Nigute Hemolysis Yerekana?

1) Nigute twacira urubanza hemolysis?

Mubisanzwe, icyitegererezo nyuma ya centrifugation cyubahirizwa kugirango harebwe niba ari hemolitike, ariko rimwe na rimwe icyitegererezo ni umutuku utukura bitewe no kunyeganyega utitonze nyuma ya centrifugation, nayo izafatwa nka hemolysis niba itarebye neza.None, twabwirwa n'iki ko ari hemolysis yukuri?Inzira nziza ni ugupima ibirimo hemoglobine muri serumu, ni ukuvuga indangagaciro ya hemolysis, kugirango umenye niba hariho hemolysis.

Nigute ushobora gusobanura niba icyitegererezo gifite ibizamini byo kwa muganga bijyanye na hemolysis?Kugeza ubu, uburyo busanzwe ni ugucira urubanza ukurikije indangagaciro ya hemolysis (HI).Indangagaciro ya Hemolysis mubyukuri urwego rwa hemoglobine yubusa muri plasma.Abashakashatsi bamwe bagereranije ubushakashatsi 50 kuri hemolysis basanga 20 bakoresheje indangagaciro ya hemolysis mu gusobanura hemolysis, 19 bakoresheje igenzura, naho abandi 11 ntibagaragaza uburyo.

Imyitozo yo gukoresha hemolysis igaragara kugirango uhitemo ingero zamavuriro zifatwa nkidahwitse kubera kutagira ibipimo bifatika bifatika hamwe no kumva ibimenyetso bitandukanye kuri hemolysis.Mu bushakashatsi bwakorewe muri cludia mu 2018, abantu bakurikiranye bitonze urugero rw'amaraso 495 n'ibisubizo by'ibizamini mu cyumba cyihutirwa.Byagaragaye ko guca urubanza kwa hemolysis bishobora gutera ibisubizo bidakwiye bigera kuri 31%, harimo 20.7% by’imanza aho hemolysis yagize ingaruka ku bisubizo ariko ikirengagizwa, naho 10.3% by’imanza aho ibisubizo by’ibizamini byahagaritswe ariko nyuma ugasanga bidatewe na hemolysis.

2) Impamvu zitera hemolysis

Impamvu zitera hemolysis zirashobora kugabanywa mubice byo kwisuzumisha bijyanye na hemolysis no kwisuzumisha bitari ivuriro bijyanye na hemolysis ukurikije niba bifitanye isano na gahunda yo kwisuzumisha.Kwipimisha kwa Clinical bifitanye isano na hemolysis bivuga hemolysis iterwa no guturika kw'amaraso atukura bitewe no kubaga kwa muganga bidakwiye, aribyo twibandaho.Ubuvuzi nubuvanganzo bufite akamaro bwerekanye ko kubaho kwa hemolysis bifitanye isano itaziguye no gukusanya icyitegererezo.Mugihe cyo kwisuzumisha kwa clinique, hemolysis izaterwa niba kalibiri y'urushinge rwo gukusanya amaraso ari nto cyane, umuvuduko wo gushushanya amaraso urihuta cyane, guhitamo aho gukusanya amaraso ntibikwiye, tourniquet ikoreshwa igihe kirekire, gukusanya amaraso imitsi ntabwo yuzuye, kunyeganyega cyane nyuma yo gukusanya amaraso, kunyeganyega cyane mugihe cyo gutwara, nibindi birashobora kugabanywamo ibi bikurikira:

2.1 Icyegeranyo

Gukomeretsa amaraso, nko gushyira inshinge inshuro nyinshi no gukusanya amaraso kuri hematoma;Kusanya amaraso mu bikoresho byinjira mu mitsi nk'urushinge rwinjira mu mitsi, umuyoboro wa infusion na catheter yo hagati;Gukusanya amaraso ya syringe;Imbere ya median cubital vein, cephalic veine na basilic vein ntabwo byakunzwe;Koresha urushinge rwiza;Imiti yica udukoko ntabwo yumye;Koresha irushanwa kuminota irenga 1;Kunanirwa kuvanga mugihe no kuvanga bikabije;Ubwinshi bwo gukusanya amaraso ntibuhagije kandi ntibugera ku gipimo cyo gupima icyuho cyo gukusanya amaraso;Ubwiza bwamaraso yo gukusanya amaraso no gutandukanya kole ni bibi;Koresha imiyoboro minini ya vacuum ikusanya amaraso, nibindi.

2.2 Ubwikorezi

Kunyeganyega gukabije mugihe cyo kwanduza umusonga;Igihe kinini cyo gutambuka;Ubushyuhe bwimodoka yimurwa ni ndende cyane, kunyeganyega bikabije, nibindi.

2.3 Laboratoire yo gutunganya & Hemolysis muri vivo

Igihe kirekire cyo kubika ingero;Ubushyuhe bwo kubika ingero buri hejuru cyane;Ntabwo yashyizwe mugihe;Amaraso ntiyari yuzuye neza mbere ya centrifugation;Ubushyuhe bwa centrifugal buri hejuru cyane kandi umuvuduko urihuta cyane;Re centrifugation, nibindi

Autoimmune hemolytic, nk'itsinda ry'amaraso ridahuye no guterwa amaraso;Indwara zikomoka ku ngirabuzima fatizo, nka thalassemia na hepatolenticular degeneration;Ibiyobyabwenge bya hemolytike nyuma yimiti, nka reaction ikaze ya hemolytike iterwa no gutera inshinge ya sodium ya ceftriaxone;Indwara ikabije;Gukwirakwiza imitsi y'amaraso;Stent yumutima, valve yumutima wubuhanga, ogisijeni ya extraacorporeal membrane, nibindi.