I-APTT imele ixesha le-thromboplastin elingaphelelanga elisebenzayo, elibhekisa kwixesha elifunekayo ukongeza i-thromboplastin engaphelelanga kwi-plasma evavanyiweyo kunye nokujonga ixesha elifunekayo lokujiya kwe-plasma. I-APTT luvavanyo lokuhlola olunobuzaza nolusetyenziswa kakhulu ukumisela inkqubo yokujiya kwe-endogenous. Uluhlu oluqhelekileyo yimizuzwana engama-31-43, kwaye imizuzwana eli-10 ngaphezulu kunolawulo oluqhelekileyo lunentsingiselo yeklinikhi. Ngenxa yomahluko phakathi kwabantu, ukuba inqanaba lokujiya kwe-APTT lincinci kakhulu, isenokuba yinto eqhelekileyo, kwaye akukho mfuneko yokuba novalo kakhulu, kwaye ukuphinda uhlolwe rhoqo kwanele. Ukuba uzive ungaphilanga, bona ugqirha ngexesha.

Ukunciphisa i-APTT kubonisa ukuba igazi likwimeko yokuxinana kwegazi kakhulu, into eqhelekileyo kwizifo zentliziyo kunye nemithambo yegazi, ezifana ne-cerebral thrombosis kunye nesifo sentliziyo.

1. Ukuqina kwemithambo yobuchopho

Izigulane ezine-APTT efinyeziweyo kakhulu zinamathuba amaninzi okufumana i-cerebral thrombosis, into eqhelekileyo kwizifo ezinxulumene ne-hypercoagulation yegazi ebangelwa kukutshintsha kwezakhi zegazi, ezifana ne-hyperlipidemia. Ngeli xesha, ukuba inqanaba le-cerebral thrombosis lincinci, kuya kuvela kuphela iimpawu zokungabikho kwegazi elaneleyo engqondweni, ezifana nesiyezi, intloko ebuhlungu, isicaphucaphu, kunye nokuhlanza. Ukuba inqanaba le-cerebral thrombosis libi ngokwaneleyo ukubangela ischemia enzima ye-cerebral parenchymal, iimpawu zeklinikhi ezifana nokungasebenzi kakuhle kwemilenze, ukungasebenzi kakuhle kwentetho, kunye nokungakwazi ukuzibamba ziya kuvela. Kwizigulane ezine-cerebral thrombosis ebukhali, ukuphefumla ioksijini kunye nenkxaso yomoya zihlala zisetyenziselwa ukwandisa ukunikezelwa kweoksijini. Xa iimpawu zesigulana zisongela ubomi, i-thrombolysis esebenzayo okanye utyando lokungenelela kufuneka lwenziwe ukuvula imithambo yegazi ngokukhawuleza. Emva kokuba iimpawu ezibalulekileyo ze-cerebral thrombosis zincitshisiwe kwaye zilawulwa, isigulana kufuneka siqhubeke sinamathele kwimikhwa emihle yokuphila kwaye sithathe amayeza exesha elide phantsi kwesikhokelo soogqirha. Kucetyiswa ukuba utye ukutya okunetyuwa encinci kunye nokutya okunamafutha aphantsi ngexesha lokuchacha, utye imifuno neziqhamo ezininzi, uphephe ukutya ukutya okunesodium eninzi njengebhekoni, iipickles, ukutya okusemathinini, njl.njl., kwaye uphephe ukutshaya notywala. Zilolonge ngokulinganisela xa imeko yakho yomzimba ivuma.

2. Isifo sentliziyo seCoronary

Ukufinyezwa kwe-APTT kubonisa ukuba isigulana sinokuba nesifo sentliziyo, esidla ngokubangelwa kukuqina kwegazi lentliziyo okukhokelela kwi-stenosis okanye ukuvaleka kwe-lumen yemithambo yegazi, okubangela i-myocardial ischemia, i-hypoxia, kunye ne-necrosis. Ukuba izinga lokuvaleka kwemithambo yegazi lentliziyo liphezulu, isigulana sisenokungabi nazimpawu zicacileyo zeklinikhi kwimeko yokuphumla, okanye sinokuziva singakhululeki njengokuqina kwesifuba kunye nentlungu yesifuba emva kwemisebenzi. Ukuba izinga lokuvaleka kwemithambo yegazi lentliziyo liphezulu, umngcipheko wokuhlaselwa yintliziyo uyanda. Izigulana zinokuba neentlungu zesifuba, ukuqina kwesifuba, kunye nokuphefumla okufutshane xa ziphumle okanye zivuselelwe ngokweemvakalelo. Intlungu inokusasazeka kwezinye iindawo zomzimba kwaye iqhubeke ngaphandle kokukhululeka. Kwizigulana ezinesifo sentliziyo sentliziyo, emva kokunikwa i-nitroglycerin okanye i-isosorbide dinitrate ngaphantsi kweelwimi, bona ugqirha ngoko nangoko, kwaye ugqirha uvavanya ukuba ngaba kufuneka ukufakelwa kwe-stent yentliziyo okanye i-thrombolysis ngoko nangoko. Emva kwesigaba esibukhali, kufuneka unyango lwe-antiplatelet kunye ne-anticoagulant yexesha elide. Emva kokuphuma esibhedlele, isigulane kufuneka sitye ukutya okunetyuwa encinci kunye nokutya okunamafutha amancinci, siyeke ukutshaya nokusela, senze umthambo ngokufanelekileyo, kwaye sinikele ingqalelo ekuphumleni.