Ukubaluleka Okuyinhloko Kokuxilongwa Kokuqhekeka Kwegazi


Umbhali: Succeeder   

Ukuxilongwa kokuqina kwe-coagulation kuhlanganisa kakhulu isikhathi se-plasma prothrombin (PT), isikhathi se-activated partial prothrombin (APTT), i-fibrinogen (FIB), isikhathi se-thrombin (TT), i-D-dimer (DD), kanye ne-international standardization Ratio (INR).

I-PT: Ibonisa kakhulu isimo sohlelo lokujiya kwamangqamuzana angaphandle, lapho i-INR ivame ukusetshenziswa khona ukuqapha ama-anticoagulants omlomo. Ukwanda kwesikhathi kubonakala ekushodeni kwe-congenital coagulation factor ⅡⅤⅦⅩ kanye nokuntuleka kwe-fibrinogen, kanti ukuntuleka kwe-acquired coagulation factor kubonakala kakhulu ekushodeni kwe-vitamin K, isifo sesibindi esibi, i-hyperfibrinolysis, i-DIC, ama-anticoagulants omlomo, njll.; ukufinyela kubonakala esimweni se-hypercoagulable yegazi kanye nesifo se-thrombosis, njll.

I-APTT: Ibonisa kakhulu isimo sesistimu yokujiya kwegazi e-endogenous, futhi ivame ukusetshenziselwa ukuqapha umthamo we-heparin. Ukwanda kwe-plasma factor VIII, i-factor IX kanye ne-factor XI kwanciphisa amazinga: njenge-hemophilia A, i-hemophilia B kanye nokuntuleka kwe-factor XI; ukwehla esimweni sokujiya kwegazi: njengokungena kwezinto ze-procoagulant egazini kanye nomsebenzi owandisiwe wezinto zokujiya kwegazi, njll.

I-FIB: ikakhulukazi ibonisa okuqukethwe yi-fibrinogen. Ukwanda kwe-acute myocardial infarction kanye nokwehla esikhathini sokuncibilika kwe-DIC consumptive hypocoagulable, i-primary fibrinolysis, i-hepatitis enzima, kanye ne-liver cirrhosis.

I-TT: Ibonisa kakhulu isikhathi lapho i-fibrinogen iguqulwa ibe yi-fibrin. Ukwanda kwabonakala esigabeni se-hyperfibrinolysis se-DIC, nge-fibrinogenemia ephansi (engenayo), i-hemoglobinemia engavamile, kanye nemikhiqizo yokonakala kwe-fibrin (fibrinogen) (FDP) eyanda egazini; ukwehla kwakungabalulekile emtholampilo.

INR: I-International Normalized Ratio (INR) ibalwa kusukela esikhathini se-prothrombin (PT) kanye ne-International Sensitivity Index (ISI) ye-assay reagent. Ukusetshenziswa kwe-INR kwenza i-PT elinganiswe ngamalabhorethri ahlukene kanye nama-reagent ahlukene ifane, okwenza kube lula ukuhlanganiswa kwezindinganiso zemithi.

Ukubaluleka okuyinhloko kokuhlolwa kokujiya kwegazi ezigulini ukuhlola ukuthi ngabe kukhona yini inkinga ngegazi, ukuze odokotela bakwazi ukuqonda isimo sesiguli ngesikhathi, futhi kulula ngodokotela ukuthatha imithi efanele nokwelashwa. Usuku olungcono kakhulu lwesiguli lokwenza ukuhlolwa kokujiya okuhlanu isisu singenalutho, ukuze imiphumela yokuhlolwa ibe nembambo kakhudlwana. Ngemva kokuhlolwa, isiguli kufanele sibonise udokotela imiphumela yokuhlolwa ukuze sithole izinkinga zegazi futhi sivimbele izingozi eziningi.