Likitoci ne ke rubuta wa marasa lafiya takamaiman yanayin rashin lafiya ko waɗanda ke shan magungunan hana zubar jini (anticoagulant drugs) magani akai-akai. Marasa lafiya da ke fama da wasu cututtuka na lafiya ko waɗanda ke shan magungunan hana zubar jini (anticoagulant drugs) suna buƙatar sa ido kan yadda jini ke zubar jini. Amma mene ne ma'anar lambobi da yawa? Waɗanne alamomi ne ya kamata a sa ido a kansu a asibiti don cututtuka daban-daban?
Fihirisar gwajin aikin haɗin gwiwa sun haɗa da lokacin prothrombin (PT), lokacin thromboplastin mai kunnawa (APTT), lokacin thrombin (TT), fibrinogen (FIB), lokacin clotting (CT) da rabon International normalized (INR), da sauransu, ana iya zaɓar abubuwa da yawa don yin fakiti, wanda ake kira abu na coagulation X. Saboda hanyoyin gano cututtuka daban-daban da asibitoci daban-daban ke amfani da su, kewayon tunani suma sun bambanta.
Lokacin PT-prothrombin
PT yana nufin ƙara sinadarin tissue factor (TF ko tissue thromboplastin) da Ca2+ zuwa cikin plasma don fara tsarin coagulation na waje da kuma lura da lokacin coagulation na plasma. PT yana ɗaya daga cikin gwaje-gwajen tantancewa da aka fi amfani da su a aikin asibiti don tantance aikin hanyar coagulation na waje. Matsakaicin ƙimar tunani shine daƙiƙa 10 zuwa 14.
APTT - lokacin thromboplastin na ɓangare da aka kunna
APTT shine a ƙara XII factor activator, Ca2+, phospholipid zuwa cikin plasma don fara hanyar coagulation ta ciki ta plasma, da kuma lura da lokacin coagulation na plasma. APTT kuma yana ɗaya daga cikin gwaje-gwajen tantancewa da aka fi amfani da su a aikin asibiti don tantance aikin hanyar coagulation ta ciki. Matsakaicin ƙimar tunani shine daƙiƙa 32 zuwa 43.
INR - Rabon Daidaitacce na Ƙasa da Ƙasa
INR shine ƙarfin ISI na rabon PT na majinyacin da aka gwada zuwa PT na sarrafawa ta yau da kullun (ISI ma'aunin hankali ne na ƙasa da ƙasa, kuma masana'anta suna daidaita reagent ɗin lokacin da ya bar masana'anta). An gwada plasma iri ɗaya da reagent ISI daban-daban a cikin dakunan gwaje-gwaje daban-daban, kuma sakamakon ƙimar PT ya bambanta sosai, amma ƙimar INR da aka auna iri ɗaya ne, wanda ya sa sakamakon ya yi kama da juna. Matsakaicin ƙimar tunani shine 0.9 zuwa 1.1.
Lokacin TT-thrombin
TT shine ƙara thrombin na yau da kullun zuwa cikin jini don gano mataki na uku na tsarin coagulation, yana nuna matakin fibrinogen a cikin jini da adadin abubuwan da ke kama da heparin a cikin jini. Matsakaicin ƙimar tunani shine daƙiƙa 16 zuwa 18.
FIB-fibrinogen
FIB shine a ƙara wani adadin thrombin a cikin plasma da aka gwada don canza fibrinogen a cikin plasma zuwa fibrin, sannan a ƙididdige abubuwan da ke cikin fibrinogen ta hanyar ƙa'idar turbidimetric. Matsakaicin ƙimar tunani shine 2 zuwa 4 g/L.
Samfurin lalata fibrin na FDP-plasma
FDP kalma ce ta gabaɗaya don samfuran lalacewa da aka samar bayan fibrin ko fibrinogen sun narke ƙarƙashin tasirin plasmin da aka samar yayin hyperfibrinolysis. Matsakaicin ƙimar tunani shine 1 zuwa 5 mg/L.
Lokacin CT-coagulation
CT yana nufin lokacin da jini ke fita daga jijiyoyin jini kuma ya taru a cikin vitro. Yana ƙayyade ko abubuwa daban-daban na coagulation a cikin hanyar coagulation ta ciki ba su da kyau, ko aikinsu na yau da kullun ne, ko kuma akwai ƙaruwa a cikin abubuwan da ke hana coagulation.
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