Abubuwa Shida Za Su Shafi Sakamakon Gwajin Coagulation


Marubuci: Magaji   

1. Halayen rayuwa

Abinci mai gina jiki (kamar hanta ta dabbobi), shan taba, shan giya, da sauransu suma za su shafi gano cutar;

2. Tasirin Magani

(1) Warfarin: galibi yana shafar ƙimar PT da INR;
(2) Heparin: Yana shafar APTT, wanda za a iya tsawaita shi sau 1.5 zuwa 2.5 (a cikin marasa lafiya da aka yi wa magani da magungunan hana zubar jini, suna ƙoƙarin tattara jini bayan an rage yawan maganin ko kuma maganin ya wuce rabin rayuwarsa);
(3) Maganin rigakafi: Amfani da allurai masu yawa na maganin rigakafi na iya haifar da tsawaitar PT da APTT. An ruwaito cewa lokacin da adadin penicillin ya kai 20,000 u/ML na jini, PT da APTT za su iya tsawaita fiye da sau 1, kuma ƙimar INR kuma za a iya tsawaita ta fiye da sau 1 (An ba da rahoton lokuta na rashin daidaituwar coagulation da nodoperazone-sulbactam ya haifar a cikin jijiya).
(4) Magungunan Thrombolytic;
(5) Magungunan da ake shigo da su daga ƙasashen waje na iya yin katsalandan ga sakamakon gwajin, kuma ana iya amfani da centrifugation mai sauri don rage tsangwama a cikin yanayin samfuran jini masu tsanani na lipid;
(6) Magunguna kamar aspirin, dipyridamole da ticlopidine na iya hana taruwar platelets;

3. Abubuwan da ke tattara jini:

(1) Matsakaicin sinadarin sodium citrate da ke hana zubar jini yawanci shine 1:9, kuma ana haɗa shi sosai. An ruwaito a cikin wallafe-wallafen cewa ƙaruwa ko raguwar yawan sinadarin anticoagulant yana da tasiri kan gano aikin coagulation. Lokacin da yawan jinin ya ƙaru da 0.5 mL, ana iya rage lokacin coagulation; lokacin da yawan jinin ya ragu da 0.5 mL, ana iya tsawaita lokacin coagulation;
(2) A buga ƙusa a kai don hana lalacewar nama da kuma haɗa abubuwan da ke haifar da coagulation na waje;
(3) Lokacin da aka matse maƙallin bai kamata ya wuce minti 1 ba. Idan an matse maƙallin sosai ko kuma lokacin ya yi tsayi sosai, za a saki factor VIII da tissue plasmin source activator (t-pA) saboda ɗaurewa, kuma allurar jini za ta yi ƙarfi sosai. Haka kuma rugujewar ƙwayoyin jini ne ke kunna tsarin coagulation.

4. Tasirin lokaci da zafin jiki na sanya samfurin:

(1) Abubuwan da ke haifar da mannewar jini Ⅷ da Ⅴ ba su da tabbas. Yayin da lokacin ajiya ke ƙaruwa, zafin ajiya yana ƙaruwa, kuma aikin mannewar jini yana ɓacewa a hankali. Saboda haka, ya kamata a aika samfurin mannewar jini don dubawa cikin awa 1 bayan an tattara shi, kuma ya kamata a kammala gwajin cikin awanni 2 don guje wa haifar da tsawaitawar PT., APTT. (2) Ga samfuran da ba za a iya gano su cikin lokaci ba, ya kamata a raba plasma ɗin a adana a ƙarƙashin murfi a sanya a cikin firiji a zafin jiki na 2 ℃ ~ 8 ℃.

5. Samfuran hemolysis mai matsakaici/mai tsanani da lipidemia

Samfuran da aka yi wa hemolyzed suna da aikin coagulation kamar factor na platelet III, wanda zai iya rage lokacin TT, PT, da APTT na plasma mai hemolyzed da kuma rage yawan FIB.

6. Wasu

Hawan jini, acidosis, da hypocalcemia na iya haifar da rashin tasiri ga abubuwan da ke haifar da thrombin da coagulation.