Kuenzanisa kugayiwa kweropa uye kudzivirira kugayiwa kweropa


Munyori: Succeeder   

Muviri wakajairika une system yakakwana yekuvhara ropa nekudzivirira kuvhara ropa. System yekuvhara ropa nesystem yekudzivirira kuvhara ropa zvinochengetedza chiyero chinoshanduka kuti zvive nechokwadi chekuti ropa rinobuda mumuviri uye kuti ropa rinofamba zvakanaka. Kana system yekuvhara ropa nekudzivirira kuvhara ropa yakanganiswa, zvinozokonzera kubuda ropa uye thrombosis.

1. Basa remuviri rekugwamba

Sisitimu yekuonda inonyanya kuumbwa nezvinhu zvinoonda. Zvinhu zvinobatanidzwa zvakananga mukuonda zvinonzi zvinhu zvinoonda. Kune zvinhu gumi nezvitatu zvinoonda zvinozivikanwa.

Kune nzira dze endogenous activation uye nzira dze exogenous activation dze activation dze coagulation factors.

Pari zvino zvinotendwa kuti kushanda kwe exogenous coagulation system inotangwa ne tissue factor kunoita basa guru mukutanga kwe coagulation. Kubatana kwakasimba pakati pe internal ne external coagulation systems kunoita basa rakakosha mukutanga nekuchengetedza coagulation process.

2. Basa remuviri rekudzivirira ropa kupinda muropa

Sisitimu yekudzivirira ropa kuganda inosanganisira sisitimu yekudzivirira ropa kuganda nesisitimu yekudzivirira ropa kuganda.

①Sisitimu yekudzivirira kuonda kwemasero

Inoreva phagocytosis ye coagulation factor, tissue factor, prothrombin complex uye soluble fibrin monomer ne mononuclear-phagocyte system.

②Sisitimu yekudzivirira kuonda kweropa mumuviri

Zvinosanganisira: serine protease inhibitors, protein C-based protease inhibitors uye tissue factor pathway inhibitors (TFPI).

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3. Sisitimu yeFibrinolytic nemabasa ayo

Zvikuru zvinosanganisira plasminogen, plasmin, plasminogen activator uye fibrinolysis inhibitor.

Basa re fibrinolytic system: kunyungudutsa fibrin clots uye kuona kuti ropa rinotenderera zvakanaka; kubatsira pakugadzirisa tishu uye pakugadzirisa tsinga dzeropa.

4. Basa remasero eropa muropa mukuita kwekugwamba, kudzivirira kuonda kweropa uye fibrinolysis

① Gadzira zvinhu zvakasiyana-siyana zvinoshanda mumuviri;

② Kudzora kugayiwa kweropa uye basa rekudzivirira kugayiwa kweropa;

③Gadzirisa mashandiro ehurongwa hwe fibrinolysis;

④ Kudzora kusimba kwetsinga dzeropa;

⑤Batanidzwa mukubatsira pakurwisa kuzvimba;

⑥ Chengetedza basa re microcirculation, nezvimwewo.

 

Matambudziko ekudzivirira ropa kupwanya uye anticoagulant

1. Kusarongeka kwezvinhu zvinokonzera kuvharika kweropa.

2. Kusarongeka kwezvinhu zvinorwisa ropa muropa.

3. Kusarongeka kwe fibrinolytic factor mu plasma.

4. Kusashanda zvakanaka kwemasero eropa.

5. Mitsipa yeropa isina kujairika.