Kukosha Kukuru Kwekuongorora Kuvhara Kweropa


Munyori: Succeeder   

Kuongororwa kweropa neropa kunosanganisira nguva yeprothrombin yeplasma (PT), nguva yeprothrombin yakabatidzwa (APTT), fibrinogen (FIB), nguva yethrombin (TT), D-dimer (DD), uye International Standardization Ratio (INR).

PT: Inonyanya kuratidza mamiriro e extrinsic coagulation system, iyo INR inowanzo shandiswa kutarisa mishonga inorwisa ropa inobuda mumuromo. Kureba kwenguva kunoonekwa mukushaikwa kwe congenital coagulation factor ⅡⅤⅦⅩ uye kushomeka kwe fibrinogen, uye kushomeka kwe acquired coagulation factor kunonyanya kuonekwa mukushaikwa kwe vitamin K, chirwere chechiropa chakakomba, hyperfibrinolysis, DIC, mishonga inorwisa ropa inobuda mumuromo, nezvimwewo; kupfupika kunoonekwa mu hypercoagulable blood state uye thrombosis, nezvimwewo.

APTT: Inonyanya kuratidza mamiriro e endogenous coagulation system, uye inowanzoshandiswa kutarisa huwandu hwe heparin. Kuwedzera kwe plasma factor VIII, factor IX uye factor XI kwakadzikira mazinga: akadai se hemophilia A, hemophilia B uye factor XI deficiency; kudzikira kwe hypercoagulable state: senge kupinda kwezvinhu zvinodzivirira ropa muropa uye kuwedzera kwekushanda kwezvinhu zvinodzivirira ropa, nezvimwewo.

FIB: inonyanya kuratidza huwandu hwe fibrinogen. Kuwedzera mu acute myocardial infarction uye kudzikira mu DIC consumptive hypoagulable dissolving period, primary fibrinolysis, severe hepatitis, uye liver cirrhosis.

TT: Inonyanya kuratidza nguva iyo fibrinogen inoshandurwa kuita fibrin. Kuwedzera kwacho kwakaonekwa muchikamu che hyperfibrinolysis cheDIC, ne fibrinogenemia yakaderera (isina) , hemoglobinemia isina kujairika, uye fibrin (fibrinogen) degradation products (FDP) yakawedzera muropa; kudzikira kwacho kwakanga kusina kukosha mukurapa.

INR: International Normalized Ratio (INR) inoverengerwa kubva panguva yeprothrombin (PT) uye International Sensitivity Index (ISI) ye assay reagent. Kushandiswa kweINR kunoita kuti PT inoyerwa nema laboratori akasiyana uye ma reagent akasiyana ifanane, izvo zvinoita kuti zvive nyore kubatanidza mitemo yemishonga.

Kukosha kukuru kwekuongororwa kweropa rinovhara ropa kuvarwere ndekutarisa kana paine dambudziko neropa, kuitira kuti vanachiremba vagone kunzwisisa mamiriro emurwere nenguva, uye zviri nyore kuti vanachiremba vatore mishonga nemazvo uye kurapwa kwakakodzera. Zuva rakanakisa rekuti murwere aite bvunzo shanu dzekuvhara ropa ari mudumbu risina chinhu, kuitira kuti mhedzisiro yebvunzo ive yakarurama. Mushure mekuongororwa, murwere anofanira kuratidza mhedzisiro yebvunzo kuna chiremba kuti aone matambudziko eropa uye kudzivirira tsaona dzakawanda.