Prothrombin ndi Quique

Kuzindikira kwa kuchuluka kwa prothrombin ndi Kvik m'magazi ndi chimodzi mwa zofunikira kwambiri pa coagulation. Popeza kuti chiwindichi chimapangika pachiwindi, Quik's prothrombin imayang'aniridwa kuti adziwe momwe mimba, chiwindi ndi matumbo zimakhalira, potsirizira pa matenda omwe alipo.

Mayeso a magazi ndi kutsimikiza kwa prothrombin ndi Kwick

Prothrombin ndi mapuloteni ovuta kwambiri omwe amapangidwa pachiwindi ndi kukhalapo kwa vitamini K. Choncho, kutsimikiza kwa kuchuluka kwa mankhwalawa ndiwopambana kwambiri pakuchita hemostasiograms.

Quik's prothrombin assay anafunsidwa kuti atsimikize kuti kutsekemera mwa kuwonetsa prothrombin kusintha kuchokera ku chiwembu chomwe chiri ndi prothrombin nthawi ya deta (mwachitsanzo, nthawi yomwe magazi amawombera) kuchokera kumagazi a m'magazi.

Dokotala akhoza kulamula kuti abweretse izi pofufuza:

• ndi kuphwanya kosiyanasiyana za ntchito ya magazi coagulability;
• Kuletsa coagulability ndi kudya kwa nthawi yaitali kwa anticoagulants;
• kwa kudziwika kwa chiwindi pathologies;
• Kufotokozera matendawa ndi matenda a antiphospholipid;
• ndi matenda omwe amaphatikizidwa ndi kuchepa kwa thupi la vitamini K4
• ndi matenda omwe amapezeka ndi vuto la kutseka magazi.

Kawirikawiri, chiwerengero cha prothrombin ku Kwick chiyenera kukhala pakati pa 78 ndi 142.

Kupereka ndondomekoyi kumalangiza pa mimba yopanda kanthu makamaka m'mawa. Chakudya chomaliza chiyenera kukhala pasanathe maola asanu ndi limodzi musanachitike. Patsiku lisanayambe kuyesedwa, ndiletsedwa kudya zakudya zonenepa ndi zakudya zokazinga. M'pofunikanso kusiya kuthamanga mwamphamvu, ndipo kwa theka la ora sichikutanthauza kupsinjika maganizo ndi kuthupi.

Mukhoza kumwa mankhwala pokhapokha mutengedwera magazi kuti muwunike. Komabe, pasanathe masiku khumi ndi anayi kuchokera pamene mankhwalawa achotsedwa, njirayi siingatheke. Ndikofunika kwambiri kudziwitsa adokotala zomwe mukugwiritsa ntchito mankhwala, chifukwa amatha kusintha zotsatira.

Magazi amatengedwa kuchokera mu mitsempha ya wodwala, kuikidwa mu chubu ndi sodium citrate ndipo, mutatha kusakaniza, ikani mu centrifuge yomwe imalekanitsa plasma. Pambuyo kusakaniza chigawo cha minofu, kufufuza kumachitika.

Prothrombin ndi Quique imakwezeka

Ngati phunzirolo likuwulula kupatuka ku zoyenera kwambiri kuti chiwonjezeke, izi zikusonyeza kukhalapo kwa matenda ngati awa:

1. Amakhala osowa chifukwa cholephera kugwira chiwindi kapena kupanga matenda aakulu.
2. Kugwiritsiridwa ntchito kwa anticoagulants , ndichonso chifukwa chakuti prothrombin ndi Quique ili pamwamba.
3. DIC ndi matenda omwe amawonedwa mu mazira, kuphatikizapo khansa ya m'magazi.
4. Gwiritsani ntchito kuchiza mankhwala opha tizilombo, mankhwala osokoneza bongo, thizide diuretics, nicotinic acid, aspirin (mochulukirapo), quinine, kudya kwa nthawi yaitali kwa kulera kwa mahomoni.

Prothrombin ndi Kviku adatsitsa

Ngati pali kusintha kwa pulogalamu ya prothrombin yomwe ikupita kuchepa, izi zikuwonetsa paziopsezo za magazi, zomwe zimakhudzana ndi matendawa:

1. Mavitamini K osakwanira m'thupi, zomwe ndi zofunika kuti ayambe kugwiritsa ntchito zinthu zoyenera kuti magazi asamawonongeke, kawirikawiri kusowa vitamini kumachitika mu dysbacteriosis ndi mavuto ena ndi dongosolo lakumagazi).
2. Kugwiritsiridwa ntchito kwa mankhwala omwe amakhudza magazi clotting kumayambitsanso Quik's prothrombin kukhala yachibadwa.
3. Kukhalapo kwa matenda opatsirana omwe amapezeka m'chiwindi komanso kugwirizanitsa ndi mavuto a kusamba kwa zinthu.
4. Zosakwanira zokwanira pazifukwa zina zamagazi zomwe zimayambitsa kutsekemera zingakhale zomwenso zimawonetseredwa chifukwa cha matenda.