Koj puas nco qab thaum koj ntog thiab mob koj lub hauv caug thaum koj ua si thaum koj tseem yog menyuam yaus? Thaum koj niam ntxuav nws, muab tshuaj, thiab muab daim ntaub nplaum rau, qhov ntshav ntawd tsis ntws tom qab ib pliag. Qhov ntawd yog ib txwm muaj. Tab sis qee zaum, txawm tias qhov txhab me tshaj plaws los tsis ntws ntev ntev, puas yog? Lossis qee tus neeg yuav pom tias lawv lub cev tig xiav rau qee qhov chaw. Qhov laj thawj rau tej yam zoo li no yuav yog vim tsis muaj cov protein tshwj xeeb hauv peb cov ntshav. Niaj hnub no, peb tab tom tham txog kev kuaj ntshav tseem ceeb heev uas ntau tus neeg tsis tau hnov txog, tab sis nws yog ib yam dab tsi uas peb tab tom tshawb nrhiav.
Hauv lwm lo lus, fibrinogen yog dab tsi?
Zoo, cia peb hais li no. Fibrinogen yog ib hom protein tshwj xeeb uas tsim tawm hauv peb lub siab. Nws zoo li peb lub cev "cov plaster ntuj." Thaum koj muaj qhov txiav lossis qhov mob qhov twg ntawm koj lub cev, cov protein fibrinogen no maj mam nkag mus thiab pab tiv thaiv kev los ntshav.
Xav txog tias thaum koj raug txiav qhov twg hauv koj lub cev, fibrinogen zoo li 'cement' uas los kaw qhov txhab. Cov protein no, ua ke nrog lwm cov hlwb hauv cov ntshav (platelets), tsim ib daim ntaub ncig qhov txhab thiab kaw nws. Thaum ntawd cov ntshav tsis los. Peb hu cov txheej txheem no ua cov ntshav txhaws . Yog li xav txog, yuav ua li cas yog tias cov 'cement' lossis fibrinogen protein no txo qis hauv peb cov ntshav? Ib yam li koj tsis tuaj yeem tsim phab ntsa yam tsis muaj cement, nws nyuaj rau kom tsis txhob los ntshav txawm tias los ntawm qhov txhab me me.
Thaum twg tus kws kho mob yuav pom zoo kom kuaj qhov no?
Feem ntau, tus kws kho mob tsis hais kom koj ua qhov kev kuaj fibrinogen tam sim ntawd. Tsuas yog thaum koj saib qee cov tsos mob uas koj lub cev qhia lossis muab piv rau lwm cov ntawv xeem uas koj yuav ua rau koj tsis ntseeg. Cia peb saib seb cov tsos mob ntawd yog dab tsi.
| Cov tsos mob | Piav Qhia Yooj Yim |
|---|---|
| Los ntshav ntau zaus los ntawm cov pos hniav | Yog tias koj cov pos hniav los ntshav tsis yog thaum txhuam koj cov hniav xwb, tab sis kuj thaum koj sawv ntawd thiab. |
| Ntsws ntshav ntau zaus | Yog koj muaj ntshav ntswg ntau zaus tsis muaj laj thawj. |
| Kev mob ntawm lub cev uas tsis paub meej | Yog tias koj tsis raug ntaus qhov twg, tab sis hloov chaw koj lub cev hloov xiav thiab zoo li cov qhov txhab. |
| Ntshav nyob rau hauv cov zis los yog quav | Yog tias koj cov zis liab/tsaus los yog koj pom ntshav hauv koj cov quav. |
| Hnoos ntshav | Yog tias cov ntshav sib xyaw nrog cov hnoos qeev. |
| Kev ntshav hauv lub cev zom zaub mov | Cov tsos mob xws li mob plab, ntuav thiab los ntshav. |
Ntxiv rau cov tsos mob zoo li no, tus kws kho mob yuav pom zoo kom ua qhov kev kuaj no rau ntau yam laj thawj.
- Tej yam tsis zoo hauv lwm cov kev kuaj ntshav: Yog tias cov txiaj ntsig ntawm kev kuaj uas ntsuas seb koj cov ntshav txhaws sai npaum li cas, xws li Prothrombin Time (PT) thiab Activated Partial Thromboplastin Time (APTT) , tsis zoo, koj yuav raug hais kom ua qhov kev kuaj fibrinogen no kom nrhiav tau qhov ua rau.
- Xav tias muaj teeb meem ntshav txhaws: Yog tias koj tus kws kho mob xav tias koj muaj teeb meem ntshav txhaws.
- Cov mob hnyav: Qhov kev kuaj no yog qhov yuav tsum tau ua rau cov mob hnyav xws li Disseminated Intravascular Coagulation (DIC) .
- Rov qab poob cev xeeb tub dua: Qhov no kuj tseem yuav suav nrog cov kev ntsuam xyuas uas tau ua los nrhiav qhov ua rau cov poj niam uas rov qab poob cev xeeb tub dua.
- Cov kab mob caj ces: Yog tias ib tug neeg hauv tsev neeg muaj teeb meem ntshav txhaws.
Puas muaj hom fibrinogen deficiency?
Yog. Tus mob no muaj peb hom loj. Feem ntau yog los ntawm cov caj ces, uas yog los ntawm cov yam ntxwv ntawm noob caj ces.
| Hom Kev Tsis Txaus | Lub ntsiab lus | Kev sib koom ua ke |
|---|---|---|
| Afibrinogenemia | Tsis muaj cov protein fibrinogen hauv cov ntshav kiag li . | Nws tsis tshua muaj neeg pom, tsuas muaj ib tug ntawm ib lab tus neeg xwb. |
| Kev txo qis cov fibrinogenemia | Qis dua li cov theem ib txwm ntawm fibrinogen hauv cov ntshav. | Nws yog ntau dua li afibrinogenemia. |
| Dysfibrinogenemia | Txawm hais tias cov theem fibrinogen yog qhov qub, lawv tsis ua haujlwm zoo . | Qhov no kuj yog ib qho uas tshwm sim ntau heev, tab sis nws nyuaj rau nrhiav pom vim tias ntau tus neeg tsis qhia cov tsos mob. |
Koj npaj li cas rau qhov kev xeem no?
Qhov no yog qhov zoo tshaj plaws. Feem ntau qhov kev kuaj no tsis tas yuav npaj tshwj xeeb . Koj tsis tas yuav yoo mov lossis ua lwm yam dab tsi.
Tiamsis muaj ib qho tseem ceeb: Yog tias koj noj ib yam dab tsi uas ua rau koj cov ntshav nyias, xws li cov tshuaj ua kom cov ntshav nyias, koj yuav tsum qhia rau koj tus kws kho mob. Nws yuav qhia koj seb koj puas yuav tsum tsis txhob noj lawv ob peb hnub ua ntej kuaj.
Lwm lub tswv yim yog haus dej ntau ntau ua ntej mus kuaj. Qhov no yuav ua rau tus neeg uas ntsuas ntshav nrhiav tau koj cov leeg ntshav thiab kos ntshav yooj yim dua vim tias koj cov leeg ntshav yuav puv.
Muaj dab tsi tshwm sim thaum lub sijhawm kuaj? Puas mob?
Qhov no zoo li kev kuaj ntshav tas li. Koj tsis muaj laj thawj yuav ntshai.
1. Ua ntej, tus kws saib mob lossis tus kws kho mob yuav xaiv ib txoj hlab ntshav uas tsim nyog los ntawm koj txhais caj npab, ze ntawm koj lub luj tshib.
2. Tom qab ntawd siv ib yam dab tsi zoo li cawv los ntxuav qhov chaw ntawd kom huv si.
3. Tom ntej no, muab ib rab koob me me ntxig rau hauv cov leeg ntshav thiab muab cov ntshav uas xav tau sau rau hauv ib lub raj me me.
4. Thaum cov ntshav raug rho tawm lawm, ces muab rab koob rho tawm thiab muab ib daim paj rwb los yog daim ntaub qhwv qhov txhab tso rau saum thaj chaw ntawd thiab nias kom nruj.
Tag nrho cov txheej txheem tsuas siv ob peb feeb xwb. Muaj qhov mob me ntsis thaum muab koob txhaj rau hauv, tab sis nws ploj mus hauv ob peb feeb xwb.
Thaum twg ua tiav qhov kev kuaj lawm, koj mam li mus tsev thiab ua koj tej dej num li qub. Tsis muaj teeb meem dab tsi li. Qhov chaw uas koob txhaj rau hauv yuav xiav me ntsis los yog mob me ntsis. Qhov no yuav ploj mus tag hauv ib hnub los yog ob hnub. Qhov no yog ib txwm muaj.
Daim ntawv qhia no txhais li cas?
Koj cov ntshav yuav raug kuaj hauv chav kuaj thiab yuav ntsuas seb muaj pes tsawg fibrinogen nyob hauv. Feem ntau, tus neeg laus noj qab nyob zoo cov fibrinogen yuav tsum nyob nruab nrab ntawm 2 thiab 4 grams ib liter (2-4 g/L) lossis 200 thiab 400 milligrams ib deciliter (200-400 mg/dL) .
Yog tias koj qhov kev kuaj mob qis dua qhov ntau npaum li cas no, nws txhais tau tias:
- Koj muaj cov fibrinogen tsis txaus.
- Kev tsim cov fibrinogen tau txo qis vim yog kab mob siab.
- Kev tsis noj zaub mov zoo heev.
Yog tias qhov tshwm sim siab dua li qub, nws yuav yog vim muaj kev kis kab mob, mob qog noj ntshav, kab mob plawv, lossis qee yam kev o hauv lub cev.
Qhov tseem ceeb tshaj plaws yog, tsis txhob maj nrawm mus xaus lus raws li cov lej hauv daim ntawv qhia no. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los piav qhia rau koj lub ntsiab lus tseeb ntawm koj daim ntawv qhia, vim li cas nws nyob ntawd, thiab koj yuav tsum ua dab tsi tom ntej.
Yuav ua li cas yog tias cov fibrinogen qis?
Yog koj cov txiaj ntsig kuaj pom tseeb tias koj cov fibrinogen qis, koj tus kws kho mob yuav sau ntawv kho mob uas tsim nyog. Kev kho mob yuav nyob ntawm seb koj cov fibrinogen qis npaum li cas, qhov xwm txheej ntawm koj cov tsos mob, thiab koj txoj kev noj qab haus huv tag nrho.
Feem ntau, kev kho mob tseem ceeb yog muab cov tshuaj fibrinogen los ntawm cov kua saline (intravenously - IV). Qhov no tuaj yeem muab txhua hnub lossis txhua ob hnub.
Kev kho mob no yog qhov tshwj xeeb tshaj yog pom zoo rau cov xwm txheej uas muaj kev pheej hmoo siab ntawm kev los ntshav. Piv txwv li:
- Tom qab muaj xwm txheej loj heev.
- Ua ntej kev phais mob uas tau npaj tseg.
- Thaum muaj menyuam los yog tom qab muaj menyuam.
Kev kho mob no tuaj yeem coj cov fibrinogen hauv koj cov ntshav rov qab mus rau qhov qub thiab tiv thaiv kev los ntshav ntau dhau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Fibrinogen yog ib qho protein tsim tawm hauv lub siab uas tseem ceeb rau cov txheej txheem ntshav txhaws hauv peb lub cev.
- Yog tias koj muaj cov tsos mob xws li los ntshav ntau yam tsis paub meej, los ntshav ntswg ntau zaus, lossis muaj qhov liab liab tsis paub meej, koj yuav tsum mus ntsib kws kho mob.
- Kev kuaj ntshav fibrinogen yog ib qho kev kuaj ntshav yooj yim heev, tsis muaj kev pheej hmoo ntau. Tsis tas yuav ntshai nws.
- Tsis txhob ntshai lossis kuaj mob tom qab pom cov txiaj ntsig ntawm kev kuaj mob. Ib txwm nrog koj tus kws kho mob tham txog qhov ntawd.
- Yog koj cov fibrinogen qis, muaj cov kev kho mob zoo. Koj tus kws kho mob yuav pom zoo rau txoj kev kho mob zoo tshaj plaws rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus