Babban Muhimmancin Binciken Ciwon Haɗa Jini


Marubuci: Magaji   

Fahimtar haɗin jini galibi ya haɗa da lokacin prothrombin na plasma (PT), lokacin prothrombin da aka kunna (APTT), fibrinogen (FIB), lokacin thrombin (TT), D-dimer (DD), da Ratio na Daidaita Ƙasashen Duniya (INR).

PT: Yana nuna yanayin tsarin coagulation na waje, wanda galibi ana amfani da INR don sa ido kan magungunan hana zubar jini na baki. Ana ganin tsawaitawa a cikin rashin coagulation na haihuwa ⅡⅤⅦⅩ da rashin fibrinogen, kuma ƙarancin coagulation na samu galibi ana ganinsa a cikin rashin bitamin K, cututtukan hanta mai tsanani, hyperfibrinolysis, DIC, magungunan hana zubar jini na baki, da sauransu; raguwar ana ganinsa a cikin yanayin coagulation na jini da cututtukan thrombosis, da sauransu.

APTT: Yana nuna yanayin tsarin coagulation na ciki, kuma ana amfani da shi sau da yawa don sa ido kan yawan heparin. Ƙara yawan plasma factor VIII, factor IX da factor XI sun ragu: kamar hemophilia A, hemophilia B da rashin factor XI; raguwa a yanayin hypercoagulation: kamar shigar da abubuwan procoagulant cikin jini da ƙaruwar ayyukan abubuwan coagulation, da sauransu.

FIB: galibi yana nuna yawan fibrinogen. Yana ƙaruwa a cikin bugun zuciya mai tsanani kuma yana raguwa a lokacin narkewar DIC, fibrinolysis na farko, hepatitis mai tsanani, da cirrhosis na hanta.

TT: Yana nuna lokacin da aka canza fibrinogen zuwa fibrin. An ga karuwar a matakin hyperfibrinolysis na DIC, tare da ƙarancin fibrinogenemia (babu), rashin sinadarin haemoglobin, da kuma ƙaruwar kayayyakin lalata fibrin (fibrinogen) (FDP) a cikin jini; raguwar ba ta da wata mahimmanci ta asibiti.

INR: Ana ƙididdige Ratio na Ƙasashen Duniya (INR) daga lokacin prothrombin (PT) da kuma Ma'aunin Jin Daɗi na Ƙasashen Duniya (ISI) na reagent na gwaji. Amfani da INR yana sa PT ta hanyar dakunan gwaje-gwaje daban-daban da reagent daban-daban su yi kama da juna, wanda hakan ke sauƙaƙa haɗakar ma'aunin magunguna.

Babban mahimmancin gwajin jini ga marasa lafiya shine a duba ko akwai wata matsala da jinin, ta yadda likitoci za su iya fahimtar yanayin majinyaci akan lokaci, kuma ya dace likitoci su sha magani da magani daidai. Mafi kyawun rana ga majinyaci don yin gwaje-gwajen jini guda biyar shine a cikin komai a ciki, don sakamakon gwajin ya zama mafi daidaito. Bayan gwajin, majinyaci ya kamata ya nuna wa likita sakamakon gwajin don gano matsalolin jinin da kuma hana aukuwar haɗari da yawa.