Zvinokwanisika kuziva kana murwere aine dambudziko rekuvhara ropa risingawanzoitiki asati avhiyiwa, kudzivirira mamiriro ezvinhu asingatarisirwi akadai sekubuda ropa nguva dzose panguva yekuvhiyiwa uye mushure mekuvhiyiwa, kuitira kuti awane mhedzisiro yakanaka yekuvhiyiwa.
Basa remuviri rekubvisa ropa rinoitwa nekushanda kwemaplatelet, macoagulation system, fibrinolytic system uye vascular endothelial system. Kare, taishandisa nguva yekubuda ropa senzira yekuongorora matambudziko ekushanda kweropa, asi nekuda kwekusagadzikana kwayo, kusanzwa zvakanaka, uye kusakwanisa kuratidza zviri mukati uye mashandiro ezvinokonzera kupwanya ropa, yakatsiviwa nemiedzo yekushanda kweropa. Miedzo yekushanda kweropa inosanganisa nguva yeprothrombin yeplasma (PT) uye PT activity yakaverengerwa kubva kuPT, international normalized ratio (INR), fibrinogen (FIB), activated partial thromboplastin time (APTT) uye plasma thrombin time (TT).
PT inonyanya kuratidza mashandiro e extrinsic coagulation system. PT yakareba inoonekwa zvakanyanya mu congenital coagulation factor II, V, VII, uye X reduction, fibrinogen deficiency, acquired coagulation factor deficiency (DIC, primary hyperfibrinolysis, obstructive jaundice, obstructive vitamin K deficiency, uye anticoagulant substances muropa circulation. PT shortening inonyanya kuonekwa mu congenital coagulation factor V increase, early DIC, thrombotic diseases, noral plains, etc.; kutarisa PT kunogona kushandiswa sekutarisa mishonga yekiriniki ye anticoagulant yemuromo.
APTT ndiyo nzira yakavimbika yekuongorora chirwere chekushaya simba kwemasero eropa. APTT yakareba inoonekwa zvakanyanya muropa risingapindi ropa, DIC, chirwere chechiropa, uye kuwedzerwa ropa rakawanda. APTT yakapfupikiswa inonyanya kuonekwa muropa risingapindi ropa, chirwere cheprothrombotic, uye chirwere chethrombotic. APTT inogona kushandiswa sechiratidzo chekutarisa kurapwa kweheparin.
Kuwedzera kwenguva refu kweTT kunoonekwa mu hypofibrinogenemia uye dysfibrinogenemia, kuwedzera kweFDP muropa (DIC), uye kuvapo kweheparin nezvinhu zveheparinoid muropa (semuenzaniso, panguva yekurapwa neheparin, SLE, chirwere chechiropa, nezvimwewo).
Pakambova nemurwere wekukurumidzira akagamuchira bvunzo dzemurabhoritari asati avhiyiwa, uye mhedzisiro yekuongororwa kweropa kwaitora nguva yakareba PT neAPTT, uye DIC yaifungidzirwa mumurwere. Zvichitevera kurudziro yerabhoritari, murwere akaongororwa DIC kakawanda uye mhedzisiro yacho yaive yakanaka. Hapana zviratidzo zvakajeka zveDIC. Kana murwere asina bvunzo yeropa, uye kuvhiyiwa zvakananga, mhedzisiro yacho ichave yakaipa. Matambudziko mazhinji akadaro anogona kuwanikwa kubva mubvunzo yeropa, iyo yakatora nguva yakawanda yekuona nekurapa zvirwere. Kuongororwa kweropa kwakabatana bvunzo yeropa kwakakosha murabhoritari yeropa revarwere, iyo inogona kuona mashandiro asina kujairika eropa muvarwere vasati vavhiyiwa, uye inofanira kutarisirwa zvakakwana.
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