Hemorrhagic diathesis - a group of diseases characterized by increased bleeding that occurs spontaneously or can be triggered by trauma, including surgery.
There are hereditary and acquired hemorrhagic diathesis . Hereditary occur in children (eg, hemophilia), acquired arise at any age, they are often a complication of other diseases, such as liver disease, blood system with defective platelet formation. Increased bleeding may occur with an overdose of heparin, indirect anticoagulants (fenilina et al.), Thrombolytic agents, acetylsalicylic acid (aspirin).
There are 5 types of bleeding: gematomny, capillary (microcirculation), mixed (gematomny capillary and at the same time), magenta, and mikroangiomatozny. When gematomnom type, which is characteristic for hemophilia, marked bleeding in the joints (see. Hemarthrosis), a massive hematoma of various localization, post-operative bleeding. Capillary type of bleeding occurs when thrombocytopenia and thrombocytopathy. It is characterized by small hemorrhages in the skin (petechiae and ecchymosis), epistaxis, gingival (see. Gingivitis) and uterine bleeding, possible gemituriya and stomach bleeding, bleeding in the brain tissue (see. Stroke). Mixed bleeding manifested bruising, petechial-spotty rash on the skin, epistaxis, gingival bleeding and uterine. Most often it is observed in thrombohemorrhagic syndrome and overdose anticoagulants. When the purple type of bleeding observed small symmetrically located mainly in the lower limbs bleeding in the form of rashes. This type of bleeding is detected at hemorrhagic vasculitis. Mikroangiomatozny type of bleeding in the form of persistently repeated bleeding of the same localization due to hereditary, rarely acquired disorders of small blood vessels.
Treatment of hereditary hemorrhagic diathesis is carried out by means of eliminating the deficit of certain clotting factors. The acquired hemorrhagic diathesis treated based on the reasons for their development. Be sure to cancel those drugs that caused bleeding, administered antidotes.
In the prevention of hereditary hemorrhagic diathesis is very important medical and genetic counseling, and acquired - the prevention of diseases, contributing to their occurrence, the rational use of resources, reduce blood clotting.