Rarraba maganin intravascular (DIC)

Rashin yaduwar maganin cikin jini (DIC) cuta ce mai tsanani wacce sunadaran da ke kula da daskarewar jini suka zama masu aiki sosai.

Lokacin da kuka ji rauni, sunadarai a cikin jini waɗanda ke samar da daskarewar jini suna tafiya zuwa raunin rauni don taimakawa dakatar da zub da jini. Idan waɗannan sunadarai sun zama marasa aiki sosai cikin jiki, zaku iya haɓaka DIC. Babban dalilin shine yawanci saboda kumburi, kamuwa da cuta, ko ciwon daji.

A wasu lokuta na DIC, ƙananan ƙwayoyin jini suna samuwa a cikin jijiyoyin jini. Wasu daga cikin waɗannan ƙugu za su iya toshe tasoshin kuma su katse wadataccen jini ga gabobi kamar hanta, kwakwalwa, ko koda. Rashin gudan jini na iya lalata da haifar da babbar rauni ga gabobin.

A wasu lokuta na DIC, sunadaran sunadaran da ke cikin jininka sun cinye. Lokacin da wannan ya faru, kuna iya samun babban haɗarin zubar jini mai tsanani, koda daga ƙaramin rauni ne ko ba tare da rauni ba. Hakanan zaka iya samun jini wanda yake farawa kwatsam (da kansa). Haka kuma cutar na iya haifar da lafiyayyen ƙwayoyin jinin ku na warwatsewa yayin da suke tafiya ta cikin ƙananan jiragen ruwa da ke cike da dasassu.

Hanyoyin haɗari ga DIC sun haɗa da:

• Amincewa da jini
• Ciwon daji, musamman wasu nau'ikan cutar sankarar bargo
• Kumburin pancreas (pancreatitis)
• Kamuwa da cuta a cikin jini, musamman ta hanyar ƙwayoyin cuta ko naman gwari
• Ciwon Hanta
• Rikicin ciki (kamar mahaifa wanda aka bari a baya bayan haihuwa)
• Kwanan nan aikin tiyata ko maganin sa barci
• Raunin nama mai tsanani (kamar a cikin ƙonewa da raunin kai)
• Babban hemangioma (jijiyoyin jini da ba a kafa su da kyau ba)

Kwayar cutar DIC na iya haɗawa da ɗayan masu zuwa:

• Zuban jini, daga shafuka da yawa a jiki
• Jinin jini
• Isingaramar
• Sauke cikin karfin jini
• Rashin numfashi
• Rikicewa, asarar ƙwaƙwalwa ko canjin ɗabi'a
• Zazzaɓi

Kuna iya samun ɗayan gwaje-gwaje masu zuwa:

• Kammala lissafin jini tare da gwajin shafa jini
• Lokaci na thromboplastin (PTT)
• Lokacin Prothrombin (PT)
• Gwajin jini na Fibrinogen
• D-dimer

Babu takamaiman magani don DIC. Burin shine a tantance kuma ayi maganin asalin dalilin DIC.

Taimakawa jiyya na iya haɗawa da:

• Parin jini don maye gurbin abubuwan haɗa jini idan adadi mai yawa na faruwa.
• Maganin sikanin jini (heparin) don hana daskarewar jini idan adadi mai yawa na faruwa.

Sakamakon ya dogara da abin da ke haifar da cutar. DIC na iya zama barazanar rai.

Matsaloli daga DIC na iya haɗawa da:

• Zuban jini
• Rashin jini zuwa hannaye, kafafu, ko gabobin jiki masu mahimmanci
• Buguwa

Jeka dakin gaggawa ko kira 911 idan kana da jini wanda baya tsayawa.

Samun magani na gaggawa don yanayin da aka sani don kawo wannan matsalar.

Amfani da coagulopathy; DIC

• Tsarin jini
• Meningococcemia a kan 'yan maruƙan
• Jinin jini

Levi M. An rarraba yaduwar jijiyoyin cikin jini. A cikin: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Ka'idoji da Aiki. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 139.

Napotilano M, Schmair AH, Kessler CM. Ciwon ciki da kuma fibrinolysis. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 39.