Coagulation: le ntho e tloaelehileng le ho kheloha

Coagulation mali kapa hemostasiogram, e ntse e le mofuta oa teko ea mali e entsweng ho ithuta hoama lona. and analysis ena abetsoe tabeng ea tshebetso, li amahanngoa le ho lahleheloa ha mali, hammoho le ho hlwaya anomalies hoama e fokotsehile 'me e ile ea eketseha, e leng ho ka etsa hore mafu a tse fapa-fapaneng, tse kang thromboses, lefu la pelo kapa stroke.

Coagulation, tseo hangata li tlaleho fanoa ka litafole khethehileng e hlalosang tsamaiso ea ho potoloha ha mali 'me and analysis lona ka hemostasis, o dumella ho bona hore irregularities ka lero la mali e.

Kahoo, hemostasiogram - ke lipatlisiso hlokahalang ka ho ima, pele ho tshebetso tse sa tšoaneng nako postoperative, le methapong varicose, mafu autoimmune, 'me mafu a ba sebete.

le matla a ho ho boloka ka ho sa feleng e le sekontiri se metsi le ka nako e tšoanang ho theha le ho felisa clots, haeba ho hlokahala, hafeela tsamaiso ea hemostatic 'meleng. mafu leha e le ho tsoa mali ho ka etsa hore liphello tse tebileng.

Hemostasis e itseng lintlha, tse laolwang ke lithuto tsa laboratoring. Kahoo, ka hemostasis mathomo ka ho ikemisetsa: ho platelet bala, bolelele ba nako ea mali, platelet aggregation le mamarello, ba itsoara joang ka tsa clot mali ka litsupa tse ling. Ka hemostasis mahareng fumana nako ya coagulation mali, PTI, APTT, fibrinogen lenane le joalo-joalo.

Ho joalo, nakong ea bokhachane coagulation (fisioloji ntho e tloaelehileng) bontša e ile ea eketseha ea mali hoama, tseo ha lia lokela ho amehoang ka tsona ka mona.

A re hlahlobeng ka ho qaqileng haholoanyane seo e nkoa e le entsprechen tloaelehile thutong ena.

1. The nako ya mali le. Ka tloaelo, ho tsoa mali khaotsa ho ka motsotso boraro ka mor'a puncture ka. Eketsa nako ena ka 'na a bontša vithamine khaello, theola pleitelete.

2. Platelet aggregation le mamarello. Coagulation (ntho e tloaelehileng) - mamarello - ho fihlela ho 50% le aggregation - 20%. Keketseho ea litsupa tsena ka 'na ba supa ho ntshetsopele ya atherosclerosis, thrombosis, lefu la tsoekere, kapa lefu la pelo.

3. The hula mantsoe a clot mali. Ka tloaelo ditefello hula mantsoe Range ho tloha mashome a mane e robeli ka bang liphesente tse mashome a tšeletseng a metso e mene.

4. nako ya coagulation mali. Coagulation (ntho e tloaelehileng) bakeng sa mali venous - ho tloha metsotso e mehlano ho tse leshome bakeng sa mali capillary - ho tloha metsotsoana mashome a mararo ho metsotso e mehlano.

Eketsa nako liforeimi ya data 'na a bontša ho ba teng e anticoagulant mali kapa ntshetsopele ya lefu sebete kapa hemophilia. phokotso nako ka ho ketekoa ka tsoa mali haholo.

5. PB (naiboleee ithuta bohlokoa ka coagulogram). Ka ho ikemisetsa ka lebaka la and analysis ena, mafu gastrointestinal le sebete. Coagulation (tloaelehile) PTI - ho tloha tse tharo ho mashome a robong e supileng lekholo diphesente, ha nako e prothrombin - ho tloha motso ho metsotsoana e leshome le metso e mehlano. Keketseho ea litsupa tsena ka 'na ba supa ho ntshetsopele ya thrombosis, empa maemong a mang e bontsha gore go ya baeti ba fihlelang ho ya lithibela-pelehi.

6. fibrinogen. Ka tloaelo, palo ena fapana ho dikgerama tse peli ho tse 'nè / litha e le nngwe. phetoho ea hae e fana ka maikutlo serame sa matšoafo, ho ruruha, setorouku, chesa, lefu la sebete, ho thatafala ha sebete, pelo le lintho tse ling.

7. APTT. Ka tloaelo, palo ena bontšang ho metsotsoana e mashome a mararo kapa a mane. Re lokela ho hlokomela hore phokotsong ea pontshi hoama mali ka bang liphesente tse mashome a mane tsa boemo APTT tla fapana. Leha ho le joalo, ho phetoho ea li-index ena e ka bontša ntshetsopele ya lefu sebete, hemophilia le maloetse a mang.

Kahoo, tshebetso coagulation ke tse tharo kokangana liphetoho: hare le kantle mali hoama, hammoho le tšokoloho ea fibrinogen ho fibrin.