Ixesha prothrombin Ukwandisa nto ekufanele siyenze nendlela ukuba zibuyele esiqhelweni. Yintoni i "ixesha prothrombin"

Lidla xa iimvavanyo ezizodwa laboratory watyhila ukuba isigulana liye landa ixesha prothrombin. Yintoni ndiyangqina ukuba inguqulelo enjalo? Njani yingozi le meko? Kutheni kufuneka amisele ixesha prothrombin, yaye ngubani ibonisa analysis data? Le miba umdla kwabaninzi.

Yintoni na ixesha prothrombin?

Yinto akukho mfihlelo inkqubo igazi ekunqandeni kubaluleke kakhulu ukuba eqhelekileyo yokusebenza komzimba womntu. Ukongeza, igazi iqulathe imiba ethile ukuba bangenzi ukwandisa amahlwili, nto leyo esithintelayo ukuyilwa egazi igazi ukuvaleka kwemithambo yegazi. Intsalela umsebenzi kula macandelo mabini eqinisekisa ukusebenza okuqhelekileyo zonke iinkqubo omzimba.

Ukuze uqonde ukuba yintoni na ixesha prothrombin kufuneka ingqalelo kwindlela eqhelekileyo amahlwili. Ukonakala nodonga inqanawa ebangela ukuba ipoti ye enzayim oluntsonkothileyo ekhethekileyo olunikezela ukuyilwa imicu fibrin. ezi imisonto ke sikhokelo eyomeleleyo ihlwili igazi ithuba lakhe. inkqubo igazi ekunqandeni esebenzisekayo ngeendlela ezimbini - ukuba ezonakeleyo maleko zangaphandle okanye engaphakathi isitya.

Ngoko, ixesha prothrombin kunceda ubone indlela fast inkqubo igazi ekunqandeni kusebenze lwangaphandle.

ixesha Prothrombin, INR kunye nesalathisi prothrombin - ntoni na?

Ngokwendalo, izinga igazi ekunqandeni xa kukho umonakalo zomaleko olungaphandle udonga inqanawa ayikho sisalathisi ngokupheleleyo. Hi ndlela leyi, ngokwesiqhelo MF kufuneka ibe phakathi seconds-11 ukuya ku-16, yaye ukuze bafumane iinkcukacha ezichanekileyo kumsebenzi umzimba, iimvavanyo ezongezelelweyo.

Xa amayeza mihla, kusetyenziswa Ratio nganye ezinga malungu abantu International okanye INR. Xa isifundo efanayo ixesha prothrombin nomonde xa kuthelekiswa isalathiso elinye plasma nganye kwi nemigangatho yamazwe ngamazwe. Ifomula sijongeka njengoku: PT nomonde / PT plasma nganye (isiphumo bavuselwa kwinqanaba ekuthiwa-ngamazwe index thromboplastin uvakalelo).

index Prothrombin kwakhona imisela umlinganiselo PV ukulawula plasma PT nomonde plasma, kodwa njengepesenti. Hi ndlela leyi, ngokuqhelekileyo i index kufuneka ibe 95 - 100%.

ixesha Prothrombin kwi Quick namhlanje uvavanyo echanekileyo. Olu phando kunceda ukuthelekisa umsebenzi prothrombin ezimbaxa yomguli kunye nolawulo yemida plasma.

Ezibonisa zophando

Enyanisweni, kukho izifo ezininzi ukugula ezichaphazela inkqubo igazi ekunqandeni. Yiyo loo nto isifundo eso yenziwa rhoqo ngokwaneleyo. Umzekelo, ukuba yenziwa izigulane thrombosis okusolwayo. Uhlalutyo kwakhona ibonisa ukuba umguli wafumana imivimbo kunye haemorrhages ngemvelaphi ezingaziwayo.

Uphononongo efanayo esetyenziswa kunye ezinye iinkqubo ukuvavanya ukusebenza kwesibindi. Ukuba urhanela ukuba ukuswela okanye ukophulwa yokucolwa ivithamini K kwakhona ukuthumela izigulane ukwenzela uhlalutyo. ixesha Prothrombin uzimisele kwaye abafazi abakhulelweyo, njengoko eli xesha ebomini evela kwezinye ubungozi kuvela.

Indlela ukwenza ucingo iisampulu?

Ukuze kumiselwe ixesha prothrombin, kufuneka plasma entsha. isampuli ukuziphatha igazi First kunye nomonde. Phela, kule iisampuli mzekelo othatyathwe emthanjeni, bawafaka ibe ityhubhu equlathe sodium citrate, lona lubopha izinto ion calcium.

Enyanisweni, abanye ukulungiselela ekhethekileyo uvavanyo ingafuneki. Kokuzila lokuphumelela igazi, ngoko kwiilebhu ezininzi isampulu yegazi lwenziwa kusasa (phambi iiyure 11). Kungenzeka, uya kufumana iziphumo zeemvavanyo ngosuku olulandelayo. Kufuneka kuqatshelwe ukuba izinto ezithile ROOTN iziphumo, ngoko kufuneka udibane nogqirha phambi kokuvavanywa.

Indlela ukujonga ixesha prothrombin elabhoratri?

Ingcaciso yexesha prothrombin - inkqubo silula. Njengoko sele kukhankanyiwe, igazi emva ukukhiwa oluxutywe potassium citrate kwaye zikwazi ukuya elebhu. Okulandelayo, isampuli kwakudalwa kwaye Ndibeka a icentrifuge kubushushu we 37 ° ^C. Emva koko, isampulu kongezelelwa anenani elifunekayo calcium, uze ekunqandeni ijwabu factor. Emva koko yabanikazi ixesha apho thrombus kwakhiwa. Njengoko sele kukhankanyiwe, kufuneka ibe imizuzwana 11-16.

ukusebenza ngcono

Ukuba iphakamileyo ixesha prothrombin - kuyingozi? Ngelishwa, iziphumo zovavanyo ayisoloko ne ixabiso yesiqhelo. Ukuba kukho naziphi na ukunyhashwa ukwanda kwexesha prothrombin?

• Kukho ezinye izifo ezingundoqo ekhatshwa ukuswela izinqumisi.
• Kwezinye iimeko isixa elingonelanga izinqumisi nje ezifunyenwe. Ngokukodwa, ngathi urhulumente kubhaliwe waphawula kwinani izifo samathambo kunye amyloidosis.
• Loo utshintsho IP zengqondo okubangela izifo kwesibindi wesibindi ukusilela.
• Isizathu abe DIC.
• Xa ekuphuhliseni hypovitaminosis K sagxininisa ixesha prothrombin. Ngenxa yoko, ukuswela le vitamin inokubonakalisa kwi dysbacteriosis, malabsorption syndrome, kwakunye ezinye izifo senyongo kunye pancreas.
• Ukuphucula ukwamkelwa MF kukhokelela ezinye anticoagulants.
• igazi Kuku kungahle kuchaphazele iziphumo zophononongo.

Ukuba izinga uvikivwa

Kwezinye izigulane, ixesha prothrombin yancitshiswa - a thrombus (ihlwili legazi) Iifomu ngokukhawuleza kakhulu kufunwa. Kananjalo imeko eyingozi, nto leyo igcwele kunye nophuhliso occlusion yegazi.

Lidla a PV ukuhla ibonisa ubukho okanye umngcipheko thrombosis, nto leyo eyingozi kakhulu, njengoko kaninzi isoyikiso kubomi lomguli. Ukwehlisa unxulunyaniswa ngokungenisa amaqela athile izicwangcisi hormone. Unobangela usenokuba polycythemia. Xa abafazi abakhulelweyo, egazi igazi ngokukhawuleza kakhulu senyanga yesithathu yokukhulelwa.

Ezinokuchaphazela ukuchaneka zohlalutyo?

Ngoko nangoko ke kubalulekile ukuqaphela ukuba kukho izizathu ezininzi, ngendlela enye okanye omnye zingachaphazela result uhlalutyo. Njengoko sele kukhankanyiwe, anticoagulation kunye amanye amayeza hormone kunokwandisa ubude thrombus Ukwakheka. Kodwa kukho ezinye izithintelo.

Ngokukodwa, iziphumo zophando ziya kuba bubuxoki kulo mzekelo, ukuba ngaba uthatha aspirin, barbiturates, amayeza eziqulathe vitamin K. Ukongeza, ixesha prothrombin, kwaye zichaphazela amanye amaqela antibiotics.

ukuqunjelwa nayo kuchaphazela iziphumo zohlalutyo. Ngokukodwa, sorhudo olungapheliyo, okanye ukugabha kukhokelela rhoqo emzimbeni. Ngaphezu koko, iinkqubo aphulwe nokufunxwa iivithamini kunye neeminerali, kuquka tocopherol (vitamin K) e onokugula okunjalo.

Ukuba utye ukutya eziqulathe izixa ezikhulu vitamin K, iziphumo zovavanyo aluchanekanga. Kwiintsuku ezimbalwa ngaphambi kokuba kulingwa ukunciphisa yehagu kunye yenkomo wesibindi, iimveliso zesoy, ertyisi, iti eluhlaza, ikhaphetshu, broccoli noluhlaza.

Inkqubo isiphumo coagulation igazi kakubi utywala, ngoko, kwakhona, kwiintsuku ezimbalwa phambi kokuba uvavanyo kwi iziselo ezinxilisayo kufuneka kushiywa.

Imiba echaphazela umjikelo umsebenzi inokuquka abafumana laxatives kunye ezithile unyango ngamayeza.

Ukuba ngaba uthatha nawaphi na amayeza, qiniseka ukuba uxelele ugqirha wakho. Xelela specialist malunga iimpawu odla ngayo neengxaki zempilo ngoku. Kungenjalo, uhlalutyo ayikho ulwazi, kwaye ugqirha amisele inkqubo amachiza ezingafanelekanga ngokupheleleyo.

Kutheni amisele ixesha prothrombin, umfazi okhulelweyo?

Yinto akukho mfihlakalo ukuba ngexesha umzimba umfazi nabantwana bakhe (ingakumbi inkqubo yokujikeleza ezidalwe) uqeqeshwa utshintsho olubalulekileyo. Kungenxa yoko le nto ukujonga ixesha prothrombin ngexesha lokukhulelwa nto ibaluleke kakhulu.

Amanye amabhinqa akule xesha eyandileyo igazi ekunqandeni, okukhokelela thrombosis kunye occlusion kwemithambo yegazi nadlulisela igazi emzimbeni umntwana. Xa washiya loo ukungathobeli alunyangwanga kunokukhokelela ziyithumele coagulation intravascular, kunye nokufa olungekazalwa.

Kwelinye icala, egazini kuba ukuxozwa kakhulu ngexesha lokukhulelwa. Kwiimeko ezinjalo, kukho ingozi enkulu ukopha enkulu, ingakumbi ngexesha lokubeleka. Ingcaciso yexesha prothrombin yenza ugqirha ukuba babone ngexesha bahlambele ethile kunye nokuthintela iingxaki.