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SUNUM PLANISUNUM PLANI
Hemostaza genel bakışHemostaza genel bakış Hemostatik sistemlerin bileşenleriHemostatik sistemlerin bileşenleri Primer hemostazPrimer hemostaz Sekonder hemostazSekonder hemostaz
Coagulation FactorsCoagulation Factors
Fibrinogen GroupFibrinogen GroupFactors I, V, VIII and XIIIFactors I, V, VIII and XIII
Prothrombin GroupProthrombin GroupFactors II, VII, IX and XFactors II, VII, IX and X
Contact GroupContact GroupFactors XI, XIIFactors XI, XIIPrekallikrein (Fletcher Prekallikrein (Fletcher Factor) Factor) High Molecular Weight High Molecular Weight KininogenKininogen (Fitzgerald Factor) (Fitzgerald Factor)
Thrombolytic Therapy
• t-PA• Streptokinase• Urokinase
• Anaphylaxis• GI Bleeding• Intracranial Hemorrhage
Anatomy of a PlateletAnatomy of a Platelet
Dense BodyADP SerotoninATP Calcium
Microtubular System
Glycogen
Exterior Coat(Glycocalyx)
Mitochondria
SurfaceConnecting System
CytosolFactor XIII
Alpha GranulesPF4 FibrinogenFactor V FibronectinFactor VIII R:ag Thromboglobulin
(vWF)
Plasma MembranePF3
Dense Tubular System
Platelet FunctionPlatelet Function
Aggregation
Coagulation
Shape Change Release
FibrinFormation
A
B
C
3 seconds
10 seconds
5 minutes
ADPRelease
Adhesion