Video: Kev kuaj ntshav yog dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Lub sijhawm ua kom khov khov ( ACT ) yog a xeem uas yog siv feem ntau los saib xyuas kev txhaj tshuaj ntau ntau ntawm cov tsis muaj txiaj ntsig (tus qauv) kev kho mob heparin. Heparin yog ib yam tshuaj uas inhibits ntshav khov (anticoagulant) thiab feem ntau yog muab tso rau hauv cov hlab ntshav (IV) los ntawm kev txhaj tshuaj lossis tso ntshav tas mus li.
Cov lus nug tseem yog, dab tsi yog kev coj ua ib txwm muaj?
Cov li qub ntau rau ACT yog 70-120 sec, nrog rau kev kho ntau yam rau anticoagulation yog 150-600 sec. (Txawm li cas los xij, cov kab no sib txawv raws li cov cuab yeej ntsuas siv thiab kev kho mob ua haujlwm.)
Tsis tas li ntawd, kev kuaj ntshav ATC yog dab tsi? Qhov no xeem ntsuas seb nws yuav siv sij hawm ntev npaum li cas rau koj ntshav rau txhav. Nws nquag siv los tshuaj xyuas seb tshuaj heparin ua haujlwm zoo li cas. Plasma yog ntshav uas tau muaj cov hlwb liab, hlwb dawb, thiab platelets tshem tawm. ACT xeem feem ntau yog siv thaum txheej txheem thaum xav tau cov txiaj ntsig tam sim ntawd.
Ua li no, koj siv lub sijhawm ua kom khov ua ke li cas?
Lub ntim ruaj khov ntawm cov ntshav tau muab tso rau hauv ib lub raj nrog cov activator ntawm 37 ° C rau 60 vib nas this, tom qab ntawd cov ntsiab lus tau nplawm kom txog thaum lub sijhawm ua haujlwm. clot yog tsim. Qhov ua tau zoo ntawm ACT yog 80 txog 120 vib nas this. Qhov kev xeem no tuaj yeem yog ua tau yooj yim ntawm lub txaj siv cov khoom lag luam muag.
Dab tsi yog qhov txawv ntawm kev ua thiab aPTT?
Cov aPTT tau siv ntau zaus rau kev saib xyuas tas li; cov ACT yog siv hauv cov xwm txheej tshwj xeeb xav tau koob tshuaj heparin loj. Cov ACT yog feem ntau ua nyob rau hauv txaj thiab muaj peev xwm ntawm yielding tau sai heev thiab tej zaum ntawm tus nqi qis dua ib aPTT ua los ntawm lub chaw kuaj mob plawv.
Pom zoo:
Cov kev kuaj ntshav lab tau ua tiav dab tsi rau ntshav siab?
Cov kev ntsuas no suav nrog cov hauv qab no: Ntshav ntshav, suav nrog ntsuas electrolytes, ntshav urea nitrogen, thiab qib creatinine (txhawm rau ntsuas kev koom tes ntawm lub raum) Lipid profile rau qib ntawm ntau hom roj (cholesterol). Kev ntsuam xyuas tshwj xeeb rau cov tshuaj hormones ntawm cov qog adrenal lossis cov thyroid
Dab tsi ua rau kev kuaj ntshav qab zib kuaj pom?
Kev tshawb fawb txog lub paj hlwb tau ua tiav: Nrhiav thiab ntsuas kev puas tsuaj rau txhua lub qab haus huv uas coj mus deb ntawm lub hlwb thiab tus txha caj qaum mus rau lub paj hlwb me uas tawm los ntawm lawv. Pab txheeb xyuas cov teeb meem paj hlwb, xws li carpal tunnel syndrome lossis Guillain-Barré syndrome
Cov kua ntshav ntshav yog dab tsi tom qab cov qe ntshav thiab cov ntshav khov tau raug tshem tawm?
Cov ntshav yog cov kua ntshav tom qab cov qe ntshav thiab cov protein sib xyaw tau raug tshem tawm. cov pa roj ntshav suav nrog oxygen, carbon dioxide, thiab nitrogen
Txoj hauv kev tshiab tshaj plaws ntawm kev kuaj mob qog noj ntshav yog dab tsi?
Kev ntsuam xyuas cov duab siv hauv kev kuaj mob qog noj ntshav tuaj yeem suav nrog kev siv computer tomography (CT) scan, pob txha scan, magnetic resonance imaging (MRI), positron emission tomography (PET) scan, ultrasound thiab X-ray, thiab lwm yam. Biopsy. Thaum kuaj ntshav, koj tus kws kho mob sau cov qauv ntawm cov cell rau kev sim hauv chav kuaj
Qhov sib txawv ntawm kev kuaj tus kab mob TB thiab 2 Kev kuaj tus kab mob TB yog dab tsi?
Vim li cas Kev Xeem Ob Kauj Ruam ?: Ib qho TST tuaj yeem ua rau cov lus teb me me (ib qho tshuaj tiv thaiv tsis zoo) tab sis txhawb kev tiv thaiv kab mob anamnestic. Qhov thib ob TST yuav ua rau muaj kev teb ntau dua (ib qho tshuaj tiv thaiv zoo). Qhov kev txhawb zog no yog qhov tseem ceeb rau kev kuaj xyuas, vim nws tuaj yeem tsis meej pem nrog tus kab mob TB tshiab