Ukuxilongwa kokujiya kwegazi kunikezwa njalo odokotela. Iziguli ezinezimo ezithile zezokwelapha noma labo abathatha imithi yokuvimbela ukujiya kwegazi kudingeka baqaphe ukujiya kwegazi. Kodwa kusho ukuthini izinombolo eziningi kangaka? Yiziphi izinkomba okufanele ziqashwe ngokwezokwelapha zezifo ezahlukene?
Izinkomba zokuhlolwa komsebenzi wokujiya zihlanganisa isikhathi se-prothrombin (PT), isikhathi se-thromboplastin esingasebenzi (APTT), isikhathi se-thrombin (TT), i-fibrinogen (FIB), isikhathi sokujiya (CT) kanye ne-International normalized ratio (INR), njll., izinto eziningana zingakhethwa ukwenza iphakheji, ebizwa ngokuthi into ye-coagulation X. Ngenxa yezindlela ezahlukene zokuthola ezisetshenziswa izibhedlela ezahlukene, ububanzi bokubhekisela nabo buhlukile.
Isikhathi se-PT-prothrombin
I-PT ibhekisela ekungezeni i-tissue factor (TF noma i-tissue thromboplastin) kanye ne-Ca2+ ku-plasma ukuze kuqalwe uhlelo lokujiya kwangaphandle futhi kubhekwe isikhathi sokujiya kwe-plasma. I-PT ingenye yezivivinyo zokuhlola ezisetshenziswa kakhulu emitholampilo ukuhlola umsebenzi wendlela yokujiya kwangaphandle. Inani elijwayelekile lokubhekisela liyimizuzwana eyi-10 kuya kweyi-14.
I-APTT - isikhathi se-thromboplastin esingasebenzi
I-APTT iwukwengeza i-XII factor activator, i-Ca2+, i-phospholipid ku-plasma ukuze kuqalwe indlela yokujiya kwe-plasma endogenous, futhi kuqashelwe isikhathi sokujiya kwe-plasma. I-APTT ingenye yezivivinyo zokuhlola ezisetshenziswa kakhulu emitholampilo ukuze kuhlolwe umsebenzi wendlela yokujiya kwe-intrinsic. Inani elijwayelekile lokubhekisela liyimizuzwana engama-32 kuya kwengama-43.
INR - Isilinganiso Esijwayelekile Samazwe Ngamazwe
I-INR ingamandla e-ISI wesilinganiso se-PT yesiguli esihlolwe ku-PT yokulawula okujwayelekile (i-ISI iyinkomba yokuzwela yamazwe ngamazwe, futhi i-reagent ilinganiswa ngumkhiqizi lapho iphuma efektri). I-plasma efanayo yahlolwa ngama-reagent ahlukene e-ISI emalabhorethri ahlukene, futhi imiphumela yenani le-PT yayihluke kakhulu, kodwa amanani e-INR alinganisiwe ayefana, okwenza imiphumela yafana. Inani elijwayelekile lokubhekisela lingu-0.9 kuya ku-1.1.
Isikhathi se-TT-thrombin
I-TT iwukungezwa kwe-thrombin ejwayelekile ku-plasma ukuthola isigaba sesithathu senqubo yokujiya, okubonisa izinga le-fibrinogen ku-plasma kanye nenani lezinto ezifana ne-heparin ku-plasma. Inani elijwayelekile lokubhekisela liyimizuzwana eyi-16 kuya kweyi-18.
I-FIB-fibrinogen
I-FIB iwukwengeza inani elithile le-thrombin ku-plasma evivinyiwe ukuguqula i-fibrinogen ku-plasma ibe yi-fibrin, bese kubalwa okuqukethwe yi-fibrinogen ngesimiso se-turbidimetric. Inani elijwayelekile lokubhekisela lingu-2 kuya ku-4 g/L.
Umkhiqizo wokuqothulwa kwe-FDP-plasma fibrin
I-FDP yigama elijwayelekile lemikhiqizo yokuwohloka ekhiqizwa ngemuva kokuba i-fibrin noma i-fibrinogen ibolile ngaphansi kwesenzo se-plasmin ekhiqizwa ngesikhathi se-hyperfibrinolysis. Inani elijwayelekile lokubhekisela lingu-1 kuya ku-5 mg/L.
Isikhathi sokujiya kwe-CT
I-CT ibhekisela esikhathini lapho igazi liphuma emithanjeni yegazi bese lijiya ngaphandle kokusebenzisa i-vitro. Inquma ngokuyinhloko ukuthi izici ezahlukahlukene zokujiya endleleni yokujiya kwangaphakathi azikho yini, ukuthi umsebenzi wazo ujwayelekile, noma ukuthi kukhona yini ukwanda kwezinto ezilwa nokujiya kwamangqamuzana.
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