He pūnaha toto totoka me te pūnaha ārai totoka katoa tō te tinana noa. Ka mau tonu te pūnaha toto totoka me te pūnaha ārai totoka i te taurite hihiri hei whakarite i te rere o te toto i roto i te tinana me te rere pai o te toto. Kia whakararuraruhia te taurite o te mahi toto totoka me te ārai totoka, ka puta te toto me te āhua o te toto totoka.

1. Te mahi toto totoka o te tinana

Ko te pūnaha toto toto he mea hanga nui mai i ngā mea toto toto. Ko ngā matū e whai wāhi tika ana ki te toto toto ka kiia he mea toto toto. Tekau mā toru ngā mea toto toto e mōhiotia ana.

He ara whakahohenga ā-roto, ā-waho hoki hei whakahohe i ngā āhuatanga toto totoka.

E whakaponohia ana i tēnei wā ko te whakahohenga o te pūnaha toto toto o waho e tīmatahia ana e te ira kiko he mea nui ki te tīmatanga o te toto toto. Ko te hononga tata i waenga i ngā pūnaha toto toto o roto me o waho he mea nui ki te tīmata me te pupuri i te tukanga toto toto.

2. Te mahi ārai toto o te tinana

Kei roto i te pūnaha ārai toto te pūnaha ārai toto pūtau me te pūnaha ārai toto wai tinana.

①Pūnaha ārai toto pūtau

E pā ana ki te phagocytosis o te tauwehenga coagulation, te tauwehenga kiko, te matatini prothrombin me te monomer fibrin wairewa e te pūnaha mononuclear-phagocyte.

②Pūnaha ārai totoka wai tinana

Tae atu ki: ngā aukati protease serine, ngā aukati protease e hangai ana ki te pūmua C me ngā aukati ara tauwehe kiko (TFPI).

3. Te pūnaha fibrinolytic me āna mahi

Kei roto i te nuinga o ngā mea ko te plasminogen, te plasmin, te plasminogen activator me te fibrinolysis inhibitor.

Ko te mahi a te pūnaha fibrinolytic: te whakarewa i ngā totoka fibrin me te whakarite kia pai te rere o te toto; te whai wāhi ki te whakatikatika kiko me te whakaora i ngā oko toto.

4. Te tūranga o ngā pūtau endothelial vascular i roto i te tukanga coagulation, anticoagulation me te fibrinolysis

① Te whakaputa i ngā matū koiora maha;

②Whakahaere i te toto totoka me te mahi ārai totoka;

③Whakatikatikahia te mahi a te pūnaha fibrinolysis;

④ Whakahaere i te taumahatanga o ngā oko toto;

⑤Wāhi atu ki te rongoā mō te mumura;

⑥Puritia te mahi o te tohanga toto iti, me ētahi atu.

Ngā mate toto totoka me ngā mate toto totoka

1. Ngā rerekētanga o ngā āhuatanga toto totoka.

2. Te rerekētanga o ngā āhuatanga ārai toto i roto i te toto.

3. Te rerekētanga o te tauwehe fibrinolytic i roto i te toto.

4. Ngā āhuatanga rerekē o ngā pūtau toto.

5. Ngā uaua toto rerekē.