APTT: zvaigara. APTT panguva pamuviri: ndozvakajairwa

Zvarinomirira aPTT kusashanda kukwana thromboplastin nguva. Izvi zvinoreva kudzidza ropa coagulation maitiro uye zvinoratidza zvemukati uye vanhuwo coagulation gwara, t. E. Inguva zvinodiwa paumbwe ropa clot. bvunzo Ichi chikamu kudzidza rinonzi coagulation iri zvakazara ichitsvaka pakugwamba hurongwa.

A bvunzo ropa APTT: wokuyera

Kudzidza uku akatara nguva inodiwa kuti clot inotungamirwa. Kudzidza ropa riri APTT mwero hwakanaka munhu ari pakati 25 uye 40 seconds. Kana ndine zvimwe coagulation parameters (prothrombin INR, fibrinogen, uye zvichingodaro. P.), The parameter APTT zvikuru zvaanoita pauri. Norma ropa aPTT vakadzi vane pamuviri iri 17-20 seconds.

Sei pamuviri vakadzi ushandiswe kudzidza pamusoro aPTT?

Panguva pamuviri muviri mumwe mukadzi kaviri dungwerungwe vasiri kuchinja. Izvi zvinoshandawo kweropa. The ropa mukadzi pamuviri kazhinji hunowedzera batana. The chikonzero kugadza kudzidza coagulation vari kuchinja mukuru kuongorora ropa, riri pamusoro yokunyoresa pamuviri mukadzi maoko pamusoro nguva dzose.

Kana CBC akaratidza kuwedzera Counts, ichi zvingaratidza thickening ropa, uye pane chikonzero kugadza coagulation, izvo zvinosanganisira Kuongorora APTT. Ndozvakajairwa kuti chakarurama ichi kuvakadzi vane mimba siyanei uye ndiyo 17-20 pamwe. Izvi imhaka zvishoma nezvishoma zvibereko fibrinogen panguva pamuviri, panguva pakukurukura inosvika 6 g / L, nepo mune vanhu utano anowanzoita nayo anoda kubva 2.0 kusvika 4.0 g / l.

Mumuviri yomukadzi pamuviri, vamwe pezvakaitwa havasi kushingaira, rinoshanda hemostasis. Izvi zvinoitika, asi nokutsauka kubva ndozvakajairwa chichiri kuitika. Kuti tidzivise zvakaipa kuti mwana namai, gadzai coagulation.

Imhandoi tsvakurudzo vanobatanidzwa mune coagulation?

tsvakurudzo coagulogram angava zvinokosha uye kukura. Muongororo yekutanga kudzidza zvaisanganisira zvinotevera parameters:

1. Prothrombin (PTI - prothrombin indekisi).
2. INR (International normalized reshiyo, kureva. E. Standard dzokuziva kweropa).
3. APTT.
4. Fibrinogen.

mamwe parameters anogona kupiwa sezvo zvakafanira:

• Protein C - pamwe kwokushaya yake mikana thrombosis.
• Antithrombin - zvinoreva protivosvertyvaniya hurongwa, uye wayo kushaikwa kungakonzera thrombosis.
• D-dimer - ukasunungurwa kuparadzwa ropa clot. It zvakawedzera uwandu pfungwa kuti paumbwe ropa clots zviri muropa.
• Lupus anticoagulant.
• ABP (kusashanda calcification nguva).
• yeplasma recalcification nguva.
• Kubvumirawo zvimwe yeplasma kuti heparin.
• SFMC (soluble fibrin monomer zvivako).

Ko zviratidzo koaugologrammy?

APTT indekisi pamuviri (zvakajairika 17-20 chik.), Fibrinogen, uye dzimwe parameters, kunyanya okupedzisira mumatanho, muri zvikuru nokuda kudzivirira yematambudziko. Saka, kuwedzera PTI (prothrombin) kupfuura 150% angava anoratidza placental abruption. Izvi zvine ngozi kwazvo upenyu vakawanda mai nezveramangwana uye wake mwana.

D-dimer vanofanira kazhinji kuva zvinopfuura 248 kumar / Rine mamiririta. Izvi zviri vanhu utano. Panguva pamuviri, izvozvo anowedzera unongotaura. Pakazopera pamuviri kungava kupfuura kutanga kukosha 3-4. Izvi zvinoitika. Kuwedzera D-dimer anopfuura 4 nguva yepakutanga ukoshi zvingaratidza kwakakomba zvokurwara - gestosis, uye ndizvo zvakaitawo vakadzi nepamuviri zvakakomba chirwere cheshuga kana renal zvirwere.

Mumwe zvakawanda zvinokonzera nokupfupfudzika uye kupfupfudzika siyana izwi iri APS (antiphospholipid chirwere), iyo inozivikanwa nokuva paumbwe arterial uye venous thromboses. Nokuti Kugadzirwa antibodies dzakadaro kuona chirwere rokunze goko membranes (phospholipids), uyewo zviratidzo zviri fibrinogen, D-dimer, prothrombin, APTT. In pamuviri, mwero wavo akasiyana kwomuzvarirwo tsika vanhu utano.

Sei panguva pamuviri kusashanda homeostasis hurongwa?

The kukonzera activation ichi ndeinotevera:

• Panguva pamuviri, asi mahormone kushandura muviri.
• Rimwezve anotengeswa - uteroplacental.
• muviri A mukadzi ari kugadzirira zvisingadzivisiki nokurasikirwa neropa panguva basa.

Gobvu ropa - zvokuita?

Kana panguva pamuviri zvidzidzo zvinoratidza kuti ropa riri makobvu, chete musavhunduka. Ungangove, chiremba vanonyorera munhu kwokururamisa kudya. Chokutanga, kubva kudya kubvisa zvose munyu uye wakawanda zvokudya (Sausages, aisvuta nyama, mufushwa uye zvichingodaro. Nezvimwewo). From mafuta zvokudya uye anofanira kusiyiwa. Asi, udye zvakawanda miriwo, michero uye kumuromo Red uye orenji. Ivo nemamwe akapfuma vhitamini C, rinogona dzakaonda ropa.

Zvinobatsira zvinosanganisira zvinotevera zvekudya zvokudya:

• michero (mahabhurosi, dema uye tsvuku currants, mulberries, plums, mastrawberry, cranberries, gungwa buckthorn, Viburnum), asi ngwarira nokushandiswa razibheri uye Viburnum - michero izvi akawanda kuvakadzi vane mimba havagoni kudya;
• Citrus (tangerines, maranjisi, madota, ndimu, bhuratifuru);
• magirinedhi;
• apricots;
• chihenge;
• beets;
• madomasi;
• hanyanisi negariki;
• Birch muto;
• chocolate koko;
• mafuta muriwo (rapeseed, muorivhi, linseed);
• zvinonhuwira panzvimbo munyu (turmeric, Mutakura, oregano, chili, fennel, cayenne mhiripiri, Ginger, thyme, sinamoni).

Products anogona thicken ropa, anofanira kudziviswa. Izvi zvinosanganisira mabhanana, mbatatisi, Buckwheat, zvose carbonated kunwa uye doro.

Unofanira kunwa kanenge 1.5 litres mvura pazuva. Asi mvura inofanira mumwoyo pasina gasi.

DIC

Mumwe yematambudziko zvikuru ngozi obstetric tsika anonzi DIC (desseminirovannoe intravascular coagulation). Panguva kutanga kwekupwanyiwa, saka pane hypercoagulation (wakawedzera coagulation), iro zvino kunoteverwa anticoagulation (kuderera pakugwamba kugona), iyo inosvitsa kurasikirwa ropa muhombe uye upenyu pangozi. DIC kazhinji inova unmanageable kuti, uye zvino zvinogona kutungamirira kurufu mukadzi uye mwana wake.

Kuti tidzivise mamiriro ezvinhu akadaro, riri basa kudzidza coagulation pamwe kwairayirwa Kutsunga fibrinogen, PTI, aPTT, inova ndozvakajairwa panguva yepamuviri - 17-20 seconds. Kazhinji, yakadaro, kana nhoroondo kusina matambudziko dzokutambura pamuviri, vakagadzwa neimwe trimester. Zvidzidzo zvakadai kuti unscheduled muzviitiko apo:

• Kupfuura mumwe rapfuura nhumbu yakaguma zvinoguma nokupfupfudzika.
• Pane zviratidzo preeclampsia - kuvapo mapuroteni iri weti, kuzvimba wamativi, chirwere cheBP.
• Isa zvinoguma nokupfupfudzika kutyisidzira, akadai hypertonicity yacho dumbu.

Sei bvunzo kuti coagulation ropa?

Blood kudzidza rendi kubva tsinga mukurapa mukamuri mangwanani usina chawadya. Pregnant kuzviita antenatal kiriniki. For yakavimbika waivako zvakafanira kuchengeta zvinhu shoma nyore:

• Wokupedzisira kudya inofanira kuva maawa dzinenge 10-12 pamberi hurukuro yacho kuongorora.
• Musawana zvinodhaka pamberi ropa kuzozvidzorerwa. Kana murwere kutora zvinodhaka kukanganisa coagulation hurongwa, chinofanira raanotaura nenzira.
• Hazvina varumbidzwa kunwa asati vachiisa ropa kofi, tii, zvinwiwa uye kunyange zvakawanda doro. Chete akabvumira kunwa girazi remvura yokunwa yakachena.
• Emotional mamiriro anogona kukanganisa mugumisiro, saka ndiko maminitsi mashoma kuti vagare pamberi mumba uye kudzikama.
• Muscle overexertion anogona kukanganisa migumisiro pachisara saka asati ropa kuzozvidzorerwa naEvha havana varumbidzwa kushanyira gyms uye kuita rinorema remaoko.

Nokuti zvinyorwa mwero APTT vakadzi nevarume 25 kusvika 40 seconds. By chechikadzi zvakasiyana, asi panguva yepamuviri zviri zvishoma shoma. Kududzirwa muongororo zvabuda rinoitwa chete unyanzvi.

zvikuru sei?

Vakadzi vane pamuviri vari antenatal makiriniki kudzidza ichi kunowanzoitwa for free, pasi Kuwanikwa ndokutsika zvivabatsire kubva chiremba. vamwe vanhu vose, kana kutsvakwa, anogona kupfuura kudzidza kubhadhara kwakadaro. Nevazukuru coagulogram inenge 3,500 rubles. The inokosha parameters zvishoma anodhura - kubva 700 kusvika 1300 rubles.

Ko aPTT pazasi chakaipa?

Mune imwe ongororo coagulation huru parameters ndicho chinoratidza APTT. Norm zviri kubva 25 kusvika 40 seconds. Yeuka parameter ino inoratidza nguva zvinotora kupedza pakugwamba kweropa uye paumbwe ropa clot. Kana chakarurama iri pazasi mumasekonzi 25, kuti chokwadi zvingaratidza kuva thickening ropa uye mukana thrombosis. Pregnant nokuti APTT chakarurama mwero iri kubva 17 kusvika 20 seconds. Kazhinji, marapirwo ari munguva yepamuviri uye haatarisiri kuzvidzora mirangariro pashure pakukurukura. Kunze akawanda ropa anogona thicken gadziriro simbi, izvo kazhinji vanotumirwa pamuviri panguva yakaderera kwazvo hemoglobin.

Ko kuwedzera aPTT?

Chakarurama aPTT kupfuura dzose zvingaratidza kuvapo munhu zvirwere zvakadai hemophilia, zvikuru chiropa zvirwere zvakadai cirrhosis, kana pamusoro kushaya vhitamini K. Uyezve, kuwedzera parameter iyi kuchengetwa zvinotevera nyaya:

• Nokusava kweropa zvinhu.
• In vairapwa ane mwoyo murefu anticoagulants akadai "heparin" kana "warfarin".
• In nhaka ropa pathologies akadai of Willebrand chirwere.
• Kana DIC.

Kwakadaro kudzidza coagulation ino, sezvo coagulation, zvinobatsira kwete chete vakadzi nepamuviri, asi kuti vanhu vose. Mune chiitiko chipi yakatsauka kubva ndozvakajairwa vanofanira kuona chiremba.