Blood coagulation analyzer ndi chida chomwe chimagwiritsidwa ntchito poyesa magazi nthawi zonse.Ndikofunikira kuyesa zida m'chipatala.Amagwiritsidwa ntchito kuti azindikire kuchuluka kwa magazi m'magazi a coagulation ndi thrombosis.Kodi chidachi chimagwiritsidwa ntchito bwanji m'madipatimenti osiyanasiyana?
Pakati pa zinthu zoyezetsa magazi coagulation analyzer, PT, APTT, TT, ndi FIB pali zinthu zinayi zoyezetsa magazi pafupipafupi.Pakati pawo, PT imasonyeza milingo ya magazi coagulation factor II, V, VII, ndi X mu plasma ya magazi, ndipo ndi gawo lofunika kwambiri la exogenous coagulation system.Kuyesa kwachangu komanso kogwiritsidwa ntchito kawirikawiri;APTT imasonyeza milingo ya coagulation factor V, VIII, IX, XI, XII, fibrinogen, ndi fibrinolytic ntchito mu plasma, ndipo ndi mayeso omwe amagwiritsidwa ntchito kwambiri poyesa machitidwe amkati;Kuyeza kwa TT kumawonetsa ngati magazi Kukhalapo kwa zinthu zachilendo za anticoagulant: FIB ndi glycoprotein yomwe, pansi pa hydrolysis ndi thrombin, pamapeto pake imapanga insoluble fibrin kuti asiye magazi.
1. Odwala mafupa ambiri odwala fractures chifukwa cha zifukwa zosiyanasiyana, ambiri amafuna chithandizo opaleshoni.Pambuyo pa fractures, chifukwa cha kuwonongeka kwa minofu ndi mafupa, mbali ina ya mitsempha ya magazi imasweka, intravascular and cell kukhudzana ndi yambitsa magazi coagulation limagwirira, kupatsidwa zinthu za m`mwazi aggregation, ndi fibrinogen mapangidwe.kukwaniritsa cholinga cha hemostasis.Kutsegula kwa late fibrinolytic system, thrombolysis, ndi kukonza minofu.Njira zonsezi zimakhudza deta ya chizolowezi kuyesa coagulation isanayambe kapena itatha opaleshoni, kotero kuti kuzindikira panthawi yake zizindikiro zosiyanasiyana za coagulation ndizofunikira kwambiri pakulosera ndi kuchiza magazi osadziwika bwino ndi thrombosis odwala othyoka.
Kutuluka magazi kwachilendo ndi thrombosis ndizovuta zomwe zimachitika pakachitika opaleshoni.Kwa odwala omwe ali ndi vuto la coagulation chizolowezi, chifukwa cha zovutazo ziyenera kupezeka musanachite opaleshoni kuti zitsimikizidwe kuti opaleshoniyo ikuyenda bwino.
2. DIC ndi matenda otuluka magazi odziwika kwambiri omwe amayamba chifukwa cha kulera ndi matenda achikazi, ndipo kuchuluka kwachilendo kwa FIB kumawonjezeka kwambiri.Ndikofunikira kwambiri pachipatala kudziwa kusintha kwachilendo kwamagazi a coagulation index munthawi yake, ndipo mutha kuzindikira ndikuletsa DIC posachedwa.
3. Internal mankhwala ali ndi matenda osiyanasiyana, makamaka matenda a mtima, matenda a m'mimba dongosolo, ischemic ndi hemorrhagic sitiroko.M'mayeso anthawi zonse a coagulation, milingo yachilendo ya PT ndi FIB ndiyokwera kwambiri, makamaka chifukwa cha anticoagulation, thrombolysis ndi mankhwala ena.Chifukwa chake, ndikofunikira kwambiri kuyezetsa magazi pafupipafupi komanso zinthu zina zodziwira thrombus ndi hemostasis kuti apereke maziko opangira mapulani oyenera amankhwala.
4. Matenda opatsirana makamaka ndi chiwindi choopsa komanso chosachiritsika, ndipo PT, APTT, TT, ndi FIB a pachimake hepatitis onse ali m'njira yoyenera.Mu matenda a chiwindi, matenda enaake, ndi aakulu chiwindi, ndi aggravation kwa chiwindi kuwonongeka, mphamvu ya chiwindi kuti lithe coagulation zinthu amachepetsa, ndi matenda kudziwika mlingo wa PT, APTT, TT, ndi FIB kumawonjezeka kwambiri.Choncho, kuzindikira kwachizoloŵezi kwa kugunda kwa magazi ndi kuyang'anitsitsa kwachindunji ndizofunikira kwambiri popewera kuchipatala ndi kuchiza kutaya magazi ndi kuyerekezera matenda.
Choncho, kufufuza molondola chizolowezi ntchito coagulation n'kothandiza kupereka maziko matenda matenda ndi chithandizo.Makina osanthula magazi amayenera kugwiritsidwa ntchito moyenera m'madipatimenti osiyanasiyana kuti agwire ntchito yayikulu.
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