Yintoni na ixesha prothrombin, yaye ziziphi nemithetho yayo?

Prothrombin xesha, izinga ebifihliwe abadala eyi 11-15, nabantwana - imizuzwana 13-18, angandiswa, kuba luphawu lobukho zonke iintlobo zezifo. Eli nani kuvamile ukuba mna II plasma uboniso homeostasis wabiza prothrombin umsebenzi ezintsonkothileyo.

Ukuba ixesha prothrombin iqala ukwandisa, libonisa utyekelo hypercoagulability. Oku kuba izizathu ezimbalwa:

· Ukuba isakhiwo prothrombin lifumana ukusilela ekuphuhliseni coagulopathy njengoko gipoprokonvertinemiya kunye hypoprothrombinemia.

· Ngamanye amaxesha, eli nani lanyuka phambi amyloidosis, nto leyo ebangelwe ukuswela factor X. Kulo mzekelo, oko ifunxwe yi amyloid. Ukuba nephrotic syndrome, ngoko kukho imiba ukusilela VI and V.

Ekubeni Yindibanisela izinto ezintsonkothileyo prothrombin kwenzeka esibindini, ngenxa yokuba mpilweni ukuba inani zawo. Kwezinye iimeko, ixesha prothrombin sisalathisi karhulumente komzimba umzimba.

Ukwanda kule yesalkathisi Kwakhona waphawula phambi sohlobo acute kunye ezingapheliyo, ukuqina kwesibindi, yaye ukuba muscular subacute hepatic kunye nezinye izitshanguba le parenchyma zesibindi. Isibakala sokuba le nguqulelo asisimanga embi ndikungqine kuphuhliso nasiphi na isifo. Ukuba unesifo senyongo, ixesha prothrombin kunokwandisa ngenxa yokuba isixa-mali inyongo ukuya emathunjini lifinyele, nto leyo ekhokelela ekubeni malabsorption ivithamini K. Nguye lowo ubesoloko ethatha inxaxheba Yindibanisela prothrombin ezintsonkothileyo.

Kwakhona phakathi izinto ezibangela ukwanda yale parameter, ngokuba enteropathy kunye dysbacterioses wamathumbu akhokelela intswelo ezingapheliyo vitamin K. Ukuba unyango lwenziwa usebenzisa bachasene le vitamin, kwaphulwa ukugqibezela inyathelo kwi Yindibanisela imiba engundoqo zakhiwo prothrombin. Kukholelwa ukuba ukusetyenziswa coagulants nga luqhutywe xa kabini ixesha prothrombin.

Maninzi kakhulu amachiza ezinako ukwandisa eli xesha index isakhelo. Phakathi kwazo kukho laxatives, imithi, aspirin (ngaphandle kokuba ukusebenzisa ngeedosi eziphezulu) kunye umkhwinini kunye steroid.

Ngokubanzi, ukuphazamiseka kwesibindi index ixesha prothrombin kuyaphela ukwandisa. Ngoko ke, ukuba ngaba unayo nayiphi na uhlobo lwesifo, kuyimfuneko ukuba iliso esi salathisi.

Ngamanye amaxesha kukho iimeko apho iqala ixesha prothrombin ukunciphisa. Oku kubonisa ukuba kukho umkhwa ku hypercoagulability. Maxa wambi ezifana lwenzeka kwi sikwinqanaba lokuqala thrombosis e nemilenze, kunye polycythemia. Amaxesha amaninzi, icandelo ukuze lincitshiswe ukukhulelwa emva kwexesha okanye emva ukusebenzisa iziyobisi ezithile, ezifana acetylsalicylic acid (ngeedosi ezincinane) merkaproturina kunye zokucwangcisa ngomlomo.

Xa waqashwa ukuba unyango coagulation yomlomo, ixesha prothrombin rhoqo uphando. Noko ke, ngendlela olo utshintsho index imeko inokuba kunokubangelwa thromboplastin iyasetyenziswa, nto leyo efunekayo kule meko. Ngenxa yokuba kubaluleke kakhulu ukuba ukuqhuba uphando emva kokuba ukusetyenziswa iintlobo ezahlukeneyo thromboplastins. Kucingwa omnye wemisebenzi ezibalulekileyo amayeza pfunaka. Isigulana ngubani na phantsi koqwalaselo, uhlalutyo kufuneka luyakuqhutywa rhoqo emva kokuba kuqeshwe ichiza elitsha.