Wadanne sassa ne ake amfani da na'urar nazarin coagulation galibi?


Marubuci: Magaji   

Na'urar nazarin zubar jini kayan aiki ne da ake amfani da shi don gwajin zubar jini na yau da kullun. Kayan aiki ne da ake buƙata a asibiti. Ana amfani da shi don gano yanayin zubar jini na zubar jini da thrombosis. Menene amfani da wannan kayan aiki a sassa daban-daban?

Daga cikin gwaje-gwajen da aka yi wa na'urar nazarin coagulation na jini, PT, APTT, TT, da FIB, akwai gwaje-gwaje guda huɗu na yau da kullun don coagulation na jini. Daga cikinsu, PT yana nuna matakan abubuwan coagulation na jini II, V, VII, da X a cikin plasma na jini, kuma shine mafi mahimmancin ɓangaren tsarin coagulation na waje. Gwajin tantancewa mai laushi kuma wanda aka saba amfani da shi; APTT yana nuna matakan abubuwan coagulation na V, VIII, IX, XI, XII, fibrinogen, da fibrinolytic a cikin plasma, kuma gwajin tantancewa ne da aka saba amfani da shi don tsarin endogenous; auna TT galibi yana nuna ko jinin yana da abubuwan da ba su da kyau na coagulation: FIB wani glycoprotein ne wanda, a ƙarƙashin hydrolysis ta thrombin, a ƙarshe ya samar da fibrin mara narkewa don dakatar da zubar jini.

1. Marasa lafiya da ke fama da ƙashin baya galibi marasa lafiya ne da ke da karaya saboda dalilai daban-daban, waɗanda galibinsu suna buƙatar maganin tiyata. Bayan karaya, saboda lalacewar tsokoki, wani ɓangare na fashewar tasoshin jini, fallasa su a cikin jijiyoyin jini da ƙwayoyin halitta yana kunna tsarin haɗa jini, haɗa platelet, da ƙirƙirar fibrinogen. Suna cimma manufar hemostasis. Kunna tsarin fibrinolytic na ƙarshen, thrombolysis, da gyaran nama. Waɗannan hanyoyin duk suna shafar bayanan gwajin haɗin jini na yau da kullun kafin da bayan tiyata, don haka gano ma'aunin haɗin jini daban-daban akan lokaci yana da matuƙar mahimmanci don annabta da magance zubar jini mara kyau da thrombosis a cikin marasa lafiya da ke da karyewa.

Zubar jini mara kyau da kuma toshewar jijiyoyin jini (thrombosis) matsaloli ne da ake yawan samu a lokacin tiyata. Ga marasa lafiya da ke fama da rashin daidaituwar tsarin zubar jini, ya kamata a gano musabbabin matsalar kafin a yi tiyatar domin a tabbatar da nasarar tiyatar.

2. DIC ita ce cutar zubar jini mafi shahara da likitocin haihuwa da na mata ke haifarwa, kuma yawan FIB da ba a saba gani ba yana ƙaruwa sosai. Yana da matuƙar muhimmanci a san canje-canjen da ba a saba gani ba na ma'aunin coagulation na jini a kan lokaci, kuma yana iya ganowa da hana DIC da wuri-wuri.

3. Maganin ciki yana da nau'ikan cututtuka iri-iri, galibi cututtukan zuciya da jijiyoyin jini, cututtukan tsarin narkewar abinci, marasa lafiya da bugun jini na ischemic da hemorrhagic. A cikin gwaje-gwajen coagulation na yau da kullun, ƙimar PT da FIB mara kyau suna da yawa, galibi saboda hana coagulation, thrombolysis da sauran jiyya. Saboda haka, yana da mahimmanci musamman a yi gwaje-gwajen coagulation na yau da kullun da sauran abubuwan gano thrombus da hemostasis don samar da tushe don tsara tsare-tsaren magani masu ma'ana.

4. Cututtukan da ke yaɗuwa galibi su ne ciwon hanta mai tsanani da na kullum, kuma PT, APTT, TT, da FIB na ciwon hanta mai tsanani duk suna cikin matsakaicin yanayi. A cikin ciwon hanta mai tsanani, cirrhosis, da kuma mummunan ciwon hanta, tare da ta'azzara lalacewar hanta, ikon hanta na haɗa abubuwan haɗin jini yana raguwa, kuma ƙimar gano PT, APTT, TT, da FIB mara kyau yana ƙaruwa sosai. Saboda haka, gano coagulation na jini akai-akai da lura mai ƙarfi suna da matuƙar mahimmanci don rigakafi da maganin zubar jini da kimanta hasashen.

Saboda haka, cikakken bincike na yau da kullun game da aikin coagulation yana da amfani don samar da tushe don gano cutar da magani a asibiti. Ya kamata a yi amfani da na'urorin nazarin coagulation na jini cikin hikima a sassa daban-daban don taka muhimmiyar rawa.