Kodi mayeso odziwika bwino a coagulation ndi ati?


Wolemba: Wolowa m'malo   

Pamene magazi coagulation matenda kumachitika, mukhoza kupita kuchipatala kuti mudziwe plasma prothrombin.Zinthu zenizeni za kuyesa kwa ntchito ya coagulation ndi izi:

1. Kuzindikira kwa plasma prothrombin: Mtengo wabwinobwino wa plasma prothrombin kuzindikira ndi masekondi 11-13.Ngati coagulation nthawi anapeza yaitali, limasonyeza kuwonongeka chiwindi, chiwindi, matenda enaake chiwindi, obstructive jaundice ndi matenda ena;ngati coagulation Time adzafupikitsidwa, pangakhale thrombotic matenda.

2. Control international normalized ratio: Ichi ndi chiŵerengero chowongolera pakati pa nthawi ya prothrombin ya wodwala ndi nthawi ya prothrombin yachibadwa.Mulingo wabwinobwino wa nambalayi ndi 0.9 ~ 1.1.Ngati pali kusiyana ndi mtengo wamba, zimasonyeza kuti coagulation ntchito yaonekera Kukulirapo kusiyana, vuto lalikulu kwambiri.

3. Kuzindikira kwanthawi yokhazikika ya thromboplastin: Uku ndikuyesa kuzindikira zinthu zomwe zimapanga ma coagulation.Mtengo wabwinobwino ndi 24 mpaka 36 masekondi.Ngati nthawi ya coagulation ya wodwalayo italika, zimasonyeza kuti wodwalayo akhoza kukhala ndi vuto la kuchepa kwa fibrinogen.Ndi sachedwa matenda a chiwindi, obstructive jaundice ndi matenda ena, ndipo akhanda akhoza kudwala kukha mwazi;ngati ndi lalifupi kuposa zachibadwa, zimasonyeza kuti wodwalayo akhoza pachimake m`mnyewa wamtima infarction, ischemic sitiroko, venous thrombosis ndi matenda ena.

4. Kuzindikira kwa fibrinogen: mlingo wamba wa mtengo uwu uli pakati pa 2 ndi 4. Ngati fibrinogen ikukwera, imasonyeza kuti wodwalayo ali ndi matenda aakulu ndipo akhoza kudwala matenda a atherosclerosis, shuga, uremia ndi matenda ena;Ngati mtengowu umachepetsa, pangakhale matenda a chiwindi, matenda a chiwindi ndi matenda ena.

5. Kutsimikiza kwa nthawi ya thrombin;mulingo wabwinobwino wa mtengo uwu ndi 16 ~ 18, bola ngati utalikirapo kuposa mtengo wamba wopitilira 3, ndi wachilendo, womwe umawonetsa matenda a chiwindi, matenda a impso ndi matenda ena.Ngati nthawi ya thrombin yafupikitsidwa, pakhoza kukhala ayoni a calcium m'magazi.

6. Kutsimikiza kwa D dimer: Mtundu wabwinobwino wa mtengo uwu ndi 0.1~0.5.Ngati mtengo wapezeka kuti ukuwonjezeka kwambiri panthawi yoyezetsa, pangakhale matenda a mtima ndi cerebrovascular, pulmonary embolism, ndi zotupa zoopsa.