He aha nā hoʻokolohua coagulation maʻamau?


Mea kākau: Succeeder   

Ke loaʻa ka maʻi coagulation koko, hiki iā ʻoe ke hele i ka haukapila no ka ʻike ʻana i ka plasma prothrombin. ʻO nā mea kikoʻī o ka hoʻāʻo hana coagulation penei:

1. Ka ʻike ʻana o ka plasma prothrombin: ʻO ka waiwai maʻamau o ka ʻike ʻana o ka plasma prothrombin he 11-13 kekona. Inā ʻike ʻia ka lōʻihi o ka manawa coagulation, hōʻike ia i ka hōʻino ʻana o ke akepaʻa, hepatitis, cirrhosis ate, jaundice obstructive a me nā maʻi ʻē aʻe; inā pōkole ka manawa coagulation, aia paha he maʻi thrombotic.

2. Ka lakio maʻamau honua o ka mana: ʻO kēia ka lakio ma waena o ka manawa prothrombin o ka mea maʻi a me ka manawa prothrombin maʻamau. ʻO ka laulā maʻamau o kēia helu he 0.9 ~ 1.1. Inā he ʻokoʻa mai ka waiwai maʻamau, hōʻike ia ua ʻike ʻia ka hana coagulation ʻO ka nui o ka hakahaka, ʻoi aku ka koʻikoʻi o ka pilikia.

3. Ka ʻike ʻana i ka manawa thromboplastin hapa i hoʻāla ʻia: He hoʻokolohua kēia e ʻike ai i nā kumu coagulation endogenous. ʻO ka waiwai maʻamau he 24 a 36 kekona. Inā lōʻihi ka manawa coagulation o ka mea maʻi, hōʻike ia he pilikia paha ka mea maʻi i ka hemahema fibrinogen. He maʻalahi ia i nā maʻi ate, ka jaundice obstructive a me nā maʻi ʻē aʻe, a hiki i nā pēpē hānau hou ke ʻeha i ke kahe koko; inā ʻoi aku ka pōkole ma mua o ka maʻamau, hōʻike ia he loaʻa paha i ka mea maʻi ka myocardial infarction acute, ischemic stroke, venous thrombosis a me nā maʻi ʻē aʻe.

4. Ka ʻike ʻana o ka fibrinogen: ʻo ka pae maʻamau o kēia waiwai ma waena o 2 a me 4. Inā piʻi ka fibrinogen, hōʻike ia he maʻi koʻikoʻi ka mea maʻi a hiki ke loaʻa i ka atherosclerosis, diabetes, uremia a me nā maʻi ʻē aʻe; Inā emi kēia waiwai, aia paha he hepatitis koʻikoʻi, cirrhosis ate a me nā maʻi ʻē aʻe.

5. Ka hoʻoholo ʻana o ka manawa thrombin; ʻo ka pae maʻamau o kēia waiwai he 16 ~ 18, inā ʻoi aku ka lōʻihi ma mua o ka waiwai maʻamau ma mua o 3, he mea ʻē ia, ʻo ia hoʻi ka maʻamau e hōʻike ana i nā maʻi ate, nā maʻi puʻupaʻa a me nā maʻi ʻē aʻe. Inā pōkole ka manawa thrombin, aia paha he mau ion calcium i loko o ke koko.

6. Ka hoʻoholo ʻana o ka D dimer: ʻO ka pae maʻamau o kēia waiwai he 0.1 ~ 0.5. Inā ʻike ʻia ka waiwai e hoʻonui nui ʻia i ka wā o ka hoʻāʻo ʻana, aia paha nā maʻi cardiovascular a me cerebrovascular, pulmonary embolism, a me nā maʻi ʻino.