Babban Muhimmancin Ciwon Zuciya


Marubuci: Magaji   

Dignostic coagulation yafi hada da plasma prothrombin lokaci (PT), kunna partial prothrombin lokaci (APTT), fibrinogen (FIB), thrombin lokaci (TT), D-dimer (DD), International Standardization Ratio (INR).

PT: Yafi nuna matsayin tsarin coagulation na waje, wanda ake amfani da INR akai-akai don sa ido kan magungunan maganin jini.Ana ganin tsawaitawa a cikin nau'in coagulation na haihuwa ⅡⅤⅦⅩ rashi da rashi na fibrinogen, kuma ana samun rashi na coagulation factor a cikin rashi na bitamin K, cututtukan hanta mai tsanani, hyperfibrinolysis, DIC, maganin rigakafi na baka, da dai sauransu;Ana ganin raguwa a cikin yanayin hypercoagulable jini da cutar thrombosis, da dai sauransu.

APTT: Yafi nuna matsayin tsarin coagulation na endogenous, kuma galibi ana amfani dashi don saka idanu akan adadin heparin.Ƙara yawan ƙwayar plasma na VIII, factor IX da factor XI sun rage matakan: irin su hemophilia A, hemophilia B da factor XI rashi;ragewa a cikin yanayin hypercoagulable: irin su shigar da abubuwan da ke cikin jini a cikin jini da kuma ƙara yawan ayyukan coagulation, da dai sauransu.

FIB: galibi yana nuna abun ciki na fibrinogen.Ƙara a cikin myocardial infarction kuma ya ragu a lokacin DIC masu amfani da hypocoagulable dissolution, fibrinolysis na farko, hepatitis mai tsanani, da hanta cirrhosis.

TT: Yafi nuna lokacin da fibrinogen ke juyewa zuwa fibrin.An ga karuwar karuwa a cikin matakin hyperfibrinolysis na DIC, tare da ƙananan (ba) fibrinogenemia, hemoglobinemia mara kyau, da kuma ƙara yawan fibrin (fibrinogen) kayan lalata (FDP) a cikin jini;raguwa ba shi da mahimmancin asibiti.

INR: An ƙididdige ma'auni na International Normalized Ratio (INR) daga lokacin prothrombin (PT) da Ƙwararren Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru.Yin amfani da INR yana sanya PT auna ta dakunan gwaje-gwaje daban-daban da reagents daban-daban daidai, wanda ke sauƙaƙe haɗewar ma'aunin magunguna.

Babban mahimmancin gwajin coagulation na jini ga marasa lafiya shine duba ko akwai wata matsala ta jini, ta yadda likitoci zasu iya fahimtar yanayin majiyyaci cikin lokaci, kuma yana da kyau likitoci su sha magani da magani daidai.Mafi kyawun rana ga majiyyaci don yin gwaje-gwajen coagulation guda biyar shine a cikin komai a ciki, ta yadda sakamakon gwajin zai kasance daidai.Bayan gwajin, ya kamata majiyyaci ya nuna wa likita sakamakon gwajin don gano matsalolin jini da kuma hana haɗari da yawa.