Kuyesa Kwanthawi ya Prothrombin

Zamkati

• Chifukwa chiyani kuyesa kwa nthawi ya prothrombin kumachitika?
• Kodi kuyesa kwa nthawi ya prothrombin kumachitika bwanji?
• Ndi zoopsa ziti zomwe zimakhudzana ndi kuyesa kwa nthawi ya prothrombin?
• Kodi zotsatira za mayeso zikutanthauzanji?

Chidule

Kuyesa kwa prothrombin nthawi (PT) kumayeza kuchuluka kwa nthawi yomwe zimatengera kuti madzi am'magazi anu azimitse. Prothrombin, yomwe imadziwikanso kuti factor II, ndi amodzi chabe mwa mapuloteni ambiri am'magazi omwe amathandizira kugwirana magazi.

Chifukwa chiyani kuyesa kwa nthawi ya prothrombin kumachitika?

Mukadulidwa ndipo chotengera chanu chamagazi chimaphulika, magazi am'magazi amasonkhanitsidwa pamalo a bala. Amapanga pulagi yakanthawi kuti athetse magazi. Pofuna kutulutsa magazi mwamphamvu, mapuloteni 12 am'magazi am'magazi amathandizana kupanga chinthu chotchedwa fibrin, chomwe chimasindikiza bala.

Matenda otuluka magazi otchedwa hemophilia atha kupangitsa kuti thupi lanu lipangitse kugundana molakwika, kapena ayi. Mankhwala ena, matenda a chiwindi, kapena kuchepa kwa vitamini K zitha kupanganso mawonekedwe achilendo.

Zizindikiro za matenda akutuluka ndi awa:

• kuvulaza kosavuta
• kutuluka magazi komwe sikudzaima, ngakhale mutapaka kupanikizika pa chilondacho
• msambo waukulu
• magazi mkodzo
• kutupa kapena kupweteka kwamafundo
• mwazi wa m'mphuno

Ngati dokotala akukayikira kuti muli ndi vuto lakutaya magazi, atha kuyitanitsa mayeso a PT kuti awathandize kudziwa. Ngakhale ngati mulibe zizindikiro zakusokonekera kwa magazi, dokotala wanu atha kuyitanitsa mayeso a PT kuti awonetsetse kuti magazi anu akutseka bwinobwino musanachite opaleshoni yayikulu.

Ngati mukumwa mankhwala ochepetsa magazi a warfarin, dokotala wanu amalamula kuyesedwa kwa PT pafupipafupi kuti muwonetsetse kuti simukumwa mankhwala ochulukirapo. Kutenga warfarin wambiri kumatha kuyambitsa magazi ambiri.

Matenda a chiwindi kapena kuchepa kwa vitamini K kumatha kuyambitsa matenda otaya magazi. Dokotala wanu akhoza kuyitanitsa PT kuti awone momwe magazi anu amaundana ngati muli ndi izi.

Kodi kuyesa kwa nthawi ya prothrombin kumachitika bwanji?

Mankhwala ochepetsa magazi angakhudze zotsatira za mayeso. Uzani dokotala wanu za mankhwala onse ndi zowonjezera zomwe mumamwa. Adzakulangizani ngati mufunika kuwasiya asanayesedwe. Simusowa kusala kudya pamaso pa PT.

Muyenera kukoka magazi anu kukayezetsa PT. Imeneyi ndi njira yochiritsira odwala yomwe nthawi zambiri imachitika ku labu yoyezera. Zimangotenga mphindi zochepa ndipo zimayambitsa kupweteka pang'ono.

Namwino kapena phlebotomist (munthu wophunzitsidwa bwino kutulutsa magazi) adzagwiritsa ntchito singano yaying'ono kutulutsa magazi kuchokera mumtsinje, nthawi zambiri mdzanja lanu kapena m'manja. Katswiri wa labotale adzawonjezera mankhwala m'magazi kuti awone nthawi yayitali kuti khungu ligwire ntchito.

Ndi zoopsa ziti zomwe zimakhudzana ndi kuyesa kwa nthawi ya prothrombin?

Zowopsa zochepa zomwe zimakhudzana ndikutengera magazi anu kukayezetsa PT. Komabe, ngati muli ndi vuto lakutuluka magazi, muli pachiwopsezo chochepa kwambiri chakutuluka magazi kwambiri ndi hematoma (magazi omwe amasonkhana pansi pa khungu).

Pali chiopsezo chochepa kwambiri chotenga matenda pamalo opumira. Mutha kumva kukomoka pang'ono kapena kumva kuwawa kapena kupweteka pamalo omwe mwatengera magazi anu. Muyenera kuchenjeza munthu amene akuyesa mayeso ngati mutayamba kukhala ndi chizungulire kapena kukomoka.

Kodi zotsatira za mayeso zikutanthauzanji?

Madzi a m'magazi nthawi zambiri amatenga pakati pa masekondi 11 ndi 13.5 kuti aumire ngati simukumwa mankhwala ochepetsa magazi. Zotsatira za PT nthawi zambiri zimanenedwa ngati chiwonetsero chazachilendo padziko lonse lapansi (INR) chomwe chimafotokozedwa ngati nambala. Mtundu wofanana wa munthu amene samamwa mankhwala ochepetsa magazi ndi 0.9 mpaka 1.1. Kwa wina amene amatenga warfarin, INR yomwe idakonzedwa nthawi zambiri imakhala pakati pa 2 ndi 3.5.

Ngati magazi anu aundana munthawi yoyenera, mwina mulibe matenda otuluka magazi. Ngati inu ali kutenga magazi owonda, khungu limatenga nthawi yayitali kuti lipangidwe. Dokotala wanu adzazindikira nthawi yanu yophimba.

Ngati magazi anu satsekedwa nthawi yanthawi, mutha:

• khalani pa mlingo wolakwika wa warfarin
• ali ndi matenda a chiwindi
• kukhala ndi kuchepa kwa vitamini K
• ali ndi vuto lotaya magazi, monga kuchepa kwa factor II

Ngati muli ndi vuto lakutuluka magazi, adokotala angakulimbikitseni mankhwala ena m'malo mwake kapena kuthiridwa magazi amwazi wamagazi kapena plasma yozizira.