Isihlaziyi sokujiya kwegazi siyithuluzi elisetshenziselwa ukuhlolwa kokujiya kwegazi okuvamile. Siyimishini yokuhlola edingekayo esibhedlela. Sisetshenziselwa ukuthola ukuthambekela kokopha kwegazi kanye nokujiya kwegazi. Kuyini ukusetshenziswa kwalesi thuluzi eminyangweni eyahlukene?
Phakathi kwezinto zokuhlola ze-blood coagulation analyzer, i-PT, i-APTT, i-TT, ne-FIB kunezinto ezine zokuhlola ezijwayelekile zokujiya kwegazi. Phakathi kwazo, i-PT ibonisa amazinga ezici zokujiya kwegazi II, V, VII, kanye ne-X ku-plasma yegazi, futhi iyingxenye ebaluleke kakhulu yesistimu yokujiya yangaphandle. Ukuhlolwa kokuhlola okubucayi nokusetshenziswa njalo; I-APTT ibonisa amazinga ezici zokujiya kwegazi V, VIII, IX, XI, XII, i-fibrinogen, kanye nomsebenzi we-fibrinolytic ku-plasma, futhi iyindlela yokuhlola esetshenziswa njalo yezinhlelo ze-endogenous; Ukulinganiswa kwe-TT kubonisa kakhulu ukuthi igazi likhona yini Ukuba khona kwezinto ezingavamile ezilwa nokujiya kwegazi: I-FIB iyi-glycoprotein, ngaphansi kwe-hydrolysis yi-thrombin, ekugcineni yakha i-fibrin enganyibiliki ukuze iyeke ukopha.
1. Iziguli eziphethwe amathambo ikakhulukazi ziyiziguli ezinamathambo aphukile ngenxa yezizathu ezahlukahlukene, eziningi zazo ezidinga ukwelashwa ngokuhlinzwa. Ngemva kokuphuka, ngenxa yomonakalo wemisipha, ingxenye yemithambo yegazi ephukile, ukuchayeka ngaphakathi kwemithambo yegazi kanye namaseli kuvuselela indlela yokujiya kwegazi, ukuhlanganiswa kwamaplatelet, kanye nokwakheka kwe-fibrinogen. kufeza injongo ye-hemostasis. Ukusebenza kohlelo lwe-fibrinolytic oluphelile, i-thrombolysis, kanye nokulungiswa kwezicubu. Lezi zinqubo zonke zithinta idatha yokuhlolwa kokujiya okuvamile ngaphambi nangemva kokuhlinzwa, ngakho-ke ukutholakala ngesikhathi kwezinkomba ezahlukene zokujiya kubaluleke kakhulu ekubikezeleni nasekwelapheni ukopha okungavamile kanye ne-thrombosis ezigulini ezijiyile.
Ukopha okungajwayelekile kanye ne-thrombosis kuyizinkinga ezivamile ekuhlinzweni. Ezigulini ezinenqubo yokujiya okungajwayelekile, imbangela yalokhu kungasebenzi kahle kufanele itholakale ngaphambi kokuhlinzwa ukuqinisekisa impumelelo yokuhlinzwa.
2. I-DIC yisifo sokuphuma kwegazi esivame kakhulu esibangelwa ukubelethisa kanye nezifo zabesifazane, futhi izinga elingavamile le-FIB likhuphuka kakhulu. Kubaluleke kakhulu emtholampilo ukwazi izinguquko ezingavamile zezinkomba zokujiya kwegazi ngesikhathi, futhi kungatholakala futhi kuvinjwe i-DIC ngokushesha okukhulu.
3. Imithi yangaphakathi inezifo eziningi ezahlukene, ikakhulukazi izifo zenhliziyo, izifo zesimiso sokugaya ukudla, iziguli ezinesifo sohlangothi esibangelwa yi-ischemic kanye nesopha. Ekuhlolweni okuvamile kokuqina kwegazi, amazinga angavamile e-PT kanye ne-FIB aphezulu kakhulu, ikakhulukazi ngenxa yokuvimbela ukujiya kwegazi, i-thrombolysis kanye nezinye izindlela zokwelapha. Ngakho-ke, kubaluleke kakhulu ukwenza ukuhlolwa kokuqina kwegazi okuvamile kanye nezinye izinto zokuthola i-thrombus kanye ne-hemostasis ukuze kunikezwe isisekelo sokwakha izinhlelo zokwelapha ezinengqondo.
4. Izifo ezithelelanayo ikakhulukazi ziyi-hepatitis ebukhali nengamahlalakhona, kanti i-PT, i-APTT, i-TT, kanye ne-FIB ye-hepatitis ebukhali konke kungaphakathi kobubanzi obujwayelekile. Ku-hepatitis engapheli, i-cirrhosis, kanye ne-hepatitis enzima, lapho umonakalo wesibindi uqhubeka, ikhono lesibindi lokukhiqiza izinto ezijiyile liyancipha, futhi izinga lokutholakala elingavamile le-PT, i-APTT, i-TT, kanye ne-FIB landa kakhulu. Ngakho-ke, ukutholakala njalo kwe-coagulation yegazi kanye nokuqapha okunamandla kubaluleke kakhulu ekuvimbeleni nasekwelapheni ukopha kanye nokulinganisa ukubikezela.
Ngakho-ke, ukuhlolwa okunembile okuvamile komsebenzi wokujiya kwegazi kuyasiza ekuhlinzekeni isisekelo sokuxilongwa nokwelashwa kwezifo. Abahlaziyi begazi lokujiya kwegazi kufanele basetshenziswe ngokunengqondo eminyangweni eyahlukene ukuze badlale indima enkulu.
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