Vakadzi vakawanda vanotumirwa kudzidza nezvechirwere chemhepo chinonzi coagulogram. Inobatsira chiremba kurapa kuti aone chimiro che hemostasis, kuti aone kuvepo kwehuwandu kana hunyengeri. Mukuwedzera, varwere ivo pachavo vanova nyore kunzwisisa zviratidzo zvakasiyana-siyana kana vachiziva kuti rudzi rwekuongorora chii, iyo inofanirwa, uye kuti inzwisise sei zvakarurama.
Chii chinosanganiswa mu coagulogram yekuongorora?
Hemostasis ndiyo nzira iyo inokonzera kuwirirana kweropa, pamwe nekukwanisa kwayo kubvisa. Chero humwe hutachiona hunotungamirira pakuumbwa kwe thrombi, iyo inowanzoitirwa varicose mitsemonda, mishonga yemwoyo, zvirwere zvega autommune uye zvirwere zvehepatological, kana kuti kuderera kwehuwandu hwehupenyu hwehupenyu (haemophilia, kunowanzobuda ropa nekuda kwechirwere chechirwere chechidiki).
Nokudaro, coagulogram inopesana nehuwandu uye hutachiona hwehutachiona hwehupenyu maererano nemarangiro. Inosanganisira mubhuku rekushandisa:
- PTI (prothrombin index), PTV (prothrombin time) kana INR (international normalized ratio). Muedzo wokupedzisira unofungidzirwa kuti ndiwo unodzidza uye unowanikwa. Izvi zvinokubvumira kuti uverenge nguva yenguva iyo ropa rinogadzira panzvimbo yekukuvara.
- Fibrinogen ipuroteni inokonzera kutaridzika kwetrombi sechikamu chekupedzisira chekugadzirisa kwechirwere chemhepo uye inoshandurwa kuva fibrin.
- Thrombin nguva. Zvinoratidza, nokuti nguva ipi kubva ku fibrinogen inobudiswa fibrin.
- APTTV (yakagadzirirwa chikamu thromboplastin nguva). Chiratidzo chacho chinokubvumira kunyora nguva yekuumbwa kweropa.
Zvimwe zvinyorwa zve coagulogram zvinowanikwa kubva kuwedzi yeropa pamiganhu yakadaro:
- plasma inobvumirana ne heparin;
- protein C;
- D-dimer;
- iyo plasma recalcification time (GRP), iyo yakagadziriswa parameter (AVRP) inobvunzwawo;
- antithrombin;
- RFMK (inogadziriswa fibrin monomer complexes);
- lupus anticoagulant.
Izvi zvinowedzera zviratidzo zvinodiwa kuti zviongororwe zvakajeka kana zvichikanganisika nezveimwe chirwere, kunyanya panguva yekudzivirira.
Kugadzirira coagulogram kuongorora
Chimwe chete chinodiwa kumurwere asati aita chidzidzo ndekuramba kudya maawa masere isati yasvika. Inokurudzirwa kupa ropa mumangwanani, asi iyi haisi mutemo wakasimba.
Ko coagulogram yakaongororwa zvakadini?
Nguva inotarisirwa kuverenga kuwanda kwezviratidzo zvekudzidza ndekutanga 1 zuva rekushanda. Inogona kudarika nguva yakatarwa, zvichienderana nemichina inowanikwa mu laboratori, uyewo kudiwa kwekutakura zvinhu (pasina mazuva 3-4).
Nzira dze coagulogram yekuongorora
Kujekesa kwekudzidza kunowanzoenzanisa zviyero zvakagadziriswa nehuwandu hwemashoko.
Ndizvo:
- Kune PTI - kubva ku80 kusvika ku20%. Kana izvi zvakapfuura, kushayikwa kwevitamine K kunokwanisika mumuviri, uye kukwanisa kuderera kweropa kupfeka kunowanikwa. Kana i RTI iri pasi pezvakagadzirwa, izvi zvinogona kuratidza hutachiona hwehutachiona.
- Kune PTV ne INR - kubva 78 kusvika 142%. Kuparadzana kubva pamiganhu iyi kwakafanana neye PTI.
- Nokuti fibrinogen - kubva pa2 kusvika ku4 g / l (muvakadzi vane pamuviri inogona kuwedzera kusvika 6 g / l). Kuwedzerwa kwehuwandu hwechirwere ichi chinoratidza chimiro cheprombose, uye kuderera kwehuwandu hweDIC syndrome kana chirwere chechiropa.
- Nokuda kwekrombin nguva - kubva pa11 kusvika ku17.8 seconds. Kuparadzana kwemupiramu kubva kune zvakasikwa kwakananga zvakananga nechiratidzo chekare uye kuiswa kwayo.
- Pamusoro pe APTTV - kubva pamasere kusvika pamakumi maviri nemashanu. Kana nguva yacho iri shoma, izvi zvinoratidza hutachiona hwehutachiona. Nekuwedzera kwezvinogona hemophilia, DVS-syndrome 2 kana 3 degrees.