Ihe nyocha nke coagulation ọbara bụ ngwa eji eme nyocha ọbara coagulation oge niile.Ọ bụ ngwa nyocha dị mkpa n'ụlọ ọgwụ.A na-eji ya achọpụta ọdịdị hemorrhagic nke coagulation ọbara na thrombosis.Kedu ihe bụ ngwa ngwa a na ngalaba dị iche iche?
N'ime ihe nyocha nke nyocha coagulation ọbara, PT, APTT, TT, na FIB bụ ihe anọ na-enyocha oge niile maka coagulation ọbara.N'ime ha, PT na-egosipụta ọkwa nke coagulation nke ọbara II, V, VII, na X na plasma ọbara, ma bụrụ akụkụ kachasị mkpa nke usoro coagulation exogenous.Nnwale nyocha nke nwere mmetụta na nke a na-ejikarị;APTT na-egosipụta ọkwa nke coagulation factor V, VIII, IX, XI, XII, fibrinogen, na fibrinolytic ọrụ na plasma, na a na-ejikarị ule nyocha maka usoro endogenous;Ntụle TT na-egosipụtakarị ma ọbara ọnụnọ nke ọgwụ mgbochi ọrịa na-adịghị mma: FIB bụ glycoprotein nke, n'okpuru hydrolysis site na thrombin, n'ikpeazụ na-etolite fibrin na-adịghị edozi iji kwụsị ọbara ọgbụgba.
1. Ndị ọrịa Orthopedic na-abụkarị ndị ọrịa nwere mgbaji n'ihi ihe dị iche iche kpatara, ọtụtụ n'ime ha chọrọ ọgwụgwọ ịwa ahụ.Mgbe agbajichara, n'ihi mmebi nke musculoskeletal, akụkụ nke arịa ọbara na-agbawa, mkpughe intravascular na cell na-eme ka usoro coagulation ọbara, nchịkọta platelet, na nhazi fibrinogen.nweta nzube nke hemostasis.Ịgbalite usoro fibrinolytic mbubreyo, thrombolysis, na nrụzi anụ ahụ.Usoro ndị a niile na-emetụta data nke nyocha coagulation oge niile tupu ịwa ahụ na mgbe a gwọchara ya, yabụ n'oge nchọpụta coagulation dị iche iche dị oke mkpa maka ịkọ na ọgwụgwọ ọbara ọgbụgba na thrombosis na-adịghị mma na ndị ọrịa gbajiri agbaji.
Ọbara na-adịghị mma na thrombosis bụ nsogbu a na-enwekarị na ịwa ahụ.Maka ndị ọrịa na-eme usoro coagulation na-adịghị mma, a ga-achọpụta ihe kpatara ọrịa ahụ tupu ịwa ahụ iji hụ na ịwa ahụ na-aga nke ọma.
2. DIC bụ ọrịa ọbara ọgbụgba kachasị ama ama na-ebute site na obstetrics na gynecology, ọnụ ọgụgụ na-adịghị mma nke FIB na-abawanye nke ukwuu.Ọ dị nnukwu mkpa ụlọ ọgwụ ịmata mgbanwe mgbanwe nke ọbara coagulation index n'oge, ma nwee ike ịchọpụta ma gbochie DIC ozugbo enwere ike.
3. Nkà mmụta ọgwụ dị n'ime nwere ọrịa dịgasị iche iche, tumadi ọrịa obi, ọrịa usoro nri nri, ndị ọrịa ischemic na hemorrhagic ọrịa strok.Na nyocha nke coagulation oge niile, ọnụ ọgụgụ ndị na-adịghị mma nke PT na FIB dị oke elu, ọkachasị n'ihi mgbochi mgbochi, thrombolysis na ọgwụgwọ ndị ọzọ.Ya mere, ọ dị mkpa karịsịa ime nyocha coagulation oge niile na ihe nchọpụta thrombus na hemostasis ndị ọzọ iji nye ihe ndabere maka ịmepụta atụmatụ ọgwụgwọ ezi uche dị na ya.
4. Ọrịa na-efe efe bụ nnukwu ịba ọcha n'anya na nke na-adịghị ala ala, yana PT, APTT, TT, na FIB nke nnukwu ịba ọcha n'anya bụ ihe niile dị n'usoro.N'ime ịba ọcha n'anya na-adịghị ala ala, cirrhosis, na ịba ọcha n'anya siri ike, na mmebi imeju na-akawanye njọ, ike imeju na-eme ka ihe ndị na-akpata coagulation na-ebelata, ọnụọgụ nchọpụta nke PT, APTT, TT na FIB na-abawanye nke ukwuu.Ya mere, nchọpụta oge niile nke coagulation ọbara na nleba anya ike dị oke mkpa maka mgbochi ụlọ ọgwụ na ọgwụgwọ nke ọbara ọgbụgba na amụma amụma.
Ya mere, nyocha ziri ezi nke oge niile nke ọrụ coagulation na-enyere aka inye ihe ndabere maka nchọpụta ụlọ ọgwụ na ọgwụgwọ.Ekwesịrị iji ezi uche mee ihe nyocha coagulation ọbara na ngalaba dị iche iche iji rụọ ọrụ kachasị.
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