Isixhobo sokuvavanya ukujiya kwegazi sisixhobo esisetyenziselwa uvavanyo lokujiya kwegazi rhoqo. Sisixhobo sokuvavanya esifunekayo esibhedlele. Sisetyenziselwa ukubona ukuthambekela kokopha kwegazi kunye nokujiya kwegazi. Sisetyenziswa njani esi sixhobo kumacandelo ahlukeneyo?
Phakathi kwezinto zovavanyo ze-blood coagulation analyzer, i-PT, i-APTT, i-TT, kunye ne-FIB kukho izinto ezine zovavanyo oluqhelekileyo lwe-blood coagulation. Phakathi kwazo, i-PT ibonisa amanqanaba e-blood coagulation factors II, V, VII, kunye ne-X kwi-plasma yegazi, kwaye yeyona nxalenye ibalulekileyo yenkqubo ye-extogenous coagulation. Uvavanyo lokuhlola olunovakalelo nolusetyenziswa rhoqo; i-APTT ibonisa amanqanaba e-coagulation factors V, VIII, IX, XI, XII, i-fibrinogen, kunye nomsebenzi we-fibrinolytic kwi-plasma, kwaye luvavanyo lokuhlola olusetyenziswa rhoqo kwiinkqubo ze-endogenous; Ukulinganiswa kwe-TT kubonisa ikakhulu ukuba ngaba igazi Ubukho bezinto ezingaqhelekanga ze-anticoagulant: I-FIB yi-glycoprotein, phantsi kwe-hydrolysis yi-thrombin, ekugqibeleni yenza i-fibrin enganyibilikiyo ukuze iyeke ukopha.
1. Izigulane zamathambo ikakhulu zizigulane ezinezaphuko ezibangelwa zizizathu ezahlukeneyo, uninzi lwazo ezifuna unyango lotyando. Emva kokuba izaphuko, ngenxa yomonakalo wemisipha, inxalenye yemithambo yegazi eqhekekileyo, ukuvezwa kwemithambo yegazi ngaphakathi kwemithambo yegazi kunye neeseli kuvuselela indlela yokujiya kwegazi, ukuhlanganiswa kweeplatelet, kunye nokwakheka kwe-fibrinogen. kufezekisa injongo ye-hemostasis. Ukusebenza kwenkqubo ye-fibrinolytic yamva nje, i-thrombolysis, kunye nokulungiswa kwezicubu. Zonke ezi nkqubo zichaphazela idatha yovavanyo lokujiya rhoqo ngaphambi nasemva kotyando, ngoko ke ukufunyanwa ngexesha elifanelekileyo kwe-coagulation indexes ezahlukeneyo kubaluleke kakhulu ekuqikeleleni nasekunyangeni ukopha okungaqhelekanga kunye ne-thrombosis kwizigulana ezaphuke.
Ukopha okungaqhelekanga kunye ne-thrombosis ziingxaki eziqhelekileyo kutyando. Kwizigulana ezinenkqubo engaqhelekanga yokujiya kwegazi, unobangela waloo nto kufuneka ufunyanwe ngaphambi kotyando ukuqinisekisa impumelelo yotyando.
2. I-DIC sesona sifo siphambili sokopha esibangelwa ziingcali zokubeleka kunye ne-gynecology, kwaye izinga elingaqhelekanga le-FIB liyanda kakhulu. Kubaluleke kakhulu kwiklinikhi ukwazi utshintsho olungaqhelekanga lwe-blood coagulation indexes ngexesha, kwaye unokubona kwaye uthintele i-DIC ngokukhawuleza.
3. Unyango lwangaphakathi luneentlobo ngeentlobo zezifo, ikakhulu izifo zentliziyo, izifo zenkqubo yokugaya ukutya, i-ischemic kunye ne-hemorrhagic stroke. Kwiimvavanyo zesiqhelo zokujiya kwegazi, amazinga angaqhelekanga e-PT kunye ne-FIB aphezulu, ikakhulu ngenxa yokuthintela ukujiya kwegazi, i-thrombolysis kunye nezinye iindlela zonyango. Ke ngoko, kubaluleke kakhulu ukwenza iimvavanyo zesiqhelo zokujiya kwegazi kunye nezinye izinto zokufumanisa i-thrombus kunye ne-hemostasis ukuze kubonelelwe ngesiseko sokwenza izicwangciso zonyango ezifanelekileyo.
4. Izifo ezosulelayo ikakhulu zi-hepatitis ebukhali nengapheliyo, kwaye i-PT, i-APTT, i-TT, kunye ne-FIB ye-hepatitis ebukhali zonke zingaphakathi koluhlu oluqhelekileyo. Kwi-hepatitis engapheliyo, i-cirrhosis, kunye ne-hepatitis enzima, kunye nokwanda komonakalo wesibindi, amandla esibindi okwenza izinto ezijiyayo ayancipha, kwaye izinga elingaqhelekanga lokufumanisa i-PT, i-APTT, i-TT, kunye ne-FIB liyanda kakhulu. Ke ngoko, ukufunyanwa rhoqo kwe-coagulation yegazi kunye nokujonga okunamandla kubaluleke kakhulu ekuthinteleni kweklinikhi kunye nonyango lokopha kunye noqikelelo lwe-prognosis.
Ngoko ke, uvavanyo oluchanekileyo lwenkqubo yokusebenza kwe-coagulation luluncedo ekuboneleleni ngesiseko sokuxilongwa kunye nonyango lweklinikhi. Ii-blood coagulation analyzers kufuneka zisetyenziswe ngokwengqiqo kumasebe ahlukeneyo ukuze zidlale indima enkulu.
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