APTT: kullum. APTT a lokacin daukar ciki: da na kullum

Yana tsaye ga aPTT kunna m thromboplastin lokaci. Wannan yana nufin da nazari na jini coagulation tsarin da kuma nuna ciki da na kowa coagulation hanya, t. E. Yana da lokacin da ake bukata domin samuwar wani jini gudan jini. Wannan gwajin wani bangare ne na wani bincike da ake kira coagulation, wanda aka fi cikakken binciko clotting tsarin.

A jini gwajin APTT: na kullum

Wannan binciken da m lokacin da ake bukata domin gudan jini samuwar. A binciken da jini a kan APTT kudi na lafiya mutum ne tsakanin 25 da 40 seconds. Idan ina da sauran coagulation sigogi (prothrombin INR, fibrinogen, da sauransu. P.), The siga APTT sharply reacts zuwa gare shi. Norma jini aPTT a ciki mata ne 17-20 seconds.

Me mata masu ciki suna wajabta wani binciken a kan aPTT?

A lokacin daukar ciki wata mace ta jiki shigarsu jerin physiological canje-canje. Wannan kuma ya shafi jini clotting. A jini na mace mai ciki sau da yawa zama mafi m. A dalilin sanya wani binciken coagulation ne canje-canje a cikin general bincike na jini, wanda yake bisa rajista na ciki mace hannunsa a kan kai a kai.

Idan CBC ya nuna wani karuwa a kirga, wannan mai yiwuwa nuna thickening na jini, da kuma a can ne dalilin da ya sanya a coagulation, wanda ya hada da bincike na da APTT. A kullum na wannan nuna alama ga mata masu ciki da ɗan daban-daban da kuma shi ne 17-20 tare. Wannan shi ne saboda a hankali a hankali karuwa da fibrinogen a lokacin daukar ciki, a bayarwa cewa ya kai 6 g / l, alhãli kuwa a lafiya mutane kullum da shi daga jeri 2.0 zuwa 4.0 g / l.

A jikin ciki mace, wasu matakai ba su aiki, wannan yana zartuwa ga hemostasis. Wannan shi ne na al'ada, amma da karkacewa daga na kullum ne har yanzu faruwa. Domin kauce wa yiwu mummunan sakamakon ga yaro da kuma uwa, sanya coagulation.

Abin da irin bincike suna kunshe a cikin coagulation?

coagulogram bincike na iya zama na asali da kuma ci-gaba. A baseline nazari hada da wadannan sigogi:

1. Prothrombin (PTI - prothrombin index).
2. INR (kasa da kasa bisa al'ada rabo, watau. E. Standard kayyade jini clotting).
3. APTT.
4. Fibrinogen.

ƙarin sigogi za a iya sanya ya zama dole:

• Protein C - tare da rashin chances na thrombosis.
• Antithrombin - yana nufin protivosvertyvaniya tsarin, da kuma ta rashi kuma iya kai wa ga thrombosis.
• D-dimer - An saki a cikin halakar da wani jini gudan jini. Yana kara yawan maki ga samuwar jini clots a cikin jini.
• Lupus anticoagulant.
• ABP (kunna calcification lokaci).
• jini recalcification lokaci.
• Haƙuri na jini to heparin.
• SFMC (narkewa fibrin monomer gidaje).

Menene Manuniya koaugologrammy?

APTT index ciki (al'ada 17-20 sec.), Fibrinogen, da kuma sauran sigogi, musamman a cikin makon matakai, na bayar da muhimmanci ga rigakafin rikitarwa. Saboda haka, kara PTI (prothrombin) ya fi 150% iya zama nuni da placental abruption. Wannan shi ne matukar hatsari ga rayuwa mafi yawan gaba mahaifiyarsa ita da yaro.

D-dimer kamata kullum su ba fiye da 248 ng / ml. Wannan shi ne a cikin m mutane. A lokacin daukar ciki, shi qara yi. By karshen ciki na iya zama ya fi na farko darajar 3-4. Wannan shi ne al'ada. Kara D-dimer fiye da sau 4 na asali darajar iya nuna wani tsanani Pathology - gestosis, da kuma yanayin da mata masu ciki da tsanani da ciwon sukari ko na koda cututtuka.

Daya daga cikin mutane da yawa Sanadin ashara da rashin daban-daban lokaci ne APS (antiphospholipid ciwo), wanda aka halin da samuwar jijiya da kuma venous thromboses. Domin samar da irin wannan antibodies domin sanin ganewar asali na cikin matsanancin harsashi membranes (phospholipids), kazalika da Manuniya na fibrinogen, D-dimer, prothrombin, APTT. A ciki, su kudi ne daban-daban daga al'ada dabi'u na lafiya mutane.

Me lokacin daukar ciki kunna homeostasis tsarin?

Babban Sanadin wannan kunnawa ne kamar haka:

• A lokacin daukar ciki, da hormones canza jiki.
• An ƙarin wurare dabam dabam - uteroplacental.
• A mace ta jiki da aka shirya domin makawa asarar jini a lokacin aiki.

M jini - abin da ya yi?

Idan a lokacin daukar ciki nazarin ya nuna cewa jinin ne lokacin farin ciki, kamar ba su tsoro. Mafi m, likita zai rubũta a daidaituwa rage cin abinci. Da farko, daga cikin abinci ware duk gishiri da kuma m abinci (sausages, kyafaffen nama, pickles da sauransu. Da dai sauransu). Daga m abinci da ya kamata a yi watsi. A maimakon haka, ci more kayan lambu, 'ya'yan itatuwa da kuma berries na ja da orange. Sun fi wasu arziki a cikin bitamin C, wanda shi ne iya bakin ciki da jini.

Yana da amfani da su sun hada da wadannan abinci a rage cin abinci:

• berries (raspberries, baki da ja currants, mulberries, plums, strawberries, cranberries, teku buckthorn, viburnum), amma ka mai da hankali tare da yin amfani da rasberi da kuma viburnum - wadannan berries a cikin manyan yawa ga mata masu ciki zai iya ci ba.
• Citrus (tangerines, lemu, lemun tsami, lemun tsami, garehul).
• gurnetin.
• apricots.
• abarba.
• beets.
• tumatur.
• albasa da tafarnuwa.
• Birch sap.
• cakulan da kuma koko.
• Kayan lambu mai (rapeseed, zaitun, linseed).
• da kayan yaji maimakon gishiri (turmeric, Curry, oregano, paprika, fennel, cayenne barkono, Ginger, thyme, kirfa).

Products cewa zai iya thicken da jini, ya kamata a kauce masa. Wadannan sun hada da ayaba, dankali, buckwheat, duk carbonated yanã shã da barasa.

Kana bukatar ka sha akalla 1.5 lita na ruwa kowace rana. Amma da ruwa dole ne a kwalba ba tare da iskar gas.

DIC

Daya daga cikin mafiya hatsari rikitarwa a obstetric yi aka dauke DIC (desseminirovannoe intravascular coagulation). A can farko, da haka akwai hypercoagulation (ƙãra coagulation), to, wanda aka bishi da anticoagulation (karu a clotting ikon), wadda take kaiwa zuwa wani m jini da asarar da kuma barazana ga rayuwa. DIC sau da yawa zama unmanageable for, sa'an nan shi a iya kai ga mutuwa na mace da kuma ta baby.

Don kauce wa irin wannan halin da ake ciki, an sanya wa karatu coagulation da wajibi tabbatar da dalilin da fibrinogen, PTI, aPTT, wanda shi ne na kullum a lokacin daukar ciki - 17-20 seconds. Yawanci, irin wannan jarrabawa, idan tarihi sun babu rikitarwa da suka gabata ciki, ya nada a kowane trimester. Irin wannan nazarin yin unscheduled a lokuta idan:

• A kalla daya daga baya ciki ya ƙare a cikin ashara.
• Akwai cututtuka da preeclampsia - gaban gina jiki a cikin fitsari, kumburi na extremities, jijiya hauhawar jini.
• Saka ashara barazana, kamar hypertonicity na mahaifa.

Yadda za a yi wani jini gwajin for coagulation?

Jini a kan wani nazari na haya daga wani jijiya a cikin magani dakin da safe a kan komai a ciki. Ciki yi shi a cikin antenatal asibitin. Ga abin dogara yi shi wajibi ne don tsayar da 'yan sauki yanayi:

• A karshe ci abinci ya kamata a kalla 10-12 hours kafin isar da bincike.
• Kada ku riƙi wani kwayoyi kafin jini kyauta. Idan haƙuri yana shan kwayoyi da shafi cikin coagulation tsarin, dole ne a kayyade a cikin shugabanci.
• An ba da shawarar sha kafin sa jinin kofi, shayi, taushi da kuma yanã shã har ma fiye da barasa. Kawai a yarda sha gilashin ruwan sha mai tsabta.
• Wani tunanin jihar iya shafar sakamakon, don haka shi ne 'yan mintoci zauna a gaban dakin da kuma kwantar da hankali.
• Muscle overexertion iya karkatar da sakamakon bincike, haka kawai kafin jini kyauta da Hauwa'u ba da shawarar a ziyarci gyms da kuma tafiyar da nauyi jiki aiki.

Domin da rikodin kudi na APTT a mata da maza ne 25 zuwa 40 seconds. By jinsi shi ne daban-daban, amma a lokacin daukar ciki shi ne da ɗan rage. Fassarar da binciken sakamakon ne da za'ayi kawai da kwararru.

Nawa?

Mata masu ciki a antenatal da bitar wannan binciken mafi yawa ana yi for free, batun kasancewa niƙe game da daga likita. Duk sauran 'yan ƙasa, idan so, za su iya wuce irin wannan binciken fee. Extended coagulogram Kudinsa 3,500 rubles. Ainihin sigogi na kasa tsada - daga 700 zuwa 1300 rubles.

Menene aPTT kasa al'ada?

A daya binciken coagulation na babban sigogi ne nuna alama na APTT. Kullum da shi ne daga 25 zuwa 40 seconds. Ka tuna, wannan siga nuna lokaci yana daukan su kammala clotting na jini da kuma samuwar wani jini gudan jini. Idan wannan nuna alama ne da ke ƙasa 25 seconds, cewa gaskiya iya nuna wani thickening na jini da kuma hadarin thrombosis. Ciki ga APTT nuna alama kudi ne daga 17 zuwa 20 seconds. Yawancin lokaci, magani ne a yanayin a lokacin daukar ciki da kuma ba ya bukatar kai-kawo bayan ceto. Bayan da dama jini iya thicken baƙin ƙarfe shirye-shirye, wanda sau da yawa an sanya ciki a low lambobi na haemoglobin.

Menene karuwa a aPTT?

Nuna alama aPTT sama al'ada na iya nuna kasancewar wani mutum da irin wannan cututtuka kamar hemophilia, mai tsanani hanta cututtuka irin su cirrhosis, ko game da rashin bitamin K. Bugu da kari, da karuwa a cikin wannan siga da aka lura a cikin wadannan lokuta:

• Tare da rashin jini clotting dalilai.
• A cikin hali na lura da wani haƙuri da anticoagulants, kamar "heparin" ko "warfarin".
• A hereditary jini pathologies kamar von Willebrand ta cutar.
• Idan DIC.

Irin wannan binciken na coagulation tsarin, kamar yadda coagulation, shi da amfani ba kawai don mata masu juna biyu, amma kuma ga dukan mutane. A taron na wani sabawa daga na kullum ya kamata ganin likita.