Hiki ke ʻike inā he hana coagulation kūpono ʻole ka mea maʻi ma mua o ke ʻoki ʻana, e pale pono i nā kūlana i manaʻo ʻole ʻia e like me ke kahe koko ʻole i ka wā a ma hope o ke ʻoki ʻana, i mea e loaʻa ai ka hopena ʻoki kino maikaʻi loa.
Hoʻokō ʻia ka hana hemostatic o ke kino e ka hana hui o nā platelets, ka ʻōnaehana coagulation, ka ʻōnaehana fibrinolytic a me ka ʻōnaehana endothelial vascular. I ka wā ma mua, ua hoʻohana mākou i ka manawa kahe koko ma ke ʻano he hoʻāʻo nānā no nā hemahema hana hemostatic, akā ma muli o kona haʻahaʻa haʻahaʻa, ka ʻike maikaʻi ʻole, a me ka hiki ʻole ke hōʻike i ka ʻike a me ka hana o nā mea coagulation, ua pani ʻia e nā hoʻokolohua hana coagulation. ʻO nā hoʻokolohua hana coagulation e pili nui ana i ka manawa prothrombin plasma (PT) a me ka hana PT i helu ʻia mai PT, ka ratio normalized international (INR), fibrinogen (FIB), ka manawa thromboplastin hapa i hoʻāla ʻia (APTT) a me ka manawa thrombin plasma (TT).
Hōʻike nui ka PT i ka hana o ka ʻōnaehana coagulation extrinsic. ʻIke nui ʻia ka PT lōʻihi i ka congenital coagulation factor II, V, VII, a me ka hoʻemi ʻana o X, ka hemahema fibrinogen, ka hemahema coagulation factor i loaʻa (DIC, hyperfibrinolysis mua, jaundice obstructive, ka hemahema vitamin K, a me nā mea anticoagulant i ke kahe koko. ʻIke nui ʻia ka pōkole PT i ka hoʻonui ʻana o ka congenital coagulation factor V, DIC mua, nā maʻi thrombotic, nā mea pale waha, a me nā mea ʻē aʻe; hiki ke hoʻohana ʻia ka nānā ʻana i ka PT ma ke ʻano he nānā ʻana i nā lāʻau lapaʻau anticoagulant waha.
ʻO APTT ka hoʻāʻo loiloi hilinaʻi loa no ka hemahema o ka mea hoʻohuihui endogenous. ʻIke nui ʻia ka APTT lōʻihi i ka hemophilia, DIC, maʻi akepaʻa, a me ka hoʻoili nui ʻana o ke koko i mālama ʻia. ʻIke nui ʻia ka APTT pōkole i ka DIC, ke kūlana prothrombotic, a me nā maʻi thrombotic. Hiki ke hoʻohana ʻia ka APTT ma ke ʻano he hōʻailona nānā no ka lāʻau heparin.
ʻIke ʻia ka hoʻolōʻihi ʻana o TT i ka hypofibrinogenemia a me ka dysfibrinogenemia, ka hoʻonui ʻia o ka FDP i ke koko (DIC), a me ke alo o nā mea heparin a me nā mea heparinoid i loko o ke koko (e laʻa, i ka wā o ka lāʻau heparin, SLE, maʻi akepaʻa, a me nā mea ʻē aʻe).
Aia kekahi maʻi ulia pōpilikia i loaʻa i nā hoʻokolohua keʻena hoʻokolohua ma mua o ke ʻoki ʻana, a ʻo nā hopena o ka hoʻāʻo coagulation he PT a me APTT i hoʻolōʻihi ʻia, a ua kānalua ʻia ʻo DIC i loko o ka mea maʻi. Ma lalo o ke ʻōlelo aʻoaʻo a ka hale hoʻokolohua, ua hana ka mea maʻi i kahi moʻo o nā hoʻokolohua DIC a ua maikaʻi nā hopena. ʻAʻohe hōʻailona maopopo o DIC. Inā ʻaʻohe hoʻāʻo coagulation o ka mea maʻi, a me ke ʻoki pololei, e pōʻino nā hopena. Hiki ke loaʻa nā pilikia he nui mai ka hoʻāʻo hana coagulation, ka mea i kūʻai aku i ka manawa hou no ka ʻike lapaʻau a me ka mālama ʻana i nā maʻi. ʻO ka hoʻāʻo ʻana i ka moʻo coagulation kahi hoʻāʻo keʻena hoʻokolohua koʻikoʻi no ka hana coagulation o nā maʻi, hiki ke ʻike i ka hana coagulation maʻamau i nā maʻi ma mua o ke ʻoki ʻana, a pono e uku ʻia ka nānā pono.
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