Coagulogram - kulembetsa

Coagulogram - njirayi si yotchuka kwambiri, koma gulu lina la odwala ndilofunika kwambiri. Pansi pa dzina lovuta kwambiri, kuphunzira kwa ma laboratori ya magazi kwa kutsekedwa kumabisika. Kuthetsa coagulogram kumakuthandizani kuti mudziwe zambiri zokhudza mthupi mwawo makamaka thupi lonse. Mofanana ndi maphunziro ambiri, zimakhala zovuta kumvetsa zotsatira za njirayi. Tiyeni tiyesetse kuchepetsa ntchitoyi pang'ono ndikudziwitsa za zizindikiro zazikulu ndi zikhalidwe zawo.

Kuwonetsa zotsatira za coagulogram

Coagulogram ndiyeso la mayesero enieni omwe amakulolani kuphunzira za kutaya magazi pafupifupi chirichonse. Mtheradi wa magazi kuti udziwe ndi chimodzi mwa ntchito zofunika kwambiri zoteteza thupi. Inde, mudziko labwino magazi ayenera kukhala madzi, koma ngakhale pang'ono kuwonongeka ndi kuvulala kwa makoma a mitsempha ya magazi, coagulation amakhala yofunika kwambiri.

Mudzafunikira maluso kuti muzindikire coagulogram muzochitika zotsatirazi:

1. Phunziroli limaperekedwa chifukwa cha matenda opatsirana pogwiritsa ntchito magazi.
2. Coagulogram ndilololedwa pa nthawi ya mimba.
3. Ndondomekoyi ikuwonetsedwa panthawi yokonzekera opaleshoniyo komanso panthawi yomwe yatha.
4. Musasokoneze pofufuza anthu omwe amamwa mowa mopitirira muyeso ndi ndudu.
5. Akatswiri amalangiza kuti nthawi zonse amapanga coagulation kwa anthu atatha makumi asanu.

Mmodzi wodwala wathanzi, zizindikiro zonse pofotokozera coagulogram ziyenera kukhala zachilendo. Makhalidwe apadera a kupha magazi ndi awa:

1. Chimodzi mwa zizindikiro zofunika kwambiri ndi prothrombin. Kunena zoona, iyi ndiyo mapuloteni omwe amachititsa kuti magazi asamawonongeke. Mavitamini omwe amapezeka m'magazi amasiyana pakati pa 78 ndi 142 peresenti. Kuchuluka kwa mapuloteni m'magazi nthawi zina kumathandiza kuzindikira mavuto omwe amachititsa kusokonezeka pakagwiritsidwe ntchito kwa m'mimba.
2. Mndandanda wabwino wa INR polemba coagulogram ndi 80-120%. INR ndi maganizo ovomerezeka padziko lonse. Chizindikiro ichi - njira yowonjezera ku PTI (prothrombin index). Kufufuza kwa INR kumachitika kuti katswiri atha kudziwa mlingo wa mankhwala opatsirana a magazi omwe wofunikira wodwalayo amafunikira.
3. Chizoloŵezi cha RFMK polemba coagulogram pa 100 ml ya magazi sichikhoza kupitirira 4 mg. Mitundu ya soluble fibrin-monomer imakhala ngati mtundu wa zizindikiro zomwe zikusonyeza kuti zingatheke kuti thupi liziyenda.
4. Chofunika kwambiri pakugwiritsidwa ntchito kwa coagulogram kumasewera ndi nthawi ya APTT yomwe imagwiritsidwa ntchito pa nthawi ya thromboplastin. Ichi ndi chizindikiro chodziwika kwambiri nthawi. Mu munthu wathanzi, chitetezo choyenera chiyenera kupangidwa osachepera mphindi (30-40 masekondi), koma ngati chiwerengerocho chikuwonjezeka, ndibwino kuti wodwala ayesedwe kuti ayambe kukhala ndi matenda osowa.

Kuzindikira kwambiri za coagulogram

Mu coagulogram yowonjezereka, zizindikiro zotsatirazi zikufotokozedwanso:

1. Kuthamanga ndi khalidwe la kapangidwe ka mapuloteni kuti agwirizane ndi kupanga mapulotete oteteza. Ngati katemera atachepetsedwa, pamakhala mwayi waukulu kuti wodwalayo amalephera kuchepa . Mndandanda wowonongeka ndi 20-50%.
2. Kugwirana ndi mphamvu ya mapuloletti kuti agwirizane. M'thupi labwino, chiŵerengero cha aggregation sichiposa 20%.
3. Kulongosola kwa gulu la matupi enieni pakudziwitsa magazi a coagulogram kumalola munthu kudziŵa kupezeka kwa lupus anticoagulant.
4. Mothandizidwa ndi akatswiri ogwiritsira ntchito nsomba za m'mimba amadziwa kuchuluka kwa fibrinogen m'magazi.