Zvinorevei kana aPTT yako yakaderera?


Munyori: Mutsivi   

APTT inomirira activated partial thromboplastin nguva, iyo inoreva nguva inodiwa kuwedzera chikamu che thromboplastin kuplasma yakaedzwa uye kuona nguva inodiwa yeplasma coagulation.APTT inonzwisisika uye inowanzo shandiswa yekuongorora bvunzo yekuona endogenous coagulation system.Iyo yakajairika chiyero ndeye 31-43 masekonzi, uye gumi masekonzi kupfuura yakajairika kutonga ane kukosha kwekiriniki.Nekuda kwekusiyana kuri pakati pevanhu, kana dhigirii rekupfupisa kweAPTT kuri kushoma, rinogona kunge riri chiitiko chenguva dzose, uye hapana chikonzero chekunyanya kutya, uye kugara uchiongorora zvakare zvakakwana.Kana usinganzwe zvakanaka, ona chiremba nenguva.

Kupfupisa kweAPTT kunoratidza kuti ropa riri mu hypercoagulable state, iyo inowanikwa mumakumbo emwoyo uye cerebrovascular thrombotic zvirwere, zvakadai secerebral thrombosis uye coronary heart disease.

1. Cerebral thrombosis

Varwere vane APTT yakapfupikiswa zvakanyanya vanowanzoita cerebral thrombosis, iyo inowanzoitika muzvirwere zvine chekuita neropa hypercoagulation inokonzerwa nekushandurwa kwezvikamu zveropa, senge hyperlipidemia.Panguva ino, kana chiyero checerebral thrombosis chiri chinyoro, zviratidzo chete zvekusakwana kweropa kuuropi zvichaonekwa, zvakadai sedzungu, musoro, kusvotwa, uye kurutsa.Kana dhigirii yecerebral thrombosis yakanyanyisa zvokuti inokonzera cerebral parenchymal ischemia, zviratidzo zvechipatara zvakadai sekusashanda kwemakumbo emakumbo, kutadza kutaura, uye kusagadzikana kuchaonekwa.Kune varwere vane acute cerebral thrombosis, kufema kweokisijeni uye kutsigirwa kwemhepo kunowanzo shandiswa kuwedzera oxygen.Kana zviratidzo zvemurwere zvichiisa upenyu pangozi, kushingaira thrombolysis kana kupindira kuvhiyiwa kunofanira kuitwa kuzarura tsinga dzeropa nokukurumidza sezvinobvira.Mushure mokunge zviratidzo zvakakomba zvecerebral thrombosis zvaderedzwa uye zvinodzorwa, murwere anofanira kuramba achiomerera kumararamiro akanaka uye kutora mishonga yenguva refu pasi pekutungamirirwa kwevanachiremba.Zvinokurudzirwa kudya kudya kwakaderera-munyu uye kuderera kwemafuta panguva yekudzikinura, kudya mimwe miriwo nemichero, kudzivisa kudya zvakanyanya-sodium zvokudya zvakadai sebhekoni, pickles, zvokudya zvekakani, nezvimwewo, uye kudzivisa kusvuta uye doro.Rovedza muviri zvine mwero kana mamiriro ako omuviri achibvumira.

2. Chirwere chemwoyo

Kupfupika kweAPTT kunoratidza kuti murwere anogona kutambura nehosha yemwoyo, iyo inowanzokonzerwa necoronary blood hypercoagulation inotungamirira ku stenosis kana kuvhara kwemudziyo lumen, zvichiita kuti ienderane myocardial ischemia, hypoxia, uye necrosis.Kana dhigirii yecoronary artery blockage yakakwira zvakanyanya, murwere anogona kunge asina zviratidzo zvekiriniki zviri pachena munzvimbo yekuzorora, kana kuti anogona kungosangana nekusagadzikana senge kusungwa kwechipfuva uye kurwadziwa muchipfuva mushure mekuita.Kana dhigirii yecoronary artery blockage yakanyanya, njodzi yemyocardial infarction inowedzera.Varwere vanogona kunzwa kurwadziwa muchipfuva, kuoma kwechipfuva, uye kupfupika kwekufema pavanenge vakazorora kana kufara mupfungwa.Marwadzo anogona kupenya kune dzimwe nhengo dzemuviri uye kuramba pasina zororo.Kune varwere vane chirwere chemoyo chinotyisa, mushure mekutonga kwe sublingual ye nitroglycerin kana isosorbide dinitrate, ona chiremba pakarepo, uye chiremba anoongorora kana coronary stent implantation kana thrombolysis inodiwa pakarepo.Mushure mechikamu chakaoma, kwenguva refu antiplatelet uye anticoagulant therapy inodiwa.Mushure mokubuda muchipatara, murwere anofanira kudya zvishoma-munyu uye mafuta mashoma, kurega kusvuta uye kunwa, kurovedza muviri zvakanaka, uye kunyatsoteerera kuzorora.