Abubuwa shida Zasu Shafi Sakamakon Gwajin Coagulation


Marubuci: Magaji   

1. Halin rayuwa

Abinci (kamar hanta dabba), shan taba, sha, da sauransu kuma zai shafi ganowa;

2. Illar Drug

(1) Warfarin: galibi yana shafar ƙimar PT da INR;
(2) Heparin: Yafi rinjayar APTT, wanda za'a iya tsawaita ta 1.5 zuwa 2.5 sau (a cikin marasa lafiya da aka yi amfani da su tare da magungunan anticoagulant, kokarin tattara jini bayan an rage yawan ƙwayar miyagun ƙwayoyi ko miyagun ƙwayoyi ya wuce rabin rayuwarsa);
(3) Magungunan rigakafi: Yin amfani da manyan allurai na rigakafi na iya haifar da tsawaita PT da APTT.An ba da rahoton cewa lokacin da abun cikin penicillin ya kai 20,000 u/ML jini, PT da APTT za a iya tsawaita fiye da sau 1, kuma darajar INR kuma za a iya tsawaita fiye da sau 1 (Cututtukan rashin daidaituwa na coagulation da aka haifar ta hanyar intravenous). nodoperazone-sulbactam an ruwaito)
(4) Magungunan Thrombolytic;
(5) Magungunan emulsion mai kitse da aka shigo da su na iya tsoma baki tare da sakamakon gwajin, kuma ana iya amfani da centrifugation mai sauri don rage tsangwama a cikin yanayin samfuran jinin lipid mai tsanani;
(6) Magunguna irin su aspirin, dipyridamole da ticlopidine na iya hana haɗuwar platelet;

3. Abubuwan Tarin Jini:

(1) Rabon sodium citrate anticoagulant zuwa jini yawanci 1:9 ne, kuma ana gauraye da kyau.An ba da rahoto a cikin wallafe-wallafen cewa karuwa ko raguwar ƙwayar ƙwayar cuta yana da tasiri akan gano aikin coagulation.Lokacin da adadin jini ya karu da 0.5 ml, za'a iya rage lokacin clotting;lokacin da adadin jini ya ragu da 0.5 ml, ana iya tsawaita lokacin clotting;
(2) Buga ƙusa a kai don hana lalacewar nama da haɗuwa da abubuwan coagulation na waje;
(3) Lokacin cuff bai kamata ya wuce 1 min ba.Idan an danna cuff sosai ko lokacin ya yi tsayi sosai, za a saki factor VIII da tissue plasmin source activator (t-pA) saboda ligation, kuma allurar jini za ta yi ƙarfi sosai.Hakanan rushewar sel na jini ne ke kunna tsarin coagulation.

4. Sakamakon lokaci da zafin jiki na jeri na samfur:

(1) Abubuwan coagulation Ⅷ da Ⅴ ba su da kwanciyar hankali.Yayin da lokacin ajiya ya karu, yawan zafin jiki yana ƙaruwa, kuma aikin coagulation yana ɓacewa a hankali.Don haka, yakamata a aika samfurin coagulation na jini don dubawa a cikin awa 1 bayan tattarawa, kuma yakamata a kammala gwajin cikin awanni 2 don gujewa haifar da PT., APTT tsawaitawa.(2) Don samfuran da ba za a iya gano su cikin lokaci ba, ya kamata a raba plasma a adana a ƙarƙashin murfi kuma a sanya su a cikin 2 ℃ ~ 8 ℃.

5. Matsakaici/mai tsanani hemolysis da lipidemia samfurori

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

6. Wasu

Hypothermia, acidosis, da hypocalcemia na iya haifar da thrombin da abubuwan coagulation su zama marasa tasiri.