Kufunika Kwambiri Kwa Coagulation Diagnostic


Wolemba: Wolowa m'malo   

Kuzindikira kwa coagulation kumaphatikizapo plasma prothrombin time (PT), activated partial prothrombin time (APTT), fibrinogen (FIB), thrombin time (TT), D-dimer (DD), international standardization Ratio (INR).

PT: Imawonetsa makamaka momwe ma extrinsic coagulation system, yomwe INR imagwiritsidwa ntchito nthawi zambiri kuyang'anira oral anticoagulants.Kutalikitsa kumawoneka mu congenital coagulation factor ⅡⅤⅦⅩ kusowa ndi kuchepa kwa fibrinogen, ndipo kupeza coagulation factor kusowa kumawonekera makamaka mu kuchepa kwa vitamini K, matenda aakulu a chiwindi, hyperfibrinolysis, DIC, oral anticoagulants, etc.;kufupikitsa kumawonedwa mu hypercoagulable state ndi thrombosis matenda, etc.

APTT: Imawonetsa kwambiri momwe ma endogenous coagulation system, ndipo nthawi zambiri imagwiritsidwa ntchito kuyang'anira mlingo wa heparin.Kuwonjezeka kwa plasma factor VIII, factor IX ndi factor XI inachepetsa milingo: monga hemophilia A, hemophilia B ndi vuto la factor XI;kutsika kwa hypercoagulable state: monga kulowa kwa procoagulant zinthu m'magazi ndi kuchuluka kwa ntchito za coagulation factor, etc.

FIB: makamaka ikuwonetsa zomwe zili mu fibrinogen.Kuwonjezeka kwa pachimake myocardial infarction ndi kuchepa kwa DIC consumptive hypocoagulable dissolution period, primary fibrinolysis, chiwindi choopsa, ndi chiwindi cha cirrhosis.

TT: Imawonetsa kwambiri nthawi yomwe fibrinogen imasinthidwa kukhala fibrin.Kuwonjezeka kunawoneka mu hyperfibrinolysis siteji ya DIC, ndi otsika (palibe) fibrinogenemia, abnormal hemoglobinemia, ndi kuchuluka kwa fibrin (fibrinogen) degradation products (FDP) m'magazi;kuchepa kunalibe tanthauzo lachipatala.

INR: The International Normalized Ratio (INR) imawerengedwa kuchokera ku prothrombin time (PT) ndi International Sensitivity Index (ISI) ya reagent assay.Kugwiritsa ntchito INR kumapangitsa PT kuyesedwa ndi ma laboratories osiyanasiyana ndi ma reagents osiyanasiyana kufananiza, zomwe zimathandizira kugwirizanitsa miyezo yamankhwala.

Tanthauzo lalikulu la kuyezetsa magazi kwa odwala ndi kuona ngati magazi ali ndi vuto lililonse, kotero kuti madokotala azitha kuzindikira mkhalidwe wa wodwalayo panthaŵi yake, ndipo n’kosavuta kwa madokotala kumwa mankhwala ndi chithandizo choyenera.Tsiku labwino kuti wodwalayo ayese mayeso asanu a coagulation ali pamimba yopanda kanthu, kuti zotsatira za mayesowo zikhale zolondola.Pambuyo poyezetsa, wodwalayo ayenera kusonyeza zotsatira za mayeso kwa dokotala kuti adziwe mavuto a magazi ndi kupewa ngozi zambiri.