ʻO ke koʻikoʻi nui o ka Coagulation Diagnostic


Mea kākau: Hope   

ʻO ka disgnostic coagulation ka nui o ka plasma prothrombin time (PT), activated partial prothrombin time (APTT), fibrinogen (FIB), thrombin time (TT), D-dimer (DD), international standardization Ratio (INR).

PT: Hōʻike nui ia i ke kūlana o ka ʻōnaehana coagulation extrinsic, kahi INR e hoʻohana pinepine ʻia e nānā i nā anticoagulants waha.ʻIke ʻia ka hoʻolōʻihi ʻana i ka congenital coagulation factor ⅡⅤⅦⅩ deficiency a me fibrinogen deficiency, a loaʻa ka coagulation factor deficiency ʻike nui ʻia i ka nele o ka vitamin K, maʻi ate koʻikoʻi, hyperfibrinolysis, DIC, anticoagulants waha, etc.;ʻIke ʻia ka pōkole ma ke ʻano hypercoagulable koko a me ka maʻi thrombosis, etc.

APTT: Hōʻike nui ia i ke kūlana o ka ʻōnaehana coagulation endogenous, a hoʻohana pinepine ʻia e nānā i ke ʻano o ka heparin.Hoʻonui i ka plasma factor VIII, factor IX a me factor XI i emi iho nā pae: e like me ka hemophilia A, hemophilia B a me ke kumu XI deficiency;ua emi i ka hypercoagulable state: e like me ke komo ʻana o nā mea procoagulant i loko o ke koko a hoʻonui i ka hana o nā mea coagulation, etc.

FIB: hōʻike nui i ka ʻike o ka fibrinogen.Hoʻonui ʻia i ka myocardial infarction a hoʻemi ʻia i ka DIC consumptive hypocoagulable dissolution period, fibrinolysis mua, hepatitis koʻikoʻi, a me ka cirrhosis ate.

TT: Hōʻike nui ia i ka manawa i hoʻololi ʻia ai ka fibrinogen i fibrin.Uaʻikeʻia ka piʻiʻana ma ka hyperfibrinolysis stage o DIC, me ka haʻahaʻa (no) fibrinogenemia, hemoglobinemia abnormal, a me ka hoʻonuiʻana i ka fibrin (fibrinogen) degradation products (FDP) i loko o ke koko;ʻaʻohe mea koʻikoʻi o ka hōʻemi.

INR: Ua helu ʻia ka International Normalized Ratio (INR) mai ka prothrombin time (PT) a me ka International Sensitivity Index (ISI) o ka assay reagent.ʻO ka hoʻohana ʻana i ka INR e ana ʻia ka PT e nā laboratories like ʻole a me nā reagents like ʻole e hoʻohālikelike ʻia, e hoʻomaʻamaʻa i ka hoʻohui ʻana i nā kūlana lāʻau.

ʻO ka manaʻo nui o ka hoʻāʻo ʻana i ka coagulation koko no nā maʻi, ʻo ia ka nānā ʻana inā he pilikia i ke koko, i hiki i nā kauka ke hoʻomaopopo i ke kūlana o ka mea maʻi i ka manawa, a he mea kūpono i nā kauka ke lawe i ka lāʻau kūpono a me ka mālama ʻana.ʻO ka lā maikaʻi loa no ka mea maʻi e hana i nā hoʻokolohua coagulation ʻelima ma ka ʻōpū ʻole, i ʻoi aku ka pololei o nā hopena o ka hōʻike.Ma hope o ka hoʻāʻo ʻana, pono ka mea maʻi e hōʻike i nā hopena hōʻike i ke kauka e ʻike i nā pilikia o ke koko a pale i nā pōʻino he nui.