Izinto Ezintandathu Ziya Kuchaphazela Iziphumo Zovavanyo Lokuxinana Kwegazi


Umbhali: Succeeder   

1. Imikhwa yokuphila

Ukutya (okufana nesibindi sesilwanyana), ukutshaya, ukusela utywala, njl.njl. kuya kuchaphazela ukufunyaniswa kwaso;

2. Iziphumo zeziyobisi

(1) I-Warfarin: ikakhulu ichaphazela amaxabiso e-PT kunye ne-INR;
(2) I-Heparin: Ichaphazela kakhulu i-APTT, enokwandiswa izihlandlo ezili-1.5 ukuya kwezi-2.5 (kwizigulana ezinyangwa ngamayeza okunciphisa ukugabha kwegazi, zama ukuqokelela igazi emva kokuba uxinzelelo lweziyobisi lunciphile okanye iyeza sele lidlule isiqingatha sobomi balo);
(3) Ii-antibiotics: Ukusetyenziswa kweedosi ezininzi zee-antibiotics kunokubangela ukuba i-PT kunye ne-APTT zonyuswe ixesha elide. Kuye kwaxelwa ukuba xa umxholo we-penicillin ufikelela kwi-20,000 u/ML yegazi, i-PT kunye ne-APTT zinokwandiswa ixesha elingaphezulu kwe-1, kwaye ixabiso le-INR linokwandiswa ixesha elingaphezulu kwe-1 (Kuye kwaxelwa amatyala okujiya okungaqhelekanga okubangelwa yi-intravenous nodoperazone-sulbactam)
(4) Amayeza e-Thrombolytic;
(5) Amayeza e-emulsion yamafutha angeniswayo anokuphazamisana neziphumo zovavanyo, kwaye i-centrifugation ekhawulezayo ingasetyenziselwa ukunciphisa ukuphazamiseka kwimeko yeesampuli zegazi ze-lipid ezinzima;
(6) Amayeza anjenge-aspirin, i-dipyridamole kunye ne-ticlopidine anokuthintela ukuhlanganiswa kweeplatelet;

3. Izinto ezibangela ukuqokelelwa kwegazi:

(1) Umlinganiselo we-sodium citrate anticoagulant kwigazi udla ngokuba yi-1:9, kwaye uxutywe kakuhle. Kuye kwaxelwa kwiincwadi ukuba ukwanda okanye ukwehla koxinzelelo lwe-anticoagulant kunefuthe ekufumaneni umsebenzi wokujiya kwegazi. Xa umthamo wegazi unyuka nge-0.5 mL, ixesha lokujiya kwegazi linokuncipha; xa umthamo wegazi wehla nge-0.5 mL, ixesha lokujiya kwegazi linokwandiswa;
(2) Betha uzipho entloko ukuthintela umonakalo kwizicwili kunye nokudityaniswa kwezinto ezibangela ukujiya kwangaphandle;
(3) Ixesha le-cuff akufuneki lidlule umzuzu o-1. Ukuba i-cuff icinezelwe kakhulu okanye ixesha lide kakhulu, i-factor VIII kunye ne-tissue plasmin source activator (t-pA) ziya kukhululwa ngenxa yokuxinana, kwaye inaliti yegazi iya kuba namandla kakhulu. Kukwakukwaphuka kweeseli zegazi okusebenza kwenkqubo yokuxinana.

4. Ixesha kunye nefuthe lobushushu lokubekwa kwesampuli:

(1) Izinto ezibangela ukujiya kwegazi Ⅷ kunye Ⅴ azizinzanga. Njengoko ixesha lokugcina lisanda, ubushushu bokugcina buyanda, kwaye umsebenzi wokujiya kwegazi uyanyamalala kancinci kancinci. Ke ngoko, isampuli yokujiya kwegazi kufuneka ithunyelwe ukuze ihlolwe kwisithuba seyure e-1 emva kokuqokelelwa, kwaye uvavanyo kufuneka lugqitywe kwisithuba seeyure ezi-2 ukuze kuthintelwe ukubangela ukolulwa kwe-PT. , APTT. (2) Kwiisampuli ezingenakubonwa ngexesha, iplasma kufuneka yahlulwe kwaye igcinwe phantsi kwesiciko kwaye ifakwe efrijini kwi-2 ℃ ~ 8 ℃.

5. Iisampulu ze-hemolysis ephakathi/eqatha kunye ne-lipidemia

Iisampuli ze-hemolyzed zinomsebenzi wokujiya ofana nowe-platelet factor III, nto leyo enokunciphisa ixesha le-TT, PT, kunye ne-APTT le-plasma ye-hemolyzed kwaye inciphise umxholo we-FIB.

6. Abanye

I-Hypothermia, i-acidosis, kunye ne-hypocalcemia zinokubangela ukuba izinto ezibangela i-thrombin kunye ne-coagulation factors zingasebenzi.