{"id":26910,"date":"2025-06-24T15:30:57","date_gmt":"2025-06-24T12:30:57","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize-fara-categorie\/fibrinogen\/"},"modified":"2026-01-05T19:03:59","modified_gmt":"2026-01-05T17:03:59","slug":"fibrinogen","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/analize-coagulare-si-hemostaza\/fibrinogen\/","title":{"rendered":"Fibrinogen"},"content":{"rendered":"<p><strong>1.Descriere general\u0103<\/strong><\/p>\n<p>Fibrinogenul, cunoscut \u0219i ca factorul I al coagul\u0103rii, este o protein\u0103 plasmatic\u0103 solubil\u0103, sintetizat\u0103 de ficat. Sub ac\u021biunea trombinei, el se transform\u0103 \u00een fibrin\u0103, componenta care formeaz\u0103 re\u021beaua cheagului de s\u00e2nge \u0219i asigur\u0103 oprirea s\u00e2nger\u0103rilor, fiind astfel esen\u021bial pentru procesul de hemostaz\u0103.<\/p>\n<p>Pe l\u00e2ng\u0103 rolul s\u0103u \u00een coagulare, fibrinogenul este o protein\u0103 de faz\u0103 acut\u0103, al c\u0103rei nivel cre\u0219te semnificativ \u00een primele 24\u201348 de ore atunci c\u00e2nd organismul se confrunt\u0103 cu inflama\u021bii, infec\u021bii, traumatisme sau alte forme de agresiune. Astfel, determinarea fibrinogenului ofer\u0103 informa\u021bii at\u00e2t despre mecanismele de coagulare, c\u00e2t \u0219i despre activarea r\u0103spunsului inflamator.<\/p>\n<p>Concentra\u021biile crescute de fibrinogen se asociaz\u0103, de asemenea, cu un risc mai mare de evenimente cardiovasculare, inclusiv ateroscleroz\u0103, infarct miocardic \u0219i accident vascular cerebral. \u00cen mod normal, nivelul s\u0103u se men\u021bine relativ constant, dar poate varia \u00een func\u021bie de v\u00e2rst\u0103, sarcin\u0103, tratamente hormonale, boli cronice sau factori de stil de via\u021b\u0103. Prin urmare, testarea fibrinogenului are valoare at\u00e2t \u00een evaluarea coagul\u0103rii, c\u00e2t \u0219i \u00een aprecierea st\u0103rii generale de s\u0103n\u0103tate \u0219i a riscului cardiovascular.<\/p>\n<\/p>\n<p><strong>2.Indica\u021bii testare<\/strong><\/p>\n<p>       \u2022 Evaluarea tulbur\u0103rilor de coagulare (hemoragii, tromboze, suspiciune de CID \u2013 coagulare intravascular\u0103 diseminat\u0103)<\/p>\n<p>       \u2022 Investigarea afec\u021biunilor hepatice, unde sinteza proteic\u0103 este sc\u0103zut\u0103<\/p>\n<p>       \u2022 Monitorizarea bolilor inflamatorii sau infec\u021bioase cronice<\/p>\n<p>       \u2022 Aprecierea riscului cardiovascular \u0219i a bolilor asociate aterosclerozei<\/p>\n<p>       \u2022 Monitorizarea tratamentului anticoagulant sau fibrinolitic<\/p>\n<p>       \u2022 Evaluarea st\u0103rii generale \u00eenaintea unor interven\u021bii chirurgicale majore<\/p>\n<\/p>\n<p><strong>3.Preg\u0103tire pacient <\/strong><\/p>\n<p>       \u2022 Recoltarea se face diminea\u021ba, de preferat pe nem\u00e2ncate (8\u201312 ore de post alimentar)<\/p>\n<p>       \u2022 Se recomand\u0103 evitarea efortului fizic intens \u00eenainte de recoltare<\/p>\n<\/p>\n<p><strong>4.Tipul probei recoltate<\/strong>\u00a0: s\u00e2nge venos<\/p>\n<\/p>\n<p><strong>5.Valori de referin\u021b\u0103 <\/strong><\/p>\n<\/p>\n<p>Valorile de referin\u021b\u0103 pot varia \u00een func\u021bie de laborator.<\/p>\n<ul>\n<li>adul\u021bi: 200 \u2013 400 mg\/dL<\/li>\n<li>nou-n\u0103scu\u021bi: 125 \u2013 300 mg\/dL<\/li>\n<\/ul>\n<p><strong>6.Interpretare rezultate<\/strong><\/p>\n<p><strong>Valori sc\u0103zute:<\/strong><\/p>\n<p>        \u2022 Afibrinogenemie sau hipofibrinogenemie congenital\u0103 (afec\u021biuni rare)<\/p>\n<p>        \u2022 Boli hepatice severe (ciroz\u0103, insuficien\u021b\u0103 hepatic\u0103)<\/p>\n<p>        \u2022 Coagulare intravascular\u0103 diseminat\u0103 (CID)<\/p>\n<p>        \u2022 Consum crescut de fibrinogen \u00een hemoragii masive sau tromboze extinse<\/p>\n<p>        \u2022 Malnutri\u021bie sever\u0103<\/p>\n<p><strong>Valori crescute:<\/strong><\/p>\n<p>        \u2022 Procese inflamatorii acute \u0219i cronice<\/p>\n<p>        \u2022 Infec\u021bii, traumatisme, interven\u021bii chirurgicale recente<\/p>\n<p>        \u2022 Sarcin\u0103 (cre\u0219tere fiziologic\u0103)<\/p>\n<p>        \u2022 Boli neoplazice<\/p>\n<p>        \u2022 Sindrom metabolic, obezitate, diabet zaharat<\/p>\n<p>        \u2022 Risc crescut de evenimente trombotice \u0219i cardiovasculare (infarct, AVC)<\/p>\n<\/p>\n<p><strong>7.Factori care pot influen\u021ba rezultatul<\/strong><\/p>\n<ul>\n<li>Factori fiziologici: sarcina, v\u00e2rsta (valorile cresc odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103)<\/li>\n<li>Medicamente: contraceptive orale, terapie estrogenic\u0103, corticosteroizi (cresc fibrinogenul); anticoagulante \u0219i fibrinolitice (scad fibrinogenul)<\/li>\n<li>Infec\u021bii \u0219i inflama\u021bii acute: determin\u0103 cre\u0219teri tranzitorii ale valorilor<\/li>\n<\/ul>\n<p><strong>8.Analize complementare<\/strong><\/p>\n<p>        \u2022 Timp de protrombin\u0103 (PT): evalueaz\u0103 calea extrinsec\u0103 a coagul\u0103rii \u0219i sinteza factorilor de coagulare la nivel hepatic<\/p>\n<p>        \u2022 Timp de tromboplastin\u0103 par\u021bial activat\u0103 (aPTT): m\u0103soar\u0103 activitatea c\u0103ii intrinseci \u0219i poate eviden\u021bia deficitul unor factori de coagulare sau efectul tratamentului anticoagulant<\/p>\n<p>        \u2022 D-dimeri: indic\u0103 degradarea cheagurilor de s\u00e2nge \u0219i este util \u00een diagnosticul trombozelor, emboliilor \u0219i CID<\/p>\n<p>        \u2022 Monomeri de fibrin\u0103: marker precoce de activare a coagul\u0103rii, util \u00een diagnosticul CID \u0219i al altor st\u0103ri protrombotice<\/p>\n<p>        \u2022 Hemoleucogram\u0103 complet\u0103: ofer\u0103 informa\u021bii despre num\u0103rul \u0219i caracteristicile celulelor sanguine, utile \u00een evaluarea statusului hematologic<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fibrinogenul este o protein\u0103 produs\u0103 de ficat cu rol esen\u021bial \u00een coagularea s\u00e2ngelui. Nivelul s\u0103u poate cre\u0219te \u00een inflama\u021bii, fiind astfel utilizat ca marker inflamator. Analiza fibrinogenului este important\u0103 pentru diagnosticarea unor tulbur\u0103ri de coagulare, monitorizarea unor afec\u021biuni inflamatorii, precum \u0219i pentru evaluarea riscului cardiovascular.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,3171,2876],"product_tag":[3271,3473,3476,3475,3474,3472,3471],"class_list":{"0":"post-26910","1":"product","2":"type-product","3":"status-publish","5":"product_cat-analize","6":"product_cat-coagulare-si-hemostaza","7":"product_cat-serviciu-laborator","8":"product_tag-coagulare","9":"product_tag-inflamatie","10":"product_tag-marker-inflamator","11":"product_tag-proteina-de-faza-acuta","12":"product_tag-risc-cardiovascular","13":"product_tag-tromboze","14":"product_tag-tulburari-hemoragice","15":"pa_conditii-medicale-afecti-boala-vasculara-periferica-venoasa-arteriala","16":"pa_conditii-medicale-afecti-boli-inflamatorii-intestinale-rectocolita-ulcerohemoragica-boala-crohn","17":"pa_conditii-medicale-afecti-insuficienta-hepatica-ciroza-hepatica","18":"pa_conditii-medicale-afecti-tulburari-de-coagulare-trombofilie-hemofilie","19":"pa_parti-ale-corpului-organ-ficat-si-colecist","20":"pa_parti-ale-corpului-siste-sistem-digestiv","22":"first","23":"instock","24":"sale","25":"virtual","26":"purchasable","27":"product-type-simple"},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product\/26910","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=26910"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_brand?post=26910"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_cat?post=26910"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_tag?post=26910"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}