Tlhahlobo ea Tlhahlobo ea Mosebetsi oa ho Kopanya Mali


Mongoli: Succeeder   

Tlhahlobo ea ho koala ha mali e laeloa ke lingaka khafetsa. Bakuli ba nang le maemo a itseng a bongaka kapa ba noang meriana ea anticoagulant ba hloka ho beha leihlo ho koala ha mali. Empa lipalo tse ngata hakaale li bolela'ng? Ke matšoao afe a lokelang ho beoa leihlo ka bongaka bakeng sa mafu a fapaneng?

Li-index tsa liteko tsa ts'ebetso ea ho kopanya mali li kenyelletsa nako ea prothrombin (PT), nako ea thromboplastin e kentsoeng tšebetsong (APTT), nako ea thrombin (TT), fibrinogen (FIB), Nako ea ho koala mali (CT) le karolelano ea machaba e tloaelehileng (INR), jj., lintho tse 'maloa li ka khethoa ho etsa sephutheloana, se bitsoang ntho ea ho kopanya mali X. Ka lebaka la mekhoa e fapaneng ea ho lemoha e sebelisoang ke lipetlele tse fapaneng, mefuta ea litšupiso le eona e fapane.

Nako ea PT-prothrombin

PT e bolela ho eketsa ntlha ea lisele (TF kapa thism thromboplastin) le Ca2+ plasma ho qala sistimi ea ho kopanya lisele tsa 'mele le ho shebella nako ea ho kopanya lisele tsa 'mele. PT ke e 'ngoe ea liteko tsa tlhahlobo tse sebelisoang haholo ts'ebetsong ea bongaka ho lekola ts'ebetso ea tsela ea ho kopanya lisele tsa 'mele tsa kantle. Boleng bo tloaelehileng ba litšupiso ke metsotsoana e 10 ho isa ho e 14.

APTT - nako ea karolo ea thromboplastin e kentsoeng tšebetsong

APTT e reretsoe ho eketsa XII factor activator, Ca2+, phospholipid ho plasma ho qala tsela ea plasma endogenous coagulation, le ho shebella nako ea plasma coagulation. APTT hape ke e 'ngoe ea liteko tsa tlhahlobo tse sebelisoang haholo ts'ebetsong ea bongaka ho lekola ts'ebetso ea tsela ea intrinsic coagulation. Boleng bo tloaelehileng ba referense ke metsotsoana e 32 ho isa ho e 43.

INR - Tekanyo e Tloaelehileng ea Machaba

INR ke matla a ISI a karolelano ea PT ea mokuli ea lekiloeng ho PT ea taolo e tloaelehileng (ISI ke index ea kutloisiso ea machaba, 'me reagent e lekanngoa ke moetsi ha e tsoa fekthering). Plasma e tšoanang e ile ea lekoa ka li-reagent tse fapaneng tsa ISI lilaboratoring tse fapaneng, 'me liphetho tsa boleng ba PT li ne li fapane haholo, empa boleng ba INR bo lekantsoeng bo ne bo tšoana, e leng se ileng sa etsa hore liphetho li bapisoe. Boleng bo tloaelehileng ba referense ke 0.9 ho isa ho 1.1.

Nako ea TT-thrombin

TT ke ho eketsoa ha thrombin e tloaelehileng plasma ho lemoha mohato oa boraro oa ts'ebetso ea ho kopana ha mali, e bonts'ang boemo ba fibrinogen plasma le bongata ba lintho tse kang heparin plasma. Boleng bo tloaelehileng ba referense ke metsotsoana e 16 ho isa ho e 18.

FIB-fibrinogen

FIB ke ho eketsa tekanyo e itseng ea thrombin plasma e lekiloeng ho fetola fibrinogen plasma hore e be fibrin, le ho bala litaba tsa fibrinogen ka molao-motheo oa turbidimetric. Boleng bo tloaelehileng ba referense ke 2 ho isa ho 4 g/L.

Sehlahisoa sa ho senyeha ha fibrin ea FDP-plasma

FDP ke lentsoe le akaretsang bakeng sa dihlahiswa tse senyehang tse hlahiswang ka mora hore fibrin kapa fibrinogen e bole tlasa tshusumetso ya plasmin e hlahiswang nakong ya hyperfibrinolysis. Boleng bo tlwaelehileng ba referense ke 1 ho isa ho 5 mg/L.

Nako ea ho kopanya CT

CT e bolela nako eo mali a tswang methapong ya madi mme a hoama ka hara vitro. Haholo-holo e etsa qeto ya hore na dintho tse fapaneng tsa ho hoama ha di a haella tseleng ya ho hoama ha di a haella, hore na tshebetso ya tsona e tlwaelehile, kapa hore na ho na le keketseho ya dintho tse thibelang ho hoama ha madi.