Qhov txiaj ntsig ntawm kev kuaj ntshav rau prothrombin thiab fibrinogen qhia tau li cas thiab vim li cas nws tseem ceeb rau tus neeg mob ntshav qab zib?

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Tib neeg cov ntshav muaj ntau yam los ntawm kev txiav txim plaub ntug ntawm lub cev. Muaj kev teeb tsa ntawm kev sim ntsuas pom qhov ntsuas qhov tseem ceeb lossis qhov tsis sib txawv ntawm qhov ntsuas.
Ib qho ntawm cov cim tseem ceeb tshaj plaws uas yuav tsum muaj kev ntsuam xyuas tas li rau ntshav qab zib mellitus yog ntshav coagulation.
Ntshav coagulation yog qhov taw qhia lub luag haujlwm rau kev tswj hwm qhov ntsuas ntawm ntshav. Thaum vascular kev puas tsuaj, cov tshuaj uas ua rau cov ntshav txhaws ua rau cov ntshav txhaws ua kom tsis txhob ntxiv ntshav ntxiv. Nrog kev coagulation zoo tom qab 10 feeb. tom qab ua kev puas tsuaj me me rau ntawm lub nkoj, cov ntshav txhaws.

Yog hais tias txheej txheem ntawm cov ntshav khov tsim pib sai dua, tom qab ntawv qhov no yuav qhia tau nce ntshav coagulation - thrombophilia. Thrombophilia yog cov kab mob ntshav uas ua rau cov ntshav txhaws thiab txhaws hauv cov hlab ntshav thiab cov hlab ntsha, ua rau cov pa oxygen tsis txaus nyob hauv tib neeg cov ntaub so ntswg thiab cov plab hnyuv siab raum, ua rau lub plawv nres, mob hlab ntsha tawg, mob hlab ntsha, mob ntshav thiav thiab kab mob ntawm cov kabmob hauv nruab nrog cev.

Cov tshuaj uas tswj cov ntshav coagulation yog prothrombin thiab fibrinogen.

Prothrombin

Prothrombin yog ib qho tseem ceeb plasma protein, qhia txog qhov ntshav ntawm coagulation. Nws muaj feem cuam tshuam rau kev tsim cov ntshav txhaws thiab ua ntej muaj thrombin, uas yog ib hom protein los txhawb cov ntshav txhaws.

Prothrombin yog tsim tawm nrog cov vitamin K hauv lub siab. Siv qhov ntsuas ntawm prothrombin index, koj tuaj yeem soj ntsuam kev ua haujlwm ntawm daim siab thiab lub plab zom mov.

Thaum kev txheeb xyuas, cov ntsuas hauv qab no tau txais:

  • Lub sijhawm Prothrombin yog ib qho kev taw qhia uas ua cim ntawm tus nqi ntawm cov ntshav coagulation, qhia tau tseeb tias cov neeg kawm ntawv ntau npaum li cas ntawm prothrombin hauv cov ntshav. Qhov tshwm sim tau qhia nyob hauv vib nas this. Norm 9-13 sec;
  • Prothrombin raws li Kev Ceev yog ib qho cim kev ua haujlwm ntawm prothrombin, qhia raws li feem pua, tau tsim siv ntsuas ntsuas ntawm lub sijhawm ntsuas prothrombin hauv cov kev daws ntshav ib txwm muaj. Cov qauv, nyob ntawm cov khoom siv coj los siv, yog 77-120% .;
  • Prothrombin Performance index - yog txiav txim siab los ntawm tus piv ntawm prothrombin lub sijhawm, tus yam ntxwv ntawm tus neeg noj qab haus huv rau lub sijhawm ntawm tus neeg muaj ntshav coagulation tsis zoo. Norm - 80-110%;
  • INR qhov ntsuas yog qhov ntsuas tau siv los ntsuas kev ua haujlwm ntawm kev kho mob nrog cov tshuaj uas yog txhawm rau tiv thaiv cov ntshav txhaws. Hauv cov neeg muaj kev noj qab haus huv, qhov ntsuas yog nyob rau hauv thaj tsam ntawm 80-115%.

Cov txheej txheem kev tshuaj xyuas

Ua ntej noj ntshav rau kev txheeb xyuas, tus kws kho mob yuav tsum paub txog cov tshuaj uas ntshav qab zib coj los siv. Yog tias muaj cov tshuaj uas tuaj yeem cuam tshuam ntawm txoj kev tshawb no, lawv tau raug muab tso tseg ib ntus.

Txhawm rau tshawb fawb, koj tsis tas yuav ua raws li kev noj haus tshwj xeeb lossis ua raws kev noj haus (tshwj tsis yog kev noj zaub mov thiab kev tswj hwm ntshav qab zib).

Ntshav ntshav tau nqa tawm ntawm txoj hlab ntshav ntawm caj npab, tom qab ntawd qhov chaw txhaj tshuaj yog nias nrog pob paj rwb kom txog thaum ntshav tsis nres. Yog tias qhov bruise tau tsim ntawm qhov chaw hno, qhov txheej txheem ua kom sov yog tshuaj.

Kev hloov pauv los ntawm cov cai

Qhov nce ntawm lub sij hawm prothrombin (ntau dua 13 vib nas this) qhia tau tias muaj peev xwm ntawm thrombophilia vim muaj ntau tshaj ntawm cov vitamin K (nyeem ntxiv txog cov vitamins-soluble vitamins, uas suav nrog vitamin K hauv tsab xov xwm no). Hauv cov neeg muaj ntshav qab zib, qhov nruab nrab yog siab dhau lawm, yog li nws yog ib qho tseem ceeb rau kev soj ntsuam ib ntus los txiav txim qhov sib txawv ntawm kev sib txawv.

Tus nqi ntawm prothrombin lub sijhawm sib txawv los ntawm tus qauv rau ib sab me (tsawg dua 9 vib nas this) tej zaum yuav los ntawm kev txo qis hauv cov ntshav coagulability, qhia tias tsis muaj cov vitamin K lossis kev tsis txaus ntawm cov vitamins hauv txoj hnyuv vim los ntawm dysbiosis thiab enterocolitis.

Ib tug xov tooj ntawm cov yam tseem ceeb tuaj yeem ua kom tau txais kev soj ntsuam tsis raug rau prothrombin:

  • Siv dej cawv;
  • Kev puas tsuaj los ntawm cov ntshav liab vim kev saib tsis xyuas ntawm lub raj tshuaj tua kab nrog cov khoom siv;
  • Kev ntsuas ntshav rau ntawm capillary.

Fibrinogen

Fibrinogen yog protein uas qhia txog qib ntshav viscosity, tawm hauv lub siab thiab koom nrog kev tsim cov ntshav txhaws.

Tus nqi ntawm fibrinogen hauv lub cev noj qab haus huv yog 2-4 grams tauj ib liter ntawm cov ntshav.

Cov txheej txheem tshuaj xyuas thiab txawv txav

Qhov yuav tsum tau ua rau hno tuaj hnia yog tib yam li thaum coj mus ntsuas rau prothrombin. Ib qho mob tseem ceeb - kev thauj mus los ntawm ntshav mus rau qhov chaw kuaj yuav tsum nqa tawm ntawm qhov kub ntawm +2 ̊С txog +8 ̊С.

  • Kev nce ntxiv ntawm cov tshuaj fibrinogen tuaj yeem ua qhia cov kab mob hauv lub raum, kab mob kis, mob qog, thiab myocardial infarction.
  • Qhov txo qis yog vim muaj kab mob siab, mob qog ntshav, mob khees xawj, mob hlwb pob txha.

Nquag tau npaum li cas?

Cov ntshav pub rau kev txiav txim siab ntawm coagulability thiab viscosity yuav tsum tau nqa tawm tsawg kawg ib zaug txhua rau lub hlis, thiab thaum sau tshuaj, nws txo cov coagulation ib hlis ib zaug kom txog thaum cov txiaj ntsig zoo tiav.

Nws yog ib qho tseem ceeb rau cov neeg muaj ntshav qab zib kom tsis tseg ntshav pub dawb rau prothrombin thiab fibrinogen. Tus mob ntshav qab zib, vim yog lawv cov ntshav qab zib cov ntsiab lus, yog ob npaug ntawm kev pheej hmoo ntawm cov ntshav txhaws vim qhov ntau ntawm cov protein ua lub luag haujlwm rau platelet liquefaction.

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