Kuyesa Kwapadera kwa Thromboplastin Time (PTT)

Zamkati

• Kuyesa kwa PTT (pang'ono thromboplastin time) ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika mayeso a PTT?
• Kodi chimachitika ndi chiyani poyesa PTT?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndikufunika kudziwa pokhudzana ndi mayeso a PTT?
• Zolemba

Kuyesa kwa PTT (pang'ono thromboplastin time) ndi chiyani?

Kuyesa pang'ono kwa thromboplastin time (PTT) kumayesa nthawi yomwe zimatengera magazi kuti apange. Nthawi zambiri, mukadulidwa kapena kuvulala komwe kumayambitsa magazi, mapuloteni m'magazi anu omwe amatchedwa coagulation zinthu zimagwirira ntchito limodzi kuti apange magazi. Chumacho chimakulepheretsani kutaya magazi ochulukirapo.

Muli ndimagulu angapo am'magazi. Ngati pali zinthu zina zomwe zikusowa kapena zosalongosoka, zimatha kutenga nthawi yayitali kuposa momwe magazi amaundana. Nthawi zina, izi zimayambitsa magazi, osalamulirika. Kuyesa kwa PTT kumafufuza momwe zinthu zina zimagwirira ntchito. Izi zikuphatikiza zinthu zomwe zimadziwika kuti factor VIII, factor IX, factor X1, ndi factor XII.

Mayina ena: adatsegulira gawo la thromboplastin, aPTT, mbiri yapa coagulation factor

Amagwiritsidwa ntchito yanji?

Kuyesa kwa PTT kumagwiritsidwa ntchito:

• Chongani ntchito ya zinthu coagulation. Ngati zina mwazinthuzi zikusowa kapena zili ndi vuto, zitha kutanthauza kuti muli ndi vuto lakutaya magazi. Matenda a magazi ndi gulu lazinthu zosowa zomwe magazi samaundana bwinobwino. Matenda odziwika kwambiri otaya magazi ndi hemophilia.
• Pezani ngati pali chifukwa china chokhalira magazi kwambiri kapena mavuto ena oundana. Izi zikuphatikiza matenda ena amthupi omwe amachititsa kuti chitetezo cha mthupi chiteteze zovuta zamagulu.
• Onetsetsani anthu omwe amatenga heparin, mtundu wa mankhwala omwe amaletsa kutseka. M'mavuto ena otuluka magazi, magazi amaundana kwambiri, m'malo mocheperako. Izi zimatha kuyambitsa matenda a mtima, sitiroko, ndi zina zomwe zimawopseza moyo. Koma kutenga heparin wambiri kumatha kuyambitsa magazi ochulukirapo komanso owopsa.

Chifukwa chiyani ndikufunika mayeso a PTT?

Mungafunike kuyesa PTT ngati:

• Khalani ndi magazi osaneneka osadziwika
• Lulani mosavuta
• Khalani ndi magazi m'mitsempha kapena mumtsempha
• Khalani ndi matenda a chiwindi, omwe nthawi zina amatha kuyambitsa mavuto a magazi
• Adzakhala akupanga opaleshoni. Kuchita opaleshoni kumatha kuyambitsa kutaya magazi, chifukwa chake ndikofunikira kudziwa ngati muli ndi vuto la kuundana.
• Ndakhala ndikupita padera kangapo
• Akutenga heparin

Kodi chimachitika ndi chiyani poyesa PTT?

Katswiri wa zamankhwala adzatenga magazi kuchokera mumtsinje uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Simukusowa kukonzekera kulikonse kwa mayeso a PTT.

Kodi pali zoopsa zilizonse pamayeso?

Pali chiopsezo chochepa kwambiri choyesedwa magazi. Mutha kukhala ndi ululu pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikiro zambiri zimatha msanga.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira za mayeso anu a PTT ziwonetsa nthawi yochuluka yomwe magazi anu amatenga. Zotsatira zimaperekedwa kwamasekondi angapo. Ngati zotsatira zanu zikuwonetsa kuti magazi anu adatenga nthawi yayitali kuposa nthawi yoti muumbike, zitha kutanthauza kuti muli ndi:

• Matenda otuluka magazi, monga hemophilia kapena matenda a von Willebrand. Matenda a Von Willebrand ndi omwe amafala kwambiri kutuluka magazi, koma nthawi zambiri amayambitsa zizindikilo zowopsa kuposa zovuta zina zotaya magazi.
• Matenda a chiwindi
• Matenda a Antiphospholipid antibody kapena lupus anticoagulant syndrome. Awa ndimatenda omwe amadzichititsa kukhala otayika omwe amachititsa kuti chitetezo chamthupi chanu chiwonongeke zomwe zimayambitsa kugunda.
• Kulephera kwa Vitamini K. Vitamini K amatenga gawo lofunikira pakupanga kuzizira.

Ngati mukumwa heparin, zotsatira zanu zitha kukuwonetsani ngati mukumwa mulingo woyenera. Muyenera kuti mudzayesedwa pafupipafupi kuti muwonetsetse kuti mlingo wanu umakhala woyenera.

Ngati mwapezeka kuti muli ndi vuto lakutaya magazi, lankhulani ndi omwe amakuthandizani. Ngakhale kulibe mankhwala kumatenda ambiri otuluka magazi, pali mankhwala omwe angakuthandizeni kuthana ndi vuto lanu.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndikufunika kudziwa pokhudzana ndi mayeso a PTT?

Kuyesedwa kwa PTT kumalamulidwa nthawi zambiri limodzi ndi kuyesa magazi kwina kotchedwa prothrombin time. Kuyesedwa kwa nthawi ya prothrombin ndi njira ina yoyezera kutsekeka kwa magazi.

Zolemba

1. American Society of Hematology [Intaneti]. Washington DC: American Society of Hematology; c2018. Kusokonezeka kwa Magazi; [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://www.hematology.org/Patients/Bleeding.aspx
2. Malo Othandizira Kuteteza ndi Kupewa Matenda [Internet]. Atlanta: Dipatimenti ya Zaumoyo ndi Zaumunthu ku U.S. Hemophilia: Kuzindikira; [yasinthidwa 2011 Sep 13; yatchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.cdc.gov/ncbddd/hemophilia/diagnosis.html
3. Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Wokoma. Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Nthawi Yapadera ya Thromboplastin (PTT); p. 400.
4. Indiana Hemophilia & Thrombosis Center [Intaneti]. Indianapolis: Indiana Hemophilia & Thrombosis Center Inc .; c2011–2012. Kusokonezeka kwa Magazi; [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: http://www.ihtc.org/patient/blood-disorders/bleeding-disorders
5. Ana Health kuchokera ku Nemours [Internet]. Jacksonville (FL): Nemours Foundation; c1995–2018. Kuyesa Magazi: Nthawi Yochepa ya Thromboplastin (PTT); [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://kidshealth.org/en/parents/test-ptt.html?ref=search&WT.ac=msh-p-dtop-en-search-cl
6. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC; American Association for Chipatala Chemistry; c2001–2018. Tsankho Thromboplastin Nthawi; [yasinthidwa 2018 Mar 27; yatchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/partial-thromboplastin-time-ptt-aptt
7. Chipatala cha Mayo: Mayo Medical Laboratories [Internet]. Mayo Foundation for Medical Education and Research; c1995–2018. ID Yoyesa: ATPTT: Yoyambitsa Tsankho Thromboplastin Time (APTT), Plasma: Clinical and Interpretive; [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/40935
8. National Heart, Lung, ndi Blood Institute [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kuyesa Magazi; [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.nhlbi.nih.gov/health-topics/blood-tests
9. Riley Children's Health [Intaneti]. Indianapolis: Chipatala cha Riley cha Ana ku Indiana University Health; c2018. Matenda a Coagulation; [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.rileychildrens.org/health-info/coagulation-disorders
10. UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida; c2018. Nthawi yapadera ya thromboplastin (PTT): Mwachidule; [yasinthidwa 2018 Aug 26; yatchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/partial-thromboplastin-time-ptt
11. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2018. Health Encyclopedia: Yoyambitsa Tsankho Thromboplastin Nthawi Yotseka; [yotchulidwa 2018 Aug 26]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=aptt
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