Chii chinonzi PT vs aPTT coagulation?


Munyori: Mutsivi   

PT inoreva nguva yeprothrombin mumishonga, uye APTT zvinoreva activated partial thromboplastin nguva mumishonga.Ropa coagulation basa remuviri wemunhu rakakosha zvakanyanya.Kana ropa coagulation basa risina kujairika, rinogona kukonzera thrombosis kana kubuda ropa, izvo zvinogona kuisa upenyu hwemurwere pangozi.Clinical monitoring yePT uye APTT values ​​inogona kushandiswa seyero yekushandiswa kwemamwe anticoagulant zvinodhaka mumakiriniki maitiro.Kana zviyero zvakayerwa zvakanyanyisa, zvinoreva kuti muyero wemishonga yeanticoagulant inoda kuderedzwa, kana zvisina kudaro kubuda ropa kunoitika nyore.

1. Prothrombin nguva (PT): Ndiyo imwe yezviratidziro zvakanyanya zveropa remunhu coagulation system.Zvinonyanya kukosha kuwedzera nguva kweanopfuura 3 seconds mukiriniki kudzidzira, izvo zvinogona kuratidza kana exogenous coagulation basa rakajairika.Kurebesa kunowanzoonekwa mu congenital coagulation Factor kushomeka, yakanyanya cirrhosis, kukundikana kwechiropa uye zvimwe zvirwere.Mukuwedzera, kuwandisa kweheparin uye warfarin kunogona kukonzera PT kwenguva refu;

2. Activated partial thromboplastin time (APTT): Inonyanya indekisi inoratidza endogenous ropa coagulation basa muchipatara maitiro.Kurebesa kwakakosha kweAPTT kunonyanya kuoneka mukuzvarwa kana kuwanikwa coagulation factor kushomeka, senge hemophilia uye systemic lupus erythematosus.Kana muyero wemishonga yeanticoagulant inoshandiswa nekuda kwethrombosis isiri yakajairika, zvinokonzeresa kuwedzera kwakakosha kweAPTT.Kana iyo yakayerwa kukosha yakaderera, funga kuti murwere ari mu hypercoagulable state, seyakadzika vein thrombosis.

Kana iwe uchida kuziva kana PT yako neAPTT zvakajairwa, unofanirwa kujekesa huwandu hwazvo.Iyo yakajairika huwandu hwePT ndeye 11-14 masekonzi, uye yakajairika huwandu hweAPTT ndeye 27-45 masekonzi.Kuwedzerwa kwePT kweanopfuura 3 seconds kune hukuru hwekliniki yakakosha, uye APTT yekuwedzera kweanopfuura 10 seconds ine simba rakasimba rekliniki.