Cov kws kho mob feem ntau sau ntawv kom kuaj xyuas cov ntshav txhaws. Cov neeg mob uas muaj tej yam mob lossis cov neeg uas noj tshuaj anticoagulant yuav tsum saib xyuas cov ntshav txhaws. Tab sis cov lej ntau ua luaj txhais li cas? Cov cim qhia twg yuav tsum tau saib xyuas hauv kev kho mob rau ntau yam kab mob sib txawv?
Cov ntsuas kev ua haujlwm ntawm kev ntsuas coagulation suav nrog lub sijhawm prothrombin (PT), lub sijhawm ua haujlwm ib nrab thromboplastin (APTT), lub sijhawm thrombin (TT), fibrinogen (FIB), lub sijhawm Clotting (CT) thiab International normalized ratio (INR), thiab lwm yam, ntau yam khoom tuaj yeem xaiv los ua ib pob, uas hu ua coagulation X item. Vim yog cov txheej txheem kuaj pom sib txawv siv los ntawm ntau lub tsev kho mob sib txawv, cov qib siv kuj sib txawv.
Lub sijhawm PT-prothrombin
PT txhais tau hais tias ntxiv cov ntaub so ntswg (TF lossis cov ntaub so ntswg thromboplastin) thiab Ca2+ rau hauv cov ntshav kom pib lub cev coagulation sab nraud thiab saib lub sijhawm coagulation ntawm cov ntshav. PT yog ib qho ntawm cov kev kuaj mob uas siv ntau tshaj plaws hauv kev kho mob los ntsuas qhov ua haujlwm ntawm txoj kev coagulation sab nraud. Tus nqi siv ib txwm yog 10 txog 14 vib nas this.
APTT - lub sijhawm ua haujlwm ib nrab thromboplastin
APTT yog ntxiv XII factor activator, Ca2+, phospholipid rau hauv cov ntshav kom pib txoj kev coagulation endogenous hauv cov ntshav, thiab saib lub sijhawm coagulation hauv cov ntshav. APTT kuj yog ib qho ntawm cov kev kuaj mob uas siv ntau tshaj plaws hauv kev kho mob los ntsuas qhov ua haujlwm ntawm txoj kev coagulation intrinsic. Tus nqi siv ib txwm yog 32 txog 43 vib nas this.
INR - Qhov Sib Piv Thoob Ntiaj Teb
INR yog lub zog ISI ntawm qhov sib piv ntawm PT ntawm tus neeg mob kuaj rau PT ntawm kev tswj hwm ib txwm muaj (ISI yog tus ntsuas kev rhiab heev thoob ntiaj teb, thiab cov tshuaj reagent raug calibrated los ntawm tus neeg tsim khoom thaum nws tawm hauv lub Hoobkas). Cov plasma tib yam tau kuaj nrog cov tshuaj ISI sib txawv hauv cov chaw soj nstuam sib txawv, thiab cov txiaj ntsig ntawm PT tus nqi sib txawv heev, tab sis cov txiaj ntsig INR ntsuas tau zoo ib yam, uas ua rau cov txiaj ntsig sib piv. Tus nqi siv ib txwm muaj yog 0.9 txog 1.1.
Lub sijhawm TT-thrombin
TT yog qhov ntxiv cov thrombin txheem rau hauv cov ntshav kom ntes tau theem peb ntawm cov txheej txheem coagulation, uas qhia txog qib ntawm fibrinogen hauv cov ntshav thiab qhov ntau ntawm cov tshuaj zoo li heparin hauv cov ntshav. Tus nqi siv ib txwm yog 16 txog 18 vib nas this.
FIB-fibrinogen
FIB yog ntxiv ib qho nyiaj ntawm thrombin rau hauv cov ntshav uas tau kuaj kom hloov cov fibrinogen hauv cov ntshav mus ua fibrin, thiab xam cov ntsiab lus ntawm fibrinogen los ntawm txoj cai turbidimetric. Tus nqi siv ib txwm yog 2 txog 4 g / L.
FDP-plasma fibrin degradation khoom
FDP yog ib lo lus dav dav rau cov khoom puas tsuaj uas tsim tawm tom qab fibrin lossis fibrinogen raug rhuav tshem raws li qhov kev ua ntawm plasmin tsim tawm thaum lub sijhawm hyperfibrinolysis. Tus nqi siv ib txwm yog 1 txog 5 mg / L.
Lub sijhawm CT coagulation
CT yog lub sijhawm uas cov ntshav tawm hauv cov hlab ntsha thiab coagulates hauv vitro. Nws feem ntau txiav txim siab seb puas muaj ntau yam coagulation factors hauv txoj kev coagulation intrinsic, seb lawv puas ua haujlwm zoo li qub, lossis seb puas muaj kev nce ntxiv ntawm cov tshuaj anticoagulant.
Daim npav ua lag luam
Suav WeChat