O kwere omume ịmata ma onye ọrịa ahụ nwere ọrụ coagulation na-adịghị mma tupu a wa ya ahụ, gbochie ọnọdụ ndị a na-atụghị anya ya dị ka ọbara ọgbụgba na-akwụsịghị akwụsị n'oge na mgbe a wachara ya ahụ, ka o wee nweta mmetụta kachasị mma nke ịwa ahụ.
Ọrụ hemostatic nke ahụ na-arụ site na njikọ nke platelets, coagulation system, fibrinolytic system na vaskụla endothelial system. N'oge gara aga, anyị jiri oge ọbara dị ka ule nyocha maka ntụpọ ọrụ hemostatic, mana n'ihi obere nhazi ya, enweghị mmetụta, na enweghị ike igosipụta ọdịnaya na ọrụ nke ihe coagulation, ejirila ule ọrụ coagulation dochie ya. Nnwale ọrụ coagulation gụnyerekarị oge prothrombin plasma (PT) na ọrụ PT agbakọrọ site na PT, mba ụwa normalized ratio (INR), fibrinogen (FIB), activated partial thromboplastin time (APTT) na plasma thrombin time (TT).
PT na-egosipụtakarị ọrụ nke sistemụ coagulation mpụga. A na-ahụkarị PT ogologo oge na mbelata coagulation factor II, V, VII, na X, enweghị fibrinogen, enweghị coagulation factor enwetara (DIC, primary hyperfibrinolysis, obstructive jaundice, enweghị vitamin K, na ihe ndị na-egbochi ọbara. A na-ahụkarị mkpụmkpụ PT na mmụba coagulation factor V na ọmụmụ nwa, DIC mbụ, ọrịa thrombotic, ọgwụ mgbochi ọnụ, wdg; enwere ike iji PT nyochaa ọgwụ anticoagulants ọnụ dị ka nlekota ọgwụ.
APTT bụ ule nyocha kachasị ntụkwasị obi maka enweghị ihe na-akpata coagulation endogenous. A na-ahụkarị APTT ogologo oge na hemophilia, DIC, ọrịa imeju, na nnukwu mmịnye ọbara a na-etinye n'ime akpa. A na-ahụkarị APTT dị mkpụmkpụ na DIC, ọnọdụ prothrombotic, na ọrịa thrombotic. Enwere ike iji APTT dị ka ihe ngosi nlekota maka ọgwụgwọ heparin.
A na-ahụ ogologo oge TT na hypofibrinogenemia na dysfibrinogenemia, mmụba nke FDP n'ọbara (DIC), na ọnụnọ nke ihe heparin na heparinoid n'ọbara (dịka ọmụmaatụ, n'oge ọgwụgwọ heparin, SLE, ọrịa imeju, wdg).
E nwere otu onye ọrịa mberede nke natara ule ụlọ nyocha tupu ịwa ahụ, nsonaazụ nke ule coagulation bụ PT na APTT ogologo oge, a na-enyokwa DIC enyo n'ahụ onye ọrịa ahụ. N'okpuru ndụmọdụ nke ụlọ nyocha ahụ, onye ọrịa ahụ mere usoro ule DIC, nsonaazụ ya dịkwa mma. Enweghị ihe mgbaàmà doro anya nke DIC. Ọ bụrụ na onye ọrịa ahụ enweghị ule coagulation, na ịwa ahụ ozugbo, ihe ga-esi na ya pụta ga-abụ ọdachi. Enwere ike ịchọta ọtụtụ nsogbu ndị dị otú ahụ site na ule ọrụ coagulation, nke zụtara oge ka ukwuu maka nchọpụta na ọgwụgwọ nke ọrịa. Nnwale usoro coagulation bụ ule ụlọ nyocha dị mkpa maka ọrụ coagulation nke ndị ọrịa, nke nwere ike ịchọpụta ọrụ coagulation na-adịghị mma na ndị ọrịa tupu ịwa ahụ, a kwesịkwara inye ya nlebara anya zuru oke.
Kaadị azụmaahịa
WeChat nke Chaịna