Thaum koj cev xeeb tub, tus gynecologist yuav qhia koj coj ib pawg ntawm kev ntsuam xyuas: yuav tsum, uas txhua tus poj niam cev xeeb tub yuav tsum tau siv qee qhov kab, thiab ntxiv - yog tias lawv xav tau. Coagulation thaum lub sijhawm cev xeeb tub yog ib qho kev kuaj mob. Ua nws ib zaug hauv ib lub sijhawm me me (nws yooj yim hais, ib zaug txhua peb lub hlis). Tab sis yog tias ib tug poj niam tau sau npe tom qab lub 12th lub lim tiam ntawm cev xeeb tub, ces yuav muaj ob txoj kev kawm xws li: tam sim ntawd thaum tus poj niam sau npe thiab ua ntej pub niam txiv tawm - tom 30 asthiv.
Tsis tas li ntawd, qhov ntsuam xyuas ntawm cov coagulogram thaum cev xeeb tub yog ua tiav tom qab kev kho mob, yog tias muaj kev txawv txav ntawm cov nqi, thiab ua ntej yug me nyuam, yog tias koj yuav raug muab qais ib ce. Cov ntshav ntawm cov coagulogram thaum lub cev xeeb tub kuj raug coj mus, xws li kev ntsuam xyuas cov kabmob biochemical - los ntawm cov leeg thiab ntawm lub plab.
Cov ntshav coagulogram qhia li cas?
Cov cim tseem ceeb ntawm tus neeg muaj mob zoo coagulogram:
khawm lub sijhawm - 5-10 feeb;- pib lub sij hawm rov ua haujlwm dua (ATS) - 50 - 70 seconds;
- ua lub sij hawm pib ua hauj lwm ib nrab thromboplastin (APTT) - 24 mus rau 35 feeb;
- prothrombin Performance index - 80 - 120%;
- cov ntsiab lus ntawm fibrinogen - 2 - 4 g / l;
- lub sijhawm trombin - 11 - 17,8 vib nas this;
- soluble fibrin-monomer complexes (RNMC) - 4 mg / 100 ml;
- kev ua haujlwm fibrinolytic - 183 - 263 feeb;
- trombotest - IV - V degree;
- fibrinogen - 5.9 - 11.7 μmol / l;
- fibrinogen B - tsis zoo;
- ntshav siab kam rau heparin - 3 - 11 feeb;
- duration ntawm ntshav Duroku mus txog 4 feeb;
- retraction ntawm cov ntshav khov - 44 - 65%;
- lub sij hawm ntawm lub plasma recalcification (VPR) yog 60 - 120 vib nas this.
Vim li cas hloov cov txiaj ntsig ntawm coagulation thaum cev xeeb tub?
Cov kev ntsuas ntawm cov coagulation thaum lub cev xeeb tub txawv ntawm ib txwm, vim hais tias lub cev tab tom npaj rau yav tom ntej yug, mus rau cov ntshav tsawg tsawg thaum lawv, thiab cov ntshav pib khawm sai. Qhov no yog txawm tias muaj cov coagulogram yooj yooj yim, tsuas yog cov neeg platelets tau txiav txim siab - cov ntsiab lus ntawm cov ntshav ua rau lub hauv paus tsim muaj (feem ntau lawv tus naj npawb yog los ntawm 150 mus rau 400 x 109 / L), lub sij hawm xoob (5-10 feeb nyob ntawm qhov txheej txheem), qhov concentration fibrinogen thiab prothrombin index.
Cov ntshav coagulability ua rau lub cev muaj zog tuaj, thiab qhov no tshwm sim thaum cim tau qee qhov ntsuas:
- fibrinogen - ib qho protein uas fibrin tau muab coj los ua thaum lub sij hawm los ntshav - thaum lub sij hawm thib peb ntawm cev xeeb tub ntawm nws cev xeeb tub nws npaum li cas los ntawm 2 mus rau 4 mus rau 6 g / l;
- cov poj niam cev xeeb tub yuav tsum tsis txhob txawv ntawm cov kev mob tshwm sim xws li: prothrombin - protein ntau ntawm cov ntshav ntshav, ntawm qhov uas ua rau tus kab mob thrombin - qhov tshwm sim tuaj yeem yog qhov tsis ua hauj lwm thaum ntxov ntxov ploj.
Vim li cas thiaj muab cov coagulogram ntev thaum cev xeeb tub?
Hauv qee lub chaw soj ntsuam ib zaug los yog ntawm qhov sib txawv ntawm qhov ntsuas los yog tus nqi hauv cov coagulogram yooj yim siv cov tshuaj coagulogram thaum cev xeeb tub. Tab sis qhov kev taw qhia rau tshwj xeeb coagulogram yog ua tiav rau cov kev qhia tshwj xeeb: nws yog ib qho kev xeeb tub ntau, cev xeeb tub thaum ntxov thiab dhau mus gestosis, mob plab hlaub hauv plab, kev mob cov ntshav, keeb kwm yav tom ntej ntawm kev tsis taus, kev qis qis.
Lub sij hawm ua pob ua rau lub plhom (thromboplastin) tshwm sim (APTT) qhia tias muaj cov xwm txheej xaj tsis muaj, uas tsis muaj peev xwm tsim tau cov ntshav khov. Hauv cov poj niam cev xeeb tub, nws raug hnyav dua li 17 - 20 feeb (ib qho thrombus los ntawm fibrinogen nrog lawv cov kev pab yog ua sai dua). Lupus anticoagulant yuav tsum tsis tuaj leej twg hauv cov poj niam cev xeeb tub, tab sis tshwm sim hauv cov kab mob autoimmune thiab cov tshuaj toxicosis ntawm lub cev xeeb tub, nws lub xub ntiag ua rau nce hauv APTT. Thrombin sij hawm (11 - 18 vib nas this) hauv cov poj niam cev xeeb tub nce mus txog 18 - 25 feeb. Lub sij hawm no yog theem kawg ntawm ntshav khov, thaum fibrin strands yog tsim los ntawm fibrinogen raws li qhov kev txiav txim ntawm thrombin (qhov zoo tshaj yuav coagulation).
Yuav ua li cas tiv thaiv kev hloov hauv coagulogram thaum cev xeeb tub?
Yog hais tias qhov tsis ntawm cov coagulogram sib txawv ntawm ib txwm, ces, ua ntej ntawm tag nrho, peb yuav tsum xyuam xim rau cov uas hloov cov kev tshwm sim no tshwm sim: ntshav coagulation nce lossis, dua li, qeeb qeeb. Thiab ua nws zoo dua ib tus kws kho mob tshwj xeeb. Qhov tseeb tiag, qhov txo qis dej ntawm cov ntshav kuj yog tshwm sim ntawm cov menyuam yaus ntawm cov menyuam yaus thiab cov ntshav hauv plab: Cov av ntawm cov coagulating ntshav ua rau cov ntshav khaus thiab cov neeg ua haujlwm hauv cov kab mob hauv lub cev, uas yog lub neej ua rau tus niam, muaj peev xwm tsim tau. Thiab qhov nce hauv ntshav khov ua rau lwm hom thrombosis.