Hemorrhagic diathesis

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2018-04-02 16:33:08

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Haemorrhagic diathesis is a common name of a group of different diseases, United by one common symptom-bleeding. There are hereditary forms and acquired. Let us for example, three different diseases of this group.

Hemorrhagic vasculitis, which is another disease called Henoch-Schonlein purpura. This is the most common hemorrhagic diathesis. The cause of this disease lies in the nonspecific lesion of the microvasculature, which leads to bleeding and development of thrombosis. By precipitating factors include cold, allergic reactions and the influence of parasites. In this disease there are four forms:

  • Lightning;
  • Sharp, which can last from several weeks to several months;
  • Prolonged - can last from many months to many years;
  • Recurrent, with long periods of sustained remission.

The Beginning of the disease is always characterized by fever: thirty-eight-thirty-nine degrees and gradually declining to the low-grade fever. In parallel, begins to appear hemorrhagic rash, sometimes there are elements of urticaria. In severe course of the disease in the centers of lesions can occur foci of necrosis, and then – brown. After disappearance of the rash on the skin will definitely remain areas of pigmentation, which will be noticeable for a long time. Gradually, pain in large joints. In most cases, especially in children, develops either constant or paroxysmal pain in the abdomen, which is caused by hemorrhage into the mesentery and in the intestinal wall. Appears hematemesis. Can affect the kidneys by the type of glomerulonephritis or acute or chronic. In the urine, respectively, have protein and blood.

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Diagnosis is based on characteristic of the clinic. Laboratory examination confirms the disseminated intravascular coagulation.

How to cure diathesis Henoch-Schonlein purpura? The patient must be hospitalized, strict bed rest is necessary to observe at least three weeks. Of drugs, use of heparin, rutin and ascorbic acid. Contraindicated sulfa drugs, antibiotics and physiotherapy. It is forbidden to eat, coffee, cocoa, strawberries, citrus, any fruit drinks and juices. In the case of pronounced pain in the joints are applied indomethacin, analgin, brufen.

Hemophilia is a bleeding diathesis caused by inadequate intake of factor VIII and factor IX of the blood coagulation system. This disease is genetically determined, it is passed through with X-chromosome, that is, the media – female and male. Since blood loses ability to clot, the patient may die literally any bleeding. But in addition to bleeding from the wounds, there may be bleeding under the skin, in muscle, in the cavity of large joints.

This hemorrhagic diathesis is detected in childhood. To the extent that does not stop bleeding from the umbilical wound. In the urine hematuria is often found.

Treatment consists of the transfusion of a patient donor blood or its products, and concentrate factor VIII.

Idiopathic Thrombocytopenic purpura or disease Verlgofa. More common in women. This disease is associated with a reduction in the number of platelets in the blood. Causing the bleeding. The cause of the disease is most often caused by problems with the immune system. This disease is characterized by hemorrhages into the skin, lokalizirutesa often on the legs and the front half of the body, as well as at the site of injection. Threatening symptoms that indicates a risk of bleeding into the brain is bleeding in the eyes or on the skin. Symptoms pinch and harness – and positive. Is enlargement of the spleen.

The Diagnosis is based on clinic and laboratory studies.

The Treatment is performed with prednisolone to achieve a positive effect, is also produced mass transfusion of platelets and fresh donor blood.

All of these diseases are life-threatening to patients, especially the hemorrhagic diathesis in children.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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