ImpiloImithi

Ukuhlaziya pti: kuyinsakavukela. Pti: abesifazane evamile

Prothrombin Inkomba (pti) - ingenye ukuhlolwa laboratory ezibaluleke kakhulu, okuyinto ephawula isimo uhlelo coagulation. Lubonakaliswa njengoba amaphesenti. Kunezinhlobo ezihlukahlukene izimo babelwe ukuhlaziywa pti. Norma abantu okunempilo 95-105%.

Igazi ekunqandeni wenziwa ezindaweni ezimbili - izindlela eziwumgogodla futhi extrinsic. Inani IPT ibonisa kahle endleleni extrinsic of coagulation.

Kuyini prothrombin?

Ukwakheka amahlule amahlule senzeka bedle iprotheni ethile - thrombin, okuyinto ngaphansi kwethonya izinqubo ezithile kwamakhemikhali aguqulwa kusuka prothrombin. Ngakho, amaprotheni yesibili prothrombin ekunqandeni isici. It ikhiqizwa ne iqhaza vitamin K esibindini.

Prothrombin Inkomba (i SWIR) ukunquma umsebenzi prothrombin. Lokhu kuhlola ibalwa njengoba amaphesenti izinkomba plasma lesiguli isampula control. Ukuze nokulawula uhlelo coagulation inikezwa ukuhlolwa igazi phezu pti. Kuyinsakavukela laboratories ezahlukene kungahluka kancane, kodwa lezi umehluko akuzona abalulekile. Bona kuxhomeke amakhemikhali Sisetshenziswa elabhorethri. Ngaphansi kwezimo ezithile, njenge varicose emithanjeni, ukuhlaselwa isifo senhliziyo noma ngemva kokusebenza amazinga inhliziyo for iziguli kunqunywa udokotela, njengoba kulezi zimo kubalulekile ukuze kuzuzwe anticoagulation igazi (ukunciphisa ekunqandeni yayo). Lokhu kwenziwa ukuze kuvikelwe thrombosis.

Ubani uqokwa ukuhlaziywa pti?

Ngokuvamile isifundo ngesilinganiso IPT e abesifazane iyafana amadoda. Lesi sibalo eshintsha ngesikhathi sokukhulelwa kuphela, futhi kukhona ngenxa yezizathu eziningana, iphuzu esizoxoxa ngalo kamuva. Kwezinye izimo, igazi noma yokuthakwa kwamakhemikhali esimisiwe pti? Kuyinsakavukela cwaningo, isibonelo, uma nithatha anticoagulants kungenzeka libe lincane uma kuqhathaniswa kabili. Iziguli ukuthatha le mithi kufanele ziqashwe njalo futhi INR pti. Kungase kudingeke ukucwaninga amagama pti ngempela eyenziwa ngayo ezimweni ezilandelayo:

  • Ngaphambi noma yikuphi ukuqhutshwa.
  • Abantu abathola imithi anticoagulant ukuvimbela amahlule.
  • Abesifazane ngesikhathi sokukhulelwa.
  • Abantu abaphethwe izifo kohlelo coagulation, ezifana varicose emithanjeni.
  • Ngo iziyaluyalu sokuhlasela kwamasosha omzimba.
  • Ngo isifo sokuqina kwemithambo yegazi kanye nesifo senhliziyo.
  • Lapho pathologies isibindi, njenge isifo sokusha.
  • Ngezinye nokuntuleka vitamin K.
  • Ngo antiphospholipid syndrome.
  • Ukuze ukuhlolwa nokuvivinywa coagulation.

Phakathi nenkathi yokukhulelwa, qiniseka ovivinyweni ngoba pti. Uthola abesifazane ngesikhathi ukhulelwe kancane kunakunoma abanye abantu enempilo. Lokhu kungenxa izinguquko amazinga ama-hormone ukuvela ezengeziwe utero-esinomhlapho kwegazi.

IPT ngesikhathi sokukhulelwa: kuyinsakavukela

Phakathi nenkathi yokukhulelwa, bonke abantu besifazane kudingeka ukuba amise coagulation cwaningo. Kuhlanganisa:

  1. Pti (prothrombin Inkomba).
  2. INR (isilinganiso kwesejwayelekile international).
  3. APTT (isebenze ngokwengxenye thromboplastin isikhathi).
  4. Fibrinogen.

Zonke lezi nemingcele abaluleke kakhulu. Ngakho, nokwanda kokungabi IPT emabangeni okugcina enkathi yokukhulelwa-150% noma ngaphezulu kungase kubonise ingozi abruption esinomhlapho. Futhi ukwehla kule inkomba phambi ukulethwa ngezansi 80% kukhona ingozi ukopha ngesikhathi sokubeletha noma esikhathini kwangemva kokubeletha. Ngakho-ke kubaluleke kakhulu ukuba sihlole coagulation uhlelo ekupheleni sokukhulelwa. Ukuze wenze lokhu, ovivinyweni pti. Kuyinsakavukela lokhu Inkomba ngesikhathi sokukhulelwa zokhahlamba kusuka 90 kuya 120%.

Yini ukwanda PB?

Ngakho, sathola ukuthi ukuqina igazi kukhulisa inani IPT. Kuyinsakavukela lokhu Inkomba e ngabanye enempilo zokhahlamba kusuka 95 kuya 105%. Ukwanda prothrombin Inkomba kungase kubonise ingozi yokuba izifo ezifana:

  • isilethikusebenza.
  • Thromboembolism.
  • Polycythemia.
  • izifo Oncological.
  • Lamabutho umzanyana kwabesifazane abakhulelwe.

Yini ezingeni eliphansi pti?

Ezimweni ethola anticoagulants pti ezingeni kungaba phansi 45-40%. Nge usongo amahlule igazi umthamo le mithi ukulawula udokotela. Ngemva okwandayo noma ukunciphisa umthamo edingekayo ukuba bangayeki ukuhlaziywa IPT. Izinga lezi iziguli kunqunywa udokotela ukuba khona. Uma Inkomba prothrombin bancipha seziguli ezithola anticoagulants, lokhu kungase kubonise, isibonelo, vitamin K ukuntuleka kwamavithamini, ukungezwani okukhulu isibindi isifo noma ipheshana emathunjini wonkana, futhi abesifazane abakhulelwe ngaphambi kokuzalwa - ngengozi ukopha ngesikhathi sokubeletha.

Kuyini INR?

Lesi sibalo standard sokunquma igazi ekunqandeni. INR iphendula umsebenzi amaprotheni ethile yegazi, okuyizinto izakhi ezijiyisayo. namaprotheni anjenge akhiqizwa isibindi ezihilela Vitamin K. Lezi zici coagulation aphendule imithi - anticoagulants, isib, "Dabigatran" "warfarin" noma analogs yabo. Kulesi simo, hypocoagulation, isb Igazi ekunqandeni kancane kakhulu. Kwezinye iziguli, kubalulekile, abaningi baphoqeleka ukuba athathe anticoagulants ukuphila.

Ukuhlaziywa pti igazi. INR: kuyinsakavukela

Ngo coagulogram, ngaphandle ukuhlaziywa IPT, nezinye izinto ezibalulekile. Lapho zaphathwa iziguli anticoagulants IPT kwehle. Kodwa ukuhlaziywa ngesilinganiso IPT e-laboratory ngamunye ingase ihluke kancane, ngakho laqanjwa test zifane - INR. Odokotela ukuyisebenzisa ukulawula esimisweni segazi coagulation uma nithatha anticoagulants iziguli. Ngakho, kulezi zimo INR inikezwa kanye izinkomba ezifana ukuhlolwa igazi for pti. INR Jwayelekile kubantu okunempilo 0.8 kuya 1.2. Lapho ethola encishisiwe ekunqandeni anticoagulant kwenzeka hypocoagulation futhi INR zingandiswa izikhathi 2-3 kuyinsakavukela, ezifana kokuhlinzwa inhliziyo noma emithanjeni varicose ukuvimbela ukwakheka thrombi. Uma igazi uba mkhulu, lenyuka coagulability futhi ngokufanele INR Inkomba incipha.

Hypocoagulation. Kwezinye izimo idingeka?

Izinga IPT Assay zokhahlamba kusuka 95 kuya ku-100% kanye INR ka 0.8 kuya 1.2. Khumbula, le mithetho kumele kube abantu engumqemane. Kodwa kunezimo lapho INR kubalulekile ukuze silondoloze izibalo okusezingeni eliphezulu, ngokulandelana, pti izinkomba ngaleyo ndlela abe ngezansi evamile, okungukuthi, kuzoba isimo anticoagulation. isimo esinjalo kufinyelelwa ukuthatha anticoagulants. Umthamo kungaba azimisele kuphela udokotela. Iziguli njalo kokuthola njalo imithi enjalo kufanele uhlolwe igazi ngenxa INR.

  • Endabeni fibrillation atrial INR amagugu kufanele kugcinwe ku uhla 2.0-3.0.
  • isimo Heavy - PE (embolism yamaphaphu) - nayo idinga nokugcina amazinga INR ngaphakathi 2.0-3.0.
  • Ngemva kokuhlinzwa inhliziyo kudinga anticoagulation, kuyilapho esimweni yomthambo i-aorta ne-valve INR nezinombolo kumele sigcinwe nohlu esifanele 2.0-3.0, futhi wokufakelwa umphini mitral - ezingeni 2.5-3.5.
  • Kwezinye ukukhubazeka, inhliziyo valve (mitral noma ukungasebenzi kahle yomthambo i-aorta), futhi Prevention of ezingeni thromboembolic lokhu Inkomba kumele ibe phakathi 2.0-3.0.
  • Ekwelapheni emithambo yegazi thrombosis INR nezinombolo kumele luhambisane 2.0-3.0.

Ngokunciphisa amazinga ngezansi komkhawulo kuvunyelwe INR ukwandisa umthamo "Warfarin" futhi analogue yayo. Lokhu kwenziwa kuphela ngaphansi kweso lwezokwelapha kanye ukuhlolwa laboratory. Kodwa ukwanda anticoagulation (INR lenyuke) ngenhla ephasijini kuvunyelwe kungathikameza kabi impilo iziguli. Kuyingozi ukopha ngokuyinhloko ezihlukahlukene. Zingaba yangaphakathi (lesizalo, isisu noma intracavitary) kanye yangaphandle ezivukayo ngenxa yokulimala noma ukusikeka ahlukahlukene. Uma isibalo siphakeme INR ephakeme imikhawulo kuvunyelwe nakhelwe esimweni esithile, umthamo we anticoagulants kumele kungancipha. Ezinye iziguli ukulawula ezingeni INR ukuphila.

Indlela ukuthatha ukuhlolwa igazi ngenxa INR futhi IPT?

Igazi izifundo ezinjalo asebenze egumbini ukwelashwa. igazi emithambo yegazi esithathwayo ibe tube test nge anticoagulant, indima okuyinto ngokuvamile citrate sodium. Lihlela isilinganiso phakathi kwama igazi kuhoxiswe kanye anticoagulant ukuba 9: 1. isampula elathathwa ixubene kahle inverting tube ukuvimbela ukwakheka ihlule. Igazi ngokushesha wathumela ku-laboratory. Ukuhlaziywa kumele kukhiqize kungakapheli amahora amabili ngemuva nokuqoqwa kwegazi. Ukwehluleka ukulandela lezi izimo kungase kubangele ukuba sisibheke ukuhlaziya. Igazi ngokuvamile asebenzelana ekuseni esiswini esingenalutho, kodwa lokhu ukuhlaziywa zingenziwa ngezinye izikhathi by Cito uma kunesidingo, okungukuthi ngokushesha.

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