ctwkcawswm egumuvWnwm El cnuDnwgiSwh
?caenehik Inwgih
udImwH czIzwAcludcbwA
2005 rwbcmevon 27

cnuvWnwmEl
egcaemulcaeg Ebil wtwvun ,cnumuaid cnegiawDnwk caerWnEl wtwvun caeaiLohEl
Wgcnih cSwmurukWnwm El ea ,iaWmuvuTcauh El WdcnumwvurEb cnubwbws
idwa .evea (Haemostasis)''csiseTcsOmIh'' Inwyik cSwkwtctwkcawswm
Inwyik cSwtwkcawswm Wgcnih cSwmulcSokuDnwgEl
cnegiDnek caerWnEl cnuDnwgiSwh .evea (Coagulation)''cnwxEluaigwaok''
WvurEbEl cnegiLug iaWkwmulcaeg Ebil cswyiv cnubwbws egcaemwk cnUnea wtwvun
.eveaerukcnunEb cawtctog ivinwncnwa cSwmuvuTcauh wtwvun cSokWnwm cnwkea udnih

(Vasoconstriction) cnulcSokinwh ugwm egILohEl -1
iawgEret egEa .eveaev caekwtcawtcnwk Wvirevudem cnwlcSokinwh ugwm egILohEl
cvrWn'' Edefua cnubwbws egudwt Everuk csWschia cnegidiv iaWyinwa
WviawgurWf egILohEl unubil Wyinwa ,iaWa(Nerve Reflex)''csckelcfir
cnukwt(Platelet)''cTelcTElcp'' idwa ,iaWmuLeguruk itif cawtcswm
-cnEsckobcmorct'' idwa iaWa(Serotonin)''cninoTorIs''
cnuhwf .eveaenemih cnurukurEb caea WdcaWm Wyik (Thromboxane-A2)''2Ea
.evea WdcaWmed WlcSokinwh ,iawtcaif cawtiLohEl csev Ikwa WdcaWmed unuvenubim

(Formation of Platelet Plug) cnudefua cgwlcp cTelcTElcp -2
eguSwfiriawk Eretea egurWf egILohEl cnumuvukWlwh ibil Wyinwa cSwkwaiLohEl
.eveaeruh cSwncnef ,evwmWh cawtrwbiawf (Collagen)''cnejwlok''WviawguSwd
cnuvctwt iaWkwt rwbiawf cnejwlok cawtcTelcTElcp cnutog egcaeaWjItwn
cawtcTelcTElcp cniawdIb inubim .eveawvuruk itwmiruk (Platelet adhesion)
WdcaWm EdeviretIhea cSwmuvctwt ,iaWkwt cnejwlok WviawguSwfirwk Eretea egILohEl
cDcnErcbiliv cnov'' Inwyik cSwaWdcaWmim .eveaeruk urEb cnukwt cTelcTElcp caea
iawgurWf egILohEl WdcaWmim .evea (Von Willebrand Factor)''rwTckef
iawgEret egcaeLok utcnukis udwm WtEbil Wyinwa cSwkwaiLohEl .eveaeruh csev
.eveaev ctwt iawgurWf egILohEl cawtcTelcTElcp

cawtcTelcTElcp'' cnumuhemWl ,evctwt iaWacnejwlok cawtcTelcTElcp
wtwvun iretctWkwrwh .eveawSwf (Platelet Activation)''cnWviretctWkwrwh
cSwywfis eg''WaiDOpODUs'' ,evuDob cawtcTelcTElcp Wviawfev igWvIh wtwvun ilWrum
urEb cawtWdcaWm wnig cSwrwv cnukwt cTelcTElcp uhwfcSwaea .eveaev ulwdwb
cTelcTElcp'' ,(ADP)''cTEfcsofiawD cnIsoniDea'' cnutogim .eveawSwf cnwruk
idwa ,cmwaisclek ,(Platelet factor3)''3rwTckef
cnehea cswnUnim ,iaWkwt cmiawzcnea caeawb ,iaWa(Serotonin)''cninoToris''
.eveaerukurEb cawtWdcaWm caeawb

Wyinwa idwa ''cTEfcsofiawD cnIsoniDea'' unuverukurEb cnukwt cTelcTElcp
caemiawzcnea Wyik (Thrombin)''cnibcmorct'' Edefua iawgubWsih Wviawfibil
cnwvuruk iretctWkwrwh cawtcTelcTElcp cnehea WviawgIriawk ubWsihea cnegiLug
cawt cTelcTElcp unuveruk iretctWkwrwh cnulUsua inubim cnuhwf .eveawSwf
cSwmuvinuhcswm ,evctwt ,iaWkwt cTelcTElcp WviawfiverukiretctWkwrwh cniruk
egutogim .evea(Platelet Aggregation) ''cnwxEgircgea cTelcTElcp'' Inwyik
iawgumuvuruk iretctWkwrwh cawtcTelcTElcp ''cTEfcsofiawD cnIsoniDea'' cnItwm
.eveaeruhimed

iawgumuvuruk iretctWkwrwh cawtcTelcTElcp ''cTEfcsofiawD cnIsoniDea''
(Loose platelet ''cgwlcp cTelcTElcp Ud'' cnutog egcaeaWjItwn egumuruhimed
IneTcauh El wncnwa cnubwbws egukwtWyinwa idukiduk .eveaedefua caeaplug)
unuverukcnWywb evcsia .evencnumudefua ''cgwlcp'' cniawdIbim InwvWnwm wtwvun
,evWmwj wtwvun ,cnuvinuhcswm ,evctwt cawt cTelcTElcp cSwtog
,EdcSokcswvwa ,iawvurwairuk (Platelet Aggregation)cnuvcSwkwDnwgitwkea
gcniTEviTckea cTelcTElcp Iaea .eveaev WdcaWm EdiawLwaurWb cSwmwkea wtwvun
uduh cnurutia egukwt cTelcTElcp Enemih iawgEl WdcaWmim .evea (PAF)rwTckef
idwa (Neuttrophil) ''clifOrcTuain'' cniaeret egukwturwtcawv egcles
cnehimwmwh .eveaerukurEb csev cnukwt(Monocyte)''cTiawsOnom''
.evekea WdcaWm EdeviretIhea cSwtwkcawswmim csev Ikwa ''2Ea cnEsckobcmorct''

(Formation of blood clot)cnudefua caeLokEl uDnwg -3
,udnih WvWmwj cawt(Fibrin thread)''cDerct cnircbif'' iawg cgwlcp cTelcTElcp
El WvurEb cnukwtiLoh iteDob Ikwmuvurwh cSwtogim .eveaed cnegevurwh ''cgwlcp''
,iaWkwt''cDerct cnircbif'' InwvuDnwgEl .evekemwk EdeviretIhea iawgumurukWnwm
.evencnumudefua (Network)''caeDnwgWd'' cnegevcaea cawtcles egEl
Wyik(Thrombin)''cnibcmorct'' Ikwmwkumcaihum emcnea Wgih iawgumuvuDnwgEl
Wviawgumwk caea cnITorcp Wvuruawd iawgEret egEl iawgIhea egcaemiawzcnea
cSwkwa cnITorcp Wyik(Fibrin)''cnircbif'' ,(Fibrinogen)''cnejOnircbif''
iawgubWsih Wviawfibil Wyinwa Inedefua ''cnibcmorct'' .evemuv ulwdwb
.evencnukwa WdcaWm Wyik (Prothrombin)''cnibcmorctOrcp''

(Clot retraction)cnudnih uLokEluDnwg
.eveawSwf cnednih uLokElea cnuhwf caeLokcTinim udwm WtEdefua caeLokEl uDnwg
eguziaws ulcswa egEa iawgcaetugwv egudemed ,iaWTinim20-60 uhwfcSwaea
wncnuh ,evun uDnwg uhwfcSwaea .eveaed cnegevwDuk ,eruvcSwywbcaea wLukiawbed
.eveaed cnegevurEb cnunwt WviawfibilWyinwa caea(Serum)wyid UdIr
egunwt wyid cnegiawDnwk cniLohEl cnumuvurEb ''cmwrIs'' ,idnih uLokEluDnwg
iawTcawhwfih Idun wyivurEbEl cnubwbws egumwkim .eveaevctWg ,imed uLoked
InwvWmid cnednih uLokEl WviawfevuDnwg iawgutog WviawfiverukulUbwg .eveaed
Wyik (Retractozyme)''cmiawzOTckercTer'' WrukurEb cnukwt cTelcTElcp
.evencnubwbws egcaeaWdcaWm

iawgutWz egEa udnih Wvctwt ,iaWkwtcDerct cnircbif csev cawtcTelcTElcp
eg cmwaisclek ,iaWa cnibcmorct Iaea .eveaev iawfidOh cSwmwkEtif ,evuruk
Wviawgumwk cawtcnITorcp Enemih iawgukwt cTelcTElcp cnubwbws
.evea ItWvuruk iretctWkwrwh (Myosin)''cnisOaim'' idwa ,(Actin)''cniTckea''

cnurukuLwgwr iLohEl WviawfevukWlwh -4
(Repair of damaged bloodvessel)

(PDGF)''rwTckef ctOrcg cDcviawriD-cTelcTElcp'' WrukurEb cnukwt cTelcTElcp
egILohEl ,iaWkwt(Fibroblast)''cTcsWlcbOrcbiawf'' ,caeaWdcaWm Wyik
,evuDob cawtcles egiawlwSwf eguhwmuDwm WvcnegiawSwv , idwa cSwfiriawkEretea
eguLokEluDnwg cnuDwmuDwm cawtcles WvuDob cnutogim .eveawLwa urWb cSwmuvurutia
cswrcbiawf'' iawgEret egutwdcaum egWtcfwhed wtwvun caekea ,edwv cSwaeret
iLohEl WviawfevukWlwh .eveawlcSok ulwdwb cSwkwa(Fibrous tissue)''UxiT
.evencnItwm egutogim InwvuLwgwr


Inwvitwmiruk cnuvuDnwgEl iawgurEb idwa iawgEretea eguDnwgiSwh
?caenihik

cnuvuDnwgEl
(Blood clotting factors)cawtWdcaWm WvcnunEb cSwmuvuDnwgEl
cnwxckeair ikeaikea Wgnih iawgEret egutwkcawswm egumuvuDnwgEl Iaim
.evekekwtWdcaWm Wvireviawb iawgukwt
cnwn Wyik cSwa WdcaWm
WdcaWm
cnejOnircbif 1-rwTckef
cnibcmorctOrcp 2-rwTckef
UxiT / cniTcsWlcpObcmorct UxiT 3-rwTckef
cmwaisclek 4-rwTckef
rwTckef cliawbEl / cnirelisckea Orcp 5-rwTckef
rwTckef clwbETcs / cniTWvcnok Orcp 7-rwTckef
rwTckef cniluaibOlcg ckilifOmIh iTcnea 8-rwTckef
rwTckef cswmcsirck 9-rwTckef
rwTckef rwvOrcp cTWacTcs 10-rwTckef
cTcneDisiTcnea cniTcsWlcp Obcmorct WmczWlcp 11-rwTckef
rwTckef csWlcg / rwTckefcnEmcjIh 12-rwTckef
rwTckef gcniziawlibETcs cnircbif 13-rwTckef
rwTckef cDclwregezcTif cnejOniniawk cTiaev Wluaikilomiawh
rwTckef rwxelcf cnIrckilek Ircp
cniTcsWlcp Obcmorct cTelcTElcp 3-rwTckef cTelcTElcp
cnejiTcnea iruhcnuLug-iaWa8-rwTckef rwTckef cDcnErcbiliv cnov
   



cniawhEswf Evelukea iawg WmczWlcp Iaim :(Fibrinogen)cnejOnircbif -1
eg''cnibcmorct'' iawgutwkcawswm egumuvuDnwgEl .evekea cnITorcp Wdcnegirig
wmwn cten cnejOnircbif .eveaevulwdwb cSwa cnircbif cnejOnircbif iawgIhea
.evea enWvun caeDnwgEl

.evekea ''cniluaibOlcg-1-Wfclwa'' Iaim :(Prothrombin)cnibcmorctOrcp -2
iawgcaetogumcnWa.eveketwvWb egcnITorcp Evelukea iawgWmczWlcp Ikwa cniluaibOlcg
cnegivelukea cnibcmorctOrcp eg cmWrcgilim15 iawgcaerwTiliseD emcnok egEl
cSwDnwgEm .evencnia WdcaWmim Edefua iawguDnwgEm Inedefua cnibcmorct .eveaev
wncnuh WdcaWmim iawgEl ,evudwm urwvcnim Edefua WdcaWmim iawgukwtilwb Ehej
-cnimwTiv Inwncnoa iawfev Wnib cnudefua WdcaWmim .eveaed cnegevcSwd urwvcnim
cSwa cnibcmorct cnibcmorctOrcp WvunigWvIh .eveSwCcawm egcaerwvcnim wncnuh Ek
Wyik (Prothrombin activator)''rwTEviTckea cnibcmorctOrcp'' Inwvulwdwb
.eveawgIhea egcaeaWdcaWm

Iaim :(Tissue thromboplastin)cniTcsWlcpObcmorct UxiT -3
,10rwTckef .evekea cnITorcp Edefua cnegivelukea cDipil idwa cswrwfcsof
iawgukwtctwlWh WvudUjuv cDipilOfcsof idwa ,cmwaisclek ,5rwTckef ,7rwTckef
.eveawvuruk ulwdwb cSwa cnibcmorct cnibcmorctOrcp WdcaWmim

umcaihum cSwrwv WvclimWx iawgumuvuDnwgEl Iaim :(Calcium)cmwaisclek -4
cnibcmorctOrcp ,iaWSwmudefua ''rwTEviTckea cnibcmorctOrcp'' .evekea WdcaWm
egcmwaisclek cSwmudefua cnircbif idwa ,iaWSwmuvulwdwb cSwa cnibcmorct
-11 iawgcaerwTiliseD emcnok egEl iawgcaetogumcnWa .eveaevcnunEb cnwkiretIhea
egEl csevwmwn .eveaeruh cmwaisclek cSwkwrwvcnim egudemed ,iaWacmWrcgilim9
,wmwnWvuncSwd ,eruvcSwa cmwaisclek cmWrcgilim4 iawgcaerwTiliseD emcnok
.evea enWvun caeCcawmiruk caehwruh cSwmuvuDnwgEl

-WtIb'' Wdcnegirig cniawhEswf Iaim :(Proaccelerin)cnirelisckeaOrcp -5
wdwf cnulihEl wmwnejcaevudwm WdcaWmim .evekea cnITorcp Eyik Ea ''cniluaibOlcg
cnirelisckeaOrcp iawg cmwrIs .evea enWdev irevudem csevwmwn cnudwm caemwk
egcnirelisckeaOrcp iawgutwkcawswm egumuvuDnwgEl Iaea .evea enWncnuhun caea
.evea ItWdevcsuh ifih cnunEb

cniluaibOlcg-1-Wfclwa'' Iaim :(Proconvertin)cniTWvcnokOrcp -6
''rwTEviTckea cnibcmorctOrcp'' cnukwt UxiT .evekea ''cmiawzcneaOrcp
csev iawg WmczWlcp idwa cmwrIs .eveawfih cnunEb egWdcaWmim cSwmudcaefua
cnuvudwm cniTWvcnokOrcp iawgEl iawgcaetog IaIbwt .evea enWncnuh WdcaWmim
cSwmwkea wtwvun WrukWnwm cnuvuDnwgEl .evea ukwrwhwf udwm cSwrwv Inwvirevudem
enWdev irevudem ctogElihEl ,evudwm WdcaWmim cnubwbws egcaehEb WLwa cswruh
.evea

(Antihaemophilic globulin rwTckef cniluaibOlcg ckilifOmIhiTcnea -7
egEl .eveketwvWb egcnITorcp Eyik Ea ''cniluaibOlcg-2-WtIb'' Iaim :factor)
cnunEb egWdcaWmim cSwmudcaefua ''rwTEviTckea cnibcmorctOrcp'' cnukwtiawb
,ItWdevcsuh ifihcnunEb egWdcaWmim iawgutwkcawswm egumuvuDnwgEl .eveawfih
wmwn wncnuhun WdcaWmim iawgumudefua .eveaeruhun caea WdcaWmim iawgcmwrIs
.eveawvuruk itwmiruk caeycawb Wyik ''Ea-WailIfOmIh''

cniluaibOlcg-1-Wfclwa'' Iaim :(Chrismas factor)rwTckef cswmcsirck -8
''rwTEviTckea cnibcmorctOrcp'' cnukwtiawb egEl .evekea ''cmiawzcneaOrcp
cswmcsirck'' wmwn cten WdcaWmim .eveawfih cnunEb egWdcaWmim cSwmudcaefua
.eveaehej caeycawb Wyik ''Ib-WailIfOmIh'' wtwvun ''ilwb

-1-Wfclwa Iaim :(Stuart prower factor)rwTckef rwvOrcp cTWacTcs -9
wmwn wncnuhun WdcaWmim iawgumudefua.evekea ''cmiawzcneaOrcp cniluaibOlcg
ItwmcnwkutibWs ,IdunwyivukWlwh cnircbif .eveaev clisWv cSwkwtwlWh egumulihEl
.evea WdcaWmim InwTcawhwmwd

WmWg'' Iaim :(PTA)cTcneDisiTcnea cniTcsWlcpObcmorct WmczWlcp -10
cnibcmorctOrcp'' cnukwtiawb egEl .evekea ''cmiawzcneaOrcp cniluaibOlcg
WmczWlcp idwa cmwrIs .eveawfih cnunEb egWdcaWmim cSwmudcaefua ''rwTEviTckea
wmwn wncnuhun WdcaWmim iawgumudefua .evea enWncnuh WdcaWmim csev iawg
.eveaev clisWv cSwkwtwlWh egumulihEl

cniluaibOlcg WtIb'' Iaim :(Hegeman factor)rwTckef cnEmcjIh -11
''rwTEviTckea cnibcmorctOrcp'' cnukwtiawb egEl .evekea ''cmiawzcneaOrcp
csev iawg WmczWlcp idwa cmwrIs .eveawfih cnunEb egWdcaWmim cSwmudcaefua
.evea enWncnuh WdcaWmim

:(Fibrin-stabilizing factor)rwTckef gcniziawlibETcs cnircbif -12
WdcaWmim iawgumudefua .eveketwvWb egcnITorcp Eyik Ea ''cniluaibOlcg WtIb'' Iaim
,IdunwyivukWlwh cnircbif .eveaev clisWv cSwkwtwlWh egumulihEl wmwn wncnuhun
.evea WdcaWmim InwTcawhwmwd ItwmcnwkutibWs

-Wfclwa'' Iaim :(HMWK)cnejOniniawk cTiaev Wluaikilomiawh -13
12rwTckef idwa ,11rwTckef .eveketwvWb egcnITorcp Eyik Ea ''cniluaibOlcg
.eveaedev iretIhea WdcaWmim iawgumuvurukilWrum cSokigWvIh

cniluaibOlcg WtIb'' Iaim :(Prekallikrein)cnIrckilekIrcp -14
cnircbif'' iawgumuvurukilWrum cSokigWvIh WdcaWmim .evekea ''cmiawzcneaOrcp
12rwTckef idwa ,11rwTckef .eveaev ireviawb ''rwTckef gcniziawlibETcs
.eveaedev iretIhea WdcaWmim iawgumuvurukilWrum cSokigWvIh

iawgukwt cTelcTElcp Iaim :(Platelet factor-3)3-rwTckef cTelcTElcp -15
.evekea WdcaWm umcaihum Wvireviawb iawgutwkcawswm egumuvuDnwgEl wncnuh
egumuvuDnwgEl WdcaWmim Edefua cnegevukea cDiPil idwa cswrwfcsof
.eveaev ireviawb iawgcaea cnwxckeair 3 utWfwt Wgih iawgEret egutwkcawswm

egILohEl Iaim :(Vonwillebrand factor)rwTckef cDcnErcbiliv cnov -16
Wdcawfua cnukwt cTelcTElcp idwa ,iaWkwtcles eguSwf iriawk Eretea egurWf
Wviawfibil cnulcaeg egILohEl iawgcaetog IaIbwt cawtcTelcTElcp .evekea cnITorcp
.evekea WdcaWm umcaihum cSwrwv Iaim cSwmuvctwt iawgubWsih


(ctog Wgcnih ctwkcawswm egumuvuDnwgEl) Wycairwzwn egumuvuDnwgEl
caekwtWlwhurwm Evelukea cawtcnwxckeair utWfwt iawgutwkcawswm egumuvuDnwgEl
caetWkwrwh)wncnuhiawfiTcauh ctwkcawswm iawgukwtWlwhurwmim .eveaeruk utcawDnwk
idwa .eveawvuruk ilWrum cSokigWvIh ,cawtcmiawzcnea ( WvunIgWvIh / cten
caetWkwrwh)wncnuhiawfiTcauh ctwkcawswm cawtcmiawzcnea EverukilWrum cnutogim
.eveawvuruk ilWrum cSokigWvIh cawtcmiawzcnea cnehea ( WvunIgWvIh / cten
.eveawgnih cSwkwtoged wtwvun cnuSwd egcaemWzin ed utWfwt cawt cnwxckeairim

(Extrinsic pathway)cmWzin Wgcnih cnuvuDnwgEl iawgurEb (h)
cSwkwtUxiT WvcnegiawSwv egEa ,iaWrWf egILohEl InwvuDnwgEl cnuSwd egcmWzinim
egcaetwdcaum egudemed iaWtcnukis15-20 .evea wmwn Wviawfibil cnulcaeg
egcaeLok utcnukis udwm ,emWhea wmwh ,(cnuvuDnwgEl)ctwkcawswmim WSwf iawgEret
.evea Inwvim iawgIrit ctogWvuDnwgEl cnuSwd egcmWzinim .eveaedimin iawgEret

.eveawSwf cnwrukurEb ''3rwTckef'' cnukwtUxiT Wviawfibil cnulcaeg -1
.eveawvurukilWrum cSokigWvIh 7rwTckef 3 rwTckef uhwfcSwaea

(3rwTckef cTelcTElcp InUn)3rwTckef ,7rwTckef unuverukilWrum cSokigWvIh -2
.eveawvurukilWrum cSokigWvIh 10rwTckef cnegiLug iaWa cmwaisclek idwa

(2rwTckef)cnibcmorctOrcp (Ea10rwTckef)rwTEviTckea cnibcmorctOrcp -3
,5rwTckef cSwmurukulwdwb cSwtogim .eveawvuruk ulwdwb cSwa cnibcmorct
.eveaehej cnwncnuh cmwaisclek idwa ,(3rwTckef cTelcTElcp InUn)3rwTckef
5rwTckef .evekea cniluaibOlcg-Wfclwa Wdcawfua cnuDnwgEm Ikwa cnibcmorctOrcp
ESef ctwkcawswm egumuvuDnwgEl csevwmwn .eveaevun ilWrum Inwncnuh wmwtwruf
.eveawvuruk ilWrum cSokigWvIh 5rwTckef cnibcmorct udnih

cnircbif Wdunirig cSwtogea cnejOnircbif Wdirig cniawhEswf cnibcmorct -4
emcnok egcnejOnircbif uriaWruk ulwdwb cSwtogim .eveawlcSok ulwdwb cSwa
utcnukis udwm .eveawvurukikwv ''cDiawTcPePilop'' cDOjed cnukwa cluaikilom
''cDerct cnircbif ugid'' cawtcluaikilom cnircbif wnig iawgEret egcaeLok
ikea cawtcDerct cnircbif im uhwfcSwaea .eveaed cnegevulwdwb cSwkwkwt
cTolck'' cnegevcaea iaWkwtcles utWfwt egEl cSokuruawd cSwlWmidWmid
.eveawdcawfua caeLokEluDnwg wtwvun (Clot reticulum)''cmwluaikiTer

uLokEluDnwgim cnuhwf .eveSokUd cSokuDwm Inwncnuh wmwtwruf uLokEluDnwg -5
.evea 13rwTckef ,ukea iaWaIhea egcmwaisclek Inwruk wdwgurwv cSokurwh
,evctwt iawgubWsih Wviawfibil cnulcaeg egILohEl uLokEl uDnwgim uhwfcSwaea
wtwvun ,iTcauh (cnuvurEbEl) cnuawaEl cnutog egcaeaWjItwn .eveaednih
.eveaed cnegevWnwm

(Intrinsic pathway)cmWzin Wgcnih cnuvuDnwgEl iawgEretea (S)
.evea wmwnWvun iawfibil cnulcaeg cSwa UxiT InwvuDnwgEl cnuSwd egcmWzinim
wtwvun ,(iawgcaebuaiT cSwkwlWsim)iawgurEb cnuDnwgiSwh cnulUsuaim
csev (iawgurWa egEl / iawgugwm WgihEl)iawgEretea eguDnwgiSwh
.eveaenWdevuDnwgEl

ckircTckelia cviTegen InwvuDnwgEl iawgubuaiT wtwvun iawgurEb cnuDnwgiSwh
irUlcaib cSwkwlWsim .evea udnih ELehwSuh El cSwkwa whwtws ctet iruh cjWC
cnuSwd egcmWzinim iawgEretea eguDnwgiSwh .evencnumuLea El cSwkwbuaiT cTcseT
itwmiruk (Intravascular clotting)cnuvuDnwgEl iawgurWa egEl InwvuDnwgEl
(Solid caerwviDoburwh cnegiLug cawtiawb utWfwt egEl cSwtogim .evencnumuv
.evea (Thrombosis) ''csisObcmorct'' Inwyik cSwmudefua mass)

El Inwvitwmiruk cnuvuDnwgEl iawgEretea egILohEl wtwvun iawgurWa egEl
cnejwlok WviawguSwd egiawnWtwb wtwvun cawtcles egiawnWtwb WviawfevukWlwh
iawgEret eg uriaWh caeTinimed wtwvun caekea .evencnumuLehwSuh cSwkwt rwbiawf
.eveawgEret egcaetugwv egudemed ,iaWTinim3-6 Inemin ctwkcawswmim ESef
.evea Inwvim iawgIrit ctogWvuDnwgEl cnuSwd egcmWzinim

caemwked cnumuLehwSuhEl cSwkwtWdcaWm wdwf rwbiawf cnejwlok wtwvun irUlcaib -1
.eveawvuruk irevudem
InwvilWrum ,evigWvIh WdcaWmim :cnuvurukilWrum cSokigWvIh 12rwTckef -
.eveawgIhea eg cnIrckilek Ircp idwa cnejOniniawk cTiaev Wluaikilomiawh
3rwTckef cTelcTElcp ,iaWmuv cSwkwDnwgitwkea ,evWmwj cawtcTelcTElcp -
cnuSef cnwrukurEb

ilWrum cSokigWvIh 11rwTckef (12rwTckef unuverukilWrum)Ea12rwTckef -2
cTiaev Wluaikilomiawh cSwmuruk ilWrum cSokigWvIh 11rwTckef .eveawvuruk
.eveaev cnunEb Ihea eg cnejOniniawk

ilWrum cSokigWvIh 9rwTckef (11rwTckef unuverukilWrum)Ea11rwTckef -3
ilWrum cSokigWvIh WdcaWmim csev Ea7rwTckef cnehimwmwh .eveawvuruk
.eveawvuruk

cTelcTElcp cnegiLug iaWa Ea8rwTckef (9rwTckef unuverukilWrum)Ea9rwTckef -4
''caeNcnevukea'' iawgutwlWh Wvcnegev udUjuv cmwaisclek idwa 3rwTckef
.eveawvuruk ilWrum cSokigWvIh 10rwTckef cninevukeaim .eveawdcawfua

uhwf WviawgcmWzin unuverukcnWywb cniruk Inwgih cawtWlwhurwm iruh IkWb -5
.eveSwtogcaea iaWLwvwyif 3


cawtcawtcnwk wncneg ulwdwb cSwmuvuDnwgEl
cnuvuDnwgEl iawgEret egukwtcawtcnwk wncneg ulwdwb cSwmuvuDnwgEl
.eveaenemih cawtcawtcnwk Wvurukcswl cnuvuDnwgEl ,iaWkwtcawtcnwk Wvurukcswvwa
El iawgEret egukwtcawtcnwk Wvurukcswvwa cnuvuDnwgEl iawgurEb cnuDnwgiSwh
cSwaeret egEl idwa ,cnuLehwSuh El cSwkwawhwtws iruh cjWC cviTegen ,cnuvunUh
.eveaenemih cawtcawtcnwk wdwf cnuLea wtwvun cnuTcaev caeCcaea

iawgEret egukwtcawtcnwk Wvurukcswvwa cnuvuDnwgEl iawgEretea eguDnwgiSwh
-cnimwTiv idwa ,cnubil cnulcaeg cSwawnWtwb egILohEl ,cnulihejuDwm cnuvuruawdEl
.eveaenemih cawtcawtcnwk wdwf cnuhej cnwxckejcnia cnIlwnircDea InUn Ek

cnus iawgEret egukwtcawtcnwk Wvurukcswl cnuvuDnwgEl iawgurEb cnuDnwgiSwh
wdwfcnOkilis wtwvun ,cnifwrwp ,cnurukinif El cSwa cseaizcles IrcgiD
cniael ,cnuLeaEl cSwkwbuaiT Wviawfivel cniaeretea caeawlwSwf egcaeaWdcaWm
caeaWdcaWm Wyik ''cnirwpeh'' cSwaeret egEl ,cnurukikwv cawtcDerct cnircbif
wdwf cnuvcSwd cSwDobWm urwvcnim Evelukea cmwaisclek iawgEl idwa ,cnuLea
.eveaenemih cawtcawtcnwk

iawgEret egukwtcawtcnwk Wvurukcswl cnuvuDnwgEl iawgEretea eguDnwgiSwh
idwa ,cnurukcnunEb csevwmwn caezOD udwm egcniripcsea ,cnuvudwm Ek-cnimwTiv
cSwaeret egEl caea WdcaWm wdwf ''clOrwmuaikiawD'' wtwvun ''cnirwpeh''
.eveaenemih cawtcawtcnwk wdwf cnuvclisWv