Te Tātaritanga o te Mahi Whakapūngao Toto


Kaituhi: Succeeder   

Ko ngā tākuta te hunga e tohu ana i te toto totoka. Me aroturuki te hunga e pāngia ana e ētahi mate hauora, e te hunga rānei e tango ana i ngā rongoā ārai totoka i te totoka. Engari he aha te tikanga o te maha o ngā tau? Ko ēhea ngā tohu me aroturuki haumanu mō ngā mate rerekē?

Ko ngā tohu whakamātautau mahi toto totoka ko te wā prothrombin (PT), te wā thromboplastin wāhanga whakahohe (APTT), te wā thrombin (TT), te fibrinogen (FIB), te wā totoka (CT) me te ōwehenga ā-ao kua whakaritea (INR), me ētahi atu, he maha ngā tūemi ka taea te whiriwhiri hei hanga i tētahi kete, e kiia nei ko te tūemi totoka X. Nā te rerekētanga o ngā tikanga kimi e whakamahia ana e ngā hōhipera rerekē, he rerekē anō hoki ngā awhe tohutoro.

Te wā PT-prothrombin

Ko te PT e pā ana ki te tāpiri i te pūtau kiko (TF, tissue thromboplastin rānei) me te Ca2+ ki te toto hei tīmata i te pūnaha toto toto o waho, me te tirotiro i te wā toto toto o te toto toto. Ko te PT tētahi o ngā whakamātautau tirotiro e whakamahia whānuitia ana i roto i te mahi haumanu hei aromatawai i te mahi a te ara toto toto o waho. Ko te uara tohutoro noa ko te 10 ki te 14 hēkona.

APTT - te wā thromboplastin wāhanga whakahohe

Ko te APTT he tāpiri i te XII factor activator, Ca2+, phospholipid ki te toto hei tīmata i te ara toto toto taketake, me te tirotiro i te wā toto toto. Ko te APTT tētahi o ngā whakamātautau tirotiro e whakamahia whānuitia ana i roto i te mahi haumanu hei aromatawai i te mahi a te ara toto toto o roto. Ko te uara tohutoro noa ko te 32 ki te 43 hēkona.

INR - Ōwehenga Whakapūmau o te Ao

Ko te INR te mana ISI o te ōwehenga o te PT o te tūroro i whakamatautauria ki te PT o te mana whakahaere noa (ko te ISI he taupū aro o te ao, ā, ka whakatauritehia te matū e te kaihanga ina puta mai i te wheketere). I whakamatautauria te plasma kotahi me ngā matū ISI rerekē i roto i ngā taiwhanga rerekē, ā, he tino rerekē ngā hua o te uara PT, engari he rite tonu ngā uara INR i inehia, ā, i rite ai ngā hua. Ko te uara tohutoro noa ko te 0.9 ki te 1.1.

Te wā TT-thrombin

Ko te TT te tāpiri i te thrombin paerewa ki te toto hei kite i te wāhanga tuatoru o te tukanga whakapūnga toto, e whakaata ana i te taumata o te fibrinogen i roto i te toto me te nui o ngā matū rite ki te heparin i roto i te toto. Ko te uara tohutoro noa ko te 16 ki te 18 hēkona.

FIB-fibrinogen

Ko te FIB he tāpiri i tētahi nui o te thrombin ki te toto toto kua whakamatautauria hei huri i te fibrinogen i roto i te toto toto hei fibrin, ā, ka tatau i te nui o te fibrinogen mā te mātāpono turbidimetric. Ko te uara tohutoro noa ko te 2 ki te 4 g/L.

Hua whakapōrearea fibrin plasma FDP

Ko te FDP he kupu whānui mō ngā hua pirau i puta i muri i te pirau o te fibrin, te fibrinogen rānei i raro i te mahi a te plasmin i puta i te wā o te hyperfibrinolysis. Ko te uara tohutoro noa ko te 1 ki te 5 mg/L.

Te wā totohu CT

Ko te CT e pā ana ki te wā e puta ai te toto i roto i ngā oko toto, ka whakapūpū i roto i te vitro. Ko te mea nui ko te whakatau mēnā kei te ngaro ngā momo āhuatanga whakapūpū i roto i te ara whakapūpū ā-roto, mēnā he noa ā rātou mahi, mēnā rānei kei te piki haere ngā matū ārai toto.