Choyezera magazi oundana ndi chida chomwe chimagwiritsidwa ntchito poyezetsa magazi nthawi zonse. Ndi chida chofunikira choyezetsa kuchipatala. Chimagwiritsidwa ntchito kuzindikira chizolowezi cha magazi oundana ndi thrombosis. Kodi chida ichi chikugwiritsidwa ntchito bwanji m'madipatimenti osiyanasiyana?
Pakati pa zinthu zoyesera za choyezera magazi, PT, APTT, TT, ndi FIB pali zinthu zinayi zoyesera magazi nthawi zonse. Pakati pawo, PT imawonetsa kuchuluka kwa zinthu zolimbitsa magazi II, V, VII, ndi X mu plasma yamagazi, ndipo ndi gawo lofunika kwambiri la dongosolo lolimbitsa magazi lakunja. Mayeso owunikira omwe amagwiritsidwa ntchito kwambiri; APTT imawonetsa kuchuluka kwa zinthu zolimbitsa magazi V, VIII, IX, XI, XII, fibrinogen, ndi fibrinolytic mu plasma, ndipo ndi mayeso owunikira omwe amagwiritsidwa ntchito kwambiri m'machitidwe amkati; Kuyeza kwa TT kumawonetsa makamaka ngati magazi Alipo Kupezeka kwa zinthu zosazolowereka zoletsa magazi: FIB ndi glycoprotein yomwe, pansi pa hydrolysis ndi thrombin, pamapeto pake imapanga fibrin yosasungunuka kuti iletse kutuluka magazi.
1. Odwala mafupa nthawi zambiri amakhala odwala omwe amathyoka chifukwa cha zifukwa zosiyanasiyana, zomwe zambiri zimafuna chithandizo cha opaleshoni. Pambuyo pa kuthyoka kwa mafupa, chifukwa cha kuwonongeka kwa minofu ndi mafupa, gawo la mitsempha yamagazi ikasweka, kulowa m'magazi ndi kulowa kwa maselo kumathandizira njira yolumikizirana kwa magazi, kusonkhana kwa ma platelet, ndi kupangika kwa fibrinogen. Kukwaniritsa cholinga cha hemostasis. Kuyambitsa dongosolo la fibrinolytic lochedwa, thrombolysis, ndi kukonzanso minofu. Njira zonsezi zimakhudza deta ya mayeso obwerezabwereza asanachitike opaleshoni komanso atatha, kotero kuzindikira nthawi yake ma index osiyanasiyana a coagulation ndikofunikira kwambiri poneneratu ndikuchiza kutuluka magazi kosazolowereka ndi thrombosis mwa odwala omwe amathyoka.
Kutuluka magazi kosazolowereka komanso thrombosis ndi mavuto ofala kwambiri pa opaleshoni. Kwa odwala omwe ali ndi vuto losazolowereka la magazi, chifukwa chake chiyenera kupezedwa musanachite opaleshoni kuti opaleshoniyo ipambane.
2. DIC ndi matenda odziwika kwambiri otuluka magazi omwe amayamba chifukwa cha kubereka ndi matenda a akazi, ndipo kuchuluka kwa matenda a FIB kumawonjezeka kwambiri. Ndikofunikira kwambiri kuchipatala kudziwa kusintha kosazolowereka kwa magazi m'nthawi yake, ndipo kumatha kuzindikira ndikuletsa DIC mwachangu.
3. Mankhwala amkati ali ndi matenda osiyanasiyana, makamaka matenda a mtima, matenda am'mimba, odwala sitiroko ya ischemic ndi hemorrhagic. Mu mayeso achizolowezi a magazi, kuchuluka kwa PT ndi FIB kumakhala kokwera, makamaka chifukwa cha mankhwala oletsa magazi kuundana, thrombolysis ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kuchita mayeso achizolowezi a magazi kuundana ndi zinthu zina zodziwira magazi kutuluka ndi kutuluka magazi kuti pakhale maziko opangira mapulani oyenera a chithandizo.
4. Matenda opatsirana makamaka ndi a chiwindi cha pachimake komanso chosatha, ndipo PT, APTT, TT, ndi FIB za chiwindi cha pachimake zimakhala mkati mwa mulingo wabwinobwino. Mu chiwindi cha chiwindi chosatha, matenda a chiwindi, ndi chiwindi chachikulu, chifukwa cha kuwonongeka kwa chiwindi, mphamvu ya chiwindi yopanga zinthu zozungulira magazi imachepa, ndipo kuchuluka kwa PT, APTT, TT, ndi FIB kumawonjezeka kwambiri. Chifukwa chake, kuzindikira magazi nthawi zonse ndi kuwona momwe magazi amagayikira ndikofunikira kwambiri popewa komanso kuchiza kutuluka magazi komanso kuyerekeza nthawi yomwe magazi amagayikira.
Choncho, kufufuza molondola momwe magazi amagwirira ntchito kumathandiza kuti pakhale maziko odziwira matenda ndi chithandizo cha matenda. Zoyezera magazi ziyenera kugwiritsidwa ntchito moyenera m'madipatimenti osiyanasiyana kuti zigwire ntchito yayikulu.
Khadi la bizinesi
WeChat ya ku China