Kiti ea Nako ea Thromboplastin e sa Kenyelletsoang (APTT)

Tekanyo ea APTT ke teko ea tlhahlobo e sebelisoang haholo ho bonts'a ts'ebetso ea ho kopana ha methapo ea mali ea tsamaiso ea ho kopana ha methapo ea mali ea tlhaho. E sebelisetsoa ho lemoha liphoso tsa lintho tse kopanyang methapo ea mali ea tlhaho le li-inhibitor tse amanang le eona le ho hlahloba ketsahalo ea khanyetso ea protheine C e sebetsang. E na le mefuta e mengata ea ts'ebeliso mabapi le tlhahlobo, tlhokomelo ea phekolo ea heparin, tlhahlobo ea pele ea ho kopana ha methapo ea mali e hasantsoeng (DIC), le tlhahlobo ea pele ho opereishene.

Bohlokoa ba bongaka:

APTT ke index ea teko ea mosebetsi oa ho kopanya mali e bonts'ang tsela ea ho kopanya mali ea tlhaho, haholo-holo ts'ebetso e felletseng ea lintho tse kopanyang mali mohatong oa pele. E sebelisoa haholo ho hlahloba le ho fumana liphoso tsa lintho tse kopanyang mali tseleng ea tlhaho, joalo ka factor Ⅺ , Ⅷ, Ⅸ, e ka boela ea sebelisoa bakeng sa tlhahlobo ea pele ea mafu a tsoang mali le tlhokomelo ea laboratori ea phekolo ea heparin anticoagulation.

1. Nako e telele: e ka bonoa ho hemophilia A, hemophilia B, lefu la sebete, lefu la ho sterilization mala, lithibela-mafu tsa molomo, ho ruruha ha methapo ea mali e hasaneng, hemophilia e bobebe; FXI, khaello ea FXII; mali Lintho tse thibelang ho ruruha ha mali (lithibela-mafu tsa ho ruruha ha mali, lithibela-mafu tsa lupus, warfarin kapa heparin) li eketsehile; mali a mangata a bolokiloeng a ile a tšeloa.

2. Khutsufatsa: E ka bonoa boemong ba ho hoama ha mali haholo, mafu a bakoang ke thromboembolic, jj.

Mefuta ea litšupiso ea boleng bo tloaelehileng

Boleng bo tloaelehileng ba referense ea nako ea thromboplastin e kentsoeng tšebetsong (APTT): metsotsoana e 27-45.

Mehato ya tlhokomelo

1. Qoba ho hemolysis ea mohlala. Sampole e hemolyzed e na le li-phospholipid tse lokolloang ke ho phatloha ha lera la sele e khubelu ea mali e butsoitseng, e leng se etsang hore APTT e be tlase ho feta boleng bo lekantsoeng ba sampole e seng hemolyzed.

2. Bakuli ha baa lokela ho etsa mesebetsi e boima metsotso e 30 pele ba nka sampole ea mali.

3. Kamora ho bokella sampole ea mali, sisinya tube ea teko e nang le sampole ea mali ka bonolo makhetlo a 3 ho isa ho a 5 e le hore sampole ea mali e kopanye ka botlalo le anticoagulant e ka har'a tube ea teko.

4. Disampole tsa madi di lokela ho romelwa bakeng sa tlhahlobo kapele kamoo ho ka kgonehang.