Hemorrhagic syndrome (tawv nqaij-mob hemorrhagic syndrome) yog ib qho kev xav rau cov ntshav ntawm daim tawv nqaij thiab cov mucous membranes. Hauv qhov no, txoj kev tso tawm cov ntshav tawm ntawm cov hlab ntub tsis raug cai. Qhov Syndrome no yog txuam nrog kev hloov hauv ib lossis ntau qhov kev sib txuas ntawm hemostasis - tus kabmob kabmob uas tiv thaiv kev txuag cov ntshav hauv cov kua hauv lub xeev, uas pab kom tsis txhob los ntshav thiab ua rau cov ntshav txhaws tau ua haujlwm.
Ua rau hemorrhagic syndrome
Feem ntau, hemorrhagic syndrome tuaj yeem tsim tawm tsam tus neeg mob lub plab thiab thrombocytopenia, vim tsis muaj teeb meem ntawm prothrombin complex, thrombohemorrhagic syndrome, thiab kuj capillarotoxicosis. Qee zaum, qhov tshwm sim ntawm pathology yog txuam nrog Vergolf tus kab mob, hemophilia, tsis muaj prothrombin nyob rau hauv cov ntshav.
Txoj kev loj hlob ntawm hemorrhagic syndrome kuj tseem siv tau cov tshuaj siv nrog kev siv tshuaj ntev los ntawm kev siv cov tshuaj uas cuam tshuam platelet aggregation thiab cov txheej txheem cov ntshav khaus (antiaggregants thiab anticoagulants). Nws yog qhov zoo tshaj nyob rau lub sij hawm tsis ntev los no yog ib qho ua rau tus mob no. Psychogenic yam tseem tsis tau cais.
Cov tsos mob thiab hom mob hemorrhagic syndrome
Qhov tshwm sim loj ntawm lub syndrome yog los ntshav ntawm ntau hom thiab degrees ntawm nyuaj thiab daim tawv nqaij hemorrhagic eruptions. Kev tuaj yeem tuaj yeem tuaj yeem tshwm sim losyog los ntawm qee yam ntawm qee yam sab nraud: lub cev kev hnyav, kev hnyav, kev mob ntsws. Cov tawv nqaij tshwm sim txawv rau ntau yam, lawv muaj peev xwm muaj daim ntawv ntawm qhov taw qhia hemorrhages, qhov mob hnyav heev, ua pob ua rau mob hnyav, thiab lwm yam.
Muaj tsib hom hemorrhagic syndrome. Cia peb suav thiab cim txhua yam ntawm lawv:
- Hematomic - yog raug rau hemophilia, uas tsis muaj coagulation yam. Hauv qhov no, muaj cov kab mob loj hauv cov leeg nqaij, cov nqaij mos thiab cov pob qij txha loj loj, nrog kev mob nyhav. Yog li ntawd, cov kev ua haujlwm ntawm lub cev nqaij daim tawv yog maj mam tsim.
- Microcircular (petechial-spotted) - pom los ntawm superficial hemorrhages nyob rau hauv daim tawv nqaij, nqaij npu uas tshwm sim nrog lub slightest trauma. Cov kab no tshwm sim ntau dua nrog cov tshuaj tua kab mob, tsis muaj fibrin, qhov muaj txiaj ntsig ntawm kev mob plab.
- Microcirculatory-hematoma (tov) - pom los ntawm cov tsos ntawm petechial-pom ntshav thiab loj hematomas, nrog hemorrhages nyob rau hauv pob qij txha yog tsawg kawg. Cov kab mob sib xyaw yog kuaj pom tus tsis muaj qee yam tsis zoo, dhau ntawm cov tshuaj anticoagulants, thrombohemorrhagic syndrome, von Willebrand.
- Vasculitis-purple - pom tau los ntawm cov tsos ntawm hemorrhages nyob rau hauv daim ntawv ntawm liab doog, nws yog ib qhov ua tau kom tuaj koom nrog jade thiab mob plab hnyuv. Hom mob hu ua hemorrhagic syndrome no tshwm sim nrog vasculitis thiab mob ntsws nrog.
- Angiomatous - yog txoj cai nrog telangiectasias, angiomas thiab yog cov uas pheej yaus hemorrhages hauv cov aav ntawm vascular pathologies.
Kev kuaj mob ntawm hemorrhagic syndrome
Kom paub meej tias tus mob yog li cas, yuav tsum muaj ntau cov kev tshawb fawb, ntawm:
- ib qho kev tshawb pom ntawm ntshav thiab zis;
- cov kev kuaj coagulation;
- kawm txog cov nyiaj prothrombin thiab fibrinogen;
- suav ntawm platelets nyob rau hauv peripheral ntshav, thiab lwm yam.
Kev kho mob ntawm hemorrhagic syndrome
Cov tswv yim ntawm kev kho mob ntawm cov neeg mob uas muaj hemorrhagic syndrome yog txiav txim siab los ntawm qhov ua rau pathology, mob hnyav thiab cov kab mob sib kis. Raws li txoj cai, kev siv tshuaj kho nrog cov kev siv cov vitamin K, hemostatics, ascorbic acid, thiab lwm yam. Qee zaum, kev tso ntshav plasma thiab ntshav ntu raug pom zoo.