Meta o nā ʻano coagulation i nā mea maʻi COVID-19


Mea kākau: Hope   

Ua hoʻolaha ʻia ka 2019 novel coronavirus pneumonia (COVID-19) ma ka honua holoʻokoʻa.Ua hōʻike ʻia nā haʻawina mua e hiki i ka maʻi coronavirus ke alakaʻi i nā maʻi coagulation, i hōʻike nui ʻia e like me ka lōʻihi o ka manawa thromboplastin partial activated (APTT), thrombocytopenia, D-dimer (DD) kiʻekiʻe kiʻekiʻe a me ka hoʻolaha intravascular coagulation (DIC), e pili pū ana me ka make kiʻekiʻe.

Ua hōʻike ʻia kahi meta-analysis o ka hana coagulation i nā mea maʻi me COVID-19 (me 9 retrospective study me ka huina o 1 105 mau mea maʻi) i hōʻike ʻia i ka hoʻohālikelike ʻia me nā maʻi maʻi, ʻoi aku ka nui o nā mea maʻi COVID-19 i ʻoi aku ka kiʻekiʻe o nā waiwai DD, Prothrombin time (PT) ua lōʻihi;ʻO ka hoʻonuiʻiaʻana o ka DD he mea pilikia ia no ka exacerbation a he pilikia no ka make.Eia naʻe, ʻo ka Meta-analysis i ʻōlelo ʻia ma luna nei, ua liʻiliʻi nā haʻawina a ua hoʻokomo i nā kumuhana noiʻi liʻiliʻi.I kēia mau lā, ua paʻi ʻia nā haʻawina lapaʻau nui nui e pili ana i ka hana coagulation i nā mea maʻi me COVID-19, a ʻo nā ʻano coagulation o nā mea maʻi me COVID-19 i hōʻike ʻia i nā haʻawina like ʻole ʻaʻole pololei.

Ua hōʻike ʻia kahi noiʻi hou e pili ana i ka ʻikepili aupuni he 40% o nā mea maʻi COVID-19 i ka nui o ka pilikia no ka thromboembolism venous (VTE), a ʻo 11% o nā mea maʻi kiʻekiʻe e ulu nei me ka ʻole o nā hana pale.VTE.Ua hōʻike pū ʻia nā hopena o kahi noiʻi ʻē aʻe he 25% o nā maʻi maʻi COVID-19 koʻikoʻi i hoʻomohala i ka VTE, a ʻo ka nui o ka make o nā maʻi me VTE he 40%.Hōʻike ia i nā poʻe maʻi me COVID-19, ʻoi aku ka maʻi maʻi a i ʻole nā ​​​​maʻi maʻi koʻikoʻi, ʻoi aku ka nui o ka VTE.ʻO ke kumu hiki ke loaʻa nā maʻi koʻikoʻi a me nā maʻi koʻikoʻi i lalo o nā maʻi, e like me ka moʻolelo o ka cerebral infarction a me ka maʻi maʻi maʻi, ʻo ia nā mea pilikia a pau no ka VTE, a ʻo nā maʻi koʻikoʻi a me nā maʻi koʻikoʻi e moe moe no ka manawa lōʻihi, sedated, immobilized. , a kau ʻia ma nā ʻano mea like ʻole.ʻO nā mea lapaʻau e like me nā paipu kekahi mau mea pilikia no ka thrombosis.No laila, no nā maʻi maʻi COVID-19 koʻikoʻi a maʻi nui, hiki ke hana i ka pale mechanical o VTE, e like me ka elastic stockings, intermittent inflatable pump, etc.i ka manawa like, pono e hoʻomaopopo pono ʻia ka moʻolelo lapaʻau o ka mea maʻi i hala, a pono e loiloi ʻia ka hana coagulation o ka mea maʻi i ka manawa kūpono.ʻO nā maʻi, hiki ke hoʻomaka i ka anticoagulation prophylactic inā ʻaʻohe contraindications

Hōʻike nā hopena o kēia manawa he maʻamau ka maʻi coagulation i nā maʻi maʻi koʻikoʻi, maʻi koʻikoʻi, a me ka make COVID-19.Hoʻopili ʻia ka helu platelet, DD a me PT me ka nui o ka maʻi a hiki ke hoʻohana ʻia i mau hōʻailona hōʻailona mua o ka hōʻino ʻana o ka maʻi i ka wā o ka haukapila.