Cov Khoom Siv Ua Haujlwm Ib Nrab Thromboplastin Lub Sijhawm (APTT)

Kev ntsuas APTT yog qhov kev kuaj mob uas siv ntau tshaj plaws los qhia txog kev ua haujlwm ntawm cov ntshav coagulation system. Nws yog siv los ntes cov teeb meem ntawm cov ntshav coagulation thiab cov tshuaj inhibitors thiab los tshuaj xyuas qhov tshwm sim ntawm kev ua haujlwm ntawm cov protein C tsis kam. Nws muaj ntau yam kev siv hauv kev tshuaj xyuas, kev saib xyuas kev kho mob heparin, kev kuaj mob thaum ntxov ntawm kev sib kis ntawm cov hlab ntsha hauv lub cev (DIC), thiab kev kuaj mob ua ntej phais.

Qhov tseem ceeb ntawm kev kho mob:

APTT yog ib qho kev ntsuas kev ua haujlwm ntawm cov ntshav coagulation uas qhia txog txoj kev coagulation endogenous, tshwj xeeb tshaj yog cov haujlwm ntawm cov coagulation factors hauv thawj theem. Nws yog dav siv los tshuaj xyuas thiab txiav txim siab qhov tsis zoo ntawm cov coagulation factors hauv txoj kev endogenous, xws li factor Ⅺ, Ⅷ, Ⅸ, nws kuj tseem siv tau rau kev kuaj mob ua ntej ntawm cov kab mob los ntshav thiab kev soj ntsuam hauv chaw kuaj mob ntawm heparin anticoagulation therapy.

1. Ntev: pom tau hauv cov neeg mob hemophilia A, hemophilia B, kab mob siab, mob plab hnyuv sterilization syndrome, noj tshuaj anticoagulants, diffuse intravascular coagulation, me ntsis hemophilia; FXI, FXII deficiency; cov ntshav Anticoagulants (coagulation factor inhibitors, lupus anticoagulants, warfarin lossis heparin) nce ntxiv; ntau cov ntshav khaws cia tau hloov mus rau hauv cov ntshav.

2. Ua kom luv luv: Nws tuaj yeem pom hauv lub xeev hypercoagulable, cov kab mob thromboembolic, thiab lwm yam.

Qhov ntau ntawm tus nqi ib txwm muaj

Tus nqi siv ib txwm ntawm lub sijhawm ua haujlwm ib nrab thromboplastin (APTT): 27-45 vib nas this.

Cov kev ceev faj

1. Tsis txhob cia cov qauv ntshav tawg. Cov qauv ntshav uas tau tawg muaj cov phospholipids uas tso tawm los ntawm kev tawg ntawm daim nyias nyias ntawm cov qe ntshav liab uas laus lawm, uas ua rau APTT qis dua tus nqi ntsuas ntawm cov qauv ntshav uas tsis tau tawg.

2. Cov neeg mob yuav tsum tsis txhob ua tej yam hnyav hauv 30 feeb ua ntej yuav coj ntshav mus kuaj.

3. Tom qab sau cov ntshav kuaj, maj mam co lub raj kuaj uas muaj cov ntshav kuaj 3 txog 5 zaug kom cov ntshav kuaj sib xyaw nrog cov tshuaj anticoagulant hauv lub raj kuaj.

4. Cov ntshav kuaj yuav tsum xa mus kuaj sai li sai tau.