Yayin da kake da ciki, masanin ilimin likitancin mutum zai gaya maka ka dauki jigilar gwaje-gwaje: dole ne dukan mata masu ciki su ɗauki wasu sigogi, da kuma ƙarin - idan sun buƙace shi. Coagulation a lokacin daukar ciki yana daya daga cikin gwaje-gwajen da ya dace. Yi shi sau ɗaya a cikin wani trimester (sauki a ce, sau ɗaya kowane wata uku). Amma idan mace ta yi rajistar bayan makonni na 12 na ciki, to, za a sami irin waɗannan nazari guda biyu: nan da nan lokacin da mace ta yi rajista kuma kafin a bar haihuwa - a makonni 30.
Bugu da ƙari, bincike game da coagulogram a lokacin daukar ciki an yi shi bayan an samu magani, idan akwai hauka a cikin ƙimar, kuma kafin haihuwa, idan an ba ku sashen caesarean. Ana daukar jini a kan coagulogram a lokacin daukar ciki, don nazarin biochemical - daga cikin tsoka da kuma a cikin komai a ciki.
Mene ne zanen jini ya nuna?
Alamar mahimmanci na mutumin da yake da lafiya:
lokacin wanka - minti 5-10;- lokacin ƙaddamarwa (ATS) - 50 - 70 seconds;
- lokacin hawan thromboplastin lokaci mai aiki (APTT) - 24 zuwa 35 seconds;
- prothrombin index - 80 - 120%;
- abun ciki na fibrinogen - 2 - 4 g / l;
- thrombin lokaci - 11 - 17.8 seconds;
- mai gina jiki fibrin-monomer mai narkewa (RNMC) - 4 MG / 100 ml;
- aikin fibrinolytic - 183 - 263 minti;
- trombotest - IV - V digiri;
- fibrinogen - 5.9 - 11.7 μmol / l;
- fibrinogen B - ƙananan;
- Cutar da plasma ga heparin - 3 - 11 minutes;
- Duration na zub da jini Duroku har zuwa minti 4;
- Sakamakon cire jini - 44 - 65%;
- lokacin ƙaddamarwar plasma (VPR) shine 60 - 120 seconds.
Me ya sa ya canza sakamakon sakamakon coagulation a lokacin daukar ciki?
Alamar coagulation a lokacin daukar ciki ya bambanta da sabawa, saboda jiki yana shirya don haihuwar haihuwar, da rashin jinin jini a cikinsu, kuma jinin yana fara juyawa sauri. Wannan yana iya fahimta ko da tare da ƙirar mai sauƙi, idan kawai adadin plalets ne aka ƙaddara - nauyin jini wanda aka kafa ginshiƙan thrombus (yawanci adadin su daga 150 zuwa 400 x 109 / L), lokacin clotting (minti 5-10 dangane da fasaha), ƙaddamarwa fibrinogen da kuma prothrombin index.
Cikin coagulability na jini yana ƙaruwa cikin jiki, kuma wannan yana bayyana a yayin da aka tsara wasu alamun:
- fibrinogen - furotin ne wanda aka hada da fibrin a yayin zub da jini - a lokacin na uku na uku na ciki ciki ya karu daga 2 zuwa 4 zuwa 6 g / l;
- haɗarin prothrombin a cikin mata masu juna biyu kada su bambanta daga filayen filayen: prothrombin - furotin na plasma jini, daga abin da aka kafa thrombin - index zai tashi idan gurɓataccen takalma ya fara.
Me yasa za a ba da karin horo a lokacin daukar ciki?
A wasu dakunan gwaje-gwaje a lokaci ɗaya ko kuma a wani bambanci daga al'ada ko ƙwarewa a cikin ƙwararren ƙwararren ƙwararren ƙwararren ƙira a lokacin ciki. Amma jagorancin horar da kwararru na musamman anyi shi ne don alamomi na musamman: yana da ciki mai mahimmanci , mai tsanani da wuri da kuma marigayi gestosis, haifuwa da mutuwar tayi, cututtuka na jini, da tarihin rashin haihuwa, ɓataccen al'ada.
Anyi aiki na zamani na thromboplastin (APTT) yana nuna alamar abubuwan da ke rufewa, ba tare da wanda ba zai yiwu a samar da jini ba. A cikin mata masu ciki, an rage shi zuwa 17 zuwa 20 seconds (wani ɓangaren motsa jiki daga fibrinogen tare da taimakonsu ya fara sauri). Lupus mahalarci ya kamata ya kasance ba a ciki a cikin mata masu ciki, amma ya bayyana a cikin cututtukan da ke ciki da kuma mummunan cututtuka na ciki, gabanin zai haifar da karuwa a APTT. Lokaci na Thrombin (11 - 18 seconds) a cikin mata masu ciki ƙara zuwa 18 - 25 seconds. Wannan lokaci shine kwanakin jini na ƙarshe, yayin da fibrin strands ke samuwa daga fibrinogen karkashin aikin thrombin (factor coagulation factor).
Menene ya hana canje-canje a coagulogram a ciki?
Idan sigogi na coagulogram ya bambanta da na al'ada, to, da farko, dole ne mu kula da abin da waɗannan canje-canje suka faru: haɓakar jini ya karu ko, a wani ɓangare, ragu. Kuma aikata shi mafi alhẽri fiye da gwani. Hakika, karuwar yawan haɓakar jini yana iya haifar da kullun ciwon hawan jini da halayen jini: sunadarai na halayen jini sun lalace kuma rashin ciwon kwayar halitta na jiki, wanda shine barazana ga mahaifiyarsa, zai iya ci gaba. Kuma karuwa a cikin ƙin jini yana haifar da wani nau'i na thrombosis.