UBaluleko oluPhambili lwe-Coagulation Diagnostic


Umbhali: Ophumeleleyo   

I-Coagulation disgnostic ibandakanya ixesha le-plasma prothrombin (PT), ixesha leprothrombin elisebenzayo (APTT), i-fibrinogen (FIB), ixesha le-thrombin (TT), i-D-dimer (DD), i-standard standardization Ratio (INR).

I-PT: Ngokukodwa ibonisa imeko ye-extrinsic coagulation system, apho i-INR isoloko isetyenziselwa ukubeka iliso kwi-anticoagulants yomlomo.Ukwandiswa kwexesha kubonwa kwi-congenital coagulation factor ⅡⅤⅦⅩ ukusilela kunye nokusilela kwe-fibrinogen, kwaye i-acquine coagulation factor deficiency ibonakala kakhulu kwi-vitamin K, isifo esibi sesibindi, i-hyperfibrinolysis, i-DIC, i-anticoagulants yomlomo, njl.;ukunciphisa kubonakala kwi-hypercoagulable state kunye nesifo se-thrombosis, njl.

I-APTT: Ibonisa ubukhulu becala imeko ye-endogenous coagulation system, kwaye ihlala isetyenziselwa ukubeka iliso kwidosi ye-heparin.Ukunyuka kwi-plasma factor VIII, i-factor IX kunye ne-factor XI yanciphisa amanqanaba: njenge-hemophilia A, i-hemophilia B kunye nokusilela kwe-factor XI;yehla kwi-hypercoagulable state: njengokungena kwezinto ze-procoagulant egazini kunye nokwanda komsebenzi we-coagulation factor, njl.

I-FIB: ikakhulu ibonisa umxholo we-fibrinogen.Ukonyuka kwe-acute myocardial infarction kunye nokwehla kwixesha le-DIC lokusebenzisa i-hypocoagulable dissolution, i-fibrinolysis yokuqala, i-hepatitis enzima, kunye ne-cirrhosis yesibindi.

TT: Ibonakalisa ikakhulu ixesha xa i-fibrinogen iguqulwa ibe yifibrin.Ukonyuka kwabonwa kwinqanaba le-hyperfibrinolysis ye-DIC, kunye ne-low (akukho) i-fibrinogenemia, i-hemoglobinemia engaqhelekanga, kunye nokunyuka kwe-fibrin (fibrinogen) iimveliso zokunciphisa (FDP) egazini;ukuncipha kwakungekho kubaluleka kweklinikhi.

INR: I-International Normalized Ratio (INR) ibalwa ukusuka kwixesha leprothrombin (PT) kunye ne-International Sensitivity Index (ISI) ye-assay reagent.Ukusetyenziswa kwe-INR kwenza i-PT ilinganiswe ngamalabhoratri ahlukeneyo kunye nee-reagents ezahlukeneyo ezifaniswayo, eziququzelela ukuhlanganiswa kwemigangatho yeziyobisi.

Eyona ntsingiselo iphambili yokuhlolwa kwegazi kumguli kukuhlola enoba kukho nayiphi na ingxaki egazini, ukuze oogqirha bayiqonde imeko yomguli kwangethuba, yaye kube lula ngoogqirha ukuba basebenzise amayeza nonyango oluchanekileyo.Olona suku lungcono lokuba isigulane senze iimvavanyo ezintlanu ze-coagulation kwisisu esingenalutho, ukwenzela ukuba iziphumo zovavanyo zichaneke ngakumbi.Emva kovavanyo, isigulane kufuneka sibonise iziphumo zovavanyo kugqirha ukufumana iingxaki zegazi kunye nokukhusela iingozi ezininzi.