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KANAMA ZAMANI


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Medicine and Hematology Glossary

KANAMA ZAMANI

(Medicine and Hematology Glossary) :
Kanama zamanı tayininde Ivy yöntemi sık kullanılır. Bu yöntemde kola tansiyon aleti manşonu takılır ve 40 mmHg basınçta sabit tutulur, bu yolla venöz kapiller basınç artışı sağlanır. Ön kol, iç yüze 10 mm uzunluğunda, 1-2 mm derinliğinde bir kesi yapılır ve kronometre ile süre tutulur. Kanama izlenir. Bu sırada bir kurutma kağıdı ile etrafa sızan kan emdirilir. Emdirme işlemi sırasında kesi üzerinde oluşan pıhtıya dokunulmaz. Kanamanın durduğu süre saptanır. Normal süre 3-9 dakikadır. Kanama zamanı için yapılacak kesilerin standart hale getirilmesi için mekanik araçlar geliştirilmiştir. (Template, Simplate). Kanama zamanı hemostaz testleri arasında en temel testlerden birisidir. Trombosit sayısı 75.000'den az ise kanama zamanı uzun bulunur. Trombosit fonksiyonları, trombosit endotel ilişkisi ve vasküler yapıların fonksiyonları kanama zamanını etkiler.
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