Kodi prothrombin nthawi, nanga malamulo ake?

Prothrombin nthawi, mlingo wa zomwe akuluakulu ndi masekondi 11-15, ndi ana - masekondi 13-18, akhoza zochuluka, amakhala chizindikiro cha kukhalapo kwa mitundu yonse ya matenda. chithunzi ndi zina kwa ine ndi II wa madzi anasonyeza homeostasis ndipo anaitana prothrombin zovuta ntchito.

Ngati prothrombin nthawi amayamba kukula izo zikusonyeza chizolowezi hypercoagulability. Izi zikhoza kukhala zifukwa zingapo:

· Ngati prothrombin zovuta akukumana kulephera kukula kwa coagulopathy monga gipoprokonvertinemiya ndi hypoprothrombinemia.

· Nthawi zina, chithunzi ichi kuchuluka pamaso pa amyloidosis, amene amayamba chifukwa chakuchepa kwa chinthu X. Pankhaniyi, ndi chosakanikirana ndi amyloid. Ngati matenda nephrotic akufotokozera, ndiye pali kulephera zinthu VI ndi V.

Popeza kaphatikizidwe wa zinthu prothrombin zovuta amapezeka m'chiwindi, chifukwa ndi zilakolako zoipa ngati chiwerengero chawo yafupika. Nthawi zina, ndi prothrombin nthawi ndi chizindikiro cha boma zokhudza thupi la thupi.

Kuwonjezeka index izi zimawonedwa komanso pamaso pa pachimake ndi aakulu a chiwindi, ndi matenda enaake, ndipo malinga subacute kwa chiwindi dystrophy ndi matenda ena a parenchyma chiwindi. Popeza kuti zosintha zimenezi zili ndi chizindikiro choipa ndi umboni chitukuko cha matenda aliwonse. Ngati anapezeka ndi matenda a chikasu ndiyo, prothrombin nthawi achuluke chifukwa chakuti chiwerengero cha ya ndulu mu intestine ndi yafupika, imbaenda malabsorption vitamini K. Ndi iye amene anali kugwira mwakhama kaphatikizidwe prothrombin zovuta.

Pakati zimayambitsa amene amayambitsa ponso chizindikiro ichi, wotchedwa enteropathy ndi dysbacterioses matumbo zimene zimachititsa kuti akusowa aakulu vitamini K. Ngati mankhwala ikuchitika ntchito muzikangana vitamini, zinaphwanyidwa liza sitepe mu kaphatikizidwe zifukwa zikuluzikulu za prothrombin zovuta. Akukhulupirira kuti ntchito coagulants akhoza anapitiriza ngati prothrombin nthawi kawiri.

Pali mankhwala ambiri amene angathe kuwonjezera nthawi imeneyi chimango index. Ena mwa iwo ndi mankhwala ofewetsa tuvi, mankhwala ndi aspirin (anapereka ntchito mlingo waukulu) ndi kwinini ndi anabolic mankhwala.

Ambiri, matenda a chiwindi prothrombin nthawi index amamuchititsa kuonjezera. Choncho, ngati inu ndi mtundu uliwonse wa matenda, m'pofunika kuti aziona chizindikiro ichi.

Nthawi zina pali zinthu zimene nthawi prothrombin umayamba kuchepa. Izi zikusonyeza kuti pali chizolowezi hypercoagulability. Nthawi zina ngati akupezeka magawo koyamba thrombosis mu nthambi m'munsi, ndi polycythemia. Nthawi zambiri, chigawo mwina kuchepetsedwa ndi mimba mochedwa kapena pambuyo kugwiritsa ntchito mankhwala ena, monga acetylsalicylic asidi (pa mlingo zing'onozing'ono) merkaproturina ndi kulera m'kamwa.

Pamene wotiyang'anira kwa coagulation mankhwala m'kamwa, ndi prothrombin nthawi zonse ankafufuza. Komabe, mu kusintha zinthu index choncho chifukwa thromboplastin ntchito, zomwe chofunika mu nkhani iyi. Chifukwa ndi zofunika kwambiri kafukufuku pambuyo ntchito zosiyanasiyana thromboplastins. Chikhochi ndi chimodzi mwa ntchito zofunika kwambiri za mankhwala othandiza. A wodwala amene ali pansi kuonerera, kusanthula iyenera kuchitikira zonse pambuyo poika mankhwala atsopano.