Analysis a kan PTI: kullum. PTI: al'ada mata

Prothrombin fihirisar (PTI) - shi ne daya daga cikin mafi muhimmanci dakin gwaje-gwaje gwaje-gwaje, wanda characterizes jihar na coagulation tsarin. An bayyana a matsayin mai yawan. A iri-iri yanayin sanya analysis PTI. Norma lafiya mutane ne 95-105%.

Jini clotting ne da za'ayi a yankuna biyu - muhimmi da extrinsic tafarkin. The darajar IPT nuna daidai da extrinsic hanya na coagulation.

Mene ne prothrombin?

Da samuwar jini clots da clots faruwa a ƙarƙashin rinjayar da wani musamman gina jiki - thrombin, wanda shi ne ƙarƙashin rinjayar wasu biochemical matakai tuba daga prothrombin. Saboda haka, na biyu gina jiki ne prothrombin clotting factor. An samar da sa hannu na bitamin K a cikin hanta.

Prothrombin fihirisar (ga SWIR) domin sanin aiki na prothrombin. Wannan gwajin da aka lasafta a matsayin wani kaso daga Manuniya na wani haƙuri ta jini jini zuwa wani iko samfurin. Domin iko da coagulation tsarin da ake sa wani jini gwajin a kan PTI. A kullum a daban-daban dakunan gwaje-gwaje na iya bambanta dan kadan, amma wadannan bambance-bambance ba muhimmanci. Sun dogara ne a kan sinadarai ana amfani da dakin gwaje-gwaje. A karkashin wani yanayi, kamar varicose veins, zuciya harin ko bayan aiki a kan zuciya rates ga marasa lafiya ƙaddara da wani likita, kamar yadda a cikin wadannan lokuta da shi wajibi ne don cimma wani jini anticoagulation (rage ta clotting). Wannan ne yake aikata rigakafin thrombosis.

Wanda aka nada da bincike a kan PTI?

Yawancin lokaci da binciken kudi na IPT a mata guda kamar maza. Wannan adadi ya canjãwa kawai a lokacin daukar ciki, kuma akwai wata yawan dalilai, wanda za mu tattauna daga baya. A wasu lokuta, jini sunadarai nada PTI? A kullum na binciken, misali, a lokacin da shan anticoagulants iya zama m fiye da sau biyu. Marasa lafiya da shan wadannan kwayoyi ya kamata a kula a kai a kai da kuma INR PTI. Bincike a kan PTI dole za'ayi a cikin wadannan yanayi:

• Kafin wani aiki.
• Mutane samun anticoagulant magani don hana jini clots.
• Mata a lokacin daukar ciki.
• Mutane fama da cututtuka na coagulation tsarin, kamar varicose veins.
• A autoimmune cuta.
• A atherosclerosis da kuma cututtukan zuciya.
• Lokacin da hanta pathologies, kamar cirrhosis.
• A rashi na bitamin K.
• A antiphospholipid ciwo.
• Domin nunawa gwaje-gwaje na coagulation.

A lokacin daukar ciki, a tabbatar wuce da gwajin don PTI. A kullum a mata a lokacin daukar ciki ne dan kadan fi da cewa da sauran lafiya mutane. Wannan shi ne saboda canje-canje a hormonal matakan da fitowan da ƙarin utero-placental wurare dabam dabam.

IPT a lokacin daukar ciki: da na kullum

A lokacin daukar ciki, duk mata ana buƙatar sanya wani binciken coagulation. Yana hada da:

1. PTI (prothrombin index).
2. INR (kasa da kasa bisa al'ada rabo).
3. APTT (kunna m thromboplastin lokaci).
4. Fibrinogen.

Duk wadannan sigogi suke da muhimmanci sosai. Saboda haka, wata karuwa da IPT a karshe matakai na ciki har zuwa 150% ko sama da iya nuna wani hadarin placental abruption. Kuma tare da wani karu a cikin wannan nuna alama kafin ceto a kasa 80% akwai hadarin na zub da jini a lokacin haihuwa ko kuma a zubar lokaci. Kamar wancan shi ne da muhimmanci musamman don su bincika coagulation tsarin a karshen ciki. Don yin wannan, wuce da PTI gwajin. A kullum na wannan index a lokacin daukar ciki jeri daga 90 zuwa 120%.

Menene karuwa a PB?

Saboda haka, za mu gano cewa, da mai kauri daga cikin jini qara darajar IPT. A kullum na wannan index a lafiya mutane jeri daga 95 zuwa 105%. A karuwa a prothrombin index iya nuna hadarin tasowa cututtuka kamar:

• Tsokar zuciya infarction.
• Thromboembolism.
• Polycythemia.
• Oncological cututtuka.
• Detachment na mahaifa a mata masu juna biyu.

Abin da ya aikata a low matakin na PTI?

A lokuta samun anticoagulants PTI matakin na iya zama saukar zuwa 45-40%. Tare da barazana da jini clots kashi na wadannan kwayoyi sarrafa likita. Bayan kara ko rage da kashi da ake bukata domin bayar da up analysis IPT. A kudi na wadannan marasa lafiya ne m da halartar likita. Idan prothrombin index rage a cikin marasa lafiya da samun anticoagulants, wannan mai yiwuwa nuna, misali, bitamin K kasawa, mai tsanani hanta da cutar ko gastrointestinal fili a matsayin dukan, kuma a cikin mata masu juna biyu da haihuwa - game da hadarin zub da jini a lokacin aiki.

Mene ne INR?

Wannan adadi ne da misali ga kayyade jini clotting. INR reacts zuwa aiki na wani jini da sunadarai, wanda su ne clotting dalilai. Irin wannan sunadaran ake samar a cikin hanta shafe bitamin K. Wadannan coagulation dalilai amsa magani - anticoagulants, msl, "Dabigatran" "warfarin" ko su analogs. A wannan labari, hypocoagulation, Ina nufin Jini clotting ne sosai a hankali. Ga wasu marasa lafiya, yana da muhimmanci, mutane da yawa suna tilasta ya dauki anticoagulants ga rayuwa.

Analysis PTI jini. INR: na kullum

A coagulogram, fãce da bincike na IPT, da kuma sauran abubuwan suna da muhimmanci. Lokacin gudanar ga marasa lafiya anticoagulants IPT rage. Amma bincike na da kudi na IPT a kowane dakin gwaje-gwaje na iya bambanta dan kadan, don haka aka gabatar daidaita gwajin - INR. Doctors amfani da shi don sarrafa jini coagulation tsarin lokacin shan anticoagulants marasa lafiya. Saboda haka, a cikin wadannan lokuta da INR da ake sa tare da Manuniya kamar wani jini gwajin for PTI. Al'ada INR a lafiya mutane ne 0.8 zuwa 1.2. Lokacin karbar rage anticoagulant clotting auku hypocoagulation da INR za a iya ƙara 2-3 sau da kullum, kamar zuciya tiyata ko varicose veins don hana samuwar thrombi. Idan jini ya zama thicker, shi ya karu coagulability kuma daidai da INR index rage-rage.

Hypocoagulation. A wasu yanayi shi ake bukata?

A kudi na IPT kima jeri daga 95 zuwa 100% kuma wani INR na 0.8 to 1.2. Ka tuna, wadannan sharudda da ya kamata a gaba daya lafiya mutane. Amma akwai yanayi a lokacin da INR ne m don kula da wani babban Figures, bi da bi, PTI Manuniya haka zama a kasa al'ada, watau, shi zai zama Jihar anticoagulation. Irin wannan jiha aka samu shan anticoagulants. A kashi za a iya ƙaddara kawai da likita. Marasa lafiya yau da kullum samun irin magunguna a kai a kai ya riƙi wani jini gwajin ga INR.

• A cikin hali na atrial fibrillation INR dabi'u dole ne a kiyaye a cikin kewayon 2.0-3.0.
• Tã jihar - PE (na huhu embolism) - kuma bukatar rike INR matakan cikin 2.0-3.0.
• Bayan zuciya tiyata bukatar anticoagulation, yayin da a yanayin saukan aortic bawul INR lambobin dole ne a kiyaye a cikin wani dace kewayon 2.0-3.0, kuma a} afar roba mitral bawul - a matakin 2.5-3.5.
• A wasu lahani, zuciya bawuloli (mitral ko aortic aibi), da kuma Rigakafin thromboembolic matakin na wannan index kasance a cikin 2.0-3.0.
• A lura da venous thrombosis INR lambobin dole dace 2.0-3.0.

By rage kudaden kasa da halatta iyaka INR kara da kashi "Warfarin" da kuma ta analogues. Wannan ne yake aikata kawai a karkashin likita dubawa da kuma awon gwaji. Amma Yunƙurin a anticoagulation (ƙãra INR) sama da halatta hallway iya adversely shafi kiwon lafiya na marasa lafiya. Shi ne m da farko daban-daban na jini. Suna iya zama ciki (igiyar ciki, ciki ko intracavitary) da kuma m tasowa domin daban-daban rauni ko cuts. Idan lambobin ne mafi girma INR halatta iyaka sanya shi ga wani musamman jihar, kashi na anticoagulants ya kamata a rage. Wasu marasa lafiya da sarrafa matakin na INR rayuwa.

Yadda za a yi wani jini gwajin ga INR da IPT?

Jini a kan nazarin aikatã a lura dakin. Venous jini da aka dauka a cikin wani gwajin bututu da wani anticoagulant, rawar da yake yawanci sodium citrate. A rabo tsakanin janye jini da kuma anticoagulant zama 9: 1. Taken samfurin da aka gauraye da kyau da inverting da tube su hana gudan jini samuwar. Jini nan da nan ya aiko zuwa ga dakin gwaje-gwaje. Analysis kamata nuna wani daga baya fiye da sa'o'i biyu bayan da jini tarin. Rashin bin wadannan yanayi na iya karkatar da bincike. Jini ne yawanci aikatã game da safe a kan komai a ciki, amma wannan bincike za a iya sanya a wasu lokuta da cito idan ya cancanta, watau gaggawa.