Madokotala nthawi zambiri amawalembera odwala omwe ali ndi matenda enaake kapena omwe akumwa mankhwala oletsa magazi kutsekeka. Koma kodi manambala ambiriwa amatanthauza chiyani? Ndi zizindikiro ziti zomwe ziyenera kuyang'aniridwa kuchipatala pa matenda osiyanasiyana?
Ma index a mayeso a coagulation function akuphatikizapo prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (FIB), Clotting time (CT) ndi International normalized ratio (INR), ndi zina zotero, zinthu zingapo zitha kusankhidwa kuti zipange phukusi, lomwe limatchedwa coagulation X item. Chifukwa cha njira zosiyanasiyana zozindikirira zomwe zikugwiritsidwa ntchito ndi zipatala zosiyanasiyana, ma reference ranges nawonso ndi osiyana.
Nthawi ya PT-prothrombin
PT imatanthauza kuwonjezera chinthu chopangira minofu (TF kapena tissue thromboplastin) ndi Ca2+ ku plasma kuti ayambe extrinsic coagulation system ndikuwona nthawi yothira magazi. PT ndi imodzi mwa mayeso owunikira omwe amagwiritsidwa ntchito kwambiri muzochita zachipatala kuti aone momwe njira yothira magazi imagwirira ntchito. Mtengo wabwinobwino wowerengera ndi masekondi 10 mpaka 14.
APTT - nthawi yogwiritsira ntchito thromboplastin yochepa
APTT ndi kuwonjezera XII factor activator, Ca2+, phospholipid ku plasma kuti ayambitse njira yolumikizirana ya plasma, ndikuwona nthawi yolumikizirana ya plasma. APTT ndi imodzi mwa mayeso owunikira omwe amagwiritsidwa ntchito kwambiri muzochita zachipatala kuti ayese momwe njira yolumikizirana yamkati imagwirira ntchito. Mtengo wabwinobwino wofotokozera ndi masekondi 32 mpaka 43.
INR - Chiŵerengero Chokhazikika Padziko Lonse
INR ndi mphamvu ya ISI ya chiŵerengero cha PT ya wodwala woyesedwa ku PT ya normal control (ISI ndi chizindikiro cha kukhudzidwa kwa mayiko, ndipo reagent imayesedwa ndi wopanga akachoka ku fakitale). Plasma yomweyo idayesedwa ndi ma reagent osiyanasiyana a ISI m'ma laboratories osiyanasiyana, ndipo zotsatira za PT zinali zosiyana kwambiri, koma ma INR omwe adayesedwa anali ofanana, zomwe zidapangitsa kuti zotsatira zake zikhale zofanana. Mtengo wodziwika bwino ndi 0.9 mpaka 1.1.
Nthawi ya TT-thrombin
TT ndi kuwonjezera kwa thrombin yokhazikika mu plasma kuti izindikire gawo lachitatu la njira yolumikizirana, kuwonetsa kuchuluka kwa fibrinogen mu plasma ndi kuchuluka kwa zinthu zofanana ndi heparin mu plasma. Mtengo wabwinobwino wofotokozera ndi masekondi 16 mpaka 18.
FIB-fibrinogen
FIB ndi kuwonjezera kuchuluka kwa thrombin ku plasma yoyesedwa kuti isinthe fibrinogen mu plasma kukhala fibrin, ndikuwerengera kuchuluka kwa fibrinogen kudzera mu mfundo ya turbidimetric. Mtengo wabwinobwino woyerekeza ndi 2 mpaka 4 g/L.
FDP-plasma fibrin degradation product
FDP ndi mawu ofala otanthauza zinthu zoonongeka zomwe zimapangidwa pambuyo poti fibrin kapena fibrinogen yawonongeka ndi plasmin yomwe imapangidwa panthawi ya hyperfibrinolysis. Mtengo wabwinobwino ndi 1 mpaka 5 mg/L.
Nthawi yolumikizirana kwa CT
CT imatanthauza nthawi imene magazi amatuluka m'mitsempha yamagazi ndi kugawanika mu vitro. Imafotokoza makamaka ngati zinthu zosiyanasiyana zogawanika m'njira yamkati yogawanika sizikupezeka, kaya ntchito yawo ndi yachibadwa, kapena ngati pali kuwonjezeka kwa zinthu zoletsa kugawanika kwa magazi.
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