APTT wamvusa: kutheni kungenzeki oku? Yandisa APTT ngexesha lokukhulelwa

APTT (isebenze ixesha thromboplastin buso) - oku luphawu ebaluleke kakhulu igazi ekunqandeni, nto leyo evumela ukuba ukujonga umngcipheko egazi kwegazi okanye okuvela ukopha. ekuhloleni ngokuchanekileyo umsebenzi kwenkqubo coagulation, uyakwazi ukubona indlela nzima esi sifo, kwaye khetha unyango ngokuchanekileyo. Makhe sithethe ngayo.

Njani na uvavanyo APTT?

Cazulula phezu izinga igazi ekunqandeni kunceda ukuchonga ukungaqheleki systemic ngokuqhelekileyo ibonisa ukuba kukho Kukwaphula zamanani kunye nezalathisi esemgangathweni igazi.

Loo Uhlalutyo lwenziwa ngokomfuziselo ethile. Okokuqala, izinto eziza kuvavanywa, ezidityaniswe ityhubhu equlathe anticoagulant nomphetho ion calcium, ngenxa apho igazi ayinayo ihlwili. Ezimiliselweyo centrifugation ukwahlula plasma evela zegazi kunye nezinye izinto. Emva koko, uvavanyo ityhubhu safakwa phospholipids, calcium chloride kunye isilumeki. Ekuqaleni ukuvavanya ixesha apho ihlwili legazi kwakheka.

Phospholipids ukuqalisa indlela extrinsic of coagulation, kwaye calcium chloride yinto into ebalulekileyo kwinkqubo coagulation. Olo Uhlaziyo ayivavanyi ngokupheleleyo inkqubo thrombus Ukwakheka, kodwa kunceda ukuchonga ukungaqheleki komlinganiselo, ngoko ukukhangela izinto ezibangela le meko.

Maxa wambi kuvela ukuba APTT inyuswe okanye ihliswe. Oku kukhomba iingxaki ezikhoyo emzimbeni.

yinto yamihla le

Isalathisi ulinganiswa imizuzwana kwaye ingahluka ngenxa yamandla, ubudala yomguli kunye nonyango. APTT oqhelekileyo kwabantu abadala uvela imizuzwana-28 ukuya kuma-40. Xa kubelekwa, eli nani liphezulu imizuzwana 1-3.

aPTT igazi ephakamileyo banesifo xa nayiphi ekunqandeni factor zancitshiswa okanye yandiswa kakhulu ngaphezulu kwe-30%. izinga okwehlileyo rhoqo ibonisa hypercoagulability.

Ukubekwa APTT abadala kunye nabantwana neyaziwa ukufumanisa unobangela amahlwili egazi amahlwempu, kwakunye ukuvavanya ukusebenza konyango kunye anticoagulants.

Izizathu ukwandisa APTT

Abaninzi kakhulu ukucaphuka xa befumanisa ukuba APTT landa. Kuthetha ukuthini? Oku kwenzeka xa kukho ingozi ukopha. Izizathu kungaba:

1. mali olunganelanga vitamin K emzimbeni. Oku kukhomba iingxaki kwinkqubo yokwetyisa, ngenxa yokuba lo vitamin ikhuthaza Yindibanisela iintsholongwane emathunjini. Kuyimfuneko ukuba eqhelekileyo yokusebenza zonke izinqumisi nayo. ukuswela yayo kwenzeka ngenxa dysbiosis, kunye ngokunciphisa ndlongondlongo, nto leyo unyango lwexesha elide kunye antibiotics.
2. ukungaqheleki lwezakhi sizibandakanya ukuhlukunyezwa parameters ubunjani kunye neenkcukacha zamanani igazi. Kulo mzekelo, isalathisi APTT anda kakhulu.
3. Kwasemva yokopha, leukemia etsolo, DIC.
4. Kubazali bakhe uhlobo A, B, C.
5. Ukubakho omzimba egazini nxamnye imiba ukusonga lupus anticoagulant.
6. ukulungiselela engafanelekanga ukuba uhlalutyo, ukungena ngengozi lweeHedfowuni kwisampulu.

Ukwanda APTT, umntwana kube ngenxa yezi zizathu.

APTT ngexesha lokukhulelwa

Ngexa lokukhulelwa, ngexesha luvuliwe thromboplastin inxenye ekuqaleni ukutshintsha. Xa umlinganiselo umntu umlinganiselo ophakathi seconds-28 ukuya ku-40, xa abasetyhini abakhulelweyo oko imizuzwana 17-20. Oku kuthetha ukuba lifinyele. Olo tshintsho bawaphikise zinto zilandelayo:

• Kweli xesha linzima emzimbeni lomfazi, i Esibelekweni-placental ejikeleza olongezelelweyo. Ngumkhaya iquka ezininzi iinqanawa. Nokuba kuthatha indawo ngamava encinane, ilahleko igazi kunokuba ebonakalayo. Ngokuqhelekileyo iqembu kwenzeka ngenxa yokwanda ithoni zesibeleko.
• Ngethuba lokubeleka umfazi idla ilahlekelwa ml 400 igazi. Oku kwenzeka ngokukhawuleza kakhulu, kwaye inkqubo coagulation kufuneka zilungele ukulahlekelwa enjalo igazi, ngoko egazi nazo eqala ukuba abunjwe ngokukhawuleza ukuthintela ngakumbi ukulahleka kwegazi.

Kutheni APTT kwaphakanyiswa ukukhulelwa?

APTT luyanda ukuba ixesha ekunqandeni eyi ngaphezu kwama-40. Oku kunciphisa nako egazi igazi ukwenza, ebangela ingozi ilahleko ophezulu egazini.

Ngokwesiqhelo APTT kwakhula umfazi okhulelweyo xa uthatha nemithi, lweeHedfowuni, aspirin kwakunye neziyobisi thrombolytic. Phambi ivavanywe, kufuneka azise ugqirha wabo.

Ukunyuka APTT ibonisa ukuhla ubuchule egazini ukuba ihlwili, yaye kwenzeka kule miqathango ilandelayo zophendlo lwezifo:

• isifo sesibindi abanxibe ngayo ukusilela hepatic, kuquka kunye kwesibindi. Kule meko kukho kophulwa umthetho Yindibanisela izinqumisi egazini.
• Ukungabikho kweVitamin ye K, kwenzeka ngokuchasene nemvelaphi dysbiosis ethunjini, kwakunye ngenxa yokudla engafanelekanga.
• Wegazi.
• Kubazali bakhe uhlobo A, B, C. Esi sisifo ilifa iphawulwa ukuswela naso yeemeko amahlwili, ngokufuthi nto leyo ukopha evele kwenzeka.
• isifo von Willebrand kaThixo.

isiphelo

Uhlalutyo kwi APTT ngokuyimfuneko wenziwe phambi kokuba ukusebenza oluzayo ukufumana indlela fast igazi nga ihlwili. Ukwanda okanye ukuncipha kwisiqhelo ubonisa ezimbi ezahlukeneyo. Ukunqanda umngcipheko ukopha, imphathe ngokufanelekileyo.