Ziziphi iimvavanyo eziqhelekileyo zokujiya kwegazi?


Umbhali: Succeeder   

Xa kuvela ingxaki yokujiya kwegazi, ungaya esibhedlele ukuze kufunyanwe i-plasma prothrombin. Izinto ezithile zovavanyo lomsebenzi wokujiya kwegazi zezi zilandelayo:

1. Ukufunyanwa kwe-plasma prothrombin: Ixabiso eliqhelekileyo lokufunyanwa kwe-plasma prothrombin yimizuzwana eli-11-13. Ukuba ixesha lokujiya kwe-plasma lifunyenwe lide, oko kubonisa umonakalo wesibindi, i-hepatitis, i-liver cirrhosis, i-obstructive jaundice kunye nezinye izifo; ukuba ukujiya kwe-plasma Ixesha lifutshane, kunokubakho isifo se-thrombotic.

2. Umlinganiselo oqhelekileyo wamazwe ngamazwe woLawulo: Lo ngumlinganiselo wolawulo phakathi kwexesha le-prothrombin yesigulana kunye nexesha eliqhelekileyo le-prothrombin. Uluhlu oluqhelekileyo lwale nani yi-0.9 ~ 1.1. Ukuba kukho umahluko kwixabiso eliqhelekileyo, oko kubonisa ukuba umsebenzi wokujiya uvele. Okukhona umsantsa umkhulu, kokukhona ingxaki inzima.

3. Ukufumanisa ixesha le-thromboplastin elisebenzayo: Olu luvavanyo lokufumanisa izinto ezibangela ukujiya kwegazi emzimbeni. Ixabiso eliqhelekileyo liyimizuzwana engama-24 ukuya kwengama-36. Ukuba ixesha le-coagulation yesigulana liyanda, oko kuthetha ukuba isigulana sinokuba nengxaki yokungabikho kwe-fibrinogen. Sinokuba nesifo sesibindi, i-jaundice ethintela ukwenzeka kwaso kunye nezinye izifo, kwaye iintsana ezisandul’ ukuzalwa zinokuba ne-hemorrhage; ukuba imfutshane kunesiqhelo, oko kuthetha ukuba isigulana sinokuba ne-acute myocardial infarction, i-ischemic stroke, i-venous thrombosis kunye nezinye izifo.

4. Ukufunyanwa kwe-fibrinogen: uluhlu oluqhelekileyo lwale xabiso luphakathi kwe-2 kunye ne-4. Ukuba i-fibrinogen iyanda, oko kubonisa ukuba isigulana sinosulelo olukhawulezileyo kwaye sinokuba ne-atherosclerosis, isifo seswekile, i-uremia kunye nezinye izifo; Ukuba eli xabiso liyancipha, kunokubakho i-hepatitis enzima, i-cirrhosis yesibindi kunye nezinye izifo.

5. Ukugqitywa kwexesha le-thrombin; uluhlu oluqhelekileyo lwale xabiso yi-16-18, logama nje lide kunexabiso eliqhelekileyo ngaphezulu kwe-3, aliqhelekanga, nto leyo ebonisa isifo sesibindi, isifo sezintso kunye nezinye izifo. Ukuba ixesha le-thrombin lifutshane, kunokubakho ii-calcium ions kwisampuli yegazi.

6. Ukuchonga i-D dimer: Uluhlu oluqhelekileyo lwale xabiso yi-0.1 ~ 0.5. Ukuba ixabiso lifunyenwe linyuswe kakhulu ngexesha lovavanyo, kunokubakho izifo zentliziyo kunye nemithambo yegazi, i-pulmonary embolism, kunye neethumba ezinobungozi.