Kuyesa Kwapadera kwa Thromboplastin Time (PTT)

Zamkati

• Chifukwa chiyani ndikufunika mayeso a PTT?
• Kodi ndimakonzekera bwanji mayeso a PTT?
• Kodi ndi zoopsa zotani zomwe zimayesedwa ndi PTT?
• Kodi mayeso a PTT amachitika bwanji?
• Kodi zotsatirazi zikutanthauza chiyani?
• Zotsatira zodziwika za mayeso a PTT
• Zotsatira zosayembekezereka za PTT

Kodi kuyesa kwa thromboplastin time (PTT) ndi chiyani?

Kuyesa pang'ono kwa thromboplastin time (PTT) ndi kuyezetsa magazi komwe kumathandiza madotolo kuyesa momwe thupi lanu limapangira magazi.

Kutuluka magazi kumayambitsa zochitika zingapo zotchedwa coagulation cascade. Coagulation ndimachitidwe omwe thupi lanu limagwiritsa ntchito kuyimitsa magazi. Maselo otchedwa platelets amapanga pulagi yophimba minofu yomwe yawonongeka. Kenako zinthu zotsekemera za thupi lanu zimalumikizana ndikupanga magazi. Kuchepetsa kwa zinthu zotseka kumateteza khungu kuti lisapangike. Kuperewera kwa zinthu zotseka kumatha kubweretsa zizindikilo monga kutuluka magazi kwambiri, kutulutsa magazi m'mimba kosalekeza, ndi kuphwanya mosavuta.

Kuti muyese kutsekeka kwa magazi mthupi lanu, labotore imasonkhanitsa magazi anu mumtsuko ndikuwonjezera mankhwala omwe amachititsa magazi anu kuundana. Chiyesocho chimayeza masekondi angati kuti apange chovala.

Kuyesaku nthawi zina kumatchedwa mayeso oyeserera pang'ono a thromboplastin time (APTT).

Chifukwa chiyani ndikufunika mayeso a PTT?

Dokotala wanu atha kuyitanitsa mayeso a PTT kuti afufuze zomwe zimayambitsa kukha magazi kwa nthawi yayitali kapena mopitirira muyeso. Zizindikiro zomwe zingalimbikitse dokotala wanu kuyitanitsa mayeso awa ndi awa:

• Kutuluka magazi pafupipafupi kapena kolemera
• kusamba kolemera kapena kwakanthawi
• magazi mkodzo
• kutupa ndi mafupa opweteka (omwe amayamba chifukwa chamagazi m'malo anu olumikizana)
• kuvulaza kosavuta

Kuyezetsa kwa PTT sikungapeze vuto linalake. Koma zimathandiza dokotala kudziwa ngati zomwe zimayambitsa magazi anu ndizoperewera. Ngati zotsatira zanu sizachilendo, adokotala angafunikire kuyitanitsa mayeso ena kuti awone chomwe thupi lanu silikupanga.

Dokotala wanu amathanso kugwiritsa ntchito mayesowa kuti muwone momwe mulili mukamamwa mankhwala ochepetsa magazi a heparin.

Kodi ndimakonzekera bwanji mayeso a PTT?

Mankhwala angapo angakhudze zotsatira za mayeso a PTT. Izi zikuphatikiza:

• mankhwala
• warfarin
• aspirin
• mankhwala oletsa
• vitamini C
• mankhwala enaake

Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa. Mungafunike kusiya kuwatenga asanakayezetse.

Kodi ndi zoopsa zotani zomwe zimayesedwa ndi PTT?

Mofanana ndi kuyezetsa magazi kulikonse, pamakhala chiopsezo chochepa chovulala, magazi, kapena matenda pamalo ophulika. Nthawi zambiri, mitsempha yanu imatha kutupa mukakoka magazi. Matendawa amadziwika kuti phlebitis. Kugwiritsa ntchito compress yotentha kangapo patsiku kumatha kuchiza phlebitis.

Kutuluka magazi nthawi zonse kungakhale vuto ngati muli ndi vuto lakukha magazi kapena mukumwa mankhwala ochepetsa magazi, monga warfarin kapena aspirin.

Kodi mayeso a PTT amachitika bwanji?

Pofuna kuyesa, phlebotomist kapena namwino amatenga magazi m'magazi anu. Amatsuka tsambalo ndi chovala chakumwa choledzeretsa ndikuyika singano mumtsempha wanu. Chitubu chophatikizidwa ndi singano chimasonkhanitsa magazi. Pambuyo posonkhanitsa magazi okwanira, amachotsa singano ndikuphimba malo obowolera ndi pedi yopyapyala.

Katswiri wothandizira labu akuwonjezera mankhwala pachitsanzo cha magazi ichi ndikuyesa kuchuluka kwa masekondi omwe zimatengera kuti nyerere ziumire.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira zodziwika za mayeso a PTT

Zotsatira zoyesera za PTT zimayezedwa mumasekondi. Zotsatira zabwinobwino zimakhala masekondi 25 mpaka 35. Izi zikutanthauza kuti zimatenga magazi anu masekondi 25 mpaka 35 kuti muumitse pambuyo powonjezera mankhwalawo.

Mulingo woyenera wazotsatira zake ukhoza kusiyanasiyana kutengera adotolo ndi labu, chifukwa chake funsani dokotala ngati muli ndi nkhawa.

Zotsatira zosayembekezereka za PTT

Kumbukirani kuti zotsatira zachilendo za PTT sizimazindikira matenda aliwonse. Zimangopereka chidziwitso cha nthawi yomwe zimatengera kuti magazi anu aumbike. Matenda ndi mikhalidwe ingayambitse zovuta za PTT.

Zotsatira za PTT zazitali zitha kukhala chifukwa cha:

• ziwalo zoberekera, monga mimba yaposachedwa, mimba yapano, kapena kupita padera kwaposachedwa
• hemophilia A kapena B
• kusowa kwa zinthu zotseka magazi
• Vuto la von Willebrand (vuto lomwe limayambitsa magazi osadziwika)
• kufalikira kwa intravascular coagulation (matenda omwe mapuloteni omwe amachititsa kuti magazi aziundana amagwiranso ntchito modabwitsa)
• hypofibrinogenemia (kusowa kwa magazi oundana a fibrinogen)
• mankhwala ena, monga magazi ochepetsa magazi heparin ndi warfarin
• mavuto azakudya, monga kuchepa kwa vitamini K ndi malabsorption
• ma antibodies, kuphatikizapo ma antibodies a cardiolipin
• lupus anticoagulants
• khansa ya m'magazi
• matenda a chiwindi

Zomwe zingayambitse zotsatira zosayembekezereka zimatanthauza kuti kuyesa kokha sikokwanira kudziwa kuti muli ndi vuto lanji. Zotsatira zosazolowereka zimalimbikitsa dokotala kuti ayitanitse mayeso ena.