Eyona Nto Ibalulekileyo Yokuxilongwa Kwe-Coagulation


Umbhali: Succeeder   

Ukuchonga ukujiya kwe-coagulation kubandakanya ikakhulu ixesha le-plasma prothrombin (PT), ixesha le-activated partial prothrombin (APTT), i-fibrinogen (FIB), ixesha le-thrombin (TT), i-D-dimer (DD), kunye ne-international standardization Ratio (INR).

I-PT: Ibonakalisa kakhulu imeko yenkqubo yokugalela igazi emzimbeni (extrinsic coagulation system), apho i-INR idla ngokusetyenziswa ukujonga ii-anticoagulants zomlomo. Ukuqhubeka kwexesha kubonakala kwi-congenital coagulation factor ⅡⅤⅦⅩ deficiency kunye ne-fibrinogen deficiency, kwaye i-acquired coagulation factor deficiency ibonakala kakhulu kwi-vitamin K deficiency, isifo sesibindi esibi, i-hyperfibrinolysis, i-DIC, ii-anticoagulants zomlomo, njl.njl.; ukufinyeza kubonakala kwi-blood hypercoagulable state kunye nesifo se-thrombosis, njl.njl.

I-APTT: Ibonakalisa kakhulu imeko yenkqubo yokugalela igazi emzimbeni, kwaye idla ngokusetyenziselwa ukujonga umthamo we-heparin. Ukwanda kwe-plasma factor VIII, i-factor IX kunye ne-factor XI kunciphise amanqanaba: njenge-hemophilia A, i-hemophilia B kunye nokungabikho kwe-factor XI; ukwehla kwimeko yokugalela igazi emzimbeni: njengokungena kwezinto ze-procoagulant egazini kunye nomsebenzi owandisiweyo wezinto zokugalela igazi emzimbeni, njl.

I-FIB: ibonakalisa kakhulu umxholo we-fibrinogen. Ukwanda kwi-acute myocardial infarction kunye nokwehla kwixesha le-DIC consumptive hypocoagulable dissolving, i-primary fibrinolysis, i-hepatitis enzima, kunye ne-liver cirrhosis.

I-TT: Ibonakalisa kakhulu ixesha apho i-fibrinogen iguqulwa ibe yi-fibrin. Ukwanda kubonwe kwinqanaba le-hyperfibrinolysis ye-DIC, kunye ne-fibrinogenemia ephantsi (engenayo), i-hemoglobinemia engaqhelekanga, kunye nokwanda kweemveliso zokonakala kwe-fibrin (fibrinogen) (FDP) egazini; ukwehla bekungabalulekile kangako kwiklinikhi.

INR: I-International Normalized Ratio (INR) ibalwa ukusuka kwixesha le-prothrombin (PT) kunye ne-International Sensitivity Index (ISI) ye-assay reagent. Ukusetyenziswa kwe-INR kwenza i-PT elinganiswe ziilabhoratri ezahlukeneyo kunye nee-reagents ezahlukeneyo ifane, nto leyo eyenza kube lula ukuhlanganiswa kwemigangatho yamayeza.

Eyona nto ibalulekileyo kuvavanyo lokujiya kwegazi kwizigulana kukujonga ukuba kukho ingxaki na egazini, ukuze oogqirha bakwazi ukuqonda imeko yesigulana kwangethuba, kwaye kulula ukuba oogqirha bathathe amayeza afanelekileyo kunye nonyango. Usuku olungcono lwesigulana lokwenza uvavanyo oluhlanu lokujiya kwegazi kukutya okungenanto, ukuze iziphumo zovavanyo zibe zichaneke ngakumbi. Emva kovavanyo, isigulana kufuneka sibonise ugqirha iziphumo zovavanyo ukuze sifumanise iingxaki zegazi kwaye sithintele iingozi ezininzi.