Chimwe chezvinhu zvinonyanya kukosha, izvo vanachiremba vanodzidza zvakadzama munguva yekuzvara kwomukadzi, ndeye fibrinogen . Iyo ipuroteni inonyanya kuita basa rekuita ropa coagulation. Fibrinogen inobudiswa nemasero eropa, saka, kupinda muropa, pasi pesimba re thrombin inoshandurwa kuva fibrin. Kuongorora kwehupenyu hweropa kwe fibrinogen, iyo yakasarudzwa iyo yakatarwa mu laboratori, inokosha zvikuru, zvose kuna amai uye kumucheche. Iko kunokonzerwa ne fibrin iyo frombi fomu, iyo inoderedza kurasikirwa kweropa munguva yebasa.
Muitiro we fibrinogen muropa
Chimiro che fibrinogen muvakadzi vane utano ndeche 2-4 gramu neawa imwe neimwe. Munguva yekuvandudzwa kwema fetus mudumbu, maitiro ese ehupenyu hweamai vari mberi achachinja zvakawanda, uyewo chiyero cheprotheni ichi chinoreva zvakasiyana. Saka, chiyero che fibrinogen mukuzvitakura chinokwana magiramu matanhatu pa1 lita imwe yeropa. Ichi chiratidzo chinotanga kuwedzera kubva kumwedzi inenge mitatu, uye pakupera kwekuita mimba inosvika pakukwirira kwayo. Izvi zvinokonzerwa nokufambiswa kwe-utero-placental circulatory system. Uyezve, panguva yekushanda, pane ngozi yekurasikirwa nehuwandu hweropa, saka muviri unotanga kubudisa mapuroteni, izvo zvinoita kuti huve nechokugarisa.
Kuti uone hutano hwe fibrinogen, mukadzi ane pamuviri anopiwa chirwere chekuongorora ropa - coagulogram. Kuongororwa kunopiwa mambakwedza musina chinhu chisina chinhu nekutora ropa kubva munwe kana mutsara. Kuongororwa kwakajeka kunonzi "hemostasiogram". Chiremba anogadza kuongororwa mu 1, 2 uye 3rd trimester yekuzvitora. Ichi chiratidzo chinogona kusiyanisa zvishoma zvichienderana nehuwandu hwehutano uye nguva yehutumbi. Saka, mumutambo wekutanga wezinga ye fibrinogen inogona kuchinja kubva ku 2.3 g kusvika ku5 g, muchipiri - kubva ku4 g kusvika ku5 g, uye muchitatu - kubva pa3 g kusvika 6.2 g.
Fibrinogen - kusakanganiswa mune vakadzi vane pamuviri
Nechinhu chero chipi zvacho chakatsauka mumutsetse, ropa rekuvhara ropa rinokanganiswa, zvakaderera kana yakakwirira ye fibrinogen panguva yekuzvitakura nguva dzose inokonzera chiremba zvakanyanya kunetseka pamusoro pehutano hwemwana asati aberekwa uye mugumo wakachengeteka webasa. Muitiko iyo fibrinogen yakakwirira kudarika yakasvibirira, pane ngozi yekuwedzerwa ropa mazamu mumidziyo yeropa, izvo zvinogona kutungamirira mukuputsa kwebasa remwoyo. Kuwedzera kwechiratidzo ichi kunogona kuratidza kuvapo kwekuvhiringidza kwemuviri mumuviri wemukadzi ane pamuviri - hutachiona, hutachiona, kana hutachiona hwekufa kwenyama. Izvi zvinogona kuonekwa apo mukadzi anorwara nehutachiona, ARVI kana pneumonia.
Kuyerera muhurukuro kunogona kutungamirira ku kurasikirwa kukuru kweropa munguva yebasa. Chikonzero icho fibrinogen mukudzivirira kunoderedzwa, zvinogona kunge zvakasara kusvika ku-toxicosis (gestosis) kana kushaya mavitamini B12 uye C. Chimwe chikonzero chekushaiwa kweprotini inoitwa DIC syndrome. Ichi chirwere, chinosanganiswa nekuputsa kwekuvhara ropa mune zvekugadzirwa kwenhamba yakawanda ye thromboplastic substances.
Kunewo mamwe maitiro akaoma kana fibrinogen yakanyanya kuderera kupfuura yakasvibirira, zvichiita kuti muviri wemudzimai ane pamuviri ari kukura hypofibrinogenemia. Ichi chirwere chinogona kuva zvose congenital uye chakawana. Muchiitiko chekutanga, puroteni inogona kubudiswa, asi haiti kuzadzikisa mabasa ayo, kana kuti haisi kubudiswa zvachose. Kuwana chimiro chechirwere ichi chinongowanikwa muhutano chete. Muchiitiko ichi, chiratidzo chacho chakaderera kusvika 1-1.5 gm
Chinokonzera kukura kwei hypofibrinogenemia mumukadzi ane pamuviri kunogona kuparara kwepachipfuva, kufa kwekuberekwa uye kuvepo kwenguva refu muchibereko, kana kubatana neamniotic fluid (inokura pamusana pokupinda kweamniotic fluid muropa raamai).
Kuongororwa kunoratidza hutachiona hwe fibrinogen ndechimwe chezvikamu zvinokosha zvekucherechedza kwemazuva ose. Iyi nzira inokubvumira kuti usabvisa kana kuti uone njodzi dzinogona kuitika dzekugadzirwa kwema fetal uye nguva yebasa. Saka, zvakakosha kugara uchiongorora uye kutevera mazano echiremba wako.