Ukuxilongwa kokuqina kwegazi kudla ngokumiselwa ngoogqirha rhoqo. Izigulana ezineengxaki ezithile zempilo okanye abo bathatha amayeza okuxilisa ukuqina kwegazi kufuneka bajonge ukuqina kwegazi. Kodwa athetha ukuthini amanani amaninzi kangaka? Zeziphi iimpawu ekufuneka zijongwe ngokwezonyango kwizifo ezahlukeneyo?
Ii-index zovavanyo lomsebenzi wokuxinana ziquka ixesha le-prothrombin (PT), ixesha le-activated partial thromboplastin (APTT), ixesha le-thrombin (TT), i-fibrinogen (FIB), ixesha lokuxinana (CT) kunye ne-International normalized ratio (INR), njl.njl., izinto ezininzi zinokukhethwa ukwenza iphakheji, ebizwa ngokuba yi-coagulation X item. Ngenxa yeendlela ezahlukeneyo zokufumanisa ezisetyenziswa zizibhedlele ezahlukeneyo, uluhlu lweereferensi nalo lwahlukile.
Ixesha le-PT-prothrombin
I-PT ibhekisa ekongezeni i-tissue factor (TF okanye i-tissue thromboplastin) kunye ne-Ca2+ kwi-plasma ukuze kuqaliswe inkqubo ye-extrinsic coagulation kunye nokujonga ixesha le-plasma lokujiya. I-PT yenye yezona vavanyo zovavanyo ezisetyenziswa kakhulu kwiklinikhi ukuvavanya umsebenzi wendlela ye-extrinsic coagulation. Ixabiso eliqhelekileyo lesalathiso yimizuzwana eli-10 ukuya kweli-14.
I-APTT - ixesha le-thromboplastin elingasebenziyo
I-APTT ifuna ukongeza i-XII factor activator, i-Ca2+, i-phospholipid kwi-plasma ukuze kuqaliswe indlela yokujiya kwe-plasma endogenous, kwaye kujongwe ixesha lokujiya kwe-plasma. I-APTT ikwayenye yezona vavanyo zovavanyo ezisetyenziswa kakhulu kwiklinikhi ukuvavanya umsebenzi wendlela yokujiya kwe-intrinsic. Ixabiso eliqhelekileyo lesalathiso yimizuzwana engama-32 ukuya kwengama-43.
INR - Umlinganiselo Oqhelekileyo Wehlabathi
I-INR ngamandla e-ISI omlinganiselo we-PT yesigulane esivavanyiweyo kwi-PT yolawulo oluqhelekileyo (ISI yi-international sensitivity index, kwaye i-reagent ilinganiswa ngumvelisi xa iphuma kwifektri). I-plasma efanayo yavavanywa ngee-reagents ezahlukeneyo ze-ISI kwiilabhoratri ezahlukeneyo, kwaye iziphumo zexabiso le-PT zahlukile kakhulu, kodwa amaxabiso e-INR alinganisiweyo ayefana, nto leyo eyenza iziphumo zafana. Ixabiso eliqhelekileyo lesalathiso yi-0.9 ukuya kwi-1.1.
Ixesha le-TT-thrombin
I-TT kukongeza i-thrombin eqhelekileyo kwi-plasma ukuze kufunyanwe inqanaba lesithathu lenkqubo yokujiya, ebonisa inqanaba le-fibrinogen kwi-plasma kunye nobungakanani bezinto ezifana ne-heparin kwi-plasma. Ixabiso eliqhelekileyo lesalathiso yimizuzwana eli-16 ukuya kweli-18.
I-FIB-fibrinogen
I-FIB kukongeza inani elithile le-thrombin kwi-plasma evavanyiweyo ukuguqula i-fibrinogen kwi-plasma ibe yi-fibrin, kwaye ubale umxholo we-fibrinogen ngokusebenzisa umgaqo we-turbidimetric. Ixabiso eliqhelekileyo lesalathiso yi-2 ukuya kwi-4 g/L.
Imveliso yokuchithwa kwe-FDP-plasma fibrin
I-FDP ligama eliqhelekileyo leemveliso zokubola eziveliswa emva kokuba i-fibrin okanye i-fibrinogen ibolile phantsi kwesenzo se-plasmin eveliswa ngexesha le-hyperfibrinolysis. Ixabiso eliqhelekileyo lesalathiso yi-1 ukuya kwi-5 mg/L.
Ixesha lokuxinana kwe-CT
I-CT ibhekisa kwixesha apho igazi liphuma emithanjeni yegazi lize lijiye kwi-vitro. Ngokuyintloko imisela ukuba izinto ezahlukeneyo zokujiya kwindlela yokujiya kwangaphakathi azikho na, nokuba umsebenzi wazo uqhelekile na, okanye ukuba kukho ukwanda kwezinto ezilwa nokujiya kwamalungu omzimba.
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