Zinthu Zisanu ndi Chimodzi Zidzakhudza Zotsatira za Mayeso a Coagulation


Wolemba: Succeeder   

1. Makhalidwe a moyo

Zakudya (monga chiwindi cha nyama), kusuta fodya, kumwa mowa, ndi zina zotero zidzakhudzanso kupezeka kwa matendawa;

2. Zotsatira za Mankhwala

(1) Warfarin: imakhudza kwambiri kuchuluka kwa PT ndi INR;
(2) Heparin: Imakhudza kwambiri APTT, yomwe imatha kupitilira nthawi 1.5 mpaka 2.5 (mwa odwala omwe amalandira mankhwala oletsa magazi, yesani kusonkhanitsa magazi pambuyo poti kuchuluka kwa mankhwalawo kwachepa kapena mankhwalawa atadutsa theka la moyo wake);
(3) Mankhwala Opha Maantibayotiki: Kugwiritsa ntchito mankhwala ambiri opha maantibayotiki kungayambitse kutalikitsa kwa PT ndi APTT. Zanenedwa kuti pamene kuchuluka kwa penicillin kufika pa 20,000 u/ML m'magazi, PT ndi APTT zimatha kutalikitsa nthawi yoposa 1, ndipo INR imathanso kutalikitsa nthawi yoposa 1 (Milandu ya kutsekeka kosazolowereka komwe kumachitika chifukwa cha nodoperazone-sulbactam m'mitsempha yanenedwa)
(4) Mankhwala ochepetsa kuthamanga kwa magazi;
(5) Mankhwala opangidwa ndi mafuta ochokera kunja amatha kusokoneza zotsatira za mayeso, ndipo kusuntha kwachangu kungagwiritsidwe ntchito kuchepetsa kusokoneza ngati pali zitsanzo zazikulu zamagazi a lipid;
(6) Mankhwala monga aspirin, dipyridamole ndi ticlopidine amatha kuletsa kusonkhana kwa ma platelet;

3. Zinthu zosonkhanitsira magazi:

(1) Chiŵerengero cha sodium citrate anticoagulant ku magazi nthawi zambiri chimakhala 1:9, ndipo chimasakanizidwa bwino. Zanenedwa m'mabuku kuti kuwonjezeka kapena kuchepa kwa kuchuluka kwa anticoagulant kumakhudza kuzindikira ntchito ya coagulation. Pamene kuchuluka kwa magazi kukukwera ndi 0.5 mL, nthawi yotseka magazi imatha kuchepetsedwa; pamene kuchuluka kwa magazi kukuchepa ndi 0.5 mL, nthawi yotseka magazi imatha kukulitsidwa;
(2) Gonjetsani msomali pamutu kuti mupewe kuwonongeka kwa minofu ndi kusakanikirana kwa zinthu zotsekeka zakunja;
(3) Nthawi ya cuff siyenera kupitirira mphindi imodzi. Ngati cuff yakanikizidwa mwamphamvu kwambiri kapena nthawi yayitali kwambiri, factor VIII ndi tissue plasmin source activator (t-pA) zidzatulutsidwa chifukwa cha kulumikizidwa, ndipo jakisoni wa magazi udzakhala wamphamvu kwambiri. Komanso ndi kuwonongeka kwa maselo amagazi komwe kumayambitsa dongosolo la coagulation.

4. Zotsatira za nthawi ndi kutentha kwa chitsanzo:

(1) Zinthu zolimbitsa thupi Ⅷ ndi Ⅴ sizikhazikika. Pamene nthawi yosungira ikuwonjezeka, kutentha kwa malo osungira kumawonjezeka, ndipo ntchito yolimbitsa thupi imachepa pang'onopang'ono. Chifukwa chake, chitsanzo cha magazi cholimbitsa thupi chiyenera kutumizidwa kuti chikayang'aniridwe mkati mwa ola limodzi mutatenga, ndipo mayesowo ayenera kumalizidwa mkati mwa maola awiri kuti apewe kukulitsa PT. , APTT. (2) Pa zitsanzo zomwe sizingadziwike pakapita nthawi, plasma iyenera kulekanitsidwa ndikusungidwa pansi pa chivindikiro ndikusungidwa mufiriji pa 2 ℃ ~ 8 ℃.

5. Zitsanzo za hemolysis yapakati/yoopsa komanso lipidemia

Zitsanzo za hemolyzed zimakhala ndi ntchito yofanana ndi ya platelet factor III, zomwe zimatha kufupikitsa nthawi ya TT, PT, ndi APTT ya plasma ya hemolyzed ndikuchepetsa kuchuluka kwa FIB.

6. Ena

Kuchepa kwa kutentha kwa thupi, acidosis, ndi hypocalcemia zingayambitse kuti zinthu zotsekeka m'magazi ndi magazi zisamagwire ntchito.