Zeziphi iimvavanyo eziqhelekileyo ze-coagulation?


Umbhali: Ophumeleleyo   

Xa i-blood coagulation disorder isenzeka, unokuya esibhedlele ukuze ufumane i-plasma prothrombin.Izinto ezithile zovavanyo lomsebenzi we-coagulation zezi zilandelayo:

1. Ukufunyanwa kweprothrombin ye-plasma: Ixabiso eliqhelekileyo le-plasma prothrombin ukufunyanwa yi-11-13 imizuzwana.Ukuba ixesha le-coagulation lifunyenwe lide, libonisa umonakalo wesibindi, i-hepatitis, i-cirrhosis yesibindi, i-jaundice ephazamisayo kunye nezinye izifo;ukuba i-coagulation Ixesha lifinyeziwe, kunokubakho isifo se-thrombotic.

2. Ukulawula umlinganiselo oqhelekileyo wamazwe ngamazwe: Lo ngumlinganiselo wolawulo phakathi kwexesha leprothrombin yesigulane kunye nexesha eliqhelekileyo leprothrombin.Uluhlu oluqhelekileyo lweli nani ngu-0.9~1.1.Ukuba kukho umehluko kwixabiso eliqhelekileyo, libonisa ukuba umsebenzi we-coagulation uvele I-gap enkulu, ingxaki enkulu ngakumbi.

3. Ukufunyaniswa kwexesha le-thromboplastin elisebenzayo: Olu luvavanyo lokufumanisa izinto ze-endogenous coagulation.Ixabiso eliqhelekileyo liyi-24 ukuya kwi-36 imizuzwana.Ukuba ixesha le-coagulation yesigulane lide, libonisa ukuba isigulane sinokuba nengxaki yokungabikho kwe-fibrinogen.Ixhomekeke kwisifo sesibindi, i-jaundice ephazamisayo kunye nezinye izifo, kwaye iintsana ezisandul 'ukuzalwa zinokuthi zihlupheke ngenxa ye-hemorrhage;ukuba imfutshane kunesiqhelo, ibonisa ukuba isigulane sinokuba ne-acute myocardial infarction, ischemic stroke, thrombosis ye-venous kunye nezinye izifo.

4. Ukufumanisa i-fibrinogen: uluhlu oluqhelekileyo lweli xabiso luphakathi kwe-2 kunye ne-4. Ukuba i-fibrinogen iphakama, ibonisa ukuba isigulane sinesifo esibuhlungu kwaye sinokubandezeleka kwi-atherosclerosis, isifo sikashukela, i-uremia kunye nezinye izifo;Ukuba eli xabiso liyancipha, kunokubakho i-hepatitis enzima, i-cirrhosis yesibindi kunye nezinye izifo.

5. Ukumiselwa kwexesha le-thrombin;uluhlu oluqhelekileyo lwalo xabiso luyi-16 ~ 18, nje ngokuba lude kunexabiso eliqhelekileyo ngaphezu kwe-3, ayiqhelekanga, ebonisa ngokubanzi isifo sesibindi, isifo sezintso kunye nezinye izifo.Ukuba ixesha le-thrombin lifutshane, kunokubakho i-calcium ions kwisampuli yegazi.

6. Ukumiselwa kwe-D dimer: Uluhlu oluqhelekileyo lweli xabiso ngu-0.1~0.5.Ukuba ixabiso lifunyenwe ukuba linyuke kakhulu ngexesha lovavanyo, kunokubakho izifo ze-cardiovascular and cerebrovascular, i-pulmonary embolism, kunye nezicubu ezinobungozi.