He aha nā ho'āʻo coagulation maʻamau?


Mea kākau: Hope   

Ke hiki mai ka maʻi coagulation koko, hiki iā ʻoe ke hele i ka haukapila no ka ʻike ʻana i ka prothrombin plasma.ʻO nā mea kiko'ī o ka ho'āʻo hana coagulation penei:

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

2. E hoʻomalu i ka ratio maʻamau maʻamau: ʻO kēia ka lākiō hoʻomalu 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, e hōʻike ana ua ʻike ʻia ka hana coagulation ʻO ka nui o ke āpau, ʻoi aku ka nui 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 hoʻolōʻihi ʻia ka manawa coagulation o ka mea maʻi, hōʻike ia i ka pilikia o ka fibrinogen deficiency i ka mea maʻi.He maʻi maʻi ʻaʻai, maʻi ʻaʻai a me nā maʻi ʻē aʻe, a hiki i nā keiki hānau hou ke loaʻa i ka hemorrhage;inā ʻoi aku ka pōkole ma mua o ka maʻamau, hōʻike ia i ka mea maʻi e loaʻa i ka myocardial infarction, ischemic stroke, venous thrombosis a me nā maʻi ʻē aʻe.

4. ʻIke i ka fibrinogen: ʻo ka laulā maʻamau o kēia waiwai ma waena o 2 a me 4. Inā piʻi ka fibrinogen, hōʻike ia i ka maʻi maʻi a loaʻa paha i ka atherosclerosis, diabetes, uremia a me nā maʻi ʻē aʻe;Inā emi kēia waiwai, loaʻa paha ka maʻi hepaʻa koʻikoʻi, cirrhosis ate a me nā maʻi ʻē aʻe.

5. Hoʻoholo i ka manawa thrombin;ʻo ka laulā maʻamau o kēia waiwai he 16 ~ 18, ʻoiai ʻoi aku ka lōʻihi ma mua o ka waiwai maʻamau ma mua o 3, he mea maʻamau ia, e hōʻike pinepine ana i ka maʻi ate, nā maʻi maʻi a me nā maʻi ʻē aʻe.Inā hoʻopōkole ʻia ka manawa thrombin, aia paha nā ion calcium i loko o ke koko.

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