Mene ne gwaje-gwajen coagulation na gama gari?


Marubuci: Magaji   

Idan matsalar coagulation ta faru, za ku iya zuwa asibiti don gano prothrombin na plasma. Takamaiman abubuwan da aka yi gwajin aikin coagulation sune kamar haka:

1. Gano prothrombin na plasma: Matsakaicin ƙimar gano prothrombin na plasma shine daƙiƙa 11-13. Idan aka ga lokacin da aka yi coagulation ya tsawaita, yana nuna lalacewar hanta, hepatitis, cirrhosis na hanta, jaundice mai toshewa da sauran cututtuka; idan coagulation ya ragu Lokacin ragewa, akwai yiwuwar samun cututtukan thrombosis.

2. Rabon da aka daidaita tsakanin lokacin prothrombin na majiyyaci: Wannan shine rabon sarrafawa tsakanin lokacin prothrombin na majiyyaci da lokacin prothrombin na yau da kullun. Matsakaicin wannan lambar shine 0.9~1.1. Idan akwai bambanci daga ƙimar da aka saba, yana nuna cewa aikin coagulation ya bayyana. Girman gibin, mafi girman matsalar.

3. Gano lokacin da aka kunna na'urar thromboplastin ta wani ɓangare: Wannan gwaji ne don gano abubuwan da ke haifar da coagulation na ciki. Matsakaicin ƙimar shine daƙiƙa 24 zuwa 36. Idan lokacin coagulation na majiyyaci ya tsawaita, yana nuna cewa majiyyacin na iya samun matsalar ƙarancin fibrinogen. Yana da saurin kamuwa da cututtukan hanta, jaundice mai hana aiki da sauran cututtuka, kuma jarirai na iya fama da zubar jini; idan ya fi guntu fiye da yadda aka saba, yana nuna cewa majiyyacin na iya samun bugun zuciya mai tsanani, bugun jini na ischemic, thrombosis na venous da sauran cututtuka.

4. Gano fibrinogen: matsakaicin wannan ƙimar yana tsakanin 2 da 4. Idan fibrinogen ya tashi, yana nuna cewa majiyyaci yana da kamuwa da cuta mai tsanani kuma yana iya fama da atherosclerosis, ciwon suga, uremia da sauran cututtuka; Idan wannan ƙimar ta ragu, akwai yiwuwar samun mummunan hepatitis, cirrhosis na hanta da sauran cututtuka.

5. Ƙayyade lokacin thrombin; matsakaicin wannan ƙimar shine 16~18, matuƙar ya fi ƙimar da aka saba da ita fiye da 3, ba shi da kyau, wanda gabaɗaya yana nuna cututtukan hanta, cututtukan koda da sauran cututtuka. Idan an rage lokacin thrombin, akwai ions na calcium a cikin samfurin jini.

6. Tabbatar da D dimer: Matsakaicin wannan ƙimar shine 0.1~0.5. Idan aka gano cewa ƙimar ta ƙaru sosai yayin gwajin, za a iya samun cututtukan zuciya da jijiyoyin jini, embolism na huhu, da kuma ciwon daji masu illa.