Waa maxay waqtiga prothrombin ah, iyo waxa jira xeerar ay?

Prothrombin waqti, heerka of taas oo loogu talagalay dadka waaweyn waa 11-15 ilbiriqsi, oo loogu talagalay carruurta - 13-18 ilbiriqsi, waa la kordhin karaa, waxa uu noqonayaa mid calaamad u ah jiritaanka dhammaan noocyada cudurada. tiradaasi Tani waa caadiga ah ee aan aniga iyo II ee homeostasis bandhigay plasma ah oo u yeedhay prothrombin hawl adag.

Haddii waqti prothrombin bilaabmin si loo kordhiyo, waxa ay muujinaysaa u janjeera in ay hypercoagulability. Tani waxay noqon kartaa sababaha aad:

· Haddii adag prothrombin la kulma failure horumarinta coagulopathy sida gipoprokonvertinemiya iyo hypoprothrombinemia.

· Mararka qaarkood, tiradaasi kor u kacay in joogitaanka amyloidosis, kaas oo sababa deficiency of X. factor Xaaladdan oo kale, waxaa la nuugo amyloid. Haddii nephrotic syndrome uu yeesho, ka dibna waxaa jira arrimo failure VI iyo V.

Tan iyo ereygu wuxuu ahaa ee xubno ka adag prothrombin dhacdaa beerka, maxaa yeelay, waa caafimaad qabin haddii ay tirada hoos. Xaaladaha qaarkood, markii prothrombin ku jira waa tilmaamaha gobolka nafsaaniga ah ee jirka.

Kororka index waxa sidoo kale lagu arkay joogitaanka hepatitis ba'an iyo chronic, cirrhosis, oo ay shardi tahay in Dystrophy cagaarshowga subacute iyo lesions kale ee parenchyma beerka. Xaqiiqada ah in isbedel kuwanu waa calaamad xun oo ku markhaati fura in horumarka cudurka kasta. Haddii la joonis cudurka, markii prothrombin laga yaabaa in la kordhiyo ay sabab u tahay xaqiiqada ah in xaddiga bile galay xiidmaha waa la dhimay, taas oo horseedaysa nuugeynin vitamin K. Waa isaga kan ayaa si firfircoon uga qayb ereygu wuxuu ahaa ee adag prothrombin waa.

Sidoo kale ka mid ah sababaha keena koror ah dhimaya this, loo yaqaan enteropathy iyo dysbacterioses mindhicirka kaas oo keeni deficiency chronic of vitamin K. Haddii daaweynta waxaa lagu fuliyaa iyadoo la isticmaalayo Doodeen of vitamin ah, jebiyey dhameysteen tallaabo in ereygu wuxuu ahaa ee arrimaha waaweyn ee adag prothrombin ah. Waxaa la rumeysan yahay in isticmaalka coagulants la sii wadi karaa haddii time prothrombin waa labanlaab.

Waxaa jira daawooyin badan oo ay awoodaan si loo kordhiyo waqtigan index jir. ka mid ah caloosha jilciya, antibiotics, aspirin (siiyaa isticmaalka qaadasho sare) iyo quinine iyo steroids dhiska.

Guud ahaan, xanuunada ku dhaca beerka index waqti prothrombin waxay u egtahay in la kordhiyo. Sidaa darteed, haddii aad leedahay nooc kasta oo cudurka, waxaa lagama maarmaan ah si ay ula socdaan tilmaamahan.

Mararka qaarkood waxaa jira xaalado ay markii ugu prothrombin uu bilaabo inuu hoos u. Tani waxay muujinaysaa in ay jirto u janjeera in ay hypercoagulability. Mararka qaarkood sida ugu dhacdaa in wejiga hore ee thrombosis in addimada hoose, iyo polycythemia. Inta badan, qayb waa la dhimi karaa by uur dabayaaqo ah ama ka dib isticmaalka daawooyinka qaarkood, sida acetylsalicylic acid (in yar ka qaataan) merkaproturina iyo piller.

Marka la socdo therapy xinjirowga afka, waqti prothrombin si joogto ah la baarayaa. Si kastaba ha ahaatee, in sida isbedelka xaaladda index ah uu sababi karo thromboplastin loo isticmaalo, taas oo loo baahan yahay in kiiskan. Sababtoo ah waa mid aad u muhiim ah in la sameeyo cilmi baaris ka dib markii isticmaalka noocyada kala duwan ee thromboplastins. Waxaa loo arkaa mid ka mid ah hawlaha ugu muhiimsan ee daawo wax ku ool ah. Qof bukaan ah kuwaas oo ka yar daawashada waa, falanqaynta waa in si joogto sameeyay ka dib markii magacaabidda daroogada cusub.