Ndepụta Nchọpụta nke Ọrụ Nchikota Ọbara


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Ndị dọkịta na-edekarị maka nchọpụta coagulation ọbara. Ndị ọrịa nwere ụfọdụ nsogbu ahụike ma ọ bụ ndị na-aṅụ ọgwụ anticoagulants kwesịrị inyocha coagulation ọbara. Mana gịnị ka ọtụtụ ọnụọgụgụ pụtara? Kedu ihe ngosi kwesịrị ka a na-enyocha ahụike maka ọrịa dị iche iche?

Ndekọ ule ọrụ njikọ gụnyere oge prothrombin (PT), oge thromboplastin nke na-arụ ọrụ (APTT), oge thrombin (TT), fibrinogen (FIB), oge clotting (CT) na ọnụego mba ụwa (INR), wdg, enwere ike ịhọrọ ọtụtụ ihe iji mepụta ngwugwu, nke a na-akpọ ihe coagulation X. N'ihi ụzọ nchọpụta dị iche iche nke ụlọ ọgwụ dị iche iche na-eji, oke ntụaka dịkwa iche.

Oge PT-prothrombin

PT na-ezo aka n'ịtinye ihe dị mkpa nke anụ ahụ (TF ma ọ bụ thromboplastin anụ ahụ) na Ca2+ na plasma iji malite usoro coagulation mpụga ma hụ oge coagulation nke plasma. PT bụ otu n'ime ule nyocha a na-ejikarị eme ihe n'ụlọ ọgwụ iji nyochaa ọrụ nke ụzọ coagulation mpụga. Uru ntụaka nkịtị bụ sekọnd 10 ruo 14.

APTT - oge thromboplastin nke na-arụ ọrụ

APTT bụ itinye XII factor activator, Ca2+, phospholipid na plasma iji malite ụzọ plasma endogenous coagulation, ma hụ oge plasma coagulation. APTT bụkwa otu n'ime ule nyocha a na-ejikarị eme ihe n'ụlọ ọgwụ iji nyochaa ọrụ nke ụzọ intrinsic coagulation. Uru ntụaka nkịtị bụ sekọnd 32 ruo 43.

INR - Oke Nhazi Mba Nile

INR bụ ike ISI nke oke PT nke onye ọrịa a nwalere na PT nke njikwa nkịtị (ISI bụ ndeksi mmetụta mba ụwa, onye nrụpụta na-ahazikwa reagent mgbe ọ si n'ụlọ ọrụ mmepụta ihe pụta). E jiri ihe reagent ISI dị iche iche nwalee otu plasma ahụ na ụlọ nyocha dị iche iche, nsonaazụ uru PT dịkwa nnọọ iche, mana ụkpụrụ INR a tụrụ bụ otu, nke mere ka nsonaazụ ahụ yie. Uru ntụaka nkịtị bụ 0.9 ruo 1.1.

Oge TT-thrombin

TT bụ mgbakwunye nke thrombin ọkọlọtọ na plasma iji chọpụta ọkwa nke atọ nke usoro coagulation, na-egosipụta ọkwa fibrinogen na plasma na ọnụọgụ nke ihe ndị dị ka heparin na plasma. Uru ntụaka nkịtị bụ sekọnd 16 ruo 18.

FIB-fibrinogen

FIB bụ itinye ụfọdụ thrombin na plasma a nwalere iji gbanwee fibrinogen dị na plasma ka ọ bụrụ fibrin, ma gbakọọ ọdịnaya nke fibrinogen site na ụkpụrụ turbidimetric. Uru ntụaka nkịtị bụ 2 ruo 4 g/L.

Ngwaahịa mmebi FDP-plasma fibrin

FDP bụ okwu izugbe maka ngwaahịa mmebi nke a na-emepụta mgbe fibrin ma ọ bụ fibrinogen gbawara n'okpuru ọrụ nke plasmin emepụtara n'oge hyperfibrinolysis. Uru ntụaka nkịtị bụ 1 ruo 5 mg/L.

Oge CT-coagulation

CT na-ezo aka n'oge ọbara na-apụ n'ime akwara ọbara ma na-agbakọta n'ime vitro. Ọ na-ekpebikarị ma ihe dị iche iche na-akpata coagulation n'ime ụzọ coagulation adịghị, ma ọrụ ha ọ̀ dị mma, ma ọ bụ ma enwere mmụba na ihe ndị na-egbochi coagulation.