Ingabe igazi lakho alijiyi kahle? Ake sifunde ngokuhlolwa kwe-Fibrinogen!

Ingabe ngezinye izikhathi uba nesilonda esincane esingayeki ukuphuma kwegazi isikhathi eside? Noma umane nje uthola imihuzuko nezinye izinto? Udokotela wakho angase akucele ukuthi uhlole izinga lakho le-"Fibrinogen". Ngakho-ke, namuhla sizoxoxa ngokuthi iyini le Fibrinogen Test, ukuthi yenziwa kanjani, nokuthi yenziwa kanjani.

Kuyini i-fibrinogen? Lokhu kuhlolwa kulinganisa ini?

Kalula nje, i-fibrinogen uhlobo olukhethekile lweprotheni ekhiqizwa esibindini sethu. Yiyona eyinhloko esiza ukujiya kwegazi lethu. Cabanga nje, uma ulimala endaweni ethile, ukuphuma kwegazi kuyayeka ngemva kwesikhashana. Le fibrinogen iyasiza ngalokho. Yakha i-blood clot futhi iyeke ukuphuma kwegazi.

Ngakho-ke, ukuhlolwa kwe-fibrinogen kulinganisa ukuthi ingakanani le phrotheni ebizwa ngokuthi i-fibrinogen esegazini lakho. Ngezinye izikhathi ibizwa ngokuthi "ukuhlolwa komsebenzi we-Factor I" ngoba i-fibrinogen iyisici sokuqala (i-Factor I) enqubweni yokujiya kwegazi.

Okubalulekile: Uma igazi lakho linamazinga aphansi e-fibrinogen, lingase libe nobunzima bokujiya. Lokhu kusho ukuthi ngisho nesilonda esincane singabangela ukopha okuningi.

Ukuhlolwa kwe-fibrinogen kwenziwa nini?

Kunezizathu eziningana zokuthi kungani udokotela wakho engase acele lokhu kuhlolwa, ikakhulukazi uma unezimpawu ezibonisa ukuthi i-fibrinogen iphansi:

• Ingabe izinsini zakho ziphuma igazi njalo? Hhayi nje kuphela uma uxubha amazinyo akho, kodwa futhi nalapho umi lapho nje?
• Uzizwa sengathi uphuma igazi ohlelweni lwakho lokugaya ukudla? Okusho ukuthi, zikhona yini izimpawu zokuphuma kwegazi "endleleni yakho yesisu (GI), njengamathumbu noma isisu sakho?
• Ingabe kukhona igazi emchameni noma endle? Lokhu kuyinto okufanele uyitshele udokotela.
• Uyakhwehlela igazi?
• Ingabe kukhona imihuzuko nemihuzuko emzimbeni kuphela? Uma into encane ikushaya bese ugcina unomhuzuko omkhulu, lokho kufanele kuhlolwe nakho.
• Ingabe uvame ukuphuma igazi ekhaleni?
• Wake waba nesimo esifana nokuqhuma kwe-spleen?

Ngaphezu kwezimpawu ezinjengalezi, kunezinye izimo eziholela kulolu vivinyo:

• Uma uke waba nemiphumela engavamile evela kwezinye izivivinyo zokujiya kwegazi, njengokuhlolwa kwesikhathi se-prothrombin (PT) noma isikhathi se-activated partial thromboplastin (APTT). Lezi zivivinyo zilinganisa ukuthi igazi lakho lijiya ngokushesha kangakanani.
• Uma unezimpawu ezibonisa ukuthi unesifo sokujiya kwegazi.
• Ukujiya kwegazi okusabalalisiwe (DIC)Uma unezimpawu zesifo sokujiya kwegazi esinzima nesiyinkimbinkimbi, njengokuthi: Lokhu kwenzeka lapho kwakheka amahlule amancane egazi emzimbeni wonke, okubangela ukuphuma kwegazi.
• Uma ucabanga ukuthi unezifo zofuzo ezithinta ukujiya kwegazi.
• Uma ukhulelwa kaningi , ngezinye izikhathi izinkinga nge-fibrinogen nazo zingaba imbangela.

Yiziphi izinhlobo zokuntuleka kwe-Fibrinogen?

Ukuhlolwa kwe-fibrinogen kungabonisa ukuthi unesifo se-fibrinogen, noma ukuntuleka kwe-fibrinogen. Okunye kwalokhu kuntuleka kungokwezakhi zofuzo . Okusho ukuthi, kubangelwa ushintsho kuma-gene (ukuguqulwa kwezakhi zofuzo). Ngezinye izikhathi lokhu kuyifa , okusho ukuthi kudluliselwa kusuka kubazali kuya ezinganeni.

Kunezinhlobo ezintathu eziyinhloko zokuntuleka kwe-fibrinogen:

1. I-Afibrinogenemia: Lokhu kwenzeka lapho kungekho fibrinogen egazini lakho nhlobo. Lesi yisimo esingavamile kakhulu. Sithinta cishe umuntu oyedwa kwabayisigidi.

2. I-Hypofibrinogenemia: Lokhu kusho ukuthi igazi lakho linamazinga aphansi kakhulu e-fibrinogen . Nakuba kungewona angavamile njenge-afibrinogenemia, lokhu futhi akuvamile kakhulu. Kodwa-ke, kuvame kakhulu kune-afibrinogenemia.

3. I-Dysfibrinogenemia: Lokhu kwenzeka lapho igazi lakho linamazinga ajwayelekile e-fibrinogen, kodwa ayisebenzi kahle. Lokhu kusho ukuthi i-protein fibrinogen ikhona, kodwa ayikwazi ukusiza ukujiya kwegazi lakho. Njengoba abantu abaningi abanalesi simo bengakhombisi izimpawu, kunzima ukwazi ukuthi bangaki abantu abanaso. Kodwa-ke, sivame kakhulu kune-afibrinogenemia.

Ungalungiselela kanjani ukuhlolwa kwe-fibrinogen?

Ezimweni eziningi, awudingi ukwenza lutho olukhethekile ukuze ulungiselele lolu vivinyo. Udokotela wakho uzokweluleka ngalokhu.

Kodwa-ke, uma uthatha imithi yokunciphisa igazi , udokotela wakho angakutshela ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kufanele wenze lokhu njengoba nje udokotela wakho ekutshelile.

Okunye okuncane, ukuphuza amanzi amaningi kuhle hhayi kuphela kulokhu kuhlolwa, kodwa nangaphambi kwanoma yikuphi ukuhlolwa kwegazi. Uma umzimba umanzi ngokwanele, kulula ukudonsa igazi emithanjeni.

Kwenzekani ngesikhathi sokuhlolwa?

Lokhu ukuhlolwa kwegazi okulula kakhulu. Akukho okufanele ukhathazeke ngakho. Nakhu okwenzekayo:

1. Ngokuvamile, indawo encane ezungeze ingqiniba yesandla sakho ihlanzwa kahle nge-cotton swab ecwiliswe ku-rubbing alcohol.

2. Ngemuva kwalokho, umhlengikazi noma udokotela uzofaka inaliti encane ngokucophelela emthanjeni wakho. Kuzoba sengathi intuthwane encane iyalunywa, yilokho kuphela.

3. Ithubhu elincane (ibhodlela) lixhunywe kuleyo naliti bese kuqoqwa igazi elithile.

4. Ngemva kokukhishwa kwegazi, inaliti iyasuswa bese kubekwa ucezu lwe-gauze ehlanzekile phezu kwendawo bese kufakwa ingcindezi.

Yilokho kuphela! Umsebenzi uqediwe ngemizuzu embalwa.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokunikela ngegazi, ungaya ekhaya ngokushesha. Ungaqhubeka nemisebenzi yakho evamile njengenjwayelo. Asikho isidingo sokuphumula ikakhulukazi.

Ingabe zikhona izingozi ngalolu vivinyo?

Eqinisweni, ukuhlolwa kwe-fibrinogen kuwukuhlolwa okuphephile kakhulu. Izingozi ziphansi kakhulu.

Ungase uzizwe uluhlaza okwesibhakabhaka noma ubuhlungu obuncane lapho inaliti ifakwe khona. Lokhu kuzophela ngokwako ngosuku olulodwa noma ezimbili. Ungakhathazeki ngakho.

Ithini imiphumela yokuhlolwa?

Lokhu kuhlola kulinganisa amazinga e-fibrinogen kumagremu ngelitha (g/L) noma kuma-milligram nge- deciliter (mg/dL).

Izinga le-fibrinogen lomuntu ophilile kufanele libe phakathi kwamagremu angu-2 no-4 ngelitha (2-4 g/L) noma amamiligremu angu-200 kuya kwangu-400 nge-deciliter (200-400 mg/dL).

Kungakhathaliseki ukuthi izinga lakho le-fibrinogen liphakeme noma liphansi kunaleli banga elijwayelekile, lingabonisa isimo. Isibonelo:

• Ukuba nezinkinga zokujiya kwegazi .
• Ukuntuleka kwe-fibrinogen (okusho ukuthi i-fibrinogen ayanele).
• Isimo esibizwa ngokuthi i-irregular fibrinolysis . Lokhu kusho ukuthi kukhona ukungajwayelekile enkambisweni yokuncibilikisa nokususa amahlule egazi angafuneki akhiwa emzimbeni.

Kuthiwani uma nginesifo sokuntuleka kwe-fibrinogen?

Uma imiphumela yokuhlolwa kwakho iqinisekisa ukuthi unesifo sokuntuleka kwe-fibrinogen, udokotela wakho uzokunikeza ukwelashwa okudingekayo ukuze kwandiswe amazinga akho e-fibrinogen.

Ngokuvamile, umkhiqizo wegazi oqukethe i-fibrinogen unikezwa ngomugqa we-intravenous (IV). I-Fibrinogen ivame ukunikezwa ngale ndlela njalo ngemva kwezinsuku ezimbili kuze kube yilapho izinga lakho le-fibrinogen libuyela esimweni esijwayelekile.

Futhi, udokotela wakho angakunika i-fibrinogen ngale ndlela ngezikhathi ezikhethekile lapho usengozini yokopha ngokweqile . Isibonelo:

• Ngemva kokulimala okukhulu noma ingozi.
• Ngaphambi kokuhlinzwa.
• Ngesikhathi umntwana ezelwe, ngemva nje kokuba umntwana ezelwe.

Udokotela wakho uzonquma ngalezi zindlela zokwelapha ngokusekelwe esimweni sakho.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Kulungile, ngakho-ke sesikhulume kakhulu nge-Fibrinogen Test. Ngamafuphi:

• Ukuhlolwa kwe-fibrinogen kubheka inani le-fibrin egazini lakho,Izinga leprotheni ebizwa ngokuthi i-fibrinogen, esiza ukujiya kwegazi.
• Le phrotheni ikhiqizwa esibindini sethu.
• Udokotela uzoyala lokhu kuhlolwa uma unezimpawu ezibonisa inkinga yokujiya kwegazi , njengokuphuma kwegazi njalo, ubunzima bokuyeka ukuphuma kwegazi, noma ukuklwebheka njalo .
• Lokhu ukuhlolwa kwegazi okulula. Ngokuvamile akukho ukulungiselela okukhethekile okudingekayo.
• Uma izinga lakho le-fibrinogen liphansi, kukhona ukwelashwa kwalo. Udokotela wakho uzokunikeza ukwelashwa okufanele kakhulu.

Ngakho-ke, uma unalezi zimpawu, ungesabi ukubona udokotela bese uthola iseluleko. Ngezivivinyo ezinjengalezi, ungathola ngokushesha ukuthi kukhona inkinga bese uqala ukwelashwa. Ngemuva kwalokho ungalulama ngokushesha ngaphandle kokulinda inkinga enkulu.

Ukuhlolwa kwe- Fibrinogen, ukujiya kwegazi, ukopha, ukuntuleka kwe-fibrinogen, ukuhlolwa kwegazi, isibindi, izimpawu