Kaʻapuni ke koko i loko o ke kino, hāʻawi i nā meaʻai ma nā wahi āpau a lawe aku i ka ʻōpala, no laila pono e mālama ʻia ma lalo o nā kūlana maʻamau.Eia nō naʻe, i ka wā e ʻeha ai kahi kīʻaha koko a haki, e hana ke kino i nā ʻano hopena, e like me ka vasoconstriction e hōʻemi i ke kahe o ke koko, platelet aggregation e pale i ka ʻeha e hoʻōki i ke koko, a me ka hoʻāla ʻana o nā kumu coagulation e hana i kahi thrombus paʻa e pale. ke kahe o ke koko a ʻO ke kumu o ka hoʻoponopono ʻana i nā kīʻaha koko, ʻo ia ka hana hemostasis o ke kino.

No laila, hiki ke hoʻokaʻawale ʻia ka hopena hemostatic o ke kino i ʻekolu ʻāpana.ʻO ka hapa mua i hanaʻia e ka pilina ma waena o nā kīʻaha koko a me nā platelets, i kapaʻia he hemostasis mua;ʻO ka ʻāpana ʻelua ka hoʻoulu ʻana o nā kumu coagulation, a me ka hoʻokumu ʻana o ka reticulated coagulation fibrin, kahi e hoʻopili ai i nā platelets a lilo i thrombus paʻa, i kapa ʻia ʻo ka lua hemostasis, ʻo ia ka mea a mākou i kapa ai he coagulation;aka nae, i ka pau ana o ke koko a kahe ole, e ulu mai ana kekahi pilikia iloko o ke kino, oia hoi, ua paa na aa koko, e pili ana i ke koko, nolaila, o ka hapakolu o ka hemostasis, oia ka hopena hemo o ka thrombus. ke hoʻokō ka moku koko i ka hopena o ka hemostasis a me ka hoʻoponopono ʻana, e hoʻoheheʻe ʻia ka thrombus e hoʻihoʻi i ke kahe o ke koko.

Hiki ke ʻike ʻia he ʻāpana maoli ka coagulation o ka hemostasis.He paʻakikī loa ka hemostasis o ke kino.Hiki iā ia ke hana i ka wā e pono ai ke kino, a i ka wā i hoʻokō ai ke koko coagulation i kāna kumu, hiki iā ia ke hoʻopau i ka thrombus i kahi manawa kūpono a hoʻōla.Ua wehe ʻia nā kīʻaha koko i hiki i ke kino ke hana maʻamau, ʻo ia ke kumu nui o ka hemostasis.

ʻO nā maʻi koko maʻamau e hāʻule i loko o nā ʻāpana ʻelua:

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1. ʻO nā ʻano like ʻole o ke koko a me ka platelet

No ka laʻana: vasculitis a i ʻole platelets haʻahaʻa, loaʻa pinepine nā maʻi i nā wahi koko liʻiliʻi ma nā ʻaoʻao haʻahaʻa, ʻo ia ka purpura.

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2. He kumu hoʻohui like ʻole

Me ka hemophilia congenital a me ka maʻi o Wein-Weber a i ʻole ka loaʻa ʻana o ka ate cirrhosis, ʻona ʻiole, a me nā mea ʻē aʻe.

No laila, inā loaʻa iā ʻoe ka maʻi maʻamau ma luna, pono ʻoe e nīnau i kahi hematologist i ka hikiwawe.