Kodi Hemolysis Yachitsanzo Imachitika Bwanji?

1) Kodi kuweruza hemolysis?

Kawirikawiri, chitsanzo pambuyo pa centrifugation chimayang'aniridwa kuti chiweruze ngati ndi hemolytic, koma nthawi zina chitsanzocho chimakhala chofiira pang'ono chifukwa cha kugwedezeka kosasamala pambuyo pa centrifugation, yomwe idzaonedwanso ngati hemolysis ngati sichiyang'aniridwa mosamala.Ndiye tingadziwe bwanji ngati hemolysis ndiyowona?Njira yabwino ndikuyeza kuchuluka kwa hemoglobin mu seramu, ndiko kuti, hemolysis index, kuti mudziwe ngati pali hemolysis.

Kodi mungafotokoze bwanji ngati chitsanzocho chili ndi mayeso azachipatala okhudzana ndi hemolysis?Pakalipano, njira yodziwika bwino ndiyo kuweruza molingana ndi ndondomeko ya hemolysis (HI).Hemolysis index kwenikweni ndi mlingo wa hemoglobin waulere mu plasma.Ofufuza ena anayerekezera maphunziro a 50 okhudza hemolysis ndipo anapeza kuti 20 inagwiritsa ntchito hemolysis index kuti ifotokoze hemolysis, 19 inagwiritsa ntchito kuyang'ana kowonekera, ndipo 11 ina sinasonyeze njirayo.

Mchitidwe wogwiritsa ntchito zithunzi za hemolysis posankha zitsanzo zachipatala zimaonedwa kuti ndizolakwika chifukwa chosowa zolinga zochulukira komanso kukhudzidwa kwa zizindikiro zosiyanasiyana ku hemolysis.Pakafukufuku wa ku cludia mu 2018, anthu adatsata mosamalitsa zitsanzo zamagazi 495 ndi zotsatira zoyesa mchipinda chadzidzidzi.Zinapezeka kuti kuweruza kowonekera kwa hemolysis kungayambitse zotsatira zosayenera zoyesa mpaka 31%, kuphatikiza 20.7% ya milandu yomwe hemolysis idakhudza zotsatira zake koma idanyalanyazidwa, ndi 10.3% ya milandu yomwe zotsatira zake zidayimitsidwa koma kenako. samakhudzidwa ndi hemolysis.

2) Zomwe zimayambitsa hemolysis

Zomwe zimayambitsa hemolysis zitha kugawidwa m'mayesero azachipatala okhudzana ndi hemolysis komanso mayeso osakhudzana ndi matenda okhudzana ndi hemolysis malinga ngati akugwirizana ndi kafukufuku wachipatala.Kuyesedwa kwachipatala kokhudzana ndi hemolysis kumatanthawuza ku hemolysis komwe kumachitika chifukwa cha kuphulika kwa maselo ofiira amwazi chifukwa cha opareshoni yosayenera yoyezetsa zachipatala, yomwe ndi nkhani yathu yomwe tikambirana.Zochita zachipatala ndi zolemba zoyenera zatsimikizira kuti zochitika za hemolysis zimagwirizana mwachindunji ndi ndondomeko yosonkhanitsa zitsanzo.Pakuwunika kwachipatala, hemolysis imayamba ngati singano yosonkhanitsira magazi ndi yaying'ono kwambiri, kuthamanga kwa magazi kumathamanga kwambiri, kusankha malo osonkhanitsira magazi ndikosayenera, tourniquet imagwiritsidwa ntchito motalika kwambiri, kusonkhanitsa magazi. Chotengera sichimadzadza, kugwedezeka kwakukulu pambuyo pa kusonkhanitsa magazi, kugwedezeka kwakukulu paulendo, ndi zina zotero. Zingathe kugawidwa motere:

2.1 Kusonkhanitsa zitsanzo

Kuvulala kwa kusonkhanitsa magazi, monga kuika singano mobwerezabwereza ndi kusonkhanitsa magazi pa hematoma;Sonkhanitsani magazi kuchokera ku zida zolowera m'mitsempha monga singano yolowera m'mitsempha, chubu chothira ndi catheter yapakati;Kutolere magazi kwa syringe;Mtsempha wapakati wam'kati wam'kati mwa cubital, mitsempha ya cephalic ndi mitsempha ya basilic sinakonde;Gwiritsani ntchito singano yabwino;Mankhwala ophera tizilombo sauma;Gwiritsani ntchito tourniquet kwa mphindi yopitilira 1;Kulephera kusakaniza nthawi ndi kusakaniza mwamphamvu;Kuchuluka kwa magazi ndikokwanira ndipo sikufika pamlingo wa vacuum kuyeza kwa chotengera chotengera magazi;Ubwino wa vacuum chotengera magazi ndi kulekanitsa guluu ndi osauka;Gwiritsani ntchito mitsempha yayikulu ya vacuum yosonkhanitsira magazi, ndi zina.

2.2 Magalimoto amtundu

Kugwedezeka kwamphamvu panthawi yopatsirana pneumatic;Nthawi yayitali yopita;Kutentha kwa galimoto yotengerako ndikokwera kwambiri, kugwedezeka kwachiwawa, ndi zina zotero.

2.3 Laboratory chitsanzo processing & Hemolysis mu vivo

Kusunga nthawi yayitali kwa zitsanzo;Kusungirako kutentha kwa zitsanzo ndikokwera kwambiri;Osati centrifuged mu nthawi;Magazi sanali coagulated kwathunthu pamaso centrifugation;Kutentha kwa centrifugal ndikokwera kwambiri ndipo liwiro limathamanga kwambiri;Re centrifugation, etc.

Autoimmune hemolytic, monga kusagwirizana kwa gulu la magazi ndi kuikidwa magazi;Matenda a chibadwa ndi kagayidwe kachakudya, monga thalassemia ndi kuwonongeka kwa hepatolenticular;Mankhwala hemolytic anachita pambuyo mankhwala, monga pachimake hemolytic anachita chifukwa mtsempha wa magazi jekeseni ceftriaxone sodium;Matenda aakulu;kufalitsa intravascular coagulation;Cardiac stent, valavu yamtima yochita kupanga, extracorporeal membrane oxygenation, etc. Chitsanzo cha hemolysis chomwe chimayambitsidwa ndi hemolysis mu vivo sichidzakanidwa ndi labotale, ndipo dokotala adzalemba kufotokozera pa fomu yofunsira.