Yiziphi izivivinyo ezivamile zokubopha igazi?


Umbhali: Succeeder   

Uma kwenzeka ukuphazamiseka kokujiya kwegazi, ungaya esibhedlela ukuze uthole i-plasma prothrombin. Izinto ezithile zokuhlolwa komsebenzi wokujiya kwegazi yilezi ezilandelayo:

1. Ukutholwa kwe-plasma prothrombin: Inani elijwayelekile lokutholwa kwe-plasma prothrombin yimizuzwana eyi-11-13. Uma isikhathi sokujiya kwegazi sitholakala side, sibonisa ukulimala kwesibindi, i-hepatitis, i-liver cirrhosis, i-obstructive jaundice nezinye izifo; uma isikhathi sokujiya kwegazi sifushane, kungase kube nesifo se-thrombotic.

2. Isilinganiso sokulawula esijwayelekile samazwe ngamazwe: Lesi yisilinganiso sokulawula phakathi kwesikhathi se-prothrombin sesiguli nesikhathi se-prothrombin esijwayelekile. Ububanzi obujwayelekile bale nombolo bungu-0.9~1.1. Uma kukhona umehluko enanini elijwayelekile, kubonisa ukuthi umsebenzi wokujiya uvele. Uma igebe likhulu, inkinga iba nkulu kakhulu.

3. Ukutholwa kwesikhathi se-thromboplastin esingasebenzi: Lokhu kuwukuhlola ukuthola izici zokuqina kwemithambo yegazi. Inani elijwayelekile liyimizuzwana engama-24 kuya kwengama-36. Uma isikhathi sokuqina kwemithambo yegazi sesiguli sinwetshwa, kubonisa ukuthi isiguli singase sibe nenkinga yokuntuleka kwe-fibrinogen. Sithambekele ezifweni zesibindi, i-jaundice evimbelayo nezinye izifo, kanti izinsana ezisanda kuzalwa zingase zihlupheke ngokopha; uma kufushane kunokujwayelekile, kubonisa ukuthi isiguli singase sibe ne-acute myocardial infarction, i-ischemic stroke, i-venous thrombosis nezinye izifo.

4. Ukutholwa kwe-fibrinogen: izinga elijwayelekile laleli nani liphakathi kuka-2 no-4. Uma i-fibrinogen ikhuphuka, kubonisa ukuthi isiguli sinokutheleleka okukhulu futhi singase sibe ne-atherosclerosis, isifo sikashukela, i-uremia nezinye izifo; Uma leli nani lehla, kungase kube ne-hepatitis enzima, i-cirrhosis yesibindi kanye nezinye izifo.

5. Ukunqunywa kwesikhathi se-thrombin; ububanzi obujwayelekile baleli nani bungu-16 ~ 18, uma nje lide kunenani elijwayelekile ngokungaphezu kuka-3, akuvamile, okuvame ukukhombisa isifo sesibindi, isifo sezinso nezinye izifo. Uma isikhathi se-thrombin sifinyeziwe, kungase kube nama-ion e-calcium egazini.

6. Ukunqunywa kwe-D dimer: Ububanzi obujwayelekile baleli nani bungu-0.1 ~ 0.5. Uma inani litholakala likhuphukile kakhulu ngesikhathi sokuhlolwa, kungase kube nezifo zenhliziyo nemithambo yegazi, i-pulmonary embolism, kanye nezimila ezibulalayo.