Iqela elibanzi lezifo, ezibonakaliswa ngamaxesha amaninzi, kwiiyeza zibizwa ngokuba yi-diathesis. I-Pathology ingaba isifo esizimeleyo okanye ukubonakaliswa kwekliniki kwanoma yimuphi umonakalo emzimbeni onxulumene notshintsho kwi-elasticity yemithambo yegazi.
Ukwahlula kwesifo se diathesis
Ngokwemvelaphi, uhlobo lwesifo sokuzalwa (oluphambili) kunye nolwafunyanwa (lwesibini) lwesifo luyabonakala:
- Kwimeko yokuqala, isifo asikwazi ukuphiliswa, kodwa kulungiswe kakuhle ngonyango olufanelekileyo. Njengomthetho, imbangela ye-congenital diathesis ivela kwi-heredity.
- Uluhlu lwesibini lubandakanya imvelaphi yesifo esithathelwanayo, isifo, isisombululo, kunye nezifo ezibangelwa ukungonakaliswa kweendonga zee-vascular kunye nokuphazamiseka kwegazi.
Ngethuba lokwahlukana kwe-diathesis enobungozi, kuyafaneleka ukuthobela ingqalelo ekwahlukileyo ngokuqhelekileyo kwimizila yonyango:
- Izifo ezinxulumene nezinguqu kwiipropati, inani lamaplatelets, kunye nemisebenzi yabo yomzimba.
- Iipathologies ezibonakalayo ngenxa yokukhubazeka kweendonga zemithambo yegazi.
- Izifo eziphuhliswa ngenxa yokutshintshwa kwenkqubo yokucima i-biological fluid.
Iimpawu ze-diathesis enegazi
Kuzo zonke iintlobo zesifo esikulo mbuzo, uphawu oluphambili luphuma egazini. Ubume balo buxhomekeke kwifom ye-diathesis.
Kwimeko yeenguqu kwiipropletti zeeplatelet, ezi zibonakaliso zekliniki ziyabonwa:
- ukubola kwamanzi kunye nomzimba;
- Umbala oqaqambileyo wamabala aphumayo (ukusuka ebomvu ukuya kumnyama obomvu);
- ukuxhamla emathunjini, emanzini, ngesisu, ukuphuma kwamanzi;
- ukugqitywa kwemithambo yegazi kwi-retina yeso, edla ngokukhokelela ekulahlekelweni kombono;
- ukubola kweengqondo.
Ukuba ukuphelela kweendonga ze-vascular kuyingozi, iimpawu zilandelayo:
- ukugqithwa okuncinci kwimida kunye nomoya wesimo esiyingozi;
- intlungu yesisu;
- ubuqhophololo kunye neengxaki ezingaxhamliyo kumalungu;
- ukubonakala kwegazi elingcolileyo kumchamo.
Ukuba imbangela yesifo kukuphulwa kwe-coagulability ye-biological fluid, ezi zilandelayo zibonakaliswe:
- ukuphaphaza ixesha elide kunye nomonakalo wezinto ezincinci;
- i-hemarthrosis (ukubola kwegazi kwi-joint of joints).
Ukuxilongwa ngokucacileyo kwe-diathesis enegazi
Ukuseka isizathu kunye nohlobo lwesifo, ezi zilandelayo zi vavanyo zebhubhoratri:
- Uhlalutyo lwekliniki jikelele lomchamo negazi;
- coagulogram;
- ukubeka ixesha lokuvala i-biological fluid;
- uvavanyo lwegazi olwandisiweyo;
- ukuchongwa kwezixhobo ze-immunological ze-coagulation;
- Ukubala inani lezinto ezilandelelanayo ezifumaneka kwi-serum yegazi;
- ukuzimisela kokugxininiswa kunye neepropati zeprothrombin;
- ukusekwa kwezinga lokulahleka (kwi-hemophilia) kwiplasma.
Zininzi iimvavanyo zenziwa:
- thrombin;
- prothrombin;
- isizukulwana se thromboplastin;
- i-autocoagulogram (iisampuli zokulungisa).
Unyango lwe-diathesis enamandla
Ulwaphulo lufanele luhambelane neentlobo zesifo, kwakunye nezizathu zalo. Unyango, njengomthetho, luquka ekupheliseni iimpawu kunye nokulungiswa kwesimo sengxaki yesigulane.
Amayeza alandelayo asetyenziswa:
- rutin;
- i-vitamin PP, K neC;
- amalungiselelo ensimbi;
- i-corticosteroids (nge-thrombocytopenic purpura kunye ne-vasculitis).
Inendima ebalulekileyo idlalwe ngokubambelela kokutya okumiselweyo, ukusetyenziswa kweyeza, i-hydrotherapy kunye ne-physiotherapy.
Ngegazi elinzima kunye nokuphuma kwamanye amaxesha, ukungenelelo ngoncedo ngamanye amaxesha kusetyenziswa ( ukususwa kwetyeni , ukucocwa kweentambo ezidibeneyo ezivela egazini, ukutshitshiswa).