Coagulation: ka kūmau a me ka haiahū kūmau

Coagulation o ke koko a me hemostasiogram, i ke ano o ke koko ho'āʻo ua lawelawe 'ia e noiʻi i kona clotting. Kēia Ka Ikepili Ua häʻawi mai ma ka hihia o ka hana, i pili i ke koko poho, e like me ka pono me no nä anomalies clotting like hoemiia a māhuahua, a hiki i maʻi likeʻole, e like me thromboses, naʻau ho'āhewa wale paha hahau ana.

Coagulation, pinepine i transcript hooku iho la ia ia ma kūikawā papa hōʻike no ka circulatory'ōnaehana a me kona Ikepili ma hemostasis, e leie aku e hooholo paewaewa ma ka wai koko.

Penei, hemostasiogram - i ka pono noiʻi ma ka hāpai keiki, ma mua o nā hana likeʻole i loko o ka postoperative au, me ka varicose aa koko, autoimmune maʻi, a me nā maʻi o ke akepaʻa.

Ka hana e paʻa malama i ka waiʻona, a ma ka mea ia manawa, e hana, a e hoʻopau clots, ina he pono, nae ka hemostatic'ōnaehana i loko o ke kino. Kekahi kahe ana ke koko kāna hana ke alakai i ka hoʻoponopono ulia pōpilikia 'hopena.

Hemostasis mea kekahi aʻe, a i paa ma ka keʻena hoʻokolohua haʻawina. No laila, i loko o iniiaiie hemostasis hiki ke nānā ': ka platelet helu, lōʻihi like' ole o ke kahe ana ke koko, platelet aggregation a me ka mea pīlali, ka naoh o ke koko clot i loko o ka 'ē aʻe nā hoailona. I ka haumāna hemostasis ho oholo i ka lōʻihi like 'ole o ke koko coagulation, ili n, APTT, fibrinogen nui, a no laila, ma luna o.

No laila, i hāpai keiki coagulation (physiological kūmau) hōʻike māhuahua koko clotting, a e ole e ka piliʻaneʻi.

E noʻonoʻo iā mākou i loko o nui au mamuli mea ua manaoia e e maʻamau kiko'î i loko o kēia mahele.

1. Ka lōʻihi like 'ole o ke kahe ana ke koko. Maʻamau, i ke kahe ana ke koko aɃe i loko o ke kolu o ka minuke ma hope o ka puncture. Mahuahua i kēia wā e hōʻike wikamina deficiency, hookuu iho platelet helu.

2. Platelet aggregation a me ka mea pīlali. Coagulation (kūmau) - mea pīlali - mai i ka 50% a me ka aggregation - 20%. I ka mahuahua ana i loko o kēia mau nā hoailona e kuhikuhi i ke kūpono 'ana o ke atherosclerosis, thrombosis, mimikō, a me ka naau hoouka.

3. E ka retraction o ke koko clot. Maʻamau retraction holo 'awelika ka ÷ kanaha-ewalu i kanaono-eha pakeneka.

4. E ka lōʻihi like 'ole o ke koko coagulation. Coagulation (kūmau) no ka venous koko - mai ka elima a hiki i ka umi minuke no capillary koko - mai kanakolu kekona i elima minuke.

Mahuahua ka manawa nā mōlina o kaʻikepili e hōʻike i ke alo i loko o ke koko anticoagulant a me ka hooulu ana o ke akepaʻa maʻi a hemophilia. manawa ka ho'ēmiʻana hiki ke malama i ka loa kahe ana ke koko.

5. PB (naiboleee nui kuka nei lakou i coagulogram). Hiki e hooponoponoia ia mea, ma luna o ke kumu o keia Ka Ikepili, gastrointestinal maʻi a me ka akepaʻa. Coagulation (maʻamau) ili n - mai ka ekolu a hiki i hoʻokahi haneri a me kanaiwa-ʻehiku hapa haneri, oiai ka prothrombin manawa - mai ka umikumamakahi a hiki i umikumamalima kekona. I ka mahuahua ana i loko o kēia mau nā hoailona e kuhikuhi i ke kūpono 'ana o ke thrombosis, akā, i loko o kekahi hihia ia mea hōʻike no ka hiki aku o contraceptives.

6. fibrinogen. Maʻamau, ua huahelu loli aʻe mai ka elua a hiki i eha nā huna / hano. Kona loli paipai pneumonia, li nui, hahauʻana,'ā, hepatitis, cirrhosis, naau, a no laila, ma luna o.

7. APTT. Maʻamau, ua huahelu equates i kanakolu a kanaha kekona. It E e hoʻomaopopo i ka ka ho'ēmiʻana o ka anakahi o ke koko clotting i hookahi kanaha pakeneka o ka APTT pae E oko a. Eia naʻe, no ka mea oko a ana o kēia 'inideka ke hōʻike i ka hooulu ana o ke akepaa maʻi, hemophilia a me nā maʻi.

Pela, ke coagulation kaʻina mea he ekolu interconnected reactions: kūloko ma, a mawaho koko clotting, e like me ka huli ana o ka fibrinogen i ka fibrin.