APTT tashe: me ya sa wannan yake da faruwa? Kara APTT a lokacin daukar ciki

APTT (kunna m thromboplastin lokaci) - wannan shi ne mai matukar muhimmanci nuna alama na jini clotting, wanda ba ka damar sanin hadarin jini clots ko da ya faru na zub da jini. Daidai kimantawa da aikin na coagulation tsarin, za ka iya sanin yadda mai tsanani da cuta ne, da kuma zabi lura daidai. Bari mu magana game da shi.

Ta yaya ne APTT gwajin?

Nazarin a kan kudi na jini clotting taimaka wajen gano tsari munanan cewa yawanci yana nuna cewa akwai hakki na gwada yawa da kuma gwajin kwari Manuniya na jini.

Irin wannan bincike ne da za'ayi a cikin wani takamaiman juna. Da farko, da kayan da za a yi nazari, an kara zuwa tube dauke da anticoagulant dauri na alli ions, saboda abin da na jini ya aikata ba gudan jini. Aiwatar da centrifugation ka raba da jini daga platelets da sauran abubuwa. Bayan nan, da gwajin tube aka kara phospholipids, alli chloride da wani activator. Fara tantance lokaci a wanda wani jini gudan jini aka kafa.

Phospholipids kunna extrinsic hanya na coagulation, da alli chloride ne wani muhimmin abu a kan aiwatar da coagulation. Irin wannan bincike ba cikakken kimanta da aiwatar da thrombus samuwar, amma taimaka wajen gano munanan a cikin kudi, to sai ka nemi cikin Sanadin wannan sabon abu.

Wani lokaci yana itace cewa APTT ƙara ko rage. Wannan na nuna data kasance da matsaloli a cikin jiki.

na kullum

A nuna alama ne auna a seconds da zai iya bambanta saboda ikon, shekaru na haƙuri da magani. APTT Al'ada adult mutum ne daga 28 zuwa 40 seconds. A jarirai, wannan adadi ne mafi girma ga 1-3 seconds.

Dagagge jini aPTT aka bincikar lafiya a lokacin da wani clotting factor an rage ko ya karu da fiye da 30%. Rage kudi sau da yawa ya nuna hypercoagulability.

Tabbatar da dalilin da APTT a manya da yara ne da aka gudanar domin sanin hanyar matalauta jini clots, kazalika don kimanta tasiri na magani da anticoagulants.

Dalilan da kara APTT

Mutane da yawa sosai kau lõkacin da suka gano cewa APTT karu. Abin da ake nufi? Wannan ya faru a lokacin da akwai wani hadarin zub da jini. A dalilan iya zama:

1. Ƙarancin adadin bitamin K a cikin jiki. Wannan na nuna matsaloli a cikin tsarin narkewa kamar, saboda wannan bitamin na inganta kira na hanji kwayoyin. Yana kuma da muhimmanci ga al'ada aiki na duk clotting dalilai. Its karanci faruwa saboda dysbiosis, da wani m rage cin abinci, sakamakon dogon lokacin da magani tare da maganin rigakafi.
2. Halitta munanan cewa suna da dangantaka da take hakkin da ingantaccen da kuma gwada yawa sigogi na jini. A wannan yanayin, index APTT ƙaru ƙwarai.
3. Zubar jinni hemorrhage, m cutar sankarar bargo, DIC.
4. Hemophilia irin A, B, C.
5. A gaban antibodies a cikin jinin a nadawa dalilai da lupus anticoagulant.
6. M shiri domin analysis, kwatsam ingress na heparin a cikin samfurin.

Karuwan APTT, yaro iya zama saboda wadannan dalilai.

APTT a lokacin daukar ciki

A lokacin daukar ciki, da kunna m thromboplastin lokaci an fara canza. Idan kudi ga talakawan mutum ne tsakanin 28 zuwa 40 seconds, a mata masu ciki da shi shi ne 17-20 seconds. Wannan yana nufin cewa shi ne rage. Irin wannan canje-canje tsokane da wadannan dalilai:

• A wannan lokaci da wuya a mace ta jiki, wani ƙarin utero-placental wurare dabam dabam. Mahaifa yana kunshi wani jam'i na tasoshin. Ko da shi daukan sanya wani kananan detachment, da jini da asarar iya zama muhimmi. Yawancin lokaci detachment auku saboda ya karu igiyar ciki sautin.
• A lokacin haihuwa da mace yawanci hasarar har zuwa 400 ml na jini. Wannan ya faru sosai da sauri, da kuma coagulation tsarin ya zama ya shirya domin irin wannan mai tsanani asarar jini, don haka clots ma farko da za a kafa da sauri don hana kara asarar jini.

Me APTT ƙãgãwa a ciki?

APTT ne ta ƙara idan clotting lokaci ne fiye da 40 seconds. Wannan rage ikon da jini clots ta samar, sakamakon wani hadarin high jini hasãra.

Kullum APTT ya karu idan mace mai ciki yana shan maganin rigakafi, heparin, asfirin da kuma thrombolytic kwayoyi. Kafin za a gwada, ya kamata sanar da su likita.

A karuwa a APTT nuna wani karu a cikin jini ta ikon gudan jini, da kuma da shi ya auku a wadannan pathological yanayi:

• Hanta da cutar saka bayyana hanta gazawar, ciki har da kuma a cirrhosis. A wannan yanayin akwai wani take hakkin kira na clotting dalilai a cikin jini.
• Rashin bitamin da K, na faruwa da wani bango na dysbiosis a cikin Gut, kazalika saboda rashin iya rage cin abinci.
• Cutar sankarar bargo.
• Hemophilia irin A, B, C. Wannan hereditary cuta halin da nakasar rashi na clotting dalilai, sau da yawa sakamakon wani yunkri na jini faruwa.
• Von Willebrand ta cutar.

ƙarshe

Analysis a kan APTT dole za'ayi kafin mai zuwa aiki don gano yadda azumi da jini iya gudan jini. An karuwa ko raguwa daga kullum nuna daban-daban pathologies. Don kauce wa hadarin zub da jini, bi daidai da.