APTT: eqhelekileyo. APTT ngexesha lokukhulelwa: yinto yamihla le

Imela aPTT isebenze ixesha thromboplastin buso. Oku kubhekisela isifundo kwenkqubo coagulation igazi kwaye ibonisa indlela coagulation lwangaphakathi kokuhlambeleyo, t. E. Lixesha efunekayo ukuze kwakhiwe ihlwili legazi. Olu vavanyo yinxalenye isifundo ekuthiwa coagulation, nto leyo isaphonononga ngokupheleleyo ngakumbi inkqubo ekunqandeni.

Uvavanyo igazi APTT: norm

Olu phando wazimisela ixesha elifunekayo ukuze kwakhiwe lihlwili. Uphononongo kwegazi APTT izinga yomntu nempilo phakathi 25 no-40 imizuzwana. Ukuba Ndinazo nezinye iparameters coagulation (prothrombin INR, lwefibrinogen, njalo njalo. P.), i parameter APTT kabukhali uyiphendula. UNorma igazi aPTT amabhinqa ukhulelwe imizuzwana 17-20.

Kutheni abasetyhini abakhulelweyo ezimiselweyo isifundo kwi aPTT?

Ngexesha lokukhulelwa umzimba yomfazi ivavanywa uthotho utshintsho nokomzimba. Oku kukwasebenza ekunqandeni igazi. Igazi umfazi okhulelweyo kaninzi iba ashinyeneyo ngakumbi. Isizathu sokuba anyule coagulation sifundo utshintsho kuhlalutyo jikelele igazi, ophezu ubhaliso yomfazi izandla abakhulelweyo phezu rhoqo.

Ukuba ICBC abonisa ukwanda ukubalwa, oku kubonisa ukuqina igazi, yaye kukho isizathu ukuba amisele coagulation, nto leyo ibandakanya uhlalutyo APTT. Ummiselo zesi salathisi kwabasetyhini abakhulelweyo Kuthi ezahlukeneyo yaye 17-20 kunye. Oku kubangelwe kukunyuka okuthe lwefibrinogen ngexesha lokukhulelwa, unikezelo efikelela 6 g / l, kanti kubantu abasempilweni ngokuqhelekileyo oko isusela ukusuka 2.0 ukuya 4.0 g / l.

Xa umzimba umfazi omithiyo, ezinye iinkqubo azenzi, oku kusebenza hemostasis. Oku kuqhelekile, kodwa ukutenxa kumgaqo isenzeka. Ukwenzela ukuphepha iziphumo ezingalunganga ezinokwenzeka ukuba umntwana nonina, abeke coagulation.

Yintoni uhlobo lophando iqukwe coagulation?

uphando coagulogram inokuba ezisisiseko kunye phambili. Uphononongo lokuqala zibandakanya imida zilandelayo:

1. Prothrombin (PTI - index prothrombin).
2. INR (ratio nganye ezinga malungu abantu ngamazwe, okt. E. Umgangatho yokufumanisa igazi ekunqandeni).
3. APTT.
4. Lwefibrinogen.

ezongeziweyo iparameters linokukwenziwa njengoko kuyimfuneko:

• Protein C - beswele yakhe amathuba thrombosis.
• Antithrombin - ibhekisa kwindlela protivosvertyvaniya, kunye ukuswela bayo kwakhona kunokukhokelela thrombosis.
• D-dimer - ngesi ekutshatyalalisweni ihlwili legazi. Lenyuka inani lamanqaku ukuba ukuyilwa egazi igazi egazini.
• Lupus anticoagulant.
• ABP (isebenze ixesha calcification).
• plasma time recalcification.
• Neengcambu plasma ukuba lweeHedfowuni.
• SFMC (enyibilikayo izakhiwo monomer fibrin).

Ntoni koaugologrammy izikhombisi?

APTT index ukukhulelwa (eqhelekileyo 17-20 qh.), Lwefibrinogen, kunye nezinye iparameters, ingakumbi kwi zigaba yokugqibela, zibaluleke gqitha yokuthintela iingxaki. Ngenxa yoko, ukwandisa PTI (prothrombin) ngaphezulu kwe-150% kusenokuba kubonisa abruption placental. Oku kuyingozi kakhulu ubomi uninzi umama elizayo kunye nomntwana wakhe.

D-dimer kufuneka ngokwesiqhelo kuba ngaphezu kwe-248 ng / ml. Oku kubantu abasempilweni. Ngexesha lokukhulelwa, oku kwandisa intsebenzo. Ekupheleni ukukhulelwa isenokuba ngaphezulu kwe ixabiso lokuqala 3-4. Oku ke kuqhelekile. Luyanda D-dimer izihlandlo ezingaphezu kwama-4 kwexabiso original inokuba sikombisa ngezifo esinzulu - gestosis, kwaye kunjalo abasetyhini abakhulelweyo kunye seswekile okanye izifo sezintso.

Omnye wonobangela ezininzi igama kwesisu kanye izisu yi APS (antiphospholipid syndrome), nto leyo luphawulwa ukuyilwa emithanjeni kunye thromboses lwemithambo. Kuba imveliso omzimba afana ukugqiba lokufunyaniswa inwebu lwangaphandle (phospholipids), kwakunye izalathi si zokunikwa lwefibrinogen, D-dimer, prothrombin, APTT. Xa bekhulelwe, izinga yabo yahlukile amaxabiso eqhelekileyo kubantu abasempilweni.

Kutheni ngexesha inkqubo homeostasis lokukhulelwa yasebenza?

Iimbangi ezingundoqo kule ukusebenza zimi ngolu hlobo lulandelayo:

• Ngexesha lokukhulelwa, iihomoni ukutshintsha umzimba.
• An kwegazi olongezelelweyo - uteroplacental.
• umzimba Umfazi xa elungiselela ilahleko engaphephekiyo legazi ngexesha yabasebenzi.

Ashinyeneyo igazi - into omele uyenze?

Ukuba ngexesha lokukhulelwa uphando lubonisa ukuba igazi shinyi, nje musa ukothuka. Kungenzeka, ugqirha uyakukumisela ukutya yokulungisa. Kuqala kwinto zonke, ukususela ukutya ngaphandle zonke ityuwa kunye nokutya ezinetyuwa (ayi, inyama etshaya, pickles njalo njalo. Njl). Ukususela ukutya okunamafutha kwaye kufuneka ashiywe. Endaweni yoko, udle imifino, iziqhamo kunye amaqunube of bomvu naorenji. Bona ezinye kakhulu esisityebi vitamin C, elinako lokuhlambulula igazi.

Kuluncedo ukuquka kudla ekudleni:

• berry (rasberries, currants emnyama nebomvu, mulberries, nabantwana, amaqunube, cranberries, sihlahla, viburnum), kodwa qaphela kunye nokusetyenziswa raspberry kunye viburnum - ezi amaqunube kukuninzi ukuba abasetyhini abakhulelweyo ningazidli;
• sohlobo (tangerines, orenji, ikalika, yelamuni, grapefruit);
• iziqhushumbisi;
• Iapilkosi;
• yi;
• beetroot;
• iitumato;
• itswele kunye nekonofile;
• ezinde amanzi;
• chocolate cocoa;
• oli yemifuno (rape, nezinquma, linseed);
• nezinongo endaweni yetyuwa (turmeric, ikhari, oregano, paprika, fennel, ipepile cayenne, ijinja, ekudleni, nesinamon).

Products ezinokuthi izokhula igazi, kufuneka kuphetshwe. Ezi ziquka iibhanana, iitapile, buckwheat, zonke iziselo nezihlwahlwazayo kunye notywala.

Kufuneka ukuba ukusela iilitha ezi-1.5 zamanzi ngosuku. Kodwa ke amanzi kufuneka ayivalele ngaphandle gas.

DIC

Enye iingxaki kakhulu eyingozi practice yokubelekisa kugqalwa DIC (desseminirovannoe coagulation intravascular). Ngelo isanda, ngaloo ndlela kukho hypercoagulation (ukwanda coagulation), nto leyo ke kulandele anticoagulation (ukuncipha ubuchule kwamahlwili), nto leyo ekhokelela ukuba abophe kakhulu kunye nobomi busengozini. DIC kaninzi iba esingaphathekiyo ukuba, kwaye ke oko kungakhokelela ekubeni ukufa yomfazi kunye nosana lwakhe.

Ukuze siphephe imeko enjalo, wabelwa ukuba ukufunda coagulation kunye nokuzimisela imbopheleleko yenu lwefibrinogen, PTI, aPTT, nto leyo eqhelekileyo ngethuba lokukhulelwa - imizuzwana 17-20. Ngokuqhelekileyo, i uviwo enjalo, ukuba imbali bekungekho iingxaki nokukhulelwa zangaphambili, onyulwe ezintathu nganye. Ezo zifundo yenza nezingacwangciselwanga kwiimeko xa:

• Ubuncinane omnye abakhulelweyo sangaphambili siphele khona kwesisu.
• Kukho iimpawu yokukhulelwa - phambi iiprothini umchamo, iindumbisa kweqondo, umfutho wegazi.
• Beka usongo kwesisu, ezifana hypertonicity ye isibeleko.

Indlela ukuba athathe uvavanyo igazi coagulation?

Igazi isifundo kwerente ukusuka apho iphuma khona kwigumbi imithi kusasa ungatyanga. Pregnant -nje kwikliniki kokubeleka. Eyona enokuthenjwa kuyimfuneko ukuba bagcine iimeko ezimbalwa ezilula:

• Isidlo yokugqibela kufuneka iiyure eziyi-10-12 phambi kokuba unikezelo yokuhlaziya.
• Musa ukuthatha naziphi na iziyobisi phambi umnikelo ngegazi. Ukuba isigulane iziyobisi ezichaphazela inkqubo coagulation, kufuneka icaciswe ngendlela.
• Ayikhuthazwa tu into yokuba basela ukubeka igazi ikofu, iti, iziselo ezibandayo kunye notywala ngakumbi. Kuphela ukuba usele iglasi yamanzi okusela acocekileyo.
• karhulumente Emotional kungahle kuchaphazele iziphumo, ngoko ke imizuzwana embalwa ukuba bahlale phambi igumbi ndizole.
• Muscle overexertion sinokuwagqwetha iziphumo zohlalutyo, ngoko ngaphambi nje ukunikela igazi eve Ingathethelelwa ukutyelela zokwenza umthambo baze badl yezandla enzima.

Kuba izinga kwirekhodi of APTT kwabasetyhini kunye namadoda eyi-25 ukuya kuma-40. Ngokwesini ngayo yahlukile, kodwa ngexesha lokukhulelwa kuyehla kuyo. Ukutolikwa iziphumo zophando wenziwa kuphela ziingcali.

Yimalini?

abafazi abakhulelweyo e kwiikliniki zaphambi kokubeleka kolu phando idla kwenziwa simahla, kuxhomekeke ekufumanekeni isitampu esisuka kugqirha. Zonke ezinye abemi, ukuba oyifunayo, unokuwisa umrhumo loo isifundo a. coagulogram Extended kudla engange malunga 3,500. The basic Ipharamitha ngaphantsi kakhulu - ukusuka 700 ukuya 1300 engange.

Yintoni i aPTT ngezantsi eqhelekileyo?

Kolunye uphando coagulation main parameters ke sisalathisi APTT. Liyana ivela imizuzwana-25 ukuya kuma-40. Khumbula, le parameter ibonisa ixesha elithathwayo ukugqiba ekunqandeni igazi kwaye ukuyilwa ihlwili legazi. Ukuba le salathisi ngezantsi imizuzwana-25, loo nto inokuba sikombisa ukuqina egazini kunye ingozi thrombosis. Ukhulelwa Isalathisi Izinga APTT uvela imizuzwana-17 ukuya kuma-20. Ngokwesiqhelo, le unyango meko ngexesha ukhulelwe kwaye ayifuni self-zezisombululo emva kokubeleka. Ngaphandle igazi eziliqela nga izokhula amalungiselelo yentsimbi, nto leyo edla eyabelwe ekhulelwe amanani esezantsi mpilo.

Yintoni na ukunyuka aPTT?

Isalathisi aPTT ngaphezu eqhelekileyo asenokubonisa ukuba kukho umntu kwezifo ezifana kubazali bakhe, izifo zesibindi kakhulu ezifana kwesibindi, okanye malunga ukunqongophala vitamin K. Ukongeza, ukunyuka kule iparameter wazibona kwezi meko zilandelayo:

• Ngenxa yokungabikho izinqumisi kwegazi.
• Kwimeko unyango lwe umguli kunye anticoagulants, ezifana "lweeHedfowuni" okanye "warfarin".
• Xa ezimbi igazi ilifa ezifana nesifo von Willebrand kaThixo.
• Ukuba DIC.

Esinjalo isifundo kwenkqubo coagulation, njengoko coagulation, kubalulekile nje kuphela abasetyhini abakhulelweyo, kodwa kubo bonke abantu. Kwimeko apho naliphi na ukutenxa kumgaqo kufuneka ubone ugqirha.