He aha te PT vs aPTT coagulation?


Kaituhi: Kaituku   

Ko te tikanga o te PT ko te wa prothrombin i roto i te rongoa, ko te APTT te tikanga kua whakahohehia te wa thromboplastin wahanga i roto i te rongoa.He mea nui te mahi whakaheke toto o te tinana o te tangata.Mena he rerekee te mahi o te whakaheke toto, tera pea ka puta he thrombosis, he toto ranei, ka tino whakararu i te oranga o te manawanui.Ko te aroturuki haumanu o nga uara PT me te APTT ka taea te whakamahi hei paerewa mo te whakamahi i etahi raau taero anticoagulant i roto i nga mahi haumanu.Mena he tiketike rawa nga uara ine, ko te tikanga me whakaheke te horopeta o nga raau taero anticoagulant, ki te kore ka ngawari te toto.

1. Te wa prothrombin (PT): Ko tetahi o nga tohu tino tairongo o te punaha whakaheke toto o te tangata.He mea nui ake te whakaroa i te wa mo te neke atu i te 3 hēkona i roto i nga mahi haumanu, ka taea te whakaatu mena he mea noa te mahi coagulation exogenous.Ka kitea te roanga i roto i te whanautanga o te whanautanga Ko te ngoikoretanga, te cirrhosis nui, te mate ate me etahi atu mate.I tua atu, ko te nui o nga pota o te heparin me te warfarin ka roa pea te PT;

2. Te wa thromboplastin whakahohe (APTT): Ko te nuinga he tohu e whakaatu ana i te mahi whakaheke toto i roto i nga mahi haumanu.Ko te roanga nui o te APTT ka tino kitea i roto i te whanautanga, i riro mai ranei i te ngoikoretanga o te tauwehe coagulation, penei i te hemophilia me te systemic lupus erythematosus.Mena he rereke te horopeta o nga raau taero anticoagulant e whakamahia ana mo te thrombosis, ka nui ake te roa o te APTT.Mena he iti te uara ine, whakaarohia te manawanui kei roto i te ahua hypercoagulable, penei i te thrombosis uaua hohonu.

Mena kei te hiahia koe ki te mohio mena he pai to PT me to APTT, me whakamarama koe i to raatau awhe noa.Ko te awhe noa o te PT he 11-14 hēkona, ko te awhe noa o te APTT he 27-45 hēkona.Ko te roanga o te PT neke atu i te 3 hēkona he nui ake te hiranga haumanu, a, ko te roanga o te APTT neke atu i te 10 hēkona he kaha te hiranga haumanu.