Hōʻike koko Antithrombin III

ʻO Antithrombin III (AT III) kahi protein e kōkua i ka mālama ʻana i ke kāpili ʻana o ke koko. Hiki i kahi hōʻoia koko ke hoʻoholo i ka nui o AT III i loko o kou kino.

Pono kahi laʻana koko.

Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena o ka hoʻāʻo. E ʻōlelo paha kāu mea mālama ola iā ʻoe e haʻalele i ka lawe ʻana i kekahi lāʻau a hōʻemi paha i kā lākou lāʻau ma mua o ka hoʻāʻo. Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana me 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 ka ʻūlū iki. Hele koke kēia.

E kauoha paha kāu mea hāʻawi i kēia hoʻokolohua inā ʻoe i hana hou i nā clots koko a i ʻole inā ʻaʻole holo ka lāʻau lapaʻau koko.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO ka haʻahaʻa ma mua o ka maʻamau MA III paha ka manaʻo he māhuahua kou no ka hoʻopili ʻana o ke koko. Hiki i kēia ke loaʻa inā ʻaʻole lawa ka AT III i kou koko, a i ʻole ke lawa ka AT III i kou koko, akā ʻaʻole holo pono ka AT III a emi ʻole ka hana.

ʻAʻole ʻike ʻia nā hopena maʻamau a hiki i kou wā makua.

ʻO nā laʻana o nā pilikia e pili ana me ka hoʻonui ʻia ʻana o ke kō ʻana o ke koko.

• Trombosis venous hohonu
• Phlebitis (vein mumū)
• Pulmonary embolus (ke koko e hele ana i ka māmā)
• Thrombophlebitis

Ma muli o ka maʻamau ʻo AT III ma muli o:

• Hoʻoneʻe iwi iwi
• Hoʻomaʻamaʻa intravascular coagulation (DIC)
• ʻO ka hemahema AT III, kahi kūlana hoʻoilina
• Kaʻu cirrhosis
• Nā maʻi Nephrotic

ʻOi aku ka kiʻekiʻe ma mua o ka maʻamau ʻo AT III i:

• Hoʻohana o nā anabolic steroid
• ʻO ka maʻi maʻi koko (hemophilia)
• Ke kuʻi ʻōhua
• Low pae o ka wikamina K

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.

Hiki i nā pilikia ʻē aʻe ke:

• 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)

Antithrombin; AT III; MA KA 3; Mea hana antithrombin III; ʻO ka maʻi maʻi - AT III; DVT - AT III; Trombosis hohonu - MA III

Anderson JA, Kogg KE, Weitz JI. Nā mokuʻāina ʻo Hypercoagulation. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 140.

Chernecky CC, Berger BJ. ʻO Antithrombin III (AT-III) hōʻike - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 156-157.

Napolitano M, Schmaier AH, Kessler CM. Hoʻohui a me fibrinolysis. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 39.