Ka Ikepili ma ka ili n: kūmau. Ili n: maʻamau wahine

Prothrombin inideka (ili n) - o kekahi o ka mea nui wale keʻena hoʻokolohua ho'āʻo ma, i characterizes ka moku'āina o ka coagulation nenoaiu. Ua Ua hoike like me ka pakeneka. Aʻano o nā kūlana ia Ka Ikepili ili n. Norma ola kanaka mea 95-105%.

Ke koko clotting ua lawe mai i loko o nā wahi - kūʻiʻoo a me ka extrinsic mau alahele. Ka waiwai o IPT Hōʻike 'like ka extrinsic alahele o coagulation.

He aha ka prothrombin?

I ka ho okumu ana o ke koko clots a me clots i wahi ma lalo o ka aoao o ka ua kumuʻiʻo - thrombin, i mea ma lalo o ka aoao o kekahi biochemical keʻano o ka hanaʻana hoohuliia mai prothrombin. Ke'ī mai, i ka lua o ka kumuʻiʻo mea prothrombin clotting ololi. Ua ua hua mai la ia me ka komo o ka wikamina K ma ke akepaʻa.

Prothrombin inideka (no ka SWIR) e ho oholo i ka ha awina o prothrombin. Kēia hōʻike he pōpilikia like me ka pakeneka o nā hoailona o ka hoomanawanui ka koko wai koko i ka hooponopono ana hāpana. No ka hooponopono ana o ka mea coagulation'ōnaehana ua ia ke koko ho'āʻo ma ka ili n. Ke kūmau i loko o kekahi keʻena hoʻokolohua e oko kānaka, akā, i kēia mau oko ao e ole nui. Ka mea, hilinaʻi ma luna o nā Nine Inch i hoʻohana 'ia ma ke keʻena hoʻokolohua. Ma lalo o kekahi rula, e like me varicose aa koko, naau ho'āhewa wale 'ole ma hope ana ma luna o ka naʻau kumu no nā mea maʻi nānā' ia e ke kauka, me i loko o kēia mau hihia ia mea e pono e hoʻokō i kekahi koko anticoagulation (hoemi kona clotting). Keia ua hana no ka Kāohiʻana o ka thrombosis.

ʻO wai ka mea i hoonoho ia e ke Ka Ikepili ma luna o ili n?

I hookuu i ka like ana o ka uku o IPT i loko o nā wāhine o ka ia me na kanaka. Kēia huahelu hoʻololi wale nō i hāpai keiki, a ma laila nō i ka helu o nā kumu, a mākou e kūkākūkā hope. Ma kekahi mau hihia, koko kemika hoonoho ili n? Ke kūmau o ke ao, no ka laʻana, ka wā lawe anticoagulants i e haʻahaʻa ma mua o nā manawaʻelua. E hoomanawanui i lawe i kēia mau ai 'e e ua hoʻonānā mau a me INR ili n. Research ma ka ili n pono lawe mai i loko o ka kēia mau wahi, i hiki:

• Ma mua o kekahi hana.
• People loaa anticoagulant ka lapaʻauʻia, e pale aku i ke koko clots.
• Women i hāpai keiki.
• People loaa mai na maʻi mai o ka coagulation'ōnaehana, e like me varicose aa koko.
• Ma autoimmune kāna hana.
• I atherosclerosis a me ka naau maʻi.
• I ka akepaa pathologies, e like me cirrhosis.
• At deficiency o ka wikamina K.
• Ma antiphospholipid maʻi pale.
• No ka loiloi 'ho'āʻo ma o ka coagulation.

Ma hāpai keiki, eʻoiaʻiʻo, e hele i ka hoao no ka ili n. Ke kūmau i ka wahine hāpai keiki i mea iki oi aku ia o nā ola kanaka. O ke kumu ho i ka loli ma hormonal pae a me ka muli o nā utero-placental holo.

IPT i hāpai keiki: ka kūmau

Ma hāpai keiki, e koi 'ia nā wāhine, e koho i kekahi mahele coagulation. It nā:

1. Ili n (prothrombin inideka).
2. INR (hoʻonohonoho 'normalized lākiō).
3. APTT (ho'ā 'hapa thromboplastin manawa).
4. Fibrinogen.

Pau kēia mau mea kiko'î a pau loa nui. Penei, he mahuahua o IPT ma na kahua o ka hoʻonaʻauao hope o ka hāpai keiki i ka 150% a oi aku paha ka hōʻike 'ana i ka pilikia o placental abruption. A me ka emi ana ma keia anakahi mua haawi ma lalo 80% aia no he pilikia o ke kahe ana ke koko i hānau ai i loko o ka postpartum au. Pela ia mea pakahi aku la ia nui, e ninaninau coagulation'ōnaehana ma ka hope o ka hāpai keiki. E hana i kēia, kekahi i ka ili n hoao. Ke kūmau o keia 'inideka i hāpai keiki papa koa mai ka 90 a hiki i 120%.

He aha e hana ana i ka mea ulu i loko o ka PB?

No laila, ua loaʻa i ka hanaʻia naʻe o ke koko maoli ka waiwai o IPT. Ke kūmau no kēia 'inideka i ola kanaka papa koa mai ka 95 a hiki i 105%. Ke mahuahua ma ka prothrombin inideka e hōʻike i ka pilikia o ka ulu maʻi e like me:

• Myocardial infarction.
• Thromboembolism.
• Polycythemia.
• Oncological maʻi.
• Poe o ke keiki i loko o hapai wahine.

He aha ke ano o ka haahaa nui o ka ili n?

Ma na hihia e loaa ana anticoagulants ili n pae hiki e ia i 45-40%. Me ka make māinoino o ke koko clots mahele lāʻau o kēia mau ai 'ka pāʻana kauka. Ma hope o mahuahua paha hoemi i ka mahele lāʻau koi 'ia e haawi aku i Ka Ikepili IPT. Ka uku no kēia nā mea maʻi me ka nānā 'ana i ka hele kauka. Inā ka prothrombin inideka ua hoʻemi i loko o nā mea maʻi loaa anticoagulants, keia e hoike, no ka laʻana, wikamina K deficiency, loa ake maʻi a gastrointestinal'āpana me ka a pau, a me ka hapai wahine ma mua o ka hānau - e pili ana i ka pilikia o ke kahe ana ke koko i ka hana.

He aha ka INR?

Kēia huahelu o ka hae no ka hoomaopopo ana i ke koko clotting. INR reacts i ka ha awina o kekahi koko nā polokina, a nō ka clotting kumumea. Oia nā polokina e hua mai ma ke akepaʻa pili i wikamina K. kēia mau coagulation kumumea pane i ka lapaʻauʻia - anticoagulants, e laʻa me, "Dabigatran" "warfarin" a me kā lākou mau analogs. Ma keia ha i, hypocoagulation, a laila Koko clotting mea nui ke kua'āina. No kekahi nā mea maʻi, ia mea e pōʻino, nui ka poe i pio, e lawe anticoagulants no ke ola.

Ka Ikepili ili n koko. INR: kūmau

Ma coagulogram, koe wale no ka Ka Ikepili o IPT, a me nā aʻe e nui. I ka lawelawe i nā mea maʻi anticoagulants IPT ua hoʻemi. Akā, i ka Ikepili o ka uku o IPT i loko o kēlā me kēia keʻena hoʻokolohua e oko a kānaka, no laila, ua wahahee ana hōʻike ho'āʻo - INR. Kauka hana ia i ka mana i ke koko coagulation'ōnaehana ka wā lawe anticoagulants nā mea maʻi. Pela, i loko o kēia mau hihia ua häʻawi mai a ka INR me nā hoailona e like me ke koko hoao no ka ili n. Normal INR i ola kanaka, he 0,8 ia 1,2. I ka loaa ana i ka hoemi anticoagulant clotting ia lŘlŘ hypocoagulation, a hiki e mahuahua INR 2-3 manawa ke kūmau, e like me ka naʻau oʻoki kino paha varicose aa koko, e pale aku i ke kahua o ka thrombi. Inā i ke koko i ka pūhaka, e mahuahua coagulability, a pela INR Index emi.

Hypocoagulation. Ma kekahi wahi, i hiki ia ua pono ai?

I ka uku o IPT mea o loko papa koa mai ka 95 a hiki i 100% a me ka INR o 0,8 e 1,2. Hoʻomanaʻo aʻela nō, i kēia mau rula e ia i loko o loa ola kanaka. Akā, he mau wahi, i hiki i ka wa a ka INR mea nui e malama i ka kiʻekiʻe kii, niioaaonoaaiii, ili n nā hoailona pela e lalo maʻamau, 'o ia hoʻi, ka mea, e ia i ka moku'āina o anticoagulation. Oia ka moku'āina ua hoʻokō 'ana aku lawe anticoagulants. Ka mahele lāʻau hiki ke nānā 'wale ma ke kauka. E hoomanawanui i mau loaa na lapaau mau e lawe i kekahi koko ho'āʻo no ka INR.

• Ma ka hihia o atrial fibrillation INR Hawaiʻi pono e mālama 'ia ma ka laulā 2.0-3.0.
• Kaumaha moku'āina - PE (pulmonary embolism) - i pono ka malama ana INR pae loko o 2.0-3.0.
• Ma hope o ka naauʻoki kino pono anticoagulation, oiai i loko o ka hihia o aortic kiwikā INR helu pono e mālama 'ia i loko o ka laulā kupono o 2.0-3.0, a ma prosthetic mitral kiwikā - i ka pae ana o 2.5-3.5.
• Ma kekahi mā, naau kiwikā (mitral ole aortic kina), a me ka Kāohiʻana o thromboembolic kiʻekiʻe o kēia 'inideka e ia i loko o 2.0-3.0.
• Ma ka iapaau ana o venous thrombosis INR nui pono hoʻopili like i 2.0-3.0.

Ma ka hoemi holo 'awelika ma lalo o ka ana palena INR hoonui i ka mahele lāʻau "Warfarin" a me kona analogues. Keia ua hana ma lalo o 'inikua hooponopono a me ka keʻena hoʻokolohua ikea ai wale. Akā, i ke ala ma ka anticoagulation (mahuahua INR) ma luna o ka lumi papa ana ke kūlana maikaʻiʻole i ke ola o nā mea maʻi. Ka mea, Ua pilikia loa kuhikuhi likeʻole kahe ana ke koko. Ka mea, hiki e na (uterine,'ōpū a me intracavitary) a me ka pahale mawaho i kupu mai no kela nā palapū aʻoki. Inā na helu i luna INR ana palena i koho ia no ka hana ana, e hoemiia ka mahele lāʻau o anticoagulants e. Kekahi hoʻomanawanui iki mai i ka mana i ke kiʻekiʻe o ke INR ola.

Pehea e lawe i kekahi koko ho'āʻo no ka INR a me IPT?

Ke koko ma luna o ia mau haʻawina i hana i loko o ka iapaau ana lumi. ua ia Venous koko i loko o ka hōʻike şarkı me ka anticoagulant, he kūlana i mea i hookuu i ka paʻakai citrate. Ka lākiō ma waena o ka hoi ana'ku koko, a me ka anticoagulant ia e 9: 1. Ia hāpana ua hui maikaʻi ma ka hulu i ka Tube e ole clot ho okumu. hoouna koke ae ai i ke keʻena hoʻokolohua koko. Ka Ikepili E paka i mua o nā hola ma hope o ke koko ohi hope. Ole, e hahai mau ana e paha ka nānaina i ka Ka Ikepili. Koko ua ana i hana i ke kakahiaka ma luna o ka ipu'ōpū, akā, i kēia Ka Ikepili hiki ke i ma nā manawa ma cito ina e pono ai, oa urgently.