Tātaritanga i runga i PTI: täkupu. PTI: wahine noa

Prothrombin taupū (PTI) - ko tetahi o te whakamātautau taiwhanga tino nui, e faaite i te āhua o te pūnaha coagulation. Kei te whakahuatia te reira i rite te ōrau. He momo o ngā āhuatanga i faataahia tātaritanga PTI. Norma iwi hauora he 95-105%.

Toto upoo- kawea i roto i te rua ngā wāhi - huarahi tūturu, me te, ēhara. Ko te uara o IPT whakaata rite te ara, ēhara o coagulation.

He aha te mea prothrombin?

Ko te hanganga o clots toto me clots e wahi i raro i te mana o te pūmua ngā - thrombin, i te mea i raro i te mana o etahi tukanga matüora tahuri i prothrombin. Ko te kupu, te rua te pūmua he prothrombin tauwehe upoo-. Kei te whakaputaina te reira ki te whai wāhitanga o te huaora K i te ate.

Prothrombin taupū (mo SWIR) ki te whakatau i te mahi o te prothrombin. tatau ana tēnei whakamātautau te rite te ōrau o ngā tohu o te wē toto o te manawanui ki te tauira mana. Hoki mana o te pūnaha coagulation whakaritea te he whakamātautau i runga i te PTI toto. Ko te täkupu i roto i ngā taiwhanga rerekē kia rerekē paku, engari e kore e nui enei rerekētanga. whakawhirinaki ratou i runga i te matū e whakamahia ana e te taiwhanga. I raro i etahi tikanga, pērā i uaua tīponapona, patua ngakau i muri i ngā mahi i runga i reiti ngakau mō tūroro takoto e te tākuta ranei, rite i roto i enei wā he mea e tika ana ki te whakatutuki i te anticoagulation toto (whakaiti tona upoo-). meatia tenei e mo te ārai o te Thrombosis.

Ko wai i whakaritea e te tātari i runga i PTI?

Ko te tikanga te ako o te auau o IPT i nga wahine te rite tangata. Ka huri tēnei ahua i roto i te hapū anake, me i reira ko te maha o nga take, e e aparau i tatou i muri. I roto i ētahi wā, i whakaritea matū toto PTI? Ko te täkupu o te ako, hei tauira, ka tango anticoagulants kia raro atu i rua. Tūroro tango enei taero kia aroturuki auau, me te INR PTI. Rangahau i runga i PTI tika kawea atu i roto i te mau huru e whai ake nei:

• I mua tetahi ngā mahi.
• Iwi te whiwhi rongoā anticoagulant ki te ārai i clots toto.
• Women i roto i te hapū.
• Iwi e mate ana i mate o te pūnaha coagulation, pērā i uaua tīponapona.
• I roto i te disorders autoimmune.
• I roto i te atherosclerosis me te mate ngakau.
• A, no te pathologies ate, pērā i cirrhosis.
• I hē o te huaora K.
• I roto i te syndrome antiphospholipid.
• Hoki tātari whakamātautau o coagulation.

I roto i te hapū, kia mohio ki te tika i te whakamātautau mō te PTI. Ko te täkupu i roto i nga wahine i roto i te hapū, ko te paku ki runga ake i taua o te tahi atu mau taata hauora. he tika ki te huringa i roto i ngā taumata hormonal me te putanga o atu tohanga utero-placental tenei.

IPT i roto i te hapū: te täkupu

I roto i te hapū, wahine katoa kua hiahiatia ki te whakarite i te coagulation ako. Kei roto te reira i:

1. PTI (prothrombin taupū).
2. INR (ōwehenga tonu o te ao).
3. APTT (whakahohe wā thromboplastin wāhanga).
4. Pūtaitoto.

He tino nui enei tawhā katoa. Ko te kupu, he hua o IPT i te wāhanga whakamutunga o te hapūtanga ki runga ki te 150% teitei ranei kia tohu i te mōrea o te abruption placental. A ki te hekenga i roto i tenei tohu i mua i te tuku i raro 80% i reira ko te mōrea o toto i roto i whanau ranei i roto i te wā e kulukia. Ko te kupu ko reira tino nui ki te titiro te pūnaha coagulation i te mutunga o te hapūtanga. Ki te mahi i tenei, haere i te whakamātautau PTI. Ko te täkupu o tenei taupū roto i te hapū awhe i 90 ki te 120%.

He aha e te hua i roto i te PP?

Na, ka kitea e matou e faarahi te thickening o te toto te uara o IPT. Ko te täkupu o tenei taupū roto takitahi hauora pae i 95 ki te 105%. Ko te hua i roto i te prothrombin taupū kia tohu i te tūponotanga o te whakawhanake i mate pērā i:

• infarction myocardial.
• Thromboembolism.
• Polycythemia.
• mate Oncological.
• Wehe o te ewe i roto i nga wahine hapu.

He aha e te taumata iti o PTI?

I roto i te wā te fariiraa i anticoagulants taea e ki raro ki te 45-40% taumata PTI. Ki te riri o clots toto horopeta o enei taero whakahaere tākuta. I muri te whakanui ake te whakaiti i te horopeta e hiahiatia ana ki te hoatu ake tātari IPT ranei. takoto te auau mō enei tūroro e te rata haere. Ki te heke haere te taupū prothrombin i roto i ngā tūroro i te fariiraa i anticoagulants, kia tohu tenei, mo te tauira, huaora K hē, mate ate kino ranei wahi gastrointestinal rite te katoa, a i roto i nga wahine hapu i mua i whanau - e pā ana ki te mōrea o te toto i roto i te mahi.

He aha te mea INR?

Tenei ahua, ko te paerewa mō te whakatau upoo- toto. tauhohe INR ki te mahi o etahi pūmua toto, e ko te āhuatanga upoo-. E hua taua pūmua i roto i te huaora ate whai wāhi K. whakautu ēnei āhuatanga coagulation ki rongoā - anticoagulants, hei tauira, "Dabigatran" "warfarin" ranei ratou analogs. I roto i tenei tauari, hypocoagulation, i.e. Ko nui pōturi toto upoo-. No te tahi mau tūroro, he reira faufaa, e maha takoha ki te tango i anticoagulants mō te ora.

Analysis PTI toto. INR: täkupu

I roto i te coagulogram, ki te kahore hoki te tātari o IPT, me ētahi atu āhuatanga e nui. A, no te whakahaere ki te tūroro anticoagulants heke IPT. Ko ai te tātaritanga o te auau o IPT i roto i ia taiwhanga rerekē paku, na i whakaurua whakamātautau paerewa - INR. Doctors whakamahi i te reira ki te whakahaere i te pūnaha coagulation toto ina tango anticoagulants tūroro. Ko te kupu, i roto i enei take whakaritea te INR te haere ki tohu pēnei i te whakamātautau toto mo PTI. INR Pūnoa i roto i te iwi hauora he 0.8 ki te 1.2. A, no te fariiraa i te upoo- anticoagulant heke puta hypocoagulation me taea te nui haere INR 2-3 wa te täkupu, pērā i te pokanga ngakau uaua tīponapona ranei ki te ārai i te hanganga o te thrombi. Ki te riro nui te toto, nui haere te reira coagulability me runga i heke INR taupū.

Hypocoagulation. I roto i te tahi mau āhuatanga e hiahiatia ai?

Ko te tere o IPT anga matou awhe i 95 ki te 100%, me te INR o 0.8 ki te 1.2. A haamana'o na, kia waiho enei ture i roto i te iwi tino hauora. Ko reira he āhuatanga ina he faufaa ki te mau tonu i te tau teitei te INR, aua, PTI tohu kupu kia raro noa, arā, ka waiho ai te āhua o te anticoagulation. Kei te tutuki tango i te āhua taua anticoagulants. Ka taea te whakaritea i te horopeta anake i te tākuta. kia tango tūroro te whiwhi tonu taua rongoa wā he whakamātautau toto mo te INR.

• I roto i te take o ngā uara INR fibrillation Atrial me tonu i roto i te awhe 2.0-3.0.
• kāwanatanga taumaha - PE (Embolism pūkahukahu) - titau hoki te pupuri taumata INR i roto i 2.0-3.0.
• I muri i te pokanga ngakau titau anticoagulation, i roto i te take o tau piha INR te pūtahi o me tonu i roto i te whānuitanga e tika ana o 2.0-3.0, a i roto i prosthetic piha mitral - i te taumata o 2.5-3.5.
• I roto i te tahi mau kohakore, kia vaolo ngakau (mitral ranei koha te pūtahi o), me te Prevention o te taumata thromboembolic o tenei taupū roto 2.0-3.0.
• I roto i te maimoatanga o tau Thrombosis INR venous me hāngai ki te 2.0-3.0.

Na roto i te whakaiti reiti i raro i te rohe ngofua whakanui i INR te horopeta "fafati" me ona analogues. mahi tēnei anake i raro i te tirotiro hauora, me te whakamātau taiwhanga. Ko te ara i roto i te anticoagulation (nui haere INR) i runga ake i te aroa whakaaetia kia pēhia ngā te hauora o tūroro. Ko reira mōrearea matua ngā toto. Ka taea e waiho ratou ä-(uterine, puku ranei intracavitary) me waho puta hoki ngā injuries motu ranei. Ki te mea ko te tau INR teitei rohe whakaaetia whakaritea mo te āhua ngā, kia heke te horopeta o anticoagulants. Ētahi tūroro i ki te whakahaere i te taumata o INR ora.

Me pēhea te ki te tango i te whakamātautau toto mo te INR me IPT?

Toto i runga i taua rangahau mahi i roto i te ruma maimoatanga. tangohia toto venous te ki te ipuipu ki te anticoagulant, he tūranga i te mea te nuinga o te citrate konutai. Ko te ōwehenga i waenganui i te toto mawehe atu me te anticoagulant ki kia 9: 1. pai i konatunatua tauira tangohia e fulihi te ngongo ki te ārai i te hanganga katinga. tonoa tonu toto ki te taiwhanga pūtaiao. kia hua Analysis kore i muri atu i te rua haora i muri i te kohinga toto. Kore ki te whai i enei tikanga kia ketia te tātari. Kei te nuinga o te wā mahi toto i roto i te ata i runga i te puku kau, engari e taea te hanga tenei tātari i te tahi atu mau taime na roto i te hohoro, ki te tika, arā wawe.