Coagulogram - ukucacisa

I-Coagulogram - inqubo ayiyithandwa kakhulu, kodwa kwinqanaba elithile lezigulane kubaluleke kakhulu. Ngaphantsi kwegama elincinane kunzima, uphando lwebhubhoratri lwegazi lokufihla lufihliwe. Ukucacisa i-coagulogram ikuvumela ukuba ufunde iinkcukacha ezininzi malunga nemeko yegazi ngokukodwa kunye nomzimba ngokubanzi. Njengokuba kukho ezininzi izifundo, kunzima kakhulu ukuqonda iziphumo zenkqubo yonyango. Masizame ukunciphisa umsebenzi omncinci kwaye sichaze malunga nezikhombisi eziphambili kunye nemigangatho yabo.

Ukucacisa iziphumo ze-coagulogram

I-Coagulogram iyisethi yemvavanyo ekhethekileyo evumela ukuba ufunde malunga nokuvalwa kwegazi phantse yonke into. Ukufumaneka kwegazi ukukhupha enye yeyona nto ibaluleke kakhulu ekukhuseleni imisebenzi yomzimba. Enyanisweni, kwiimeko eziqhelekileyo igazi kufuneka libe lilamanzi, kodwa nangona umonakalo omncinci kunye nokulimala kwiindonga zeemithana yegazi, i-coagulation iba yinto ebalulekileyo.

Uzakufuna izakhono ukulungisa i-coagulogram kula maxesha alandelayo:

1. Uphononongo lubonelelwe ngeengxaki zeentsholongwane ngegazi lokuqhawula.
2. I-Coagulogram iyimfuneko ngexesha lokukhulelwa.
3. Inkqubo iboniswa ngethuba lokulungiselela ukusebenza kunye nexesha lokubuyisela emva kwalo.
4. Musa ukuphazamisana noviwo lwabantu abasebenzisa kakubi utywala kunye noogwayi.
5. Iingcali zincoma ukuba zenze rhoqo ukuququzelela abantu emva kweminyaka engamashumi amahlanu.

Kwisigulane esipheleleyo, zonke iindile ekuchazeni i-coagulogram mazibe ziqhelekileyo. Impawu eziphambili ze-clotting yegazi zilandelayo:

1. Esinye sezibonakaliso ezibaluleke kakhulu yi-prothrombin. Ukuthetha ngokukhawuleza, oku kwiprotheyini ejongene nokuvalwa kwegazi. Uxinzelelo oluqhelekileyo lweprothrombin egazini luhluka phakathi kwama-78 ne-142 ekhulwini. Isixa seprotheyini egazini ngamanye amaxesha sinceda ukuchonga iingxaki ezibangela ukuphazamiseka ekusebenzeni kwendlela yamathumbu.
2. Isalathiso esiqhelekileyo se-INR ekucaciseni i-coagulogram ngu-80-120%. I-INR isimo sengqondo esisemhlabeni jikelele. Esi sibonakaliso - enye ye-PTI yasekhaya (index prothrombin). Uhlalutyo lwe-INR lwenziwe ukwenzela ukuba ingcali inokumisela umthamo weziyobisi ezinqamle igazi ezifunwa ngumguli othile.
3. Isiqhelo se-RFMK ekucaciseni i-coagulogram nganye nge-100 ml yegazi ayikwazi ukudlula i-4 mg. Izakhiwo ze-Soluble fibrin-monomer zisebenza njengoluhlobo lweempawu ezibonisa ukuba kungenzeka ukuba i-coagulation ye-intravascular.
4. Inendima ebalulekileyo ekuqwalaseleni i-coagulogram idlala yi-APTT inkcazo-eyenziwe ngexesha elithile le-thromboplastin. Esi sibonakaliso esinobuchule besona xesha. Ngomntu onempilo ngokupheleleyo, kufuneka i-clot ekhuselekileyo ingaphantsi komzuzu (30-40 imizuzwana), kodwa ukuba isalathisi sanda, kunokwenzeka ukuba isigulane kufuneka sivivinywe ukufumaneka kwezifo ezingaqhelekanga.

Ukucacisa ngokujulile kwecoagulogram

Kwi-coagulogram eyandisiweyo, ezi zilandelayo ziboniswa kwakhona:

1. Ukumkelwa kuyimpawu yokukwazi iiplatelets ukuya kwiqela kunye nokwenza iiflethi zokukhusela. Ukuba ukunyanzeliswa kuncitshisiwe, kukho ukuphakama okuphezulu ukuba isiguli sinokungaphumeleli kwintsipho . Isalathisi esiqhelekileyo sokumathisela i-20-50%.
2. I-Aggregation yikhono lamaplatelet ukudibanisa. Kwimizimba enempilo, izinga lokuhlalisa alidluli kwi-20%.
3. Inkcazelo yeqela lamalungu athile ekucaciseni i-coagulogram yegazi ivumela umntu ukuba aqonde ukuba khona kwe-lupus anticoagulant.
4. Ngoncedo lweengcali ze-thrombotests iingcali ziqikelela inani le-fibrinogen egazini.