Baarista xinjirowga dhiigga waxaa si joogto ah u qora dhakhaatiirta. Bukaannada qaba xaalado caafimaad oo gaar ah ama kuwa qaadanaya daawooyinka xinjirowga dhiigga waxay u baahan yihiin inay la socdaan xinjirowga dhiigga. Laakiin maxay ka dhigan yihiin tirooyin badan? Tilmaamehee ayaa si caafimaad ahaan loola socon karaa cudurrada kala duwan?
Tusmooyinka baaritaanka shaqada isku-xidhka waxaa ka mid ah waqtiga prothrombin (PT), waqtiga thromboplastin ee firfircoon (APTT), waqtiga thrombin (TT), fibrinogen (FIB), waqtiga xinjirowga (CT) iyo saamiga caalamiga ah ee caadiga ah (INR), iwm., dhowr shay ayaa la dooran karaa si loo sameeyo xirmo, kaas oo loo yaqaan sheyga xinjirowga X. Sababtoo ah hababka kala duwan ee ogaanshaha ee ay isticmaalaan isbitaallada kala duwan, heerarka tixraaca ayaa sidoo kale kala duwan.
Waqtiga PT-prothrombin
PT waxaa loola jeedaa in lagu daro walxaha unugyada (TF ama thromboplastin unugyada) iyo Ca2+ balaasmaha si loo bilaabo nidaamka xinjirowga dibadda loona fiiriyo waqtiga xinjirowga balaasmaha. PT waa mid ka mid ah baaritaannada baaritaanka ee ugu badan ee loo isticmaalo dhaqanka kiliinikada si loo qiimeeyo shaqada marinnada xinjirowga dibadda. Qiimaha tixraaca caadiga ah waa 10 ilaa 14 ilbiriqsi.
APTT - waqtiga qayb ka mid ah thromboplastin ee firfircoon
APTT waa in lagu daro firfircoonida XII factor, Ca2+, phospholipid balaasmaha si loo bilaabo marinka xinjirowga dhiigga ee gudaha balaasmaha, loona fiirsado waqtiga xinjirowga balaasmaha. APTT sidoo kale waa mid ka mid ah baaritaannada baaritaanka ee ugu badan ee loo isticmaalo dhaqanka kiliinikada si loo qiimeeyo shaqada marinka xinjirowga dhiigga ee gudaha. Qiimaha tixraaca caadiga ah waa 32 ilaa 43 ilbiriqsi.
INR - Saamiga Caadiga ah ee Caalamiga ah
INR waa awoodda ISI ee saamiga PT ee bukaanka la baaray iyo PT ee xakamaynta caadiga ah (ISI waa tusmada xasaasiyadda caalamiga ah, fal-galahana waxaa hagaajiya soo-saaraha marka uu ka baxo warshadda). Balaasmaha isku midka ah waxaa lagu tijaabiyay fal-galayaal ISI oo kala duwan shaybaarro kala duwan, natiijooyinka qiimaha PT-na aad bay u kala duwanaayeen, laakiin qiimayaasha INR ee la cabbiray way isku mid ahaayeen, taasoo natiijooyinka ka dhigtay kuwo la barbar dhigi karo. Qiimaha tixraaca caadiga ah waa 0.9 ilaa 1.1.
Waqtiga TT-thrombin
TT waa ku darista thrombin-ka caadiga ah ee balaasmaha si loo ogaado marxaladda saddexaad ee habka xinjirowga, taasoo muujinaysa heerka fibrinogen-ka ee balaasmaha iyo xaddiga walxaha u eg heparin ee balaasmaha. Qiimaha tixraaca caadiga ah waa 16 ilaa 18 ilbiriqsi.
FIB-fibrinogen
FIB waa in lagu daro xaddi cayiman oo thrombin ah balaasmaha la tijaabiyay si fibrinogen-ka ku jira balaasmaha loogu beddelo fibrinogen, loona xisaabiyo waxa ku jira fibrinogen iyada oo loo marayo mabda'a turbidimetric. Qiimaha tixraaca caadiga ah waa 2 ilaa 4 g/L.
Badeecada burburka fibrin-ka FDP-plasma
FDP waa erey guud oo loogu talagalay alaabada burburka ee la soo saaro ka dib marka fibrin ama fibrinogen ay burburaan iyadoo la adeegsanayo ficilka plasmin ee la soo saaro inta lagu jiro hyperfibrinolysis. Qiimaha tixraaca caadiga ah waa 1 ilaa 5 mg/L.
Waqtiga xinjirowga CT-ga
CT-gu wuxuu tilmaamayaa wakhtiga uu dhiiggu ka baxo xididdada dhiigga oo uu isku ururo in vitro. Waxay inta badan go'aamisaa in arrimo kala duwan oo xinjirowga dhiigga ah ay ka maqan yihiin, in shaqadooda ay caadi tahay, ama in ay korodho walxaha xinjirowga dhiigga qaada.
Kaarka ganacsiga
WeChat-ka Shiinaha