Yiziphi izivivinyo ezijwayelekile ze-coagulation?


Umbhali: Olandelayo   

Uma kwenzeka ukuphazamiseka kwe-blood coagulation, ungaya esibhedlela ukuze uthole i-plasma prothrombin.Izinto ezithile zokuhlolwa komsebenzi we-coagulation zimi kanje:

1. Ukutholwa kwe-plasma prothrombin: Inani elivamile lokutholwa kwe-plasma prothrombin yimizuzwana engu-11-13.Uma isikhathi se-coagulation sitholakala isikhathi eside, sibonisa ukulimala kwesibindi, i-hepatitis, i-cirrhosis yesibindi, i-jaundice evimbelayo nezinye izifo;uma i-coagulation Isikhathi sifinyezwa, kungase kube nesifo se-thrombotic.

2. Lawula isilinganiso esijwayelekile samazwe ngamazwe: Lesi isilinganiso sokulawula phakathi kwesikhathi se-prothrombin sesiguli kanye nesikhathi esivamile se-prothrombin.Ububanzi obujwayelekile bale nombolo bungu-0.9~1.1.Uma kunomehluko enanini elivamile, kukhombisa ukuthi umsebenzi we-coagulation uvele Uma igebe likhulu, inkinga inkulu kakhulu.

3. Ukutholwa kwesikhathi esenziwe sasebenza se-thromboplastin ngokwengxenye: Lokhu ukuhlolwa kokuthola izici ze-endogenous coagulation.Inani elivamile lingamasekhondi angu-24 kuya kwangu-36.Uma isikhathi se-coagulation yesiguli side, kubonisa ukuthi isiguli singase sibe nenkinga yokuntuleka kwe-fibrinogen.Ijwayele izifo zesibindi, i-jaundice evimbelayo nezinye izifo, futhi izingane ezisanda kuzalwa zingase zihlupheke ngenxa yokopha;uma kufushane kunokujwayelekile, kubonisa ukuthi isiguli singase sibe ne-acute myocardial infarction, ischemic stroke, thrombosis ye-venous nezinye izifo.

4. Ukutholwa kwe-fibrinogen: ububanzi obujwayelekile baleli nani buphakathi kuka-2 no-4. Uma i-fibrinogen iphakama, ibonisa ukuthi isiguli sinesifo esinamandla futhi singase siphathwe yi-atherosclerosis, isifo sikashukela, i-uremia nezinye izifo;Uma leli nani lincipha, kungase kube ne-hepatitis enzima, i-cirrhosis yesibindi nezinye izifo.

5. Ukunqunywa kwesikhathi se-thrombin;uhla oluvamile lwaleli nani luyi-16 ~ 18, inqobo nje uma lude kunevelu evamile ngaphezu kuka-3, aluvamile, okubonisa ngokuvamile isifo sesibindi, isifo sezinso nezinye izifo.Uma isikhathi se-thrombin sifinyezwa, kungase kube khona ama-calcium ions kusampula yegazi.

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