Hōʻoia nā huahana degradation Fibrin

ʻO nā huahana hoʻohaʻahaʻa Fibrin (FDPs) nā mea i waiho ʻia i ka wā e hoʻoheheʻe ai nā clots i ke koko. Hiki ke hana i kahi hōʻike koko e ana i kēia mau huahana.

Pono kahi laʻana koko.

Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena hōʻoia ke koko.

• E haʻi i kāu mea mālama ola e pili ana i nā lāʻau āpau āu e lawe ai.
• E haʻi aku kāu mea lawelawe iā ʻoe inā pono ʻoe e kū iki i ka lawe ʻana i nā lāʻau i mua o ka loaʻa ʻana o kēia hōʻike. Hoʻopili kēia i nā mea lahilahi o ke koko e like me ka aspirin, heparin, streptokinase, a me ka urokinase, ka mea e paʻakikī ai ke kō ʻana o ke koko.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

Hana ʻia kēia hōʻike e ʻike inā e holo pono ana kāu ʻōnaehana hoʻoheheʻe ʻia (fibrinolytic). E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona o ka hoʻolauna intravaskular coagulation (DIC) a i ʻole kahi maʻi hōʻino hou aʻe.

ʻO ka hopena ma lalo o 10 mcg / mL (10 mg / L).

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO ka hoʻonui ʻia o ka FDP he hōʻailona paha ia o ka fibrinolysis mua a i ʻole ʻelua paha (kahi hana hoʻoheheʻe ʻia o ka maʻi) ma muli o nā ʻano kumu like ʻole, e like me:

• Nā pilikia pili koko
• Burns
• Ka pilikia me ka naʻau o ka hanana a me ka hana i loaʻa i ka wā hānau (congenital puʻuwai maʻi)
• Hoʻomaʻamaʻa intravascular coagulation (DIC)
• Low pae o ka oxygen i loko o ke koko
• Nā maʻi ʻino
• Leukemia
• Maʻi maʻi ate
• ʻO ka pilikia i ka wā o ka hāpai keiki e like me preeclampsia, placenta abruptio, hāʻule hānau
• Hoʻopili hou ke koko
• ʻO ke kīʻaha hou i pili i ka puʻuwai bypass by heart, a i ʻole ke kīʻaha e hoʻohaʻahaʻa i ke koko kiʻekiʻe i ke ake
• ʻO ka maʻi kīwī
• ʻO ka hōʻole transplant
• Hoʻohuli transfusion

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe me ka huki ʻia ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

FDPs; FSPs; Māhele nā ​​huahana Fibrin; Nā huahana wāwahi Fibrin

Chernecky CC, Berger BJ. Nā huahana wāwahi Fibrinogen (nā huahana hoʻohaʻahaʻa fibrin, FDP) - ke koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 525-526.

ʻO Levi M. Hoʻolahalaha i ka coagulation intravascular. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 139.