Lub tshuab ntsuas ntshav coagulation yog ib lub cuab yeej siv rau kev ntsuas ntshav coagulation niaj hnub. Nws yog ib qho khoom siv kuaj mob tsim nyog hauv tsev kho mob. Nws yog siv los ntes qhov kev pheej hmoo ntawm kev ntshav coagulation thiab thrombosis. Cov cuab yeej no siv rau hauv ntau lub chaw haujlwm li cas?
Ntawm cov khoom kuaj ntawm lub tshuab ntsuas ntshav coagulation, PT, APTT, TT, thiab FIB yog plaub yam khoom kuaj niaj hnub rau kev coagulation ntshav. Ntawm lawv, PT qhia txog cov theem ntawm cov ntshav coagulation yam II, V, VII, thiab X hauv cov ntshav plasma, thiab yog qhov tseem ceeb tshaj plaws ntawm lub kaw lus coagulation sab nraud. Kev kuaj mob rhiab heev thiab feem ntau siv; APTT qhia txog cov theem ntawm cov coagulation yam V, VIII, IX, XI, XII, fibrinogen, thiab fibrinolytic kev ua haujlwm hauv plasma, thiab yog qhov kev kuaj mob feem ntau siv rau cov kab ke endogenous; Kev ntsuas TT feem ntau qhia txog seb cov ntshav puas muaj cov tshuaj anticoagulant tsis zoo: FIB yog glycoprotein uas, nyob rau hauv hydrolysis los ntawm thrombin, thaum kawg tsim cov fibrin insoluble kom tsis txhob los ntshav.
1. Cov neeg mob pob txha feem ntau yog cov neeg mob uas muaj pob txha tawg los ntawm ntau yam laj thawj, feem ntau ntawm cov uas xav tau kev phais. Tom qab pob txha tawg, vim yog kev puas tsuaj rau cov leeg nqaij thiab pob txha, ib feem ntawm cov hlab ntsha tawg, kev raug mob hauv cov hlab ntsha thiab cov hlwb ua rau cov ntshav coagulation mechanism, platelet aggregation, thiab fibrinogen tsim. ua tiav lub hom phiaj ntawm hemostasis. Kev ua kom lub cev fibrinolytic lig, thrombolysis, thiab kho cov ntaub so ntswg. Cov txheej txheem no cuam tshuam rau cov ntaub ntawv ntawm kev kuaj coagulation ua ntej thiab tom qab phais, yog li kev kuaj pom ntau yam coagulation indexes yog qhov tseem ceeb heev rau kev kwv yees thiab kho cov ntshav tsis zoo thiab thrombosis hauv cov neeg mob pob txha.
Kev los ntshav tsis zoo thiab cov ntshav txhaws yog cov teeb meem uas tshwm sim ntau zaus hauv kev phais. Rau cov neeg mob uas muaj cov ntshav txhaws tsis zoo, yuav tsum nrhiav qhov ua rau muaj qhov tsis zoo ua ntej phais kom paub tseeb tias kev phais ua tiav.
2. DIC yog tus kab mob los ntshav uas tshwm sim los ntawm kev kho mob poj niam thiab menyuam yaus, thiab tus nqi FIB txawv txawv nce ntxiv ntau heev. Nws yog ib qho tseem ceeb heev rau kev kho mob kom paub txog cov kev hloov pauv txawv txawv ntawm cov ntsuas ntshav coagulation raws sijhawm, thiab tuaj yeem kuaj pom thiab tiv thaiv DIC sai li sai tau.
3. Kev kho mob sab hauv muaj ntau yam kab mob, feem ntau yog cov kab mob plawv, cov kab mob zom zaub mov, cov neeg mob ischemic thiab hemorrhagic stroke. Hauv kev kuaj mob ntshav khov tsis tu ncua, cov nqi tsis zoo ntawm PT thiab FIB yog qhov siab heev, feem ntau yog vim anticoagulation, thrombolysis thiab lwm yam kev kho mob. Yog li ntawd, nws yog qhov tseem ceeb heev uas yuav tsum ua kev kuaj mob ntshav khov tsis tu ncua thiab lwm yam khoom siv kuaj mob thrombus thiab hemostasis los muab lub hauv paus rau kev tsim cov phiaj xwm kho mob tsim nyog.
4. Cov kab mob sib kis feem ntau yog cov kab mob siab mob hnyav thiab mob ntev, thiab PT, APTT, TT, thiab FIB ntawm cov kab mob siab mob hnyav yog nyob rau hauv qhov ntau thiab tsawg. Hauv cov kab mob siab mob ntev, mob cirrhosis, thiab kab mob siab mob hnyav, nrog rau kev ua rau lub siab puas tsuaj, lub peev xwm ntawm lub siab los tsim cov tshuaj coagulation txo qis, thiab qhov ntsuas tsis zoo ntawm PT, APTT, TT, thiab FIB nce ntxiv ntau heev. Yog li ntawd, kev kuaj pom cov ntshav coagulation thiab kev soj ntsuam dynamic yog qhov tseem ceeb heev rau kev tiv thaiv thiab kho mob ntawm kev los ntshav thiab kev kwv yees kwv yees.
Yog li ntawd, kev kuaj xyuas cov ntshav coagulation kom raug yog qhov pab tau los muab lub hauv paus rau kev kuaj mob thiab kev kho mob. Cov cuab yeej ntsuas ntshav coagulation yuav tsum tau siv kom zoo hauv ntau lub chaw haujlwm kom ua lub luag haujlwm tseem ceeb.
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