{"id":121,"date":"2019-11-21T01:50:31","date_gmt":"2019-11-21T01:50:31","guid":{"rendered":"http:\/\/yollotlmedica.com\/?page_id=121"},"modified":"2019-11-21T02:16:45","modified_gmt":"2019-11-21T02:16:45","slug":"hemostasia","status":"publish","type":"page","link":"http:\/\/yollotlmedica.com\/?page_id=121","title":{"rendered":"Hemostasia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;3.22&#8243; custom_padding=&#8221;0|0px|12px|0px|false|false&#8221; bottom_divider_height=&#8221;0px&#8221; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#efefef&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;3.25&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;||0px|&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0|0px|19px|0px|false|false&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; custom_width_percent=&#8221;100%&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;6%||6%|12%&#8221; custom_padding_tablet=&#8221;50px|50px|50px|50px&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; padding_tablet=&#8221;50px|50px|50px|50px&#8221; padding_last_edited=&#8221;on|tablet&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;http:\/\/yollotlmedica.com\/wp-content\/uploads\/2019\/11\/health-icon-16-3.png&#8221; align_tablet=&#8221;center&#8221; align_phone=&#8221;&#8221; align_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;3.23&#8243;][\/et_pb_image][et_pb_text _builder_version=&#8221;3.27.4&#8243; text_font=&#8221;Montserrat|300|||||||&#8221; text_text_color=&#8221;#677a92&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.8em&#8221; header_font=&#8221;Montserrat||||||||&#8221; header_font_size=&#8221;50px&#8221; header_line_height=&#8221;1.3em&#8221; header_2_font=&#8221;||||||||&#8221; max_width=&#8221;600px&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;0px|50px||50px&#8221; custom_margin_phone=&#8221;|20px||&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; custom_padding=&#8221;|||&#8221; text_line_height_tablet=&#8221;1.8em&#8221; text_line_height_phone=&#8221;1.8em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;&#8221; header_font_size_phone=&#8221;36px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_2_font_size_phone=&#8221;30px&#8221; header_2_font_size_last_edited=&#8221;off|desktop&#8221; locked=&#8221;off&#8221;]<\/p>\n<h1>Hemostasia<\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.0.3&#8243; text_font=&#8221;Montserrat|300|||||||&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Montserrat|300|||||||&#8221; header_2_text_color=&#8221;#212d3b&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.5em&#8221; max_width=&#8221;600px&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;0px|50px||50px&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; custom_padding=&#8221;|||&#8221; locked=&#8221;off&#8221;]<\/p>\n<p>Hay dos sistemas simult\u00e1neamente en hemostasis: el sistema pro-coagulante y el sistema fibrinol\u00edtico. La presencia o la ausencia de hemorragia o trombosis depende de un equilibrio delicado entre el sistema pro-coagulante y el sistema fibrinol\u00edtico. El exceso de pro-coagulantes tendr\u00e1 como resultado trombosis; demasiada activaci\u00f3n del sistema fibrinol\u00edtico tendr\u00e1 como resultado hemorragia, Ning\u00fan sistema que mida la hemostasis sin la medici\u00f3n del equilibrio delicado entre los dos sistemas es capaz de proporcionar informaci\u00f3n exacta en la hemostasis del paciente y, de hecho, puede proporcionar informaci\u00f3n err\u00f3nea.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;http:\/\/yollotlmedica.com\/wp-content\/uploads\/2019\/11\/blood-cleansing_0.jpg&#8221; force_fullwidth=&#8221;on&#8221; align_tablet=&#8221;center&#8221; align_phone=&#8221;&#8221; align_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.0.3&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;right&#8221; animation_intensity_slide=&#8221;5%&#8221; border_radii=&#8221;||||30vw&#8221; border_color_all=&#8221;#0ee1f4&#8243; border_width_left=&#8221;2vw&#8221; border_color_left=&#8221;#37dfff&#8221; box_shadow_style=&#8221;preset4&#8243; box_shadow_horizontal=&#8221;-30px&#8221; box_shadow_vertical=&#8221;0px&#8221; box_shadow_color=&#8221;rgba(14,225,244,0.33)&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; custom_padding=&#8221;16px|0px|0px|0px|false|false&#8221; locked=&#8221;off&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;3.25&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;||0px|&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;27px|0px|0px|0px|false|false&#8221; custom_padding_tablet=&#8221;||27px|&#8221; custom_padding_phone=&#8221;&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; custom_width_percent=&#8221;100%&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding_tablet=&#8221;0px|50px|50px|50px&#8221; custom_padding_last_edited=&#8221;off|desktop&#8221; padding_tablet=&#8221;0px|50px|50px|50px&#8221; padding_last_edited=&#8221;off|desktop&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;http:\/\/yollotlmedica.com\/wp-content\/uploads\/2019\/11\/Diagrama_hemos.jpg&#8221; force_fullwidth=&#8221;on&#8221; align_tablet=&#8221;center&#8221; align_phone=&#8221;&#8221; align_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.0.3&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;left&#8221; animation_intensity_slide=&#8221;5%&#8221; border_radii=&#8221;||30px||&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_horizontal=&#8221;30px&#8221; box_shadow_vertical=&#8221;-30px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_spread=&#8221;-40px&#8221; box_shadow_color=&#8221;rgba(102,141,186,0.7)&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.0.3&#8243; custom_margin=&#8221;|||54px|false|false&#8221; border_color_all=&#8221;#88c4dd&#8221; border_width_right=&#8221;0px&#8221; border_color_right=&#8221;rgba(0,0,0,0)&#8221;]<\/p>\n<h4><span style=\"color: #0c71c3;\">Di\u00e1grama de decisi\u00f3n<\/span><\/h4>\n<p><span style=\"font-size: 14px;\">Este diagrama de decisi\u00f3n, utilizando los resultados del TEG ayuda a identificar la coagulopat\u00eda y en el caso de fibrin\u00f3lisis, puede distinguirse en fibrin\u00f3lisis primaria y secundaria. El TEG es extraordinario porque puede distinguirse f\u00e1cilmente entre estas dos. En el caso de hipercoagulabilidad, puede distinguirse entre plaquetas inducidas contra hipercoagulabilidad enzim\u00e1tica.<\/span><span style=\"font-size: 14px;\">\u00a0<\/span><\/p>\n<p>El diagrama de decisi\u00f3n se utiliza para llegar, de una manera sistem\u00e1tica, en un diagn\u00f3stico de coagulopat\u00eda. Todos los par\u00e1metros relativos de uno al otro, adem\u00e1s de la posici\u00f3n cl\u00ednica del paciente y estado del sangrado, para determinar si hay una coagulopat\u00eda presente, qu\u00e9 coagulopat\u00eda es y c\u00f3mo tratarla.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;50px|14%|50px|&#8221; custom_padding_tablet=&#8221;|50px||50px||true&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; padding_tablet=&#8221;|50px||50px||true&#8221; padding_last_edited=&#8221;on|tablet&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Header text&#8221; _builder_version=&#8221;4.0.3&#8243; text_font=&#8221;Montserrat|300|||||||&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.8em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Montserrat|300|||||||&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.5em&#8221; max_width=&#8221;600px&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;0px|50px||50px&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; custom_padding=&#8221;|||&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;30px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h2>La complejidad de la Hemostasia<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.0.3&#8243; text_font=&#8221;Montserrat|300|||||||&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Montserrat|300|||||||&#8221; header_2_text_color=&#8221;#212d3b&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.5em&#8221; max_width=&#8221;600px&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;0px|50px||50px&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; custom_padding=&#8221;|||&#8221; locked=&#8221;off&#8221;]<\/p>\n<p>La Hemostasia es un proceso muy complejo din\u00e1mico, que implica muchos factores que interact\u00faan, que incluye las prote\u00ednas de la coagulaci\u00f3n y fibrina, los activadores, inhibidores y elementos celulares tales como citoesqueleto de plaqueta, y superficies de c\u00e9lula de plaqueta. Como resultado, durante la activaci\u00f3n, ning\u00fan factor se queda constante ni los trabajo en el aislamiento. Las pruebas uniformes del laboratorio se a\u00edslan las pruebas del plasma que ignoran el papel de plaquetas en la hemostasia del paciente y su interacci\u00f3n con la prote\u00edna de la coagulaci\u00f3n en un punto particular en el tiempo.<\/p>\n<p>\u00a0El equilibrio es todo\u2026 imagina el balance delicado, el sistema TEG proporciona un retrato completo de todas las fases de hemostasis en el paciente, lo justo en el punto de cuidado. Este \u201cretrato total\u201d de todas las fases de hemostasis el protromb\u00f3tico y el hemorr\u00e1gico demuestra el equilibrio o el grado del desequilibrio en el sistema de hemostasis, los puntos culminantes en cualquier \u00e1rea de la deficiencia o el exceso, y ofrece una vista precisa del paisaje de hemostasis. El TEG entrega un an\u00e1lisis que es mucho m\u00e1s completo y complejo al que las pruebas aisladas constantes convencionales pueden proporcionar. \u00bfEl resultado? M\u00e1s r\u00e1pido, m\u00e1s informado y un diagn\u00f3stico exacto, el tratamiento m\u00e1s efectivo, los resultados cl\u00ednicos mejorados y un cuidado del paciente superior, con el uso m\u00e1s apropiado y dirigido de productos de sangre y productos farmac\u00e9uticos.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Checklist&#8221; _builder_version=&#8221;3.22&#8243; custom_padding=&#8221;30px|0px|30px|0px|true|false&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; admin_label=&#8221;Content Area&#8221; _builder_version=&#8221;3.25&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;||0px|&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;|||&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; custom_width_percent=&#8221;100%&#8221;][et_pb_column type=&#8221;1_2&#8243; 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custom_margin_last_edited=&#8221;off|desktop&#8221; custom_padding=&#8221;|||&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;30px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h2>\u00bfQu\u00e9 eval\u00faan las pruebas de hemostasia?<\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Header text&#8221; _builder_version=&#8221;4.0.3&#8243; text_font=&#8221;Montserrat|300|||||||&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Montserrat|300|||||||&#8221; header_2_text_color=&#8221;#212d3b&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.5em&#8221; max_width=&#8221;600px&#8221; custom_margin=&#8221;|||&#8221; custom_margin_tablet=&#8221;0px|50px||50px&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; custom_padding=&#8221;|||&#8221;]<\/p>\n<p><strong>Evaluaci\u00f3n multidisciplinaria:<\/strong><\/p>\n<p>[\/et_pb_text][et_pb_blurb title=&#8221;Estado cl\u00ednico&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;%%45%%&#8221; icon_color=&#8221;#48d14c&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#e1f7e1&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;1100px&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;22px&#8221; _builder_version=&#8221;4.0.3&#8243; header_font=&#8221;Montserrat||||||||&#8221; header_line_height=&#8221;2em&#8221; body_font=&#8221;Montserrat|300|||||||&#8221; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;1.8em&#8221; animation_style=&#8221;fade&#8221; animation=&#8221;off&#8221; locked=&#8221;off&#8221;][\/et_pb_blurb][et_pb_blurb title=&#8221;Pruebas convencionales de coagulaci\u00f3n&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;%%45%%&#8221; icon_color=&#8221;#48d14c&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#e1f7e1&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;1100px&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;22px&#8221; _builder_version=&#8221;4.0.3&#8243; header_font=&#8221;Montserrat||||||||&#8221; header_line_height=&#8221;2em&#8221; body_font=&#8221;Montserrat|300|||||||&#8221; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;1.8em&#8221; animation_style=&#8221;fade&#8221; animation_delay=&#8221;100ms&#8221; animation=&#8221;off&#8221; locked=&#8221;off&#8221;][\/et_pb_blurb][et_pb_blurb title=&#8221;Pruebas especiales de coagulaci\u00f3n&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;%%45%%&#8221; icon_color=&#8221;#48d14c&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#e1f7e1&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;1100px&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;22px&#8221; _builder_version=&#8221;4.0.3&#8243; header_font=&#8221;Montserrat||||||||&#8221; 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