Ndedzipi dzakajairika coagulation bvunzo?


Munyori: Mutsivi   

Apo ropa coagulation disorder inoitika, unogona kuenda kuchipatara kuti uonekwe plasma prothrombin.Iwo chaiwo zvinhu zve coagulation basa bvunzo ndeaya anotevera:

1. Kuonekwa kweplasma prothrombin: Izvo zvinowanzokosha zveplasma prothrombin kuonekwa ndeye 11-13 seconds.Kana nguva yekubatanidza ikawanikwa yakareba, inoratidza kukanganisa kwechiropa, hepatitis, chiropa chechiropa, obstructive jaundice nezvimwe zvirwere;kana coagulation Nguva pfupi, pangava thrombotic chirwere.

2. Kudzora pasi rose normalized ratio: Iyi ndiyo chiyero chekutonga pakati pemurwere prothrombin nguva uye yakajairika prothrombin nguva.Yakajairika nhamba yenhamba iyi 0.9~1.1.Kana pane mutsauko kubva kune yakajairika kukosha, inoratidza kuti coagulation basa rakaonekwa Iyo yakakura gap, iyo yakanyanya kuoma dambudziko.

3. Kuonekwa kweiyo activated partial thromboplastin time: Ichi chiyedzo chekuona endogenous coagulation factor.Yakajairika kukosha ndeye 24 kusvika 36 masekonzi.Kana nguva yekuvhara kwemurwere yakareba, inoratidza kuti murwere angave ane dambudziko rekushaya fibrinogen.Inowanzoita zvirwere zvechiropa, obstructive jaundice nezvimwe zvirwere, uye vacheche vanogona kutambura nekubuda ropa;kana ipfupi pane yakajairika, inoratidza kuti murwere anogona kunge aine acute myocardial infarction, ischemic stroke, venous thrombosis nezvimwe zvirwere.

4. Kuonekwa kwefibrinogen: iyo yakajairika yehutano iyi iri pakati pe 2 ne 4. Kana fibrinogen ichikwira, inoratidza kuti murwere ane chirwere chetachiona uye anogona kutambura ne atherosclerosis, chirwere cheshuga, uremia nezvimwe zvirwere;Kana kukosha uku kuchiderera, panogona kunge kune hepatitis yakaoma, chiropa chechiropa nezvimwe zvirwere.

5. Kutsunga kwe thrombin nguva;iyo yakajairika huwandu hweiyo kukosha ndeye 16 ~ 18, chero yakareba kupfuura iyo yakajairika kukosha neanopfuura 3, haina kujairika, iyo inowanzoratidza chirwere chechiropa, chirwere cheitsvo nezvimwe zvirwere.Kana nguva yethrombin yakapfupikiswa, panogona kunge paine calcium ions mumuenzaniso weropa.

6. Kutsunga kweD dimer: Yakajairika huwandu hwehukoshi huno 0.1 ~ 0.5.Kana kukosha kunowanikwa kunowedzera zvakanyanya panguva yekuedzwa, panogona kunge kune zvirwere zvemwoyo uye cerebrovascular, pulmonary embolism, uye maronda akaipa.