He taputapu te tātari toto totoka e whakamahia ana mō te whakamātautau totoka o ia rā. He taputapu whakamātautau e tika ana i roto i te hōhipera. E whakamahia ana hei kite i te ia o te totoka me te toto totoka. He aha te whakamahinga o tēnei taputapu i roto i ngā tari rerekē?
I roto i ngā tūemi whakamātautau o te tātari toto toto, ko te PT, APTT, TT, me te FIB ētahi tūemi whakamātautau noa e whā mō te toto toto toto. I roto i ēnei, ko te PT e whakaata ana i ngā taumata o ngā take toto toto toto II, V, VII, me te X i roto i te toto toto, ā, koinei te wāhanga tino nui o te pūnaha toto toto toto. He whakamātautau tirotiro tairongo, ā, e whakamahia whānuitia ana; e whakaata ana te APTT i ngā taumata o ngā take toto toto toto V, VIII, IX, XI, XII, fibrinogen, me te mahi fibrinolytic i roto i te toto toto, ā, he whakamātautau tirotiro e whakamahia whānuitia ana mō ngā pūnaha taketake; ko te ine TT e whakaata ana i te aroaro o ngā matū anticoagulant rerekē i roto i te toto: Ko te FIB he glycoprotein, i raro i te hydrolysis e te thrombin, ka hanga i te fibrin kore e rewa hei whakamutu i te toto.
1. Ko te nuinga o ngā tūroro orthopedic he tūroro whatiwhati i puta mai i ngā take maha, ko te nuinga me rongoatia ki te pokanga. Whai muri i ngā whatiwhati, nā te kino o te musculoskeletal, ka pakaru tetahi wāhanga o ngā oko toto, ka whakahohehia te tikanga toto totoka i roto i te toto me te pūtau, te whakakotahitanga o ngā pereti toto, me te hanganga fibrinogen. Ka tutuki te kaupapa o te hemostasis. Ka whakahohehia te pūnaha fibrinolytic mutunga, te thrombolysis, me te whakatika kiko. Ka pāngia ēnei tukanga katoa e ngā raraunga o te whakamātautau toto totoka o mua me muri i te pokanga, nō reira he mea nui te kimi wā tika i ngā tohu toto totoka rerekē mō te matapae me te rongoā i te toto totoka me te thrombosis rerekē i roto i ngā tūroro whatiwhati.
He raruraru noa te toto rerekē me te thrombosis i roto i te pokanga. Mō ngā tūroro he rerekē te auau toto toto, me kimi te pūtake o te rerekētanga i mua i te pokanga kia angitu ai te pokanga.
2. Ko te DIC te mate toto nui rawa atu e puta mai ana i ngā mahi whānau me ngā mahi wahine, ā, kua tino piki ake te tere o te FIB. He mea nui ki te haumanu te mōhio ki ngā huringa rerekē o ngā tohu toto totoka i te wā tika, ā, ka taea te kite me te ārai i te DIC i te wā e taea ai.
3. He whānuitia ngā momo mate o te rongoā ā-roto, ko te nuinga ko ngā mate pūnaha toto, ngā mate pūnaha nakunaku, ngā tūroro whiu ischemic me te toto toto. I roto i ngā whakamātautau toto toto auau, he teitei noa ngā reiti rerekē o te PT me te FIB, ko te nuinga nā te ārai toto toto, te thrombolysis me ētahi atu maimoatanga. Nō reira, he mea tino nui te mahi i ngā whakamātautau toto toto auau me ētahi atu mea e kitea ai ngā thrombus me te hemostasis hei whakarato i te pūtake mō te whakatakoto mahere maimoatanga tika.
4. Ko ngā mate pāwera ko te hepatitis whakapeka me te hepatitis mau tonu, ā, ko te PT, APTT, TT, me te FIB o te hepatitis whakapeka kei roto katoa i te awhe noa. I roto i te hepatitis mau tonu, te cirrhosis, me te hepatitis kino, me te kino haere o te kino o te ate, ka heke te kaha o te ate ki te hanga i ngā mea taupū toto, ā, ka piki ake te tere kitenga rerekē o te PT, APTT, TT, me te FIB. Nō reira, he mea nui te kitenga auau o te toto whakapeka me te tirotiro hihiri mō te aukati haumanu me te maimoatanga o te toto me te whakatau i te matapae.
Nō reira, he mea āwhina te tirotiro tika i te mahi toto toto hei pūtake mō te tātaritanga haumanu me te maimoatanga. Me whakamahi tika ngā tātaritanga toto toto toto i roto i ngā tari rerekē kia tino whai hua ai.
Kāri pakihi
WeChat Hainamana