Hauv kab lus, peb yuav xav txog dab tsi prothrombin yog raws li Quick.
Prothrombin yog cov protein uas koom nrog hauv cov txheej txheem ntawm cov ntshav txhaws thiab yog tsim los ntawm lub siab nrog kev koom tes ntawm vitamin K. Coagulation yog to taub raws li kev hloov hauv lub xeev ntawm cov ntshav los ntawm cov kua mus rau tuab.
Rau kev ua haujlwm ib txwm muaj, cov ntshav hauv lub cev yuav tsum nyob hauv cov kua dej sib xws. Kev puas tsuaj rau cov hlab ntsha yuav tsum tau nrog cov ntshav thickening (clotting) ntawm cov ntshav.
Coagulation mechanism
Kev kuaj ntshav kuaj ntshav rau prothrombin tso cai rau koj los ntsuas qhov zoo ntawm cov txheej txheem coagulation. Zoo li txhua tus qauv rau kev kuaj sim, ntshav rau kev kuaj prothrombin yuav tsum tau noj ntawm lub plab khoob. Yog tias tus neeg mob, vim nws txoj kev noj qab haus huv, tsis tuaj yeem ua tiav qhov mob no, nws yuav tsum noj tsis pub dhau 5 teev ua ntej kuaj. Thaum noj cov tshuaj uas cuam tshuam rau cov ntshav txhaws, ua ntej kev soj ntsuam, koj tuaj yeem ua tsis raugtshwm sim. Nyob rau hauv rooj plaub thaum nws tsis tuaj yeem tsis kam siv tshuaj, nws yog ib qho tseem ceeb kom ceeb toom tus kws kho mob txog kev noj tshuaj.
Indications for analysis
Kev kuaj ntshav coagulation yog qhov tsim nyog yog tias tus neeg mob muaj cov kab mob hauv qab no lossis qhov tsis txaus ntseeg ntawm lawv:
- siv sijhawm ntev ntawm cov tshuaj tiv thaiv tsis ncaj ncees.
- kab mob autoimmune.
- YVitamin K imbalance.
- YVaricosis, atherosclerosis.
- Pathological hloov hauv daim siab.
- Antiphospholipid syndrome thaum cev xeeb tub (tsim los ntawm placental insufficiency, cev xeeb tub tsis ua haujlwm, nchuav menyuam, lwm yam teeb meem).
Ntxiv rau, qhov kev sim prothrombin tuaj yeem raug tshuaj los tshuaj xyuas kev coagulation thiab lwm yam pathologies. Hauv chav kuaj, cov txheej txheem ntuj tsim ua rau cov ntshav txhaws tau rov tsim dua.
Txoj kev tshawb no yog ua raws li hauv qab no: thromboplastin thiab potassium ions raug txhaj rau hauv cov ntshav rov qab. Cov prothrombin complex suav nrog ntau yam ua rau txhaws, qhov seem lossis tsis txaus uas tso cai rau kev tshuaj xyuas kom pom.
Quick indicator
Ntau xyoo dhau los, prothrombin tau suav nrog raws li Quick hauv chav kuaj. Txoj kev no tso cai rau koj los xam cov feem pua ntawm cov lus qhia. Cov kws tshawb fawb tau hais kom sib piv qhov ntsuas ntawm lub sijhawm prothrombin thiab qhov taw qhia ntawm kev vam khom lub sijhawm ntawm lub sijhawm no ntawm cov neeg muaj nyob hauv cov ntshav.prothrombin yam.
Kev tsim kho ntawm qhov kev vam khom no tso cai rau kev ntsuam xyuas qhov tseeb ntawm cov ntshav txhaws, txawm li cas los xij, cov txheej txheem no tsis suav nrog thromboplastin rhiab heev coefficient.
Qhov kev ntsuas no cuam tshuam rau qhov txiaj ntsig zoo yog tias nws nyob hauv thaj tsam ntawm qhov tseem ceeb saum toj lossis qis dua tus qauv. Yog tias cov txiaj ntsig yog tus qauv, thiab qhov sib txawv tsis tseem ceeb, qhov ntsuas INR thiab nrawm yog ncaj qha proportional.
Daim npav ntawm cov txiaj ntsig ntawm kev tshuaj ntsuam tau ua nyob rau hauv ib qho chaw sim yuav cuam tshuam txog prothrombin raws li Quick. Tus qauv yog ntsuas nyob rau hauv thaj tsam ntawm 78-142%. Kev sib txawv ntawm prothrombin los ntawm qhov nruab nrab tus nqi raug tso cai, tab sis qhov ntsuas yuav tsum nyob twj ywm hauv qhov qub.
Hauv cov neeg noj qab haus huv, ntshav txhaws feem ntau nce, uas yog, hypercoagulability tau sau tseg. Cov txheej txheem zoo li no raug suav tias yog tus qauv yog tias ib tus neeg tsis muaj cov ntaub so ntswg puas thiab cov hlab plawv pathologies. Txwv tsis pub, muaj qhov ua rau ntshav txhaws.
Yog tias tus neeg mob tau sau tshuaj kom txo qis ntshav, kev tshuaj xyuas yuav tsum tau ua tsis tu ncua. Qee zaum, cov khoom ntawm cov tshuaj tiv thaiv coagulant tsim ib lub depot (sau ntawm cov tshuaj) hauv lub cev, uas tuaj yeem ua rau muaj kev loj hlob ntawm hypocoagulation, nrog rau los ntshav ntau ntxiv.
Ntxiv rau, nyob rau hauv cov txiaj ntsig ntawm qhov kev sim prothrombin raws li Kev Ceev, cov txheej txheem rov qab tuaj yeem pom - hypercoagulability, thaum ua kom ntshav txhaws. Cov ntshav ntau dhaumuaj ntau dua li qhov tsis txaus, tab sis ob qho tib si tus neeg mob xav tau kev saib xyuas thiab tej zaum yuav kho.
Vim li cas kev sib txawv ntawm cov qauv ntawm Prothrombin raws li ceev tshwm sim?
Qhov taw qhia yog siab dua tus qauv
Cov txiv neej hnub nyoog 45 xyoos thiab tshaj saud feem ntau pom nce ntau dua 142 feem pua. Qhov xwm txheej no tuaj yeem ua rau:
- YVitamin K imbalance.
- Kev siv tshuaj hormonal, anabolic, laxatives, tshuaj tua kab mob.
- YAmyloidosis, nephrotic syndrome.
- Congenital anomalies ntawm coagulation yam.
- mob siab rau kab mob.
Yog tias ceev prothrombin nce siab vim yog vim li cas tsis suav nrog hauv daim ntawv teev npe, ces muaj peev xwm ntawm cov kab mob no:
- mob plawv mob plawv.
- mob ua ntej infarction.
- YOncological pathologies.
- YPolycythemia.
- Thromboembolism.
Nyob rau hauv cov poj niam, prothrombin raws li Quick yog nce vim kev siv cov tshuaj tiv thaiv qhov ncauj ntev. Yog tias tus neeg mob muaj kab mob vascular, yuav tsum tsis txhob siv tshuaj tiv thaiv qhov ncauj.
Caw tej zaum yuav cuam tshuam me ntsis los ntawm kev noj haus. Kev nce hauv prothrombin tuaj yeem tshwm sim los ntawm: ntses rog, citrus txiv hmab txiv ntoo, dub, liab berries, fermented mis nyuj khoom.
Vim li cas qis prothrombin tshwm sim raws li Quick?
Txo tus nqi
Tsawg prothrombin yog nrog los ntawm hypocoagulation, uas tshwm sim vim yog vim li cas:
- Siv cov tshuaj ua kom ntshav yuag.
- Fibrinogen deficiency (tau txais, congenital).
- Pathology ntawm lub siab.
- Kev tsis txaus ntawm qee yam kab mob qog ntshav (congenital).
- Vitamin K deficiency.
Nyob rau hauv lub xub ntiag ntawm hypocoagulation, cov kab mob hauv qab no tuaj yeem xav tias tus neeg mob:
- YHypovitaminosis.
- YProthrombin deficiency.
- Pathologies ntawm plab hnyuv.
- YDysbacteriosis.
Yuav ua li cas kho qhov txawv txav?
Koj tuaj yeem kho cov ntsiab lus prothrombin los ntawm kev noj zaub mov zoo nrog cov khoom noj uas muaj vitamin K: lettuce, spinach, pears, apples, bananas, carrots, cabbage.
Prothrombin raws li Quick yog qis dua vim tias cov khoom noj tsis txaus, nws pom ntau zaus hauv cov txiv neej dua li cov poj niam, txij li cov txiv neej feem ntau nyiam cov khoom noj nqaij rau zaub. Cov zaub mov no feem ntau ua rau lub cev tsis muaj vitamin.
