Kuwombera magazi

Kuphimba magazi ndi luso lofunika kwambiri la thupi kuti asiye kutuluka magazi pamene makoma a mitsempha awonongeka, ndipo mazira a magazi amasungunuka pamene sakufunikanso. Lingaliro la magazi coagulability ndi losagwirizana kwambiri ndi dongosolo la homeostasis, lomwe ntchito yake ndiyo kusunga magazi. Homeostasis ili ndi njira ziwiri:

1. Mutu wapatali - wamapope. Pachilumbachi, mapuloteni amamanga pamodzi ndikupanga otchedwa "thrombus" yoyera.
2. Sekondi - coagulation (nayenso - coagulation wa magazi). Chifukwa chake, malo owonongeka a malo owonongeka ndi fibrin clot amapangidwa, omwe amatchedwanso "magazi ofiira". Dzina limeneli linapatsidwa kwa iye chifukwa matope a fibrin kwenikweni amakhala ndi erythrocytes.

Choncho, njira yothandizira magazi ndi yovuta komanso gawo lake m'thupi ndi lofunika kwambiri. Matenda onse okhudzana ndi magazi otsekemera amatha kusonyeza matenda ndi kuwatsogolera. Tiyeneranso kufotokozera kuti gawo lomalizira la homeostasis ndi fibrinolysis, momwe magazi amathothoka pamene chotengera chimasintha ndipo kufunika kwa fiberti kumatayika.

Zizindikiro zoganizira za magazi coagulability

Mthendayi yamagazi imatchedwanso coaguloramma. Pofuna kuyesa magazi kuti mutseke, muyenera kudziwa chomwe chikusonyeza. M'maganizo angapo, kutseka kwa magazi kungakhale kovuta, ndipo kupezeka kwawo ndilo maziko owonetsera kuthekera kwa kutseka:

• matenda;
• ntchito yachilendo yodabwitsa;
• mtima;
• mitsempha ya varicose;
• shuga ;
• hemochromatosis .

Komanso, kugwiritsira ntchito kugwiritsira ntchito n'kofunika pazifukwa zina:

• mimba;
• nthawi yopititsa patsogolo kapena yopanda chithandizo;
• kuthandizira kuchiza anticoagulants;
• Ngati mukukayikira kuti kutaya magazi kwa nthawi yaitali n'kofunikira, chekeni kuti mutseke magazi ndi kofunikira.

Kutanthauzira kuyesedwa kwa magazi kwa kutseka

Musanalankhule za kafukufuku wa magazi, muyenera kufotokoza kuti mu labotale iliyonse zizindikirozi zingakhale zosiyana, choncho mawu omalizira ndi a dokotala yemwe akupezekapo. Tiyeneranso kumvetsetsa kuti coagulogram imakhala yosiyana pa nthawi ya mimba, malingana ndi trimester.

Choncho, kuyembekezera kwathunthu kwa magazi kotseka magazi kuli ndi miyezo 8, yomwe imapereka chiwerengero cha magazi kutseka:

1. Mayeso a magazi kuti atenge nthawi. Chizoloŵezi cha kutseka nthawi ndi 5-10 mphindi (chifukwa cha magazi a venous, ndi capillary - mphindi ziwiri). Kuwonjezeka kwa parameter kukuwonetsa otsika coagulability, ndi kuchepa mu kutseka kwambiri.
2. APTTV ndi nthawi yochepa ya thromboplastin. Chizolowezi chimachokera pamasekondi 24 mpaka 35. Kuwonjezeka kwa nthawi kumasonyeza ubwino wokhala ndi coagulation, ndi kuchepa mu nthawi hypercoagulability.
3. The prothrombin index ndi prothrombin nthawi, yomwe imawerengedwa kuti ione njira yowongoka. Mlingowo ndi 80 mpaka 120%. Kuchepa kwa chizindikirocho kumaphatikizapo hypercoagulable, ndi kuwonjezeka kwa kuchepetsedwa ntchito ya magazi coagulation.
4. Fibrinogeni ndi mapuloteni mu plasma. Kawirikawiri chizindikirocho chimachokera ku 5.9 mpaka 11.7 μmol / l. Ikhoza kuwonjezeka ndi kutupa, mimba, kuyaka ndi matenda a mtima. Zithunzizi zimatha kulankhula za matenda a DIC kapena matenda a chiwindi.
5. Thrombin nthawi ndiyo kuyesa gawo lomaliza la coagulation. Kawirikawiri, chiwerengerochi chikuchokera masekondi 11 mpaka 17.8. Ndi kusowa kwa fibrinogen, hyperbilirubinemia, kapena mankhwala ndi heparin, pangakhale kuwonjezeka, ndipo kuchepa kwa nthawi - ndi kuchuluka kwa fibrinogeni m'magazi, kapena ndi matenda a ICE.
6. Nthaŵi ya kubwezeretsa m'magazi ndi yachilendo - kuyambira masekondi 60 mpaka 120.
7. Plasma kulekerera heparin. Pakalipano, mayesowa sagwiritsidwa ntchito nthawi zonse. Chizoloŵezi chimakhala kuyambira 3 mpaka 11 mphindi.
8. Kutaya magazi. Kawirikawiri chigawocho chimachokera ku 44 mpaka 65%.

Kodi kuyezetsa magazi kumatheka motani?

Kuyezetsa magazi kumagwiritsidwa ntchito mkati mwa vitro, koma, mwachitsanzo, poyesa kugwiritsidwa ntchito kwa magazi onse - kutentha kwapadera, chiyeso chofanana ndi zomwe zili mu Invivo n'zotheka.

Pofuna kuyesa magazi, maola 8 musanayese kudya. Magazi kuti azitsatiridwa amachotsedwa ku mitsempha kuti ayese magazi a mitsempha. Kuwunikira kuthekera kwa kutseka magazi ndi ma plateletsulo okwanira kuti azisanthula magazi kuchokera pa chala.