ʻO ka mea kālailai koko he mea hana i hoʻohana ʻia no ka hoʻāʻo ʻana i ke koko maʻamau. He mea hana hoʻāʻo pono ia ma ka haukapila. Hoʻohana ʻia ia e ʻike i ke ʻano hemorrhagic o ke koko coagulation a me ka thrombosis. He aha ka hoʻohana ʻana o kēia mea hana ma nā keʻena like ʻole?
Ma waena o nā mea hoʻāʻo o ka mea kālailai coagulation koko, ʻo PT, APTT, TT, a me FIB nā mea hoʻāʻo maʻamau ʻehā no ka coagulation koko. Ma waena o lākou, hōʻike ka PT i nā pae o nā mea coagulation koko II, V, VII, a me X i loko o ka plasma koko, a ʻo ia ka ʻāpana koʻikoʻi loa o ka ʻōnaehana coagulation exogenous. Hoʻāʻo nānā maʻalahi a hoʻohana pinepine ʻia; Hōʻike ka APTT i nā pae o nā mea coagulation V, VIII, IX, XI, XII, fibrinogen, a me ka hana fibrinolytic i loko o ka plasma, a he hoʻāʻo nānā maʻamau i hoʻohana ʻia no nā ʻōnaehana endogenous; Hōʻike nui ke ana ʻana o TT inā paha ke koko. Ke kū nei nā mea anticoagulant maʻamau ʻole: ʻO FIB kahi glycoprotein, ma lalo o ka hydrolysis e thrombin, e hoʻokumu hope i ka fibrin insoluble e hoʻōki i ke kahe koko.
1. ʻO ka hapa nui o nā maʻi Orthopedic he mau maʻi me nā haki i hoʻokumu ʻia e nā kumu like ʻole, ʻo ka hapa nui o ia mau mea e pono ai ke ʻoki kino. Ma hope o nā haki, ma muli o ka hōʻino ʻana o ka musculoskeletal, haki kekahi hapa o nā kīʻaha koko, hoʻāla ka ʻike ʻana o ka intravascular a me ke kelepona i ke ʻano coagulation koko, ka hōʻiliʻili platelet, a me ka hoʻokumu ʻana o fibrinogen. hoʻokō i ke kumu o ka hemostasis. Hoʻāla i ka ʻōnaehana fibrinolytic hope, thrombolysis, a me ka hoʻoponopono ʻana i nā ʻiʻo. Hoʻopilikia kēia mau kaʻina hana i ka ʻikepili o ka hoʻāʻo coagulation maʻamau ma mua a ma hope o ke ʻoki kino, no laila ʻo ka ʻike manawa kūpono o nā ʻōkuhi coagulation like ʻole he mea nui loa ia no ka wānana a me ka mālama ʻana i ke kahe koko a me ka thrombosis maʻamau i nā maʻi haki.
ʻO ke kahe koko kūpono ʻole a me ka thrombosis he mau pilikia maʻamau i ke ʻoki ʻana. No nā poʻe maʻi me ka hana coagulation kūpono ʻole, pono e ʻike ʻia ke kumu o ka mea kūpono ʻole ma mua o ke ʻoki ʻana e hōʻoia i ka holomua o ke ʻoki ʻana.
2. ʻO DIC ka maʻi kahe koko koʻikoʻi loa i hoʻokumu ʻia e ka obstetrics a me gynecology, a ua piʻi nui ka nui o ka FIB. He mea koʻikoʻi nui ia i ka lāʻau lapaʻau ke ʻike i nā loli maʻamau o nā helu coagulation koko i ka manawa, a hiki ke ʻike a pale i ka DIC i ka wā hikiwawe loa.
3. Loaʻa i ka lāʻau lapaʻau kūloko nā ʻano maʻi like ʻole, ʻo ia hoʻi nā maʻi cardiovascular, nā maʻi ʻōnaehana hoʻoheheʻe, nā maʻi ischemic a me hemorrhagic stroke. I nā hoʻokolohua coagulation maʻamau, kiʻekiʻe loa nā helu maʻamau ʻole o PT a me FIB, ma muli o ka anticoagulation, thrombolysis a me nā lāʻau ʻē aʻe. No laila, he mea nui loa ka hana ʻana i nā hoʻokolohua coagulation maʻamau a me nā mea ʻike thrombus a me hemostasis ʻē aʻe e hāʻawi i ke kumu no ka hoʻokumu ʻana i nā hoʻolālā lapaʻau kūpono.
4. ʻO nā maʻi lele ka hepatitis koʻikoʻi a me ka maʻi mau loa, a ʻo PT, APTT, TT, a me FIB o ka hepatitis koʻikoʻi aia i loko o ka pae maʻamau. I ka hepatitis mau loa, cirrhosis, a me ka hepatitis koʻikoʻi, me ka hoʻonui ʻia o ka hōʻino ʻana o ke akepaʻa, emi iho ka hiki o ke akepaʻa ke hana i nā mea coagulation, a piʻi nui ka helu ʻike ʻē aʻe o PT, APTT, TT, a me FIB. No laila, ʻo ka ʻike maʻamau o ke coagulation koko a me ka nānā ʻana i nā mea ikaika he mea nui loa ia no ka pale ʻana i ke koko a me ka mālama ʻana i ke kahe koko a me ka hoʻoholo ʻana i ka prognosis.
No laila, he mea kōkua ka nānā pono ʻana i ka hana coagulation e hāʻawi i ke kumu no ka hōʻoia ʻana a me ka mālama ʻana i ke kino. Pono e hoʻohana pono ʻia nā mea kālailai coagulation koko ma nā keʻena like ʻole e hoʻokani i ke kuleana nui loa.
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