Yuav ua li cas yog lub prothrombin lub sij hawm, thiab dab tsi yog nws kev cai?

Prothrombin lub sij hawm, tus nqi ntawm uas rau cov neeg laus yog 11-15 vib nas this, thiab rau cov me nyuam - 13-18 vib nas this, yuav muab ntau zog, nws ua ib tug kos npe rau ntawm lub xub ntiag ntawm tag nrho cov hom ntawm cov kab mob. Qhov no xam yog raug rau qhov kuv thiab II ntawm cov ntshav zaub homeostasis thiab hu ua prothrombin complex ua si.

Yog hais tias lub prothrombin lub sij hawm pib nce, nws qhia tias ib tug ib txwm mus hypercoagulability. Qhov no tej zaum yuav yog ib tug ob peb yog vim li cas:

· Yog hais tias lub prothrombin complex yog muaj tsis ua hauj lwm nyob rau hauv txoj kev loj hlob ntawm coagulopathy li gipoprokonvertinemiya thiab hypoprothrombinemia.

· Tej zaum, qhov no daim duab nce nyob rau hauv lub xub ntiag ntawm amyloidosis, uas yog tshwm sim los ntawm tsis muaj peev xwm ntawm tau X. Nyob rau hauv cov ntaub ntawv no, nws yog absorbed los ntawm amyloid. Yog hais tias nephrotic syndrome npaj, ces muaj yog tsis ua hauj lwm yam VI thiab V.

Txij li thaum lub synthesis ntawm prothrombin complex cov ntsiab tshwm sim nyob rau hauv lub siab, vim hais tias nws yog zoo yog hais tias lawv muaj pes tsawg txo. Nyob rau hauv tej lub sijhawm, cov prothrombin lub sij hawm yog ib qho taw qhia ntawm cov physiological lub xeev ntawm lub cev.

Qhov nce nyob rau hauv no Performance index yog cai kuj nyob rau hauv lub xub ntiag ntawm mob thiab kab mob siab, mob npuas paug, thiab muab hais tias subacute hepatic dystrophy thiab lwm yam txhab ntawm lub siab parenchyma. Qhov tseeb hais tias cov kev hloov no yog ib tug phem kos npe rau thiab ua tim khawv rau txoj kev loj hlob ntawm tej yam kab mob. Yog hais tias mob mob daj ntseg, prothrombin lub sij hawm tej zaum yuav ua rau kom qhov tseeb vim hais tias tus nqi ntawm cov kua tsib mus rau hauv cov hnyuv yog txo, uas ua rau yus malabsorption ntawm vitamin K. Nws yog nws leej twg tau raug kev koom tes nyob rau hauv lub synthesis ntawm prothrombin complex.

Tsis tas li ntawd ntawm cov ua uas ua rau ib qho kev nce ntawm no parameter, hu ua enteropathy thiab plab hnyuv dysbacterioses uas ua rau mob tsis muaj peev xwm ntawm vitamin K. Yog hais tias cov kev kho mob yog nqa tawm siv lub antagonists ntawm lub vitamin, tawg tag kauj ruam nyob rau hauv lub synthesis ntawm cov loj yam tseem ceeb ntawm lub prothrombin complex. Nws yog ntseeg hais tias kev siv ntawm coagulants yuav tau mus ntxiv yog hais tias tus prothrombin lub sij hawm yog ob npaug.

Muaj ntau ntau cov tshuaj uas muaj peev xwm ua kom lub sij hawm no ncej index. Ntawm lawv yog cov tshuaj ntaus cev, tshuaj tua kab mob, cov tshuaj aspirin (muab kev siv ntawm siab koob tshuaj) thiab quinine thiab anabolic steroids.

Nyob rau hauv kev, mob ntawm lub siab prothrombin lub sij hawm index nyhav nce. Yog li ntawd, yog tias koj muaj ib yam ntawm tus kab mob, nws yog tsim nyog los saib xyuas qhov ntsuas no.

Tej zaum kuj muaj tej yam teeb meem nyob rau hauv uas lub prothrombin lub sij hawm pib kom txo tau. Qhov no qhia tau hais tias muaj yog ib tug ib txwm mus hypercoagulability. Tej zaum cov zoo li no tshwm sim nyob rau hauv thawj zaug rau theem ntawm thrombosis nyob rau hauv qis nqua, thiab polycythemia. Heev feem ntau, feem yuav raug muab txo los ntawm lig cev xeeb tub los yog tom qab siv ntawm tej yam tshuaj, xws li acetylsalicylic acid (nyob rau hauv me me koob tshuaj) merkaproturina thiab lub qhov ncauj contraceptives.

Thaum raug saib xyuas rau qhov ncauj coagulation kho, tus prothrombin lub sij hawm tu ncua soj ntsuam. Txawm li cas los, nyob rau hauv xws li ib tug teeb meem no index hloov tej zaum yuav tshwm sim los ntawm thromboplastin yog siv, uas yog yuav tsum tau nyob rau hauv cov ntaub ntawv no. Vim hais tias nws yog ib qho tseem ceeb heev rau kev tshawb fawb tom qab qhov kev siv ntawm ntau hom ntawm thromboplastins. Nws yog suav tias yog ib qho ntawm feem tseem ceeb paub tab ntawm cov tswv yim tshuaj. Ib tug neeg mob uas yog nyob rau hauv kev soj, tsom xam yuav tsum tau ua tsis tu ncua tom qab lub sij hawm teem ntawm ib cov tshuaj tshiab.