Zvinorevei kana aPTT yako yakaderera?


Munyori: Succeeder   

APTT inomiririra nguva yechikamu cheropa chakashandiswa, zvinoreva nguva inodiwa kuti uwedzere chikamu cheropa muplasma yakaedzwa uye uone nguva inodiwa kuti ropa rivhare. APTT ibvunzo inonzwisisika uye inonyanya kushandiswa pakuongorora kuti ropa rinovhare sei. Nguva yakajairika ndeyemasekondi 31-43, uye masekondi gumi kupfuura yakajairika ine kukosha kwekiriniki. Nekuda kwekusiyana pakati pevanhu, kana mwero wekupfupika kweAPTT uri mudiki kwazvo, inogonawo kuva chiitiko chakajairika, uye hapana chikonzero chekunyanya kutya, uye kuongororwazve nguva nenguva kwakakwana. Kana uchinzwa kusanzwa zvakanaka, ona chiremba nenguva.

Kupfupisa kweAPTT kunoratidza kuti ropa riri muchimiro chekugwamba kwakanyanya, izvo zvinowanzoitika muzvirwere zvemwoyo netsinga dzeropa, zvakaita se cerebral thrombosis nechirwere chemwoyo.

1. Kuvharika kwetsinga muuropi

Varwere vane APTT yakapfupikiswa zvakanyanya vane mukana wekuva ne cerebral thrombosis, iyo inowanzoonekwa muzvirwere zvine chekuita nekuwedzera kweropa kunokonzerwa nekuchinja kwezvikamu zveropa, zvakaita se hyperlipidemia. Panguva ino, kana mwero we cerebral thrombosis uri mudiki, zviratidzo zvekusakwana kweropa kuuropi zvinoonekwa chete, zvakaita sedzungu, musoro, kuda kurutsa, uye kurutsa. Kana mwero we cerebral thrombosis wakakura zvakakwana kukonzera ischemia yakanyanya ye cerebral parenchymal, zviratidzo zvekiriniki zvakaita sekusashanda zvakanaka kwemakumbo, kusagona kutaura, uye kusazvidzora zvichaonekwa. Kune varwere vane cerebral thrombosis, kufemewa neokisijeni uye rutsigiro rwekufema zvinowanzo shandiswa kuwedzera okisijeni. Kana zviratidzo zvemurwere zviri pangozi yehupenyu, thrombolysis inoshanda kana kuvhiyiwa kwepakati kunofanirwa kuitwa kuti kuvhurwe kwetsinga dzeropa nekukurumidza. Mushure mekunge zviratidzo zvakakomba zve cerebral thrombosis zvaderedzwa uye zvadzorwa, murwere anofanira kuramba achitevedzera tsika dzakanaka dzekurarama uye kutora mishonga yenguva refu achitungamirirwa navanachiremba. Zvinokurudzirwa kudya chikafu chisina munyu mushoma uye chisina mafuta akawanda panguva yekupora, kudya miriwo nemichero yakawanda, kudzivisa kudya chikafu chine sodium yakawanda senge bhekoni, mapickle, chikafu chemumagaba, nezvimwewo, uye kudzivisa kusvuta nedoro. Edza muviri zvine mwero kana hutano hwako huchibvumira.

2. Chirwere chemwoyo chemwoyo

Kupfupika kweAPTT kunoratidza kuti murwere anogona kurwara nechirwere chemwoyo, icho chinowanzo kukonzerwa nekuwanda kweropa muropa zvichikonzera kuvharika kweropa mutsinga dzeropa, zvichikonzera kuvharika kweropa mutsinga dzeropa, zvichikonzera ischemia yemwoyo, hypoxia, uye necrosis. Kana mwero wekuvharika kweropa mutsinga dzeropa wakakwira, murwere anogona kunge asina zviratidzo zviri pachena zvekurapa ari mumamiriro ekuzorora, kana kuti anogona kungonzwa kusagadzikana kwakadai sekusimba kwechipfuva nekurwadziwa kwechipfuva mushure mekuita mabasa. Kana mwero wekuvharika kweropa mutsinga dzeropa wakakomba, njodzi yekufa kwemwoyo inowedzera. Varwere vanogona kunzwa kurwadziwa muchipfuva, kusimba kwechipfuva, uye kufema zvishoma pavanenge vakazorora kana kufara mupfungwa. Marwadzo anogona kupararira kune dzimwe nhengo dzemuviri uye anoramba aripo pasina zororo. Kune varwere vane chirwere chemwoyo, mushure mekushandisa nitroglycerin kana isosorbide dinitrate muchidimbu, ona chiremba nekukasika, uye chiremba anoongorora kana coronary stent implantation kana thrombolysis ichidiwa nekukasika. Mushure mechikamu chekuvanda, kurapwa kwenguva refu kweantiplatelet uye anticoagulant kunodiwa. Mushure mekubuda muchipatara, murwere anofanira kudya chikafu chisina munyu wakawanda uye chisina mafuta akawanda, kurega kusvuta nekunwa doro, kurovedza muviri zvakanaka, uye kungwarira kuzorora.