Ha o le moimana, setsebi sa basali se tla u bolella hore u nke liteko: e tlamehile, eo basali bohle ba moimana ba lokelang ho e sebelisa meleng e itseng, le ho feta - haeba ba e hloka. Ho kopanya nakong ea bokhachane ke e 'ngoe ea liteko tse hlokahalang. E etsa hang ka trimester (ho bonolo ho bua, hang ka likhoeli tse tharo). Empa haeba mosali a ngolisoa ka mor'a beke ea leshome le metso e 'meli ea bokhachane, joale ho tla ba le lithuto tse joalo tse peli: hang ha mosali a ngolisitsoe le pele ho phomolo ea bakhachane - libeke tse 30.
Ho phaella moo, tlhahlobo ea coagulogram nakong ea bokhachane e etsoa ka mor'a phekolo, haeba ho ne ho e-na le maemo a sa tloaelehang ka litekanyetso, le pele o beleha, haeba o tla fuoa karolo ea lijo. Mali a coagulogram nakong ea bokhachane e boetse e nkiloe, ha e le tlhahlobo ea lik'hemik'hale - ho tsoa meleng le ka ntle ho mpa.
Coagulogram ea mali e bontša eng?
Lintlha tse ka sehloohong tsa coagulogram ea motho ea phetseng hantle:
nako ea ho koala - metsotso e 5-10;- nako e tsosolositsoeng e sebelisitsoeng (ATS) - metsotso e 50 - 70;
- nako e entsoeng ka nako ea thromboplastin (APTT) - metsotsoana e 24 ho ea ho e 35;
- prothrombin index - 80 - 120%;
- dikahare tsa fibrinogen - 2 - 4 g / l;
- hanyetsa nako - metsotsoana e 11 - 17.8;
- metsoako e monate ea fibrin-monomer (RNMC) - 4 mg / 100 ml;
- mosebetsi oa fibrinolytic - 183 - 263 metsotso;
- trombotest - V - V degree;
- fibrinogen - 5.9 - 11.7 μmol / l;
- fibrinogen B - e mpe;
- Plasma e mamellanang le heparin - metsotso e 3 - 11;
- nako ea ho tsoa madi Duroku ho fihlela metsotso e 4;
- ho fokolloa ha mali - 44 - 65%;
- nako ea ho khutlisetsoa lero la lero la mali (VPR) ke metsotsoana e 60 ho isa ho 120.
Ke hobane'ng ha u fetola liphello tsa coagulation nakong ea bokhachane?
Lipontšo tsa ho ruruha nakong ea bokhachane li fapane ka tsela e tloaelehileng, hobane 'mele o itokiselitse ho tsoaloa ho tlang, ho fokolloa ke mali nakong ea bona,' me mali a qala ho potoloha ka potlako. Sena se bonoa esita le ka coagulogram e bonolo, ha feela palo ea li-platelet e khethoa - likarolo tsa mali tseo ho tsona ho thehoang setsi sa thrombus (ka tloaelo palo ea sona e tloha ho 150 ho ea ho 400 x 109 / L), nako ea ho koala (metsotso e 5-10 ho ea ka mokhoa), mohopolo fibrinogen le prothrombin index.
Li-blood coagulability li eketsa physiologically, 'me sena se totobetse ha ho khetholla lintlha tse ling:
- fibrinogen - protheine eo ho eona fibrin e entsoeng ka nako ea ho tsoa mali - nakong ea boraro ea boraro ea bokhachane palo ea eona e ntse e hōla ho tloha ho 2 ho ea ho tse 4 ho isa ho 6 g / l;
- lethathamo la prothrombin ho basali ba nang le bakhachane ha lea lokela ho fapana le li-indices tse tloaelehileng: prothrombin - protheine ea lero la mali, eo ho eona ho thehoa thrombin - phaello e phahama haeba ho senyeha ha likhahla pele ho nako ho etsahala.
Ke hobane'ng ha u fana ka coagulogram e telele nakong ea bokhachane?
Li-laboratories tse ling ka nako e le 'ngoe kapa tse fapaneng ho tloha ho tloaelehileng kapa sekhahla ka coagulogram e bonolo coagulogram e atolositsoeng ha bokhachane bo sebelisoa. Empa tataiso bakeng sa coagulogram e khethehileng e etsoa ka lipontšo tse khethehileng: ke bokhachane bo bongata , pele ho boima le ho ima ha nako e telele, gestosis, lefu la fetalase la intrauterine, mafu a lefutso la mali, histori e telele ea ho hloka matla, ho senyeheloa ha maikutlo ka nako e telele.
Nako e entsoeng ka nako ea thromboplastin (APTT) e bonts'a boteng ba lintho tse koalang, ntle le tseo ho ke keng ha khoneha ho theha mali ea mali. Basali ba moimana ba khutsufatsoa ho metsotsoana e 17 ho isa ho e 20 (thrombus e tsoang fibrinogen ka thuso ea bona e thehoa kapele). Lupus anticoagulant ha ea lokela ho ba teng ho basali ba nang le bakhachane, empa e hlaha ka mafu a mabeli le ho qetela ho toxicosis ea bokhachane, boteng ba eona bo lebisa hoketsehong ea APTT. Ho fokotsa nako (metsotso e 11 ho isa ho e 18) ho basali baimana ho eketseha ho fihlela ho 18 - 25 metsotsoana. Lekhetlong lena ke karolo ea ho qetela ea ho khaola mali, ha lisebelisoa tsa fibrin li thehoa ho tloha fibrinogen tlas'a ketso ea thrombin (coagulation factor).
Ke eng e thibelang liphetoho ho coagulogram nakong ea bokhachane?
Haeba likarolo tsa coagulogram li fapane le tse tloaelehileng, joale, pele ho tsohle, re tlameha ho ela hloko lehlakoreng le leng liphetoho tsena li etsahetse: mali a coagulation a eketsehile kapa, ka lehlakoreng le leng, a fokotseha. 'Me u etse hantle ho feta setsebi. Ha e le hantle, ho fokotseha ha matla a coagulation a mali ho ka bakoa ke ho thibela pele ho palo ea placenta le ho bolaoa ha mali: mehloli ea ho kopanya mali e fokolisitsoeng e se e felile mme lefu la intravascular coagulation, le leng kotsi ho 'mè, le ka hlahisa. 'Me keketseho ea ho khaola mali e lebisa mefuteng e fapaneng ea thrombosis.