Lihlahisoa tsa tlhekefetso ea Fibrin tlhahlobo ea mali

Lihlahisoa tsa tlhekefetso ea Fibrin (FDPs) ke lintho tse setseng morao ha maqeba a qhibiliha maling. Ho ka etsoa tlhahlobo ea mali ho lekanya lihlahisoa tsena.

Ho hlokahala sampole ea mali.

Meriana e meng e ka fetola liphetho tsa liteko tsa mali.

• Bolella mofani oa tlhokomelo ea bophelo ka meriana eohle eo u e noang.
• Mofani oa hau o tla u joetsa haeba ho hlokahala hore u emise ho noa meriana nakoana pele u etsa tlhahlobo ena. Sena se kenyelletsa li-thinner tsa mali tse kang aspirin, heparin, streptokinase, le urokinase, tse etsang hore ho be thata hore mali a koalehe.
• Se ke oa emisa kapa oa fetola meriana ea hau ntle le ho bua le mofani oa hau pele.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba ikutloa feela ho hlaba kapa ho hlaba. Kamora moo, ho kanna ha ba le ho longoa kapa ho longoa hanyenyane. Haufinyane sena sea fela.

Teko ena e etsoa ho bona hore na sistimi ea hau ea ho qhibiliha ha mali (fibrinolytic) e sebetsa hantle. Mofani oa hau a ka laela tlhahlobo ena haeba o na le matšoao a ho phatlalatsoa ha intravascular coagulation (DIC) kapa bothata bo bong ba ho qhala.

Phello hangata e ka tlase ho 10 mcg / mL (10 mg / L).

Tlhokomeliso: Mekhahlelo ea boleng bo tloaelehileng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li ka leka mefuta e fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.

Keketseho ea FDP e kanna ea ba sesupo sa fibrinolysis ea mantlha kapa ea bobeli (ts'ebetso ea ho qhala) ka lebaka la lisosa tse fapaneng, ho kenyeletsoa:

• Mathata a ho koala mali
• Chesa
• Bothata ka sebopeho sa pelo le ts'ebetso e teng nakong ea tsoalo (congenital heart heart)
• E phatlalalitse coagulation ea methapo ea methapo (DIC)
• Boemo bo tlase ba oksijene maling
• Tšoaetso
• Lefuemia
• Lefu la sebete
• Bothata nakong ea bokhachane joalo ka preeclampsia, placenta abruptio, ho senyeheloa ke mpa
• Ho tšeloa mali haufinyane
• Ts'ebetso ea morao-rao e neng e kenyelletsa pompo ea pelo le ea matšoafo, kapa opereishene ea ho theola khatello e phahameng ea mali sebeteng
• Lefu la liphio
• Ho hana ho kenyelletsa
• Karabelo ea mali

Ha ho na kotsi e kholo ea ho nkuoa mali a hau. Methapo le methapo li fapana ka boholo ho tloha ho motho e mong ho ea ho o mong, le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho fumana sampole ea mali ho batho ba bang ho ka ba thata ho feta ho ba bang.

Likotsi tse ling tsa ho huloa mali li nyane, empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Li-punctures tse ngata ho fumana methapo
• Hematoma (mali a bokellanang ka tlasa letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

Li-FDP; Li-FSP; Lihlahisoa tsa Fibrin tse arohaneng; Lihlahisoa tsa ho senyeha ha Fibrin

CC ea Chernecky, Berger BJ. Lihlahisoa tsa ho senyeha ha fibrinogen (lihlahisoa tsa tlhekefetso ea fibrin, FDP) - mali. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 525-526.

Levi M. E phatlalalitse coagulation ea methapo. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 139.