Iko Kukosha Kukuru KweCoagulation Diagnostic


Munyori: Mutsivi   

Coagulation disgnostic inonyanya kusanganisira plasma prothrombin nguva (PT), activated partial prothrombin time (APTT), fibrinogen (FIB), thrombin time (TT), D-dimer (DD), international standardization Ratio (INR).

PT: Inonyanya kuratidza chimiro che extrinsic coagulation system, iyo INR inowanzoshandiswa kutarisa oral anticoagulants.Kurebesa kunoonekwa mu congenital coagulation factor ⅡⅤⅦⅩ kushomeka uye kushayikwa kwefibrinogen, uye kuwana coagulation factor kushayikwa kunonyanya kuoneka mukushayikwa kwevhitamini K, chirwere chakakomba chechiropa, hyperfibrinolysis, DIC, oral anticoagulants, nezvimwewo;kupfupisa kunoonekwa muropa hypercoagulable state uye thrombosis chirwere, nezvimwe.

APTT: Iyo inonyanya kuratidza chimiro cheiyo endogenous coagulation system, uye inowanzo shandiswa kutarisa dosage yeheparin.Kuwedzera mu plasma factor VIII, factor IX uye factor XI yakaderera mazinga: zvakadai sehemophilia A, hemophilia B uye factor XI inoshaya;yakaderera mu hypercoagulable state: zvakadai sokupinda kwezvinhu zveprocoagulant muropa uye kuwedzera kwebasa rekugadzirisa zvinhu, nezvimwewo.

FIB: inonyanya kuratidza zviri mufibrinogen.Yakawedzera mu acute myocardial infarction uye yakaderera muDIC inopedza hypocoagulable dissolution nguva, primary fibrinolysis, yakanyanya hepatitis, uye chiropa cirrhosis.

TT: Inonyanya kuratidza nguva iyo fibrinogen inoshandurwa kuita fibrin.Kuwedzera kwakaonekwa mu hyperfibrinolysis stage yeDIC, ine yakaderera (kwete) fibrinogenemia, abnormal hemoglobinemia, uye yakawedzera fibrin (fibrinogen) degradation products (FDP) muropa;kuderera kwakanga kusina kukosha kwekliniki.

INR: The International Normalized Ratio (INR) inoverengwa kubva panguva yeprothrombin (PT) uye International Sensitivity Index (ISI) yeassay reagent.Iko kushandiswa kweINR kunoita kuti PT kuyerwa nemarabhoritari akasiyana uye mareagents akasiyana anofananidzwa, ayo anofambisa kubatanidzwa kwezviyero zvezvinodhaka.

Chinonyanya kukosha pakuongororwa kweropa kuvarwere ndechekuongorora kana pane dambudziko chero ripi neripi neropa, kuitira kuti vanachiremba vagone kunzwisisa mamiriro emurwere nenguva, uye zviri nyore kuti vanachiremba vatore mishonga yakarurama uye kurapwa.Zuva rakanakisa rekuti murwere aite shanu coagulation bvunzo iri padumbu risina chinhu, kuitira kuti mhedzisiro yebvunzo ive yakarurama.Mushure mekuongororwa, murwere anofanira kuratidza mhedzisiro yebvunzo kuna chiremba kuti azive matambudziko eropa uye kudzivirira njodzi dzakawanda.