Nthawi ya Prothrombin (PT)

Prothrombin time (PT) ndi kuyezetsa magazi komwe kumayeza nthawi yomwe zimatengera kuti madzi am'magazi anu aumbike.

Kuyezetsa magazi kofananira ndi nthawi yochepa ya thromboplastin (PTT).

Muyenera kuyesa magazi. Ngati mukumwa mankhwala ochepetsa magazi, mudzawonedwa ngati pali magazi.

Mankhwala ena amatha kusintha zotsatira zoyesa magazi.

• Wothandizira zaumoyo wanu angakuuzeni ngati mukufuna kusiya kumwa mankhwala musanayezeke. Izi zingaphatikizepo aspirin, heparin, antihistamines, ndi vitamini C.
• Osayimitsa kapena kusintha mankhwala anu osalankhula ndi omwe akukuthandizani kaye.

Komanso uuzeni omwe amakupatsani ngati mukumwa mankhwala azitsamba.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Chifukwa chodziwika kwambiri choyeserera izi ndikuwunika magawo anu mukamamwa mankhwala ochepetsa magazi otchedwa warfarin. Muyenera kuti mukumwa mankhwalawa kuti muchepetse magazi.

Wopereka wanu amayang'ana PT yanu pafupipafupi.

Mungafunenso mayeso awa kuti:

• Pezani chomwe chimayambitsa kutuluka magazi kapena mabala
• Onani momwe chiwindi chanu chikugwirira ntchito
• Fufuzani zizindikiro za matenda osokoneza magazi kapena magazi

PT imayesedwa mumasekondi. Nthawi zambiri, zotsatira zimaperekedwa monga zomwe zimatchedwa INR (chiyerekezo chapadziko lonse lapansi).

Ngati simukumwa mankhwala ochepetsa magazi, monga warfarin, mtundu wabwinobwino wazotsatira zanu za PT ndi:

• Masekondi 11 mpaka 13.5
• INR ya 0.8 mpaka 1.1

Ngati mukumwa warfarin kuteteza magazi kuundana, omwe amakupatsani mwayi atha kusankha INR yanu pakati pa 2.0 ndi 3.0.

Funsani omwe amakupatsani zomwe zili zoyenera kwa inu.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Ngati inu sali kumwa mankhwala ochepetsa magazi, monga warfarin, zotsatira za INR pamwambapa 1.1 zikutanthauza kuti magazi anu amatseka pang'onopang'ono kuposa zachilendo. Izi zitha kuchitika chifukwa cha:

• Kusokonezeka kwa magazi, gulu la mikhalidwe momwe muli vuto ndi njira yotseka magazi.
• Kusokonezeka komwe mapuloteni omwe amalamulira kutsekeka kwa magazi amayamba kugwira ntchito (kufalitsa kupindika kwa magazi m'mitsempha).
• Matenda a chiwindi.
• Mulingo wochepa wa vitamini K.

Ngati inu ali kutenga warfarin kuti muteteze kuundana, omwe akukupatsani mwayi wanu angasankhe kusunga INR yanu pakati pa 2.0 ndi 3.0:

• Kutengera chifukwa chomwe mukumwa magazi ochepa, gawo lomwe mukufuna lingakhale losiyana.
• Ngakhale INR yanu ikakhala pakati pa 2.0 ndi 3.0, mumakhala ndi vuto lokha magazi.
• Zotsatira za INR zoposa 3.0 zitha kukuyika pachiwopsezo chachikulu chotaya magazi.
• Zotsatira za INR zotsika kuposa 2.0 zitha kukuyikani pachiwopsezo chokhala ndi magazi.

Chotsatira cha PT chokwera kwambiri kapena chotsika kwambiri mwa munthu amene akutenga warfarin (Coumadin) atha kukhala chifukwa cha:

• Mlingo wolakwika wa mankhwala
• Kumwa mowa
• Kutenga mankhwala ena owonjezera pa-kauntala (OTC), mavitamini, mavitamini, mankhwala ozizira, maantibayotiki, kapena mankhwala ena
• Kudya chakudya chomwe chimasintha momwe mankhwala ochepetsera magazi amagwirira ntchito mthupi lanu

Wothandizira anu akuphunzitsani zamomwe mungatengere warfarin (Coumadin) moyenera.

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina, komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Ma punctures angapo kuti mupeze mitsempha
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Kuyesaku kumachitika nthawi zambiri kwa anthu omwe atha kukhala ndi mavuto otaya magazi. Chiwopsezo chawo chotaya magazi ndichapamwamba pang'ono kuposa anthu omwe alibe mavuto otaya magazi.

PT; Pro-nthawi; Nthawi ya Anticoagulant-prothrombin; Nthawi yotseka: nthawi yayitali; INR; Chiwerengero cha mayiko onse

• Mitsempha yakuya - kutulutsa

Chernecky CC, Berger BJ. Nthawi ya Prothrombin (PT) ndi chiwonetsero chachilendo padziko lonse lapansi (INR) - magazi. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 930-935.

Ortel TL. Thandizo la Antithrombotic. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 42.