Nchọpụta nchọpụta nke Ọrụ coagulation ọbara


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Ndị dọkịta na-enyekarị nyocha nke coagulation ọbara.Ndị ọrịa nwere ụfọdụ ọnọdụ ahụike ma ọ bụ ndị na-aṅụ ọgwụ mgbochi mkpali kwesịrị inyocha coagulation ọbara.Ma gịnị ka ọtụtụ ọnụọgụ pụtara?Kedu ihe ndị na-egosi kwesịrị nyochaa ụlọ ọgwụ maka ọrịa dị iche iche?

Ntụle nyocha ọrụ coagulation gụnyere oge prothrombin (PT), oge thromboplastin na-arụ ọrụ (APTT), oge thrombin (TT), fibrinogen (FIB), oge mkpuchi (CT) na International normalized ratio (INR), wdg, ọtụtụ ihe nwere ike ịbụ. họrọ ime ngwugwu, nke a na-akpọ coagulation X item.N'ihi ụzọ nchọpụta dị iche iche nke ụlọ ọgwụ dị iche iche na-eji, ọnụọgụ ntụaka dịkwa iche.

PT-prothrombin oge

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

APTT - oge thromboplastin na-arụ ọrụ

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

INR - Ratio nke mba ofesi ahaziri

INR bụ ike ISI nke oke nke PT nke onye ọrịa a nwalere na PT nke njikwa nkịtị (ISI bụ ndenye uche nke mba ụwa, na onye nrụpụta na-ahazi reagent mgbe ọ hapụrụ ụlọ ọrụ ahụ).A nwalere otu plasma ahụ site na reagents ISI dị iche iche na ụlọ nyocha dị iche iche, yana nsonaazụ PT dị iche iche, mana ụkpụrụ INR tụrụ atụ bụ otu, nke mere ka nsonaazụ ya tụnyere.Uru ntụaka nkịtị bụ 0.9 ruo 1.1.

TT-thrombin oge

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

FIB-fibrinogen

FIB bụ ịgbakwunye ụfọdụ thrombin na plasma 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 fibrin FDP-plasma

FDP bụ okwu n'ozuzu maka ngwaahịa mmebi nke emepụtara mgbe fibrin ma ọ bụ fibrinogen mebiri emebi n'okpuru ọrụ nke plasmin emepụtara n'oge hyperfibrinolysis.Uru ntụaka nkịtị bụ 1 ruo 5 mg / L.

CT-coagulation oge

CT na-ezo aka na oge mgbe ọbara na-ahapụ arịa ọbara ma na-agbakọta na vitro.Ọ na-ekpebi ma ihe dị iche iche coagulation dị n'ime ụzọ coagulation dị n'ime enweghị, ma ọrụ ha ọ bụ nke nkịtị, ma ọ bụ ma enwere mmụba na ihe mgbochi.