Jini gwajin. Jini clotting. Dikodi mai na jini gwaje-gwaje: coagulation

Jini - shi ne babban kiwo ƙasa na jikin mutum. Ci gaba da ake zagawa da shi da kuma samar da Kwayoyin tare da oxygen da kuma dukkanin muhimman metabolites, shi aikin ta na asali ayyuka. Bugu da kari, da jini ne kuma mai kariya da gabatarwar da wani jam'i na pathogens cututtuka, kazalika da hana zub da jini a hali na lalacewar da wani jirgin ruwa. Bayar da shi ne musamman coagulation tsarin kunshi wani hadadden sa na sunadaran. Yanzu mun tattauna wannan a more daki-daki.

A tsarin da hemostasis

Ya kamata gano abin da tsarin na hemostasis. Ya kunshi biyu aka gyara antagonistic zuwa juna - coagulation da anticoagulation. Amma a lokaci guda, su gaba da juna, don haka da cewa jinin bai canja ba ta ingantaccen sigogi, da kuma ya iya ciyar a kan wasu kyallen takarda. A farko samun amfani da zub da jini a lokacin da ya cancanta don ƙirƙirar wani jini gudan jini obturation bude lumen a cikin jirgin ruwa bango. A na biyu da aka kunna nan da nan bayan da farko aiki, game da shi hana clotting kuma Ya ƙãra ci gaban thrombosis irin wannan tsanani sakamakon, kamar bugun jini da kuma tsokar zuciya infarction.

Saboda haka, a da yawa cututtuka dauka overall bincike na jini. Jini clotting kuma ta kwayan seeding - shi ne makasudin wannan binciken. za ka iya sa daidai ganewar asali da kuma dace magani dangane da bayanai.

The aka gyara a cikin harkokin bincike na jini

Daga cikin abubuwan da coagulation tsarin zauna da muhimmanci wuri a matsayin Kwayoyin da kuma sunadarai. Wannan musamman platelets, wanda, a Bugu da kari ga ta primary aiki, kuma samar da abinci endothelium rufi da ciki na duk jini. Da lambar da za a iya samu ta wucewa na asibiti jini count. Clotting, duk da haka, ya danganta ba kawai a kan su lambar, amma kuma a kan su quality. Saboda haka, a lokacin da wani savanin muhimmi aiki na wadannan Kwayoyin ci gaba thrombocytopathia, da wuya a gano kuma shi ne halin da mahara, yana da wuya a dakatar da zub da jini, wanda zai iya yiwuwa ya haifar da asarar rayuka. Wani sauki, kawota har ma a wani cikakken asibiti bincike na jini - clotting lokaci Lee-White. An ƙaddara da rocking shambura tare da substrate dauka har ta Nonseparated m gudan jini.

halayyar dalilai

Sunadaran suna ma kunshe a cikin abun da ke ciki na coagulation tsarin, ake magana a kai guda goma sha uku dalilai. Su bambancinsa ta'allaka ne da cewa kullum suna a wani m jihar har akwai wani dalili da su ayyukan, kazalika a cikin hadaddun sarkar da suka jefa, a cikin abin da suka yi aiki a matsayin ham wadannan halayen. Saboda haka, wannan tsarin ne in mun gwada zama ruwan dare. Quality Halaye na aikin hada a ƙunƙuntaccen jini gwajin - "jini clotting" ko "coagulation". Yana hada da wani iyaka yawan zabin, amma likita wanda ya mallaki ilmi game da su, zai iya daidai a kira cikin hanyar cuta da hemostasis, kuma ko da tamkar cuta. Saboda haka, dikodi mai na jini gwaje-gwaje "clotting" bautar wani muhimmin wuri a cikin asibiti kwarewa da kowane gwani, kuma haka za mu tattauna da shi a cikin mafi daki-daki.

Key Manuniya na coagulation

Saboda haka, a cikin wannan binciken kunshi wadannan key Concepts.

• Farko. D-dimer ne wani muhimmin nuna alama na thrombosis, kuma ta haka ne ake amfani da farkon ganewar asali na thrombosis. Ciki samu a yawa (3-4 sau) da ƙarshen zamani na gestation, amma wannan shi ne wani bambance-bambancen da kullum. Ganewa ne shi ya fi maida hankali ne shaida riga a kan pathological shakka daga ciki. Bugu da kari, shi saukar da karuwa a cututtuka irin rheumatoid amosanin gabbai, hemorrhagic rikitarwa, mai tsanani cututtuka.
• Na biyu ra'ayi. Prothrombin lokaci layi daya ƙidãyar index INR da PTI (prothrombin index) characterizes jihar na jini coagulation tsarin da aka auna da Koagulometers da dabarbari. Bayyana a matsayin na gwaji na hemostasis kuma a lura da kai tsaye ba anticoagulants.
• Na uku. Fibrinogen - wani hadadden gina jiki. Shi ne ginshikin da samuwar wani jini gudan jini - thrombus. Its karuwa yana tare da hepatitis, koda cuta, tsokar zuciya infarction, radiation amai, ciwon daji. Duk da haka, kamar yadda ya lura a lokacin daukar ciki, haila, kuma ma da baka hana da primary estrogen bangaren.

Manuniya protivosvertyvaniya

• A karo na hudu ra'ayi. Lupus coagulant ne a rukuni na antibodies zuwa da kansa platelets, wanda shi ne wata alama ce ta mai tsanani autoimmune tsari. Mafi sau da yawa samu a Pathology na ciki, watau. E. Gestosis. Its gaban bayyana su mai tsanani hemodynamic disturbances - edema, jini, high yiwuwar ashara. Saboda haka, jini, "jini clotting" analysis aka yi ga duk mata masu ciki a kauce wa wannan zaɓi.
• Biyar. Antithrombin-3, da bambanci, shi ne mai gina jiki anticoagulation tsarin da kuma wani thrombin hanawa. Idan haƙuri ne rasa jini gwajin, "jini coagulation," da kuma sakamakonsa na dakushe wannan bangaren, shi ya nuna wani hadarin thrombosis. Har ila yau, da definition antithrombin-3 shi ne muhimmanci ga iko da marasa lafiya da samun dogon lokaci anticoagulant kwayoyi jerin (kwayoyi "TromboASS", "Cardiomagnyl", "clopidogrel").

Summing up

Bugu da kari ya na sama, akwai wani gwargwado aPTT cewa mafi fili nuna isa / gaira dalilai na jini clotting. Saboda haka yana da muhimmanci domin sanin mafi hemophilia daban-daban Farawa, von Willebrand ta cuta, gaban haddi coagulation hanawa ko anticoagulants liyafar. Ya kamata a lura cewa a jini clotting kima iya kawai za a nuna. Duk da haka, idan kana zargin take hakkin a hemostatic tsarin, an gaggawa bukatar ganin likita.