An sanya mata da dama nazari akan ruwa mai ilimin halitta wanda ake kira coagulogram. Yana taimaka wa likita don magance matsayi na hemostasis, don gane da kasancewar hyper- ko munafukai. Bugu da ƙari, marasa lafiyar sun zama sauƙin fahimtar nau'o'in bayyanar cututtuka idan sun san irin nau'in bincike shine coagulogram, abin da ake nufi don, da kuma yadda za a raba shi daidai.
Mene ne aka haɗa a cikin bincike na coagulogram?
Hemostasis shine tsarin da ke da alhakin daidaituwa na jini, da kuma ikon yin katsewa. Duk wani lalacewar yana haifar da koyi ga suturar cuta, wanda yake da alamun cututtuka na varicose, cututtuka na zuciya, da kuma cututtuka na cututtuka, ko kuma ragewa a yawancin ruwa mai zurfi (haemophilia, zubar da zubar da jini saboda mummunar lalacewa).
Saboda haka, coagulogram ya bambanta da gwajin jini da kuma nazarin kwayoyin jini kamar yadda ya kamata. Ya ƙunshi a cikin tushe tushe:
- PTI (prothrombin index), PTV (lokaci na prothrombin) ko INR (tsarin ƙasashen duniya). An gwada gwajin karshe shine mafi kyawun bayani da duniya. Wadannan alamomi sun baka damar lissafin lokacin da jini ya ƙunshi a shafin yanar-gizon rauni.
- Fibrinogen shine furotin wanda ke da alhakin bayyanar thrombi a matsayin mataki na karshe na coagulation na ruwa mai zurfi kuma an canza zuwa fibrin.
- Thrombin lokaci. Ya nuna, wane lokaci ne daga fibrinogen aka samar da fibrin.
- APTTV (lokaci mai ɓauren thromboplastin aiki). Mai nuna alama yana baka izinin rikodin lokacin kafa jini.
Ƙarin bayani ga coagulogram an samo daga gwajin jini don irin wadannan sigogi:
- Cutar plasma haƙuri ga heparin;
- furotin C;
- D-dimer;
- lokacin ƙwaƙwalwar jini (GRP), ana ƙaddamar da sauti (AVRP);
- antithrombin;
- RFMK (ƙwayoyin fibrin monomer mai soluble);
- lupus anticoagulant.
Ana buƙatar waɗannan alamun ƙarin don ƙarin ganewar asali idan akwai shakka game da wani cututtukan musamman, musamman ma a lokacin daukar ciki.
Shiri don nazarin coagulogram
Abinda ake buƙatar wa marasa lafiya kafin gudanar da bincike shine ƙi yarda cin abinci har tsawon sa'o'i takwas kafin a tattara ruwa. An bada shawara don bayar da gudunmawar jini da safe, amma wannan ba doka ba ce.
Nawa ne aka gwada coagulogram?
Lokaci da ake buƙata don ƙididdige ma'aunin ƙididdiga na binciken shine ranar 1 aiki. Zai iya wuce wa'adin da aka ƙayyade, dangane da kayan aikin da aka shigar a cikin ɗakin gwaje-gwaje, kazalika da buƙatar ɗaukar kayan (ba fiye da kwanaki 3-4) ba.
Sharuɗɗan bincike na coagulogram
Sakamakon nazarin binciken yana kunshe da kwatanta sassan da aka samu tare da dabi'un ƙididdiga.
Su ne:
- Ga PTI - daga 80 zuwa 120%. Idan wannan ya wuce, raunin bitamin K zai yiwu a cikin jiki, kuma rage yawan jinin jini don ganowa. Idan RTI ya kasa da na al'ada, wannan na iya nuna alamar hypercoagulable.
- Ga PTV da INR - daga 78 zuwa 142%. Bambanci daga waɗannan sigogi na kama da na PTI.
- Don fibrinogen - daga 2 zuwa 4 g / l (cikin mata masu ciki za a iya ƙarawa zuwa 6 g / l). Haɓaka a cikin adadin abu ya nuna halin da ake ciki ga thrombosis, da kuma rage yawan adadin DIC ko hanta pathologies.
- Don lokaci na thrombin - daga 11 zuwa 17.8 seconds. Rarraban saitin daga al'ada yana da alaƙa da alaka da alamar da ta gabata da kuma maida hankali.
- Ga APTTV - daga 24 zuwa 35 seconds. Idan lokaci bai zama ƙasa ba, wannan yana nuna alamar hypercoagulable. Tare da karuwa a yiwuwar hawan jini, DVS-syndrome 2 ko 3 digiri.