I-Coagulogram - ukucacisa

I-Coagulogram - inqubo ayiyona ethandwa kakhulu, kodwa isigaba esithile seziguli kubaluleke kakhulu. Ngaphansi kwegama eliyinkimbinkimbi kakhulu, isifundo se-laboratories segazi sokuvala i- clotting sifihliwe. Ukucacisa i-coagulogram ikuvumela ukuthi ufunde imininingwane eminingi mayelana nesimo segazi ikakhulukazi nomzimba wonke. Njengeziningi zezifundo, kunzima kakhulu ukuqonda imiphumela yale nqubo yezokwelapha. Ake sizame ukunciphisa umsebenzi kancane futhi sitshele ngezinkomba eziyinhloko nemigomo yabo.

Ukuhlukanisa imiphumela ye-coagulogram

I-Coagulogram iyisethi yokuhlolwa okuqondile okukuvumela ukuba ufunde mayelana nokugwedla kwegazi cishe konke. Ukutholakala kwegazi ukugaya kungenye yezinto ezibaluleke kakhulu zokuzivikela zomzimba. Yiqiniso, esimweni esivamile igazi kufanele libe yi-liquid, kodwa ngisho nangomonakalo omncane nokulimala ezindongeni zemithambo yegazi, i-coagulation iba inqubo ebalulekile.

Uzodinga amakhono ukucacisa i-coagulogram ezimweni ezilandelayo:

1. Ucwaningo lunqunywe izinkinga ze-pathological nge-clotting yegazi.
2. I-coagulogram iyadingeka ngesikhathi sokukhulelwa.
3. Inqubo iboniswa ngenkathi kulungiswa ukusebenza futhi ngesikhathi sokubuyiselwa emva kwayo.
4. Ungaphazamisi ukuhlolwa kwalabo abahlukunyezwa utshwala kanye nogwayi.
5. Ochwepheshe basikisela njalo ukwenza i-coagulation kubantu emva kwamashumi amahlanu.

Esigulini esinempilo, zonke izilinganiso ekuchazeni i-coagulogram kufanele zibe yinto evamile. Izici eziyinhloko zokweqa igazi zilandelayo:

1. Enye yezinkomba ezibaluleke kakhulu i-prothrombin. Ukukhuluma ngokuqinile, lena yiprotheni enomthwalo wokugaya igazi. Ukugxila okuvamile kwe-prothrombin egazini kuyahlukahluka phakathi kwamaphesenti angu-78 no-142. Inani lamaprotheni egazini ngezinye izikhathi lisiza ukuthola izinkinga ezibangelwa ukuphazanyiswa ekusebenzeni kwephepha lomathumbu.
2. Inkomba evamile ye-INR ekudaleni i-coagulogram ingu-80-120%. I-INR isimo sengqondo esivamile emhlabeni jikelele. Lesi sibonakaliso - okunye okunye ku-PTI yasekhaya (inkomba yeprothrombin). Ukuhlaziywa kwe-INR kwenziwa ukuze isazi singanquma umthamo wesidakamizwa segazi esincane esidinga isiguli esithile.
3. Umkhuba we-RFMK ekudaleni i-coagulogram nge-100 ml yegazi awukwazi ukudlula i-4 mg. I-soluble fibrin-monomer complexes isebenza njengabahlobo bempawu ezibonisa ukuthi kungenzeka ukuthi i-coagulation ye-intravascular.
4. Inendima ebalulekile ekuqalisweni kwe-coagulogram idlala yi-APTT yenkomba ye-thromboplastin ekhethiwe. Lesi yisibonakaliso esibucayi kakhulu. Ngomuntu onempilo enhle, kufanele kube khona i-clot evikelayo engaphansi kweminithi (imizuzwana engu-30-40), kodwa uma inkomba yanda, cishe kungenzeka ukuthi isiguli siyohlolwa ukutholakala kwezifo ezingavamile.

Ukucacisa okujulile kwe-coagulogram

Ku-coagulogram enwetshiwe, lezi zinkomba ezilandelayo nazo zenziwa:

1. Ukwehlisa isici sekhono lamaplatelets ukuze liqoqe futhi lenze ama-clots okuzivikela. Uma ukunamathela kuncishisiwe, kunomqondo ophezulu ukuthi isiguli sinokuhluleka kokuqeda . I-index evamile yokunamathela i-20-50%.
2. Ukuhlukumeza ikhono lamaplatelet ukuhlanganisa. Kusemzimbeni onempilo, izinga lokuhlanganiswa alidluli ku-20%.
3. Incazelo yeqembu lemizimba ethize ekuchazeni i-blood coagulogram ivumela umuntu ukuba anqume ukuthi kukhona i-lupus anticoagulant.
4. Ngosizo lwachwepheshe be-thrombotest ukunquma inani le-fibrinogen egazini.