Magazi. Magazi clotting. Decoding mayesero magazi: coagulation

Magazi - ndi waukulu kuswana pansi pa thupi la munthu. Mosalekeza kufalitsidwa ndi kupereka maselo ndi mpweya ndi metabolites zonse zofunika kuti amagwira ntchito amafotokoza. Komanso, magazi ndi chitetezo kukhazikitsa ndi kuchuluka kwa tizilombo toyambitsa matenda matenda opatsirana, komanso kuteteza magazi vuto la kuwonongeka kwa chotengera. Zoperekedwa ndi njira yapadera coagulation ongokhala akonzedwa zovuta mapulotini. Tsopano ife kukambirana mwatsatanetsatane.

Kapangidwe ka hemostasis

Iwo ayenera kupeza chomwe dongosolo la hemostasis. Amakhala ndi zigawo ziwiri ankatsutsa kwa wina ndi mzake - coagulation ndi anticoagulation. Koma pa nthawi yomweyo, iwo azigwirizana, kotero kuti magazi sanasinthe magawo ake Mkhalidwe, ndipo anali wokhoza kudyetsa pa zimakhala ena. Woyamba afika mwayi ndi magazi pamene zofunikira kuti akonze magazi aumirira obturation lotseguka lumen mpanda chotengera. Kachiwiri adamulowetsa yomweyo pambuyo opaleshoni yoyamba, potero popewa clotting ndi kuchuluka chitukuko cha thrombosis ngati zovuta kwambiri, monga matenda opha ziwalo m'mnyewa wamtima infarction.

Choncho, matenda ambiri anatengedwa kusanthula wonse wa magazi. Magazi clotting ndi seeding ake bakiteriya - Kodi cholinga cha maphunziro ano. mukhoza matenda lolondola ndi chithandizo choyenera zochokera deta yake.

The zigawo zikuluzikulu mu kusanthula wonse wa magazi

Pakati pa zigawo za dongosolo coagulation zatenga malo ofunika ngati maselo ndi mapuloteni. Izi makamaka maselo othandiza magazi kuundana, amene kuwonjezera ntchito yake yaikulu, kupereka chakudya endothelium kumalumikiza mkati mwa ziwiya zonse magazi. chiwerengero chawo angapezeke ndi kudutsa ndi matenda magazi. Clotting zochi osati pa chiwerengero chawo, komanso khalidwe lawo. Choncho, munthu kusatsatira chibadidwe ntchito ya maselo amenewa kukhala thrombocytopathia, zimavuta kudziwa ndi amakhala ndi angapo, n'zovuta kuti magazi asiye kutuluka, zomwe mwina kudzabadwira kufa. Ina yosavuta, aziwapatsa ngakhale mwatsatanetsatane matenda kusanthula magazi - clotting nthawi Lee-White. Amaonekera ndi akugwedeza machubu ndi gawo lapansi anatengedwa mpaka Nonseparated wandiweyani aumirira.

zinthu khalidwe

Mapuloteni m'gulu zikuchokera dongosolo coagulation, anatchula mfundo khumi ndi zitatu. apadera kwagona kuti bwinobwino ali mu mkhalidwe wofooka mpaka pali chifukwa ntchito zawo, komanso mu unyolo zovuta Launch awo, zimene iwo amachita catalysts kwa motero. Choncho, dongosolo zimakhalanso lakutali. Quality Zochita za ntchito yawo m'gulu yopapatiza magazi - "magazi clotting" kapena "coagulation". Pamafunikanso owerengeka options, koma dokotala amene ali kudziŵa za iwo, molondola adzatchedwa chifukwa cha matenda a hemostasis, ndipo ngakhale matenda chimapangitsa. Choncho, decoding wa MAGAZI "clotting" ukutchulidwa kwambiri pa zimene matenda aliyense katswiri, choncho tidzakhalanso tikambirane mwatsatanetsatane.

zizindikiro Kiyi Wa coagulation

Choncho, mu phunziro ili tso zotsatirazi mfundo kiyi.

• Choyamba. D-dimer ndi chizindikiro chofunika cha thrombosis, chotero ntchito matenda oyambirira thrombosis. Pakati anapeza zambiri (nthawi 3-4) ndi mapeto a nthawi ya gestation, koma ichi ndi zosinthika ya mwakale. Kudziwika ndi ndende yaikulu ya umboni kale pa njira pathological mimba. Komanso, kuwululidwa kuwonjezeka matenda monga nyamakazi, zosokonezeka hemorrhagic, matenda akulu.
• Lingaliro lachiwiri. Prothrombin nthawi yomweyi masovedwe index INR ndi PTI (prothrombin index) amadziwika boma la dongosolo magazi coagulation ndipo kuwayeza Koagulometers ndi kachitidwe. Chimatanthauza kuti aziona hemostasis ndi mankhwalawa anticoagulants zina.
• Chachitatu. Fibrinogen - mapuloteni zovuta. Ndi msana mapangidwe ndi magazi aumirira - thrombus. Kuchulukitsa kwake limodzi ndi matenda a chiwindi, matenda a impso, m'mnyewa wamtima infarction, matenda poizoni khansa. Komabe, monga anati woyembekezera, kusamba, komanso ndi kulera m'kamwa ndi chigawo chachikulu esitirojeni.

zizindikiro protivosvertyvaniya

• Wachinayi lingaliro. Lupus coagulant ndi gulu la chitetezo kwa maselo othandiza magazi kuundana yake, zomwe kumasonyeza aakulu autoimmune ndondomeko. Nthawi zambiri amapezeka mu kudwala mimba, mwachitsanzo. E. Gestosis. kukhalapo kwake akufotokoza hemodynamic awo aakulu chisokonezo - edema, kuthamanga kwa magazi, mkulu Mwina wa padera. Choncho, mwazi, "magazi clotting" kusanthula imagwiridwa kwa amayi apakati kupewa njirayi.
• Chachisanu. Antithrombin-3, mosiyana, ndi puloteni anticoagulation dongosolo ndi thrombin woletsa. Ngati wodwala kutaya magazi, "magazi coagulation," ndipo anthu kuchepa chigawo ichi, akusonyeza chiopsezo thrombosis. Komanso tanthauzo la antithrombin-3 n'kofunika kuti ulamuliro odwala kulandira yaitali anticoagulant mankhwala mndandanda (mankhwala "TromboASS", "Cardiomagnyl", "clopidogrel").

Polongosola mwachidule

Kuwonjezera pa pamwamba, pali muyeso aPTT kuti bwino kwambiri akuganizira okwanira / kuchepekedwa zinthu za clotting magazi. Choncho ndikofunika kudziwa kwambiri amapatsira mwana wake Genesis zosiyanasiyana, matenda Von Willebrand a, pamaso pa muyeso zoletsa coagulation kapena anticoagulants phwando. Tikumbukenso kuti magazi clotting zofufuza zitha anasonyeza. Komabe, ngati mukuganiza kuphwanya pa dongosolo hemostatic, Akufunika kuwona dotolo.