He mea hoʻohana ʻia ka mea hoʻokaʻawale koko no ka hoʻāʻo ʻana i ka coagulation koko.He mea ho'āʻo pono ia ma ka haukapila.Hoʻohana ʻia ia e ʻike i ke ʻano hemorrhagic o ka coagulation koko a me ka thrombosis.He aha ka hoʻohana ʻana o kēia mea hana ma nā keʻena like ʻole?
Ma waena o nā mea ho'āʻo o ke koko coagulation analyzer, PT, APTT, TT, a me FIB he ʻehā mau mea hoʻāʻo maʻamau no ka coagulation koko.Ma waena o lākou, hōʻike ʻo PT i nā pae o nā kumu coagulation koko II, V, VII, a me X i loko o ka plasma koko, a ʻo ia ka mea nui loa o ka ʻōnaehana coagulation exogenous.ʻO ka hoʻāʻo kānana maʻamau a hoʻohana mau ʻia;Hōʻike ka APTT i nā kiʻekiʻe o nā mea coagulation V, VIII, IX, XI, XII, fibrinogen, a me ka hana fibrinolytic i loko o ka plasma, a he hoʻāʻo hoʻohana maʻamau no nā ʻōnaehana endogenous;ʻO ke ana ʻana o TT ke hōʻike nui ʻia inā ʻo ke koko ʻO ka loaʻa ʻana o nā mea anticoagulant abnormal: ʻO FIB he glycoprotein, ma lalo o ka hydrolysis e thrombin, hoʻokumu i ka fibrin insoluble e hoʻōki i ke koko.
1. ʻO ka poʻe maʻi Orthopedic ka hapa nui o nā maʻi me nā haʻihaʻi i hoʻokumu ʻia e nā kumu like ʻole, ʻo ka hapa nui o ia mau mea e koi ai i ka lāʻau lapaʻau.Ma hope o nā haʻihaʻi, ma muli o ka pōʻino musculoskeletal, ʻoki ʻia kahi hapa o nā kīʻaha koko, intravascular a me ka hoʻolaha ʻana o ka cell e hoʻāla i ke ʻano coagulation koko, platelet aggregation, a me ka hoʻokumu ʻana o fibrinogen.e hoʻokō i ke kumu o ka hemostasis.Hoʻoulu ʻia o ka ʻōnaehana fibrinolytic hope, thrombolysis, a me ka hoʻoponopono ʻana i nā kiko.Hoʻopili kēia mau kaʻina hana i ka ʻikepili o ka hoʻāʻo coagulation maʻamau ma mua a ma hope o ke ʻoki ʻana, no laila he mea nui ka ʻike ʻana i nā ʻano helu coagulation i ka manawa no ka wānana a me ka mālama ʻana i ke koko ʻino a me ka thrombosis i nā maʻi haʻihaʻi.
ʻO ke kahe ʻana o ke koko a me ka thrombosis nā pilikia maʻamau i ka ʻoki ʻana.No nā poʻe maʻi me ka maʻamau coagulation maʻamau, pono e ʻike ʻia ke kumu o ke ʻano ʻino ma mua o ke ʻoki ʻana e hōʻoia i ka holomua o ke ʻoki.
2. ʻO DIC ka maʻi koko kaulana loa i hoʻokumu ʻia e ka obstetrics a me ka gynecology, a ua hoʻonui nui ʻia ka nui o ka FIB.He mea koʻikoʻi koʻikoʻi ka ʻike ʻana i nā loli ʻano ʻole o nā helu coagulation koko i ka manawa, a hiki ke ʻike a pale i ka DIC i ka wā hiki.
3. ʻO ka lāʻau lapaʻau i loko ka nui o nā maʻi like ʻole, ka nui o nā maʻi cardiovascular, nā maʻi ʻōnaehana digestive, nā maʻi ischemic a me nā maʻi hemorrhagic stroke.I nā hoʻokolohua coagulation maʻamau, ʻoi aku ka kiʻekiʻe o ka nui o ka PT a me FIB, ma muli o ka anticoagulation, thrombolysis a me nā lāʻau lapaʻau ʻē aʻe.No laila, he mea koʻikoʻi ka hana ʻana i nā hoʻokolohua coagulation maʻamau a me nā mea ʻike thrombus a me hemostasis e hāʻawi i kumu no ka hoʻolālā ʻana i nā hoʻolālā lapaʻau kūpono.
4. ʻO nā maʻi maʻi maʻi he maʻi maʻi maʻi maʻi a me ka maʻi maʻi maʻi, a ʻo PT, APTT, TT, a me FIB o ka maʻi hepatitis maʻamau i loko o ka laulā maʻamau.I ka maʻi hepatitis maʻi, cirrhosis, a me ka maʻi hepatitis nui, me ka aggravation o ke akepaʻa pōʻino, ka hiki o ke akepaʻa e synthesize coagulation mea emi, a me ka abnormal detection rate o PT, APTT, TT, a me FIB piʻi nui.No laila, he mea koʻikoʻi ka ʻike maʻamau o ka coagulation koko a me ka nānā ikaika no ka pale ʻana a me ka mālama ʻana i ke koko a me ka wānana prognosis.
No laila, he mea kōkua ka nānā pono maʻamau o ka hana coagulation e hāʻawi i kumu no ka maʻi maʻi a me ka mālama ʻana.Pono e hoʻohana pono ʻia nā mea hoʻokalakupua koko i nā keʻena like ʻole e pāʻani i ka hana nui.
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