He aha te tikanga mēnā he iti tō aPTT?


Kaituhi: Succeeder   

Ko te APTT he whakarāpopototanga mō te wā thromboplastin wāhanga whakahohe, e pā ana ki te wā e hiahiatia ana hei tāpiri i te thromboplastin wāhanga ki te toto toto kua whakamatautauria, me te tirotiro i te wā e hiahiatia ana mō te whakapūngao toto toto. Ko te APTT he whakamātautau tirotiro tairongo, ā, he mea tino whakamahia mō te whakatau i te pūnaha whakapūngao toto taketake. Ko te awhe noa ko te 31-43 hēkona, ā, he 10 hēkona te roa atu i te mana whakahaere noa he hiranga haumanu. Nā ngā rerekētanga i waenga i ngā tāngata takitahi, ki te iti noa te nui o te whakapoto o te APTT, he āhuatanga noa pea, ā, kāore he take e tino mataku ai, ā, he nui te tirotiro anō i ia wā. Ki te kore koe e pai, tirohia he tākuta i te wā tika.

Ko te whakapoto o te APTT e tohu ana kei roto te toto i te āhua totoka nui, he mea noa tēnei i roto i ngā mate totoka o te pūnaha cardiovascular me te pūnaha cerebrovascular, pērā i te thrombosis o te roro me te mate ngakau coronary.

1. Te toto toto o te roro

Ko ngā tūroro he APTT poto rawa te tūponotanga ka pāngia e te thrombosis roro, he mea noa i roto i ngā mate e pā ana ki te toto toto nui i puta mai i ngā huringa o ngā wāhanga toto, pērā i te hyperlipidemia. I tēnei wā, ki te ngawari te nui o te thrombosis roro, ka puta noa ngā tohu o te korenga o te toto ki te roro, pērā i te whanoke, te ānini, te whakapairuaki, me te ruaki. Ki te nui te nui o te thrombosis roro hei whakaputa i te ischemia parenchymal roro kino, ka puta ngā tohu haumanu pērā i te korenga o te nekehanga o ngā peka, te ngoikore o te kōrero, me te kore e taea te pupuri i te toto. Mō ngā tūroro he thrombosis roro ohorere, ka whakamahia te manawa hāora me te tautoko hau hei whakanui ake i te tuku hāora. Ina he morearea ngā tohu o te tūroro, me mahi te thrombolysis kaha, te pokanga wawao rānei hei whakatuwhera i ngā oko toto i te wā e taea ai. I muri i te whakamamae me te whakahaere i ngā tohu nui o te thrombosis roro, me piri tonu te tūroro ki ngā tikanga noho pai me te tango rongoā roa i raro i te arataki a ngā tākuta. He mea pai kia kai i ngā kai iti te tote me te ngako i te wā e ora ana, kia nui ake te kai i ngā huawhenua me ngā hua, kia kaua e kai i ngā kai nui te konutai pērā i te pēkana, te pīkara, ngā kai kēne, me ētahi atu, ā, kia kaua e kai hikareti me te waipiro. Whakakorikori tinana kia taurite ina taea e tō āhua tinana.

2. Te mate manawa koroneri

Ko te whakapoto o te APTT e tohu ana ka pāngia te tūroro e te mate ngakau, he mea e puta pinepine ana i te toto toto nui e arahi ana ki te stenosis, te aukati rānei i te lumen o te oko toto, ka hua ake te ischemia myocardial, te hypoxia, me te necrosis. Mena he teitei te taumata o te aukati o te uaua coronary, tera pea kāore he tohu haumanu kitea o te tūroro i te wā okiokinga, ka pāngia rānei e te mamae pēnei i te kikī o te uma me te mamae o te uma i muri i ngā mahi. Mena he nui te taumata o te aukati o te uaua coronary, ka piki ake te mōrearea o te myocardial infarction. Ka pāngia pea ngā tūroro e te mamae o te uma, te kikī o te uma, me te poto o te manawa i a rātou e okioki ana, e harikoa ana rānei. Ka horapa te mamae ki ētahi atu wāhanga o te tinana, ā, ka mau tonu me te kore e whakaora. Mō ngā tūroro e pāngia ana e te mate ngakau, i muri i te whakahaerenga o te nitroglycerin, te isosorbide dinitrate rānei i raro i te arero, me toro atu ki te tākuta tonu, ā, ka arotakehia e te tākuta mēnā me whakauru tonu te stent coronary, te thrombolysis rānei. I muri i te wāhanga koi, me rongoā roa te antiplatelet me te anticoagulant. I muri i te putanga mai i te hōhipera, me kai te tūroro i tētahi kai iti te tote, iti te ngako, me mutu te kai hikareti me te inu waipiro, me whakakori tinana tika, ā, me aro ki te okioki.