"Sample hemolysis shine tushen kuskuren da ya fi dacewa a cikin dakin gwaje-gwaje na asibiti da kuma dalilin da ya sa samfurin ƙin yarda da shi. Rahoton sakamakon da ba daidai ba saboda samfurin hemolysis na iya haifar da rashin fahimta da rashin tausayi, sake zana jini zai kara yawan jin zafi na marasa lafiya, ya tsawaita sake zagayowar rahoton, kuma yana haifar da hasarar mutane, abin duniya da tattalin arziki"
1) Yadda za a yi hukunci hemolysis?
Gabaɗaya, ana lura da samfurin bayan centrifugation don yin hukunci ko yana da hemolytic, amma wani lokacin samfurin yana ɗan ja turbid saboda rashin kula da rawar jiki bayan centrifugation, wanda kuma za a ɗauke shi azaman hemolysis idan ba a duba a hankali ba.Don haka, ta yaya za mu iya sanin ko hemolysis na gaskiya ne?Hanya mafi kyau ita ce auna abun ciki na haemoglobin a cikin jini, wato, ma'aunin haemolysis, don sanin ko akwai hemolysis.
Yadda za a ayyana ko samfurin yana da gwajin asibiti dangane da hemolysis?A halin yanzu, hanyar al'ada ita ce yin hukunci bisa ga ma'aunin hemolysis (HI).Haɗin haemolysis shine ainihin matakin haemoglobin kyauta a cikin jini.Wasu masu bincike sun kwatanta binciken 50 akan hemolysis kuma sun gano cewa 20 sunyi amfani da ma'anar hemolysis don ayyana hemolysis, 19 sunyi amfani da duban gani, kuma sauran 11 ba su nuna hanyar ba.
Ayyukan yin amfani da hemolysis na gani don zaɓar samfurori na asibiti ana daukar su ba daidai ba ne saboda rashin ma'auni na ƙididdiga na haƙiƙa da kuma ji na alamomi daban-daban ga hemolysis.A cikin wani bincike a cikin cludia a cikin 2018, mutane a hankali sun bi samfuran jini 495 da sakamakon gwaji a cikin dakin gaggawa.An gano cewa hukunce-hukuncen gani na hemolysis na iya haifar da sakamakon gwajin da bai dace ba har zuwa 31%, ciki har da kashi 20.7% na lokuta inda hemolysis yayi tasiri akan sakamakon amma an yi watsi da shi, kuma 10.3% na lokuta da aka dakatar da sakamakon gwajin amma daga baya. an gano cewa ba zai shafi hemolysis ba.
2) Abubuwan da ke haifar da hemolysis
Ana iya raba abubuwan da ke haifar da hemolysis zuwa gwajin asibiti da ke da alaƙa da hemolysis da kuma waɗanda ba na asibiti ba dangane da yanayin ko suna da alaƙa da tsarin gwajin asibiti.Hemolysis na asibiti da ke da alaƙa yana nufin hemolysis da ke haifar da fashewar kwayar cutar jan jini saboda rashin aikin gwajin asibiti da bai dace ba, wanda shine jigon tattaunawarmu.Ayyukan asibiti da wallafe-wallafen da suka dace sun tabbatar da cewa abin da ya faru na hemolysis yana da alaka da tsarin tattara samfurin.A cikin binciken asibiti, za a haifar da hemolysis idan ma'aunin allurar tattara jini ya yi ƙanƙanta, saurin zana jini ya yi sauri, zaɓi wurin tattara jini bai dace ba, ana amfani da yawon shakatawa na dogon lokaci, tarin jini. jirgin ruwa bai cika ba, girgizar da ya wuce kima bayan tarin jini, yawan girgiza yayin sufuri, da sauransu. Ana iya raba shi zuwa kamar haka:
2.1 Tarin samfuri
Raunin tarin jini, kamar maimaita allura da tarin jini a hematoma;Tattara jini daga na'urorin shiga jijiyoyi kamar allurar da ke cikin jijiyoyi, bututun jiko da catheter na tsakiya;Tarin jini na sirinji;Ba a fi son jijiya ta tsakiya ta tsakiya, jijiyar cephalic da jijiya balic ba;Yi amfani da allura mai kyau;Maganin kashe kwayoyin cuta bai bushe ba;Yi amfani da yawon shakatawa na fiye da minti 1;Rashin haɗuwa cikin lokaci da haɗuwa da ƙarfi;Adadin tarin jini bai isa ba kuma baya kaiwa ma'aunin ma'auni na injin tara jini;Ingancin ɗigon jini mai tarin jini da raba manne ba shi da kyau;Yi amfani da babban ƙarar injin injin tara jini, da sauransu.
2.2 jigilar kayayyaki
Rigakafin tashin hankali yayin watsa pneumatic;Tsawon lokacin wucewa;Yanayin zafin motar canja wuri ya yi yawa, tashin hankali mai ƙarfi, da sauransu.
2.3 Gudanar da samfuran gwaje-gwaje & Hemolysis a cikin vivo
Dogon adana lokaci na samfurori;Zazzabi na adana samfuran ya yi yawa;Ba a centrifused a lokaci;Jini ba a tashe gaba ɗaya ba kafin centrifugation;Matsakaicin zafin jiki na centrifugal ya yi yawa kuma saurin yana da sauri;Recentrifugation, da dai sauransu.
Autoimmune hemolytic, kamar rashin daidaituwar rukunin jini da ƙarin jini;cututtuka na kwayoyin halitta da na rayuwa, irin su thalassemia da hepatolenticular degeneration;Magungunan maganin hemolytic bayan magani, irin su m hemolytic dauki lalacewa ta hanyar allurar ceftriaxone sodium na cikin jijiya;Mummunan kamuwa da cuta;Yaduwa coagulation na intravascular;Ƙwararren zuciya, bawul ɗin zuciya na wucin gadi, oxygenation na membrane extracorporeal, da dai sauransu. Samfurin hemolysis da ke haifar da hemolysis a cikin vivo ba za a yi watsi da shi ta dakin gwaje-gwaje ba, kuma likita zai yi alamar bayanin a kan takardar neman aiki.
Lokacin aikawa: Afrilu-07-2022