , likhato tsa khatello ea mafu, hammoho le maloetse a bakang ho senyeha ha boemo ba marako a maholo le ho ferekanya ha mali.
Nakong ea phapang ea lefu la diathesis, ke habohlokoa hore u ele hloko mofuta oo o amohelehang ka ho fetisisa metseng ea bongaka:
- Maloetse a amanang le liphetoho tsa thepa, palo ea liplatelete, hammoho le mesebetsi ea bona ea 'mele.
- Maloetse a hlahang ka lebaka la ho holofala ha marako a methapo ea mali.
- Maloetse a hlahang ka lebaka la liphetoho tsamaisong ea ho thibela mali ea mokelikeli oa likokoana-hloko.
Matšoao a hemorrhagic diathesis
Le mefuta eohle ea lefu lena le potsoeng, letšoao le leholo le tsoa mali. Tloaelo ea eona e itšetlehile ka mofuta oa diathesis.
Tabeng ea liphetoho tsa thepa ea platelette, lipontšo tse joalo tsa tleliniking li hlokomeloa:
- ho tšeloa mali ka tlase ho 'mele le maoto;
- 'mala o khanyang oa libaka tse hlahang (ho tloha bofubelu ho ea bofubelu bo lefifi);
- ho fetela ho intestinal, masapo, gastric, uterine mali a tsoa mali;
- methapo ea mali e phatlohileng ka retina ea leihlo, hangata e lebisang ho lahleheloa ke pono;
- ho hemorrhages bokong.
Haeba ho itšetleha ha marako a maqhubu ho mpefala, matšoao ke a latelang:
- ho phatloha ho fokolang metseng le liphello tsa tlhaho ea mali;
- mahlaba a mpa;
- boikhohomoso le boikutlo bo sa phutholoheng manonyeong;
- ponahalo ea litšila tsa mali meleng.
Haeba sesosa sa lefu lena ke tlōlo ea coagulability ea metsi a likokoana-hloko, lipontšo tse latelang li boleloa:
- ho tsoa mali a nako e telele ka tšenyo e nyenyane ea lisele;
- hemarthrosis (ho fokola ha mali ka har'a majoe a maholo).
Ho khetholla ho fapaneng ha lefu la diathesis
Ho theha sesosa le mofuta oa lefu lena, liteko tse latelang tsa laboratori li etsoa:
- kliniki ea kakaretso ea ho hlahloba motsoako le mali;
- coagulogram;
- ho beha nako ea ho qeta nako ea mokelikeli oa likokoana-hloko;
- tlhahlobo ea mali e eketsehileng ea mali;
- ho khetholla likokoana-hloko tsa likokoana-hloko tsa likokoana-hloko tse ling;
- ho bala palo ea likarolo tse latelang tse nang le seramu ea mali;
- boikemisetso ba mahloriso le thepa ea prothrombin;
- ho thehoa ha tekanyo ea bofokoli (ka haemophilia) ka lero la mali.
Ho boetse ho etsoa liteko tse ngata:
- thrombin;
- prothrombin;
- moloko oa thromboplastin;
- li-autocoagulogram (litlhahlobo tsa khalemelo).
Phekolo ea lefu la mali le tsoekere
Phekolo e lokela ho lumellana le mefuta e fapaneng ea lefu lena, hammoho le lisosa tsa eona. Kalafo, e le molao, e na le ho felisoa ha matšoao le ho lokisa boemo ba mokuli.
Meriana e latelang e sebelisoa:
- rutin;
- vithamine PP, K le C;
- litokisetso tse nang le tšepe;
- corticosteroids (ka thrombocytopenic purpura le vasculitis).
Karolo ea bohlokoa e bapaloa ke ho khomarela lijo tse laetsoeng, ho ikoetlisa, hydrotherapy le physiotherapy.
Ka mali a maholo le a khaello ea mali, ka linako tse ling ho sebelisoa ho kenngoa ho buuoa ( ho tlosoa ha spleen , ho hloekisa li-cavity tse kopanetsoeng ho tloha mali, ho pata).