Kedu ka ihe nlele hemolysis si eme?

1) Olee otú ikpe hemolysis?

N'ozuzu, a na-ahụ ihe nlele mgbe centrifugation ga-ekpe ikpe ma ọ bụ hemolytic, ma mgbe ụfọdụ, ihe nlele ahụ na-acha uhie uhie na-acha uhie uhie n'ihi nhụsianya na-enweghị isi mgbe centrifugation gasịrị, nke a ga-ewerekwa dị ka hemolysis ma ọ bụrụ na ejighị nlezianya anya.Yabụ, kedu ka anyị ga-esi mata ma ọ bụ ezigbo hemolysis?Ụzọ kacha mma bụ ịlele ọnụọgụ hemoglobin dị na serum, ya bụ, hemolysis index, iji mara ma enwere hemolysis.

Kedu ka esi akọwa ma ihe nlele ahụ nwere ule ụlọ ọgwụ metụtara hemolysis?Ka ọ dị ugbu a, usoro a na-emekarị bụ ikpe ikpe dịka hemolysis index (HI).Ndekọ hemolysis bụ n'ezie ọkwa hemoglobin efu na plasma.Ụfọdụ ndị nchọpụta jiri nyocha 50 tụnyere hemolysis wee chọpụta na 20 ji hemolysis index kọwaa hemolysis, 19 jiri nyocha anya, na 11 nke ọzọ egosighi usoro ahụ.

A na-ewere omume nke iji hemolysis na-ahụ anya na-ahọrọ ihe nlele ụlọ ọgwụ na-ezighị ezi n'ihi enweghị ụkpụrụ ọnụọgụ nke ebumnobi na nghọta nke ihe ngosi dị iche iche na hemolysis.N'ime nnyocha e mere na cludia na 2018, ndị mmadụ ji nlezianya na-agbaso ihe nlele ọbara 495 na nsonaazụ ule na ụlọ mberede.Achọpụtara na nleba anya nke hemolysis nwere ike ibute nsonaazụ ule na-ezighi ezi ruru 31%, gụnyere 20.7% nke ọrịa hemolysis nwere mmetụta na nsonaazụ ya mana eleghara ya anya, yana 10.3% nke ikpe ebe a kwụsịtụrụ nsonaazụ ule mana emechaa. achọpụtara na hemolysis adịghị emetụta ya.

2) Ihe na-akpata hemolysis

Enwere ike kewaa ihe kpatara hemolysis n'ime nyocha ụlọ ọgwụ metụtara hemolysis na nyocha na-abụghị nke ụlọ ọgwụ metụtara hemolysis site n'echiche ma ha metụtara usoro nyocha ụlọ ọgwụ.Hemolysis metụtara nyocha ụlọ ọgwụ na-ezo aka na hemolysis nke mgbawa mkpụrụ ndụ ọbara uhie kpatara n'ihi ọrụ nyocha ụlọ ọgwụ na-ezighi ezi, nke bụ isi okwu anyị.Omume ụlọ ọgwụ na akwụkwọ ndị dị mkpa egosila na ihe omume hemolysis na-emetụta kpọmkwem usoro nchịkọta ihe atụ.N'ime usoro nyocha nke ụlọ ọgwụ, a ga-eme hemolysis ma ọ bụrụ na caliber nke agịga nchịkọta ọbara dị ntakịrị, ọbara na-agba ọsọ ọsọ ọsọ, nhọrọ nke nchịkọta ọbara adịghị mma, a na-eji njem nlegharị anya ogologo oge, nchịkọta ọbara. arịa adịghị eju, oke ịma jijiji mgbe nchịkọta ọbara gasịrị, oke ịma jijiji n'oge njem, wdg. Enwere ike kewaa ya n'ime ihe ndị a:

2.1 Nchịkọta ihe atụ

mmerụ ahụ nchịkọta ọbara, dị ka ntinye agịga ugboro ugboro na nchịkọta ọbara na hematoma;Na-anakọta ọbara site na ngwaọrụ ịnweta vaskụla dị ka agịga ebe obibi venous, tube infusion na catheter nke etiti venous;Nchịkọta ọbara sirinji;A naghị ahọrọ vein median cubital vein, vein cephalic na vein basil;Jiri ezigbo agịga;Ihe na-emerụ ahụ adịghị akpọnwụ;Jiri njem nlegharị anya ihe karịrị nkeji 1;Ịghara ịgwakọta oge na ịgwakọta ike;Ogo nnakọta ọbara ezughi oke ma ọ naghị eru n'ike nha nke arịa nnakọta ọbara;Ogo nke oghere ọbara nchịkọta arịa na ikewa gluu adịghị mma;Jiri nnukwu oghere oghere arịa mkpokọta ọbara, wdg.

2.2 Ụgbọ njem ihe atụ

Ịma jijiji na-eme ihe ike n'oge nnyefe pneumatic;Ogologo oge njem;Ọnọdụ okpomọkụ nke ụgbọ ala mbufe dị oke elu, ịma jijiji na-eme ihe ike, wdg.

2.3 Nhazi nyocha ụlọ nyocha & Hemolysis na vivo

Ogologo oge nchekwa nke ụdị;Ọnọdụ nchekwa nchekwa nke ụdị dị oke elu;Adịghị centrifud n'oge;A naghị agbachicha ọbara kpamkpam tupu centrifugation;Okpomọkụ centrifugal dị oke elu na ọsọ dị oke ngwa;Recentrifugation, wdg.

Autoimmune hemolytic, dị ka enweghị nkwekọrịta otu ọbara na mmịnye ọbara;ọrịa mkpụrụ ndụ ihe nketa na nke metabolic, dị ka thalassemia na hepatolenticular degeneration;Mmeghachi omume hemolytic ọgwụ mgbe ọgwụ gasịrị, dị ka nnukwu mmeghachi omume hemolytic kpatara site na intravenous injection nke ceftriaxone sodium;Ọrịa siri ike;na-ekesa coagulation intravascular;Akwụsị obi obi, valvụ obi artificial, extracorporeal membrane oxygenation, wdg. A gaghị anabata hemolysis sample nke hemolysis na-akpata na vivo site na ụlọ nyocha, dọkịta ga-edepụta nkọwa na ngwa ngwa.