Ukuhlaziywa kwe-INR. Ukujwayelekile komsebenzi wesistimu yegazi

Izinguquko kwimvelo yangaphandle manje ziholela ekushintsheni ekusebenzeni kwezitho nezinhlelo zomzimba womuntu. Ngisho ne-homeostasis kulokhu akulondolozi ngaso sonke isikhathi. Izinguquko ezibalulekile ziholela ekuphazanyeni kwamakhono okuguquguquka omzimba womuntu kanye nokuthuthukiswa kwesimo somzimba. Enye yezinhlelo ezibucayi kakhulu ekushintsheni okunjalo yi-system coagulation system.

I-International Normalized Ratio (MNO) isilinganiso se-clotting yegazi. I-INR njengokuhlolwa kwegazi kwenziwa ngaphansi kwezimo ezihlukahlukene.

Ukutadisha okunjalo, okokuqala, kuboniswa kubantu abanezinkinga ohlelweni lwegazi lokugcoba, kanye nalapho bebalelwa khona. Ngaphezu kwalokho, i-INR ihlaziywa, okuyinto evamile ngayo isibonakaliso sokusebenza kahle kwalesi simiso, nokuqapha isimo sesiguli ngesikhathi nangemva kokwelashwa. Odokotela batusa ukuhlaziya okunjalo kubo bonke abantu okungenani kanye ngonyaka (phakathi nokuhlolwa kokuvimbela).

Isiguli esithola imithi ye-anticoagulant sidinga ukuhlolwa kwegazi (MNO). Isimiso, esitholakale ngemva kokucwaninga, sibonisa ukusebenza kwezinyathelo zokwelapha. Kumele futhi kuqaphele ukuthi ukusebenza kokuhlaziya kufanele kwenziwe ngokuqhubekayo (njalo). Njengamanje, ukuthola ukuthi kutholakale ukuthi kuyanele ukusebenzisa idivayisi ephathekayo ephathekayo evumela ukuthi ubeke isampula i-MNO (umkhuba wezinga lomsebenzi we-coagulation) ngaphandle kokushiya ekhaya. Amathrekhi wokuhlola asetshenziselwa isimboli esisodwa esivumela ukuthi sinqume inkomba ngezinga eliphakeme lokunemba. Ihlazi legazi libekwa emgqeni wokuhlola we-coagulometer, futhi umphumela ngeke ube yisikhathi eside. Ngempela imizuzwana embalwa izoboniswa esikrinini somhloli.

Ezibhedlela nase laboratories zezinyunithi zokuxilonga, lezi zivivinyo ezilandelayo zisetshenziselwa ukunquma ama-INR namuhla:

- test coagulation;

- ukuzimisela kwesikhathi se-prothrombin.

Ngokungafani nezinsuku zakudala, odokotela namuhla bayazi cishe zonke izici ezithinta izinga le-blood coagulation system yomuntu. Ngakho inkomba "INR evamile" ingashintsha ngaphansi kwethonya lokuguquka kwesimo sezulu, ukudla nezinye izinguquko emzimbeni jikelele jikelele. Ukwengeza, izinga lokuqhaqha kwegazi lithintwa yizinguquko eziningana ku-vitamin K.

Kungani kubalulekile ukuqapha njalo ukubaluleka kwe-INR?

Umkhuba wemingcele ye-blood coagulation system iyashintsha. Ihlukahluka kuye ngokuthi ubudala nezinye izici. Ukulawulwa kwe-INR kuyadingeka, ngoba ngenxa yokudla ukudla okunokuqukethwe okuphezulu kwe-potassium, izinguquko eziphawulekayo emsebenzini we-coagulation izici kungenzeka.

Ukubheka ngokukhethekile ngesikhathi sokulungisa uhlelo lwe-coagulation yokwelashwa kumele kunikezwe ukusetshenziswa kwezinye izidakamizwa, ngoba ukuxhumana kwabo cishe kungalindelekile. Yingakho kubalulekile ukuxhumanisa izenzo zakho nodokotela wakho ophethe (qiniseka ukuthi uyomtshela ngesifiso sokusebenzisa umkhiqizo othile wezokwelapha ekwelapheni kwesifo). Ukwazi ngokusebenzisana kwezidakamizwa, ochwepheshe abanekhono uzonikeza yonke imiyalelo edingekayo yokwenza ukwelashwa okusebenzayo.

Ukufingqa konke okushiwo ngenhla, kubalulekile ukuphawula ukubaluleka kwesistimu yegazi ehlanganisayo kanye nezinguquko kuyo. Amathuba okubeka amasampuli akhethekile (kufaka phakathi ukusebenzisa imishini yamanje yedwa) yenza kube lula ukubeka izinguquko ekugcineni. Futhi, njengoba wazi, ukuxilongwa okusheshayo nokufaneleka kwenza kube lula ukuphatha ngendlela yokwelapha ezinyathelweni zokuqala zezifo ezinokusebenza kahle kakhulu.