Qalabka Waqtiga Thrombin (TT)

TT waxaa loola jeedaa waqtiga xinjirowga dhiigga ka dib marka lagu daro thrombin-ka caadiga ah balaasmaha. Waddada xinjirowga ee caadiga ah, thrombin-ka la soo saaray wuxuu fibrinogen u beddelaa fibrin, kaas oo laga arki karo TT. Sababtoo ah alaabada burburka fibrin (proto) (FDP) waxay fidin karaan TT, dadka qaar waxay u isticmaalaan TT baaritaan baaritaan oo loogu talagalay nidaamka fibrinolytic.

Muhiimadda caafimaad:

(1) TT waa dheer tahay (in ka badan 3 jeer ka badan xakamaynta caadiga ah) walxaha heparin iyo heparinoid way kordhaan, sida lupus erythematosus, cudurka beerka, cudurka kelyaha, iwm. Fibrinogenemia hooseeya (aan lahayn), fibrinogenemia aan caadi ahayn.

(2) FDP wuu kordhay: sida DIC, fibrinolysis-ka aasaasiga ah iyo wixii la mid ah.

Waqtiga dheer ee thrombin-ka (TT) waxaa lagu arkaa hoos u dhaca fibrinogen-ka plasma ama cilladaha qaab-dhismeedka; isticmaalka kiliinikada ee heparin, ama daawooyinka xinjirowga lidka ku ah ee heparin oo kordha ee cudurka beerka, cudurka kelyaha iyo lupus erythematosus ee nidaamsan; shaqada sare ee nidaamka fibrinolytic. Waqtiga gaaban ee thrombin-ka waxaa lagu arkaa joogitaanka ion-yada kalsiyum ee dhiigga, ama dhiiggu waa asiidh, iwm.

Waqtiga Thrombin (TT) waa milicsiga walaxda xinjirowga lidka ku ah ee jirka ku jirta, sidaa darteed fidinteeda waxay tilmaamaysaa hyperfibrinolysis. Cabbirku waa waqtiga sameynta fibrin ka dib marka lagu daro thrombin caadi ah, sidaa darteed cudurka fibrinogen ee hooseeya (aan lahayn), DIC iyo Prolonged marka ay joogaan walxaha heparinoid (sida daaweynta heparin, SLE iyo cudurka beerka, iwm.). Gaabinta TT ma laha muhiimad caafimaad.

Heerka Caadiga ah:

Qiimaha caadiga ah waa 16 ~ 18s. Ka gudubka xakamaynta caadiga ah ee wax ka badan 3s waa wax aan caadi ahayn.

Fiiro gaar ah:

(1) Balaasmadu waa inaysan dhaafin 3 saacadood heerkulka qolka.

(2) Disodium edetate iyo heparin looma isticmaali karo sidii daawooyinka xinjirowga lidka ku ah.

(3) Dhammaadka tijaabada, habka tuubada tijaabada ah wuxuu ku salaysan yahay xinjirowga bilowga ah marka uu soo baxo wasakh; habka saxanka galaaska wuxuu ku salaysan yahay awoodda lagu kicin karo fiilooyinka fibrin

Cudurrada la xiriira:

Lupus erythematosus