1. Lokacin Prothrombin (PT)
Yana nuna yanayin tsarin coagulation na waje, wanda a cikinsa ake amfani da INR sau da yawa don sa ido kan magungunan hana zubar jini na baki. PT muhimmin alama ne don gano yanayin kafin thrombosis, DIC da cututtukan hanta. Ana amfani da shi azaman gwajin tantancewa don tsarin coagulation na waje kuma yana da mahimmanci wajen sarrafa yawan maganin hana zubar jini na baki.
PTA <40% yana nuna babban necrosis na ƙwayoyin hanta da raguwar haɗakar abubuwan da ke haifar da coagulation. Misali, 30%
Ana ganin tsawaitawa a cikin:
a. Lalacewar hanta mai yawa da tsanani galibi tana faruwa ne sakamakon samar da prothrombin da abubuwan da ke haifar da zubar jini.
b. Rashin isasshen VitK, ana buƙatar VitK don haɗa factors II, VII, IX, da X. Idan VitK bai isa ba, samarwa yana raguwa kuma lokacin prothrombin yana tsawaita. Haka kuma ana ganinsa a cikin jaundice mai hana aiki.
C. DIC (yaɗuwar coagulation a cikin jijiyoyin jini), wanda ke cinye adadi mai yawa na abubuwan da ke haifar da coagulation saboda yawan thrombosis na jijiyoyin jini.
d. Zubar jini kwatsam a jarirai, rashin maganin hana zubar jini na prothrombin na haihuwa.
An gajarta a cikin:
Idan jinin yana cikin yanayin da jini ke iya yin coagulation (kamar DIC na farko, bugun zuciya), cututtukan thrombosis (kamar thrombosis na kwakwalwa), da sauransu.
2. Lokacin Thrombin (TT)
A mafi yawan lokuta, fibrinogen yana nuna lokacin da aka canza shi zuwa fibrin.
Ana ganin tsawaitawar a cikin: ƙaruwar abubuwan heparin ko heparinoid, ƙaruwar ayyukan AT-III, yawan da ba daidai ba da ingancin fibrinogen. Matakin DIC hyperfibrinolysis, ƙarancin fibrinogenemia (babu), rashin daidaituwar haemoglobin, samfuran lalata fibrin (proto) na jini (FDPs) sun ƙaru.
Ragewar ba ta da wani muhimmin mahimmanci a asibiti.
3. Lokacin thromboplastin na ɗan lokaci (APTT) da aka kunna
Yana nuna yanayin tsarin coagulation na ciki kuma galibi ana amfani da shi don sa ido kan yawan heparin. Yana nuna matakan abubuwan coagulation VIII, IX, XI, XII a cikin jini, gwajin tantancewa ne ga tsarin coagulation na ciki. Ana amfani da APTT akai-akai don sa ido kan maganin heparin anticoagulation.
Ana ganin tsawaitawa a cikin:
a. Rashin abubuwan da ke haifar da coagulation VIII, IX, XI, XII:
b. Ragewar haɗin jini na II, V, X da kuma rage fibrinogen kaɗan;
C. Akwai sinadarai masu hana zubar jini kamar heparin;
d, samfuran lalata fibrinogen sun ƙaru; e, DIC.
An gajarta a cikin:
Yanayin da za a iya zubar da jini sosai: Idan sinadarin procoagulant ya shiga jini kuma ayyukan abubuwan coagulation suka ƙaru, da sauransu:
4.Fibrinogen na plasma (FIB)
Galibi yana nuna yawan sinadarin fibrinogen. Fibrinogen na jini shine furotin na coagulation wanda ke da mafi girman abun ciki na dukkan abubuwan coagulation, kuma shine ma'aunin amsawar lokaci mai tsanani.
An ƙara gani a cikin: ƙonewa, ciwon sukari, kamuwa da cuta mai tsanani, tarin fuka mai tsanani, ciwon daji, subacute bacterial endocarditis, ciki, ciwon huhu, cholecystitis, pericarditis, sepsis, nephrotic syndrome, uremia, m zuciya infarction.
Ragewar da aka gani a cikin: Rashin daidaituwar fibrinogen na haihuwa, lokacin ɓatar da DIC hypocoagulation, fibrinolysis na farko, mummunan hepatitis, cirrhosis na hanta.
5.D-Dimer (D-Dimer)
Yana nuna aikin fibrinolysis kuma alama ce da ke nuna kasancewar ko rashin thrombosis da kuma fibrinolysis na biyu a jiki.
D-dimer wani samfuri ne na musamman na lalacewar fibrin mai haɗin gwiwa, wanda ke ƙaruwa a cikin jini kawai bayan thrombosis, don haka yana da mahimmanci a nuna alamun ƙwayoyin cuta don gano thrombosis.
D-dimer ya ƙaru sosai a cikin yawan aiki na fibrinolysis na sakandare, amma bai ƙaru ba a cikin yawan aiki na fibrinolysis na farko, wanda shine muhimmin alama don bambanta su biyun.
Ana ganin ƙaruwar a cikin cututtuka kamar su thrombosis na jijiyoyin jini mai zurfi, embolism na huhu, da kuma DIC secondary hyperfibrinolysis.
Katin kasuwanci
WeChat na kasar Sin