Gukusanya amaraso ya Vacuum ni vacuum mbi yo gukusanya amaraso, gukoresha umubare munini wibikoresho byikora no kubungabunga amaraso byashyize ahagaragara ibisabwa byinshi kubijyanye no gutuza kwamaraso yambere, kuburyo tekinoroji yo gukusanya amaraso ya vacuum yarenze kubisabwa numutekano gusa .Ukuri, imiterere yumwimerere yikigereranyo, igihe cyo kuyitaho, ikwiranye nimashini ya tube hamwe nimbaraga zipima imbaraga zirashobora gukoreshwa mugusuzuma ubwiza bwikusanyamakuru.
Ibyiciro byo gukusanya amaraso
1. Umuyoboro wa serumu usanzwe ufite capa itukura hamwe nicyombo cyo gukusanya nta nyongeramusaruro ikoreshwa muburyo busanzwe bwa serumu biochemiki, banki yamaraso hamwe no gupima serologiya.
2. Umuyoboro wihuse wa serumu ufite capa ya orange ufite coagulant mumiyoboro yo gukusanya amaraso kugirango byihute inzira yo gutembera.Umuyoboro wihuse wa serumu urashobora guhuza amaraso yakusanyijwe muminota 5, kandi birakwiriye kwipimisha serologiya mugihe cyihutirwa.
3. Inert yo gutandukanya kole hamwe na coagulant booster byongewe mumiyoboro yo gukusanya amaraso hamwe na capit ya zahabu.Nyuma yikigereranyo gishyizwe hamwe, gel itandukanya inert irashobora gutandukanya rwose ibice byamazi (serumu cyangwa plasma) nibice bikomeye (selile yamaraso atukura, selile yamaraso yera, platine, fibrin, nibindi) mumaraso kandi ikegeranya rwose hagati. ikizamini cyo gukora kugirango kibe inzitizi, kandi icyitegererezo kiguma gihamye mumasaha 48.Coagulant irashobora gukora byihuse uburyo bwa coagulation, kwihutisha inzira ya coagulation, ikwiranye na serumu yihutirwa ya biohimiki.
4. Umuyoboro wa heparin anticoagulant ufite icyatsi kibisi kandi heparin yongewe kumuyoboro wo gukusanya amaraso.Heparin ifite ingaruka za antithrombine kandi irashobora kongera igihe cyo kwambika ingero.Birakwiriye kwipimisha erythrocyte, gusesengura gazi yamaraso, gupima hematocrit, kugabanuka kwa erythrocyte no kugena ibinyabuzima muri rusange, ntibikwiriye kwipimisha amaraso.Umubare munini wa heparin urashobora gutera kwirundanya kwingirangingo zamaraso yera kandi ntushobora gukoreshwa kubara umubare wamaraso yera.Ntibikwiriye kandi gutondekanya leukocyte kuko irashobora gutuma inyuma yibibaho byamaraso byera ubururu.
5. Plasma itandukanya umuyoboro wicyatsi kibisi, wongeyeho heparin lithium anticoagulant muri inert yo gutandukanya inert irashobora kugera ku ntego yo gutandukanya plasma byihuse, aribwo buryo bwiza bwo kumenya electrolyte, kandi birashobora no gukoreshwa muburyo busanzwe bwa plasma biochemiki na plasma yihutirwa gutahura ibinyabuzima muri ICU.Icyitegererezo cya plasma kirashobora gupakirwa mumashini kandi kigakomeza guhagarara neza mububiko bukonje mumasaha 48.
6Gukata calcium cyangwa kuvanaho urubuga rwa calcium bizahagarika kandi bihagarike inzira ya coagulation ya endogenous cyangwa exogenous, kugirango birinde kwanduza amaraso.Birakwiriye kwipimisha rusange muri hematologiya, ntibikwiriye kwipimisha coagulation no gupima imikorere ya platel, nabyo ntibikwiriye calcium ion, potasiyumu ion, sodium ion, fer ion, alkaline fosifata, creine kinase hamwe na leucine aminopeptase, bikwiranye na PCR.
7. Sodium citrate coagulation test tube yoroheje yubururu bwubururu, sodium citrate cyane cyane binyuze muri chelating hamwe na calcium ion mubyitegererezo byamaraso kugirango bigire ingaruka mbi.Ikoreshwa ryibizamini bya coagulation, komite yigihugu ishinzwe ubuziranenge bwa laboratoire, NCCLS) yasabye ko anticagulant yibanda kuri 3.2% cyangwa 3.8% (bihwanye na 0.109mol / L cyangwa 0.129mol / L) hamwe na anticagulant ya 1: 9 ku kigereranyo cyamaraso.
8. Sodium citrate esR tube umukara wumukara, esR ibisabwa kugirango ibizamini bya sodium citrate yibanze ni 3.2% (bihwanye na 0.109mol / L) anticoagulant igereranya namaraso ya 1: 4.
Potasiyumu oxalate / sodium fluoride yumutwe wumukara, sodium fluoride ni anticoagulant idakomeye, mubisanzwe hamwe na potassium oxalate cyangwa sodium iodate ikoreshwa hamwe, ikigereranyo cya sodium fluoride 1, potasiyumu oxalate 3. Uru ruvange rwa 4mg rurinda amaraso 1ml kwifata kandi ikabuza glycolysis kuri 23 iminsi.Nibintu byiza birinda gupima glucose yamaraso kandi ntibigomba gukoreshwa muguhitamo urease, cyangwa fosifata ya alkaline no kugena amylase.Birasabwa kwipimisha amaraso glucose.
Igihe cyo kohereza: Ugushyingo-10-2021
