Igazi ekunqandeni, kuyinsakavukela futhi ngeziphambeko kuwo

Coagulation noma hemostasiogram - ukuhlolwa ukuthi inquma igazi ekunqandeni. Norm isikhathi ukopha lapho lilimele isikhumba - imizuzu 2-3 emva igazi okwakungafanele isitsha igazi. Uma le nkomba baphambukile kwelinye direction thile, udokotela inquma izici ukuhlaziywa ukwephulwa oholele nokungezwani futhi uqoka ukwelashwa kudingekile.

Coagulation iqondiswa ngesikhathi luhlolo ngesikhathi sokukhulelwa, ezimweni okusolakala isifo sesibindi esikhathini preoperative noma nasezinkingeni ezilandela ngemva kokuhlinzwa. Futhi yezifo sokuhlasela kwamasosha omzimba futhi sokugembula igazi ekunqandeni, emithanjeni varicose kanye nesifo semithambo libonisa ekuhlaziyweni igazi coagulation. Norma ekunqandeni incike inani prothrombin egazini.

Ngokuthi prothrombin amaprotheni obhekene igazi ekunqandeni. He is ebalulekile omunye amaprotheni igazi - thrombin. Ngakho-ke, okwenza umsizi ukuhlaziywa laboratory hhayi kuphela ngesikhathi ngqo ibalwa, kodwa futhi amakhemikhali ukwakheka we upende, iphesenti amaprotheni ukuthi ukunquma igazi ekunqandeni. Uthola amazinga igazi prothrombin - 78-142%.

Igazi, elise imithambo yegazi, ngokuvumelana viscosity yayo kanye fluidity sifana amanzi. Lesi isimo main lapho igazi ungakwazi ukwenza umsebenzi walo main - ukuhambisa ngokusebenzisa izitsha, balethe konke okwakudingeka izitho umoya-mpilo, amaphrotheni, amavithamini kanye neminye imikhiqizo ebalulekile. Kodwa ngesikhathi umonakalo odongeni umkhumbi kokuphela yakhe embhedeni wakhe, futhi uma ungena thromboplastin izicubu kuhlanganisa uhlelo enikeza igazi ekunqandeni. Norma thrombin sikhathi, okusho ukuthi, isikhathi ekunqandeni - 11-17,8 s (amasekhondi).

Uma izinga igazi ekunqandeni e isiguli sinqatshiwe Yini embi ngalo yalo, kunobungozi ukopha okusezingeni eliphezulu phakathi nokuhlinzwa noma umonakalo ngephutha, kanye ngesikhathi sokubeletha esikhathini. Ngokuvamile lokhu zokugula kwenzeka nge ngifundise ngesifo sikashukela noma ukwelashwa kwesikhathi eside kanye anticoagulants engesobala.

In amadoda, amacala yesifo azalwa naso ngokuthi hemophilia, okuyinto ngofuzo. Abesifazane musa uhlushwa isifo ezinjalo, kodwa kukhona abathwali hemophilia zofuzo.

Ukubuyisela ekunqandeni iziguli amazinga linqume fibrinolysis inhibitor, coagulants isinyathelo esiqondile eyenziwa ngegazi, vitamin K noma izidakamizwa "Vikasol", protamine sulfate, noma wenze isiguli nge-plasma. Konke lokhu izidakamizwa nezinqubo ukubambezela yonke izinqubo ezisebenzisa kuqedwa amahlule kunqandwe ukopha.

Kodwa uma, kunalokho, isiguli kuye kwanciphisa igazi ekunqandeni isikhathi? Norma ekunqandeni, njengoba sekushiwo, imizuzu 2-3, kanti isiguli iphuma ngokushesha? Ngakho-ke kuhle! Igazi ukulahlekelwa incane kuleli cala, ikuphi-ke inkinga?

It kuvela, nje into lezi ngeziphambeko kukhona eziyingozi kakhulu. Lenyuka ekunqandeni ukusongela nesineke unhlangothi, thrombophlebitis, varicose, hemorrhoids nezinye.

Kungani kukhona anomaly enjalo? Izizathu igazi ekunqandeni kunyuke kakhulu. Ngokwesibonelo, ukulahlekelwa uketshezi lomzimba sohudo kakhulu noma ukuhlanza noma ubuthi noma izifo ezithathelwanayo emathunjini; i-elithé umchamo, okuyinto sici izifo kwezinso, isifo sikashukela noma isifo sikashukela insipidus; lapho uphuza imithi ethile; eshe olunzulu futhi ezinobuthi edema yamaphaphu.

Futhi uphawu ukwanda ekunqandeni singenzeka ngenxa fermentopathia azalwa naso noma bathenga, izifo yisinanakazana, isifo sesibindi, umonakalo endothelial, izifo semithambo, stasis (deceleration ngokunyakaza noma kungekho ekunqanyulweni) e-capillary, ngokuvamile ngenxa ischemia, plethora emithambo yegazi noma izilonda anobuthi igunya. Ngesikhathi ekhulelwe noma ngesikhathi yokwamukela ezinye zokuvimbela inzalo futhi ingathola okhushuliwe igazi coagulation syndrome.

Lesi sifo - esigabeni sokuqala DIC. Ukwelashwa nokuvikelwa amakhambi abantu, lesi sifo cishe defies. Ngokuvamile, iziguli kuyabekwa ukwelashwa eziyinkimbinkimbi nesineke, okumele kulandelwe ngokucophelela.