Nthawi ya Prothrombin: ndi chiyani, ndi chiyani komanso ndiyotani

Zamkati

• Malingaliro owonetsera
• Tanthauzo la zotsatira
• Mkulu prothrombin nthawi
• Nthawi yotsika ya prothrombin

Nthawi ya Prothrombin kapena PT ndi kuyesa magazi komwe kumawunika momwe magazi angagwiritsire ntchito kuphimba, ndiye kuti, nthawi yofunikira yothetsera kukha mwazi, mwachitsanzo.

Chifukwa chake, kuyesa kwa nthawi ya prothrombin kumagwiritsidwa ntchito nthawi iliyonse mukamatuluka magazi kapena ndikumenyedwa pafupipafupi kuti muyese kupeza chomwe chikuyambitsa vutoli, komanso pakakhala kukayikira mavuto a chiwindi, kufunsidwa kuyeza TGO, TGP ndi GGT, mwachitsanzo. Onani mayeso omwe amayesa chiwindi.

Pankhani ya anthu omwe amagwiritsa ntchito ma anticoagulants am'kamwa, monga Warfarin kapena Aspirin, nthawi ndi nthawi adotolo amafunsira INR, yomwe ndi njira yodziwika bwino kuposa TP yowunikira momwe mankhwalawa aliri, popeza TP nthawi zambiri imakhala yayikulu pamikhalidwe imeneyi.

Prothrombin, yomwe imadziwikanso kuti coagulation factor II, ndi protein yomwe imapangidwa ndi chiwindi ndipo ikayatsidwa imalimbikitsa kutembenuka kwa fibrinogen kukhala fibrin, yomwe, pamodzi ndi ma platelet, imapanga gawo lomwe limaletsa kutuluka magazi. Chifukwa chake, prothrombin ndichinthu chofunikira kwambiri kuti magazi atseke magazi.

Malingaliro owonetsera

Mtengo wowerengera wa nthawi ya prothrombin pakuti munthu wathanzi ayenera kusiyanasiyana Masekondi 10 ndi 14. Kutengera pa INR, mtengo wofotokozera munthu wathanzi uyenera kukhala wosiyanasiyana pakati pa 0.8 ndi 1.

Komabe, ngati mukugwiritsa ntchito ma anticoagulants akumwa, mtengo wake uyenera kukhala pakati pa 2 ndi 3, kutengera matenda omwe adayambitsa kufunikira kwa mankhwala amtunduwu.

Tanthauzo la zotsatira

Zotsatira zoyesa nthawi ya prothrombin zitha kusinthidwa chifukwa cha zifukwa zosiyanasiyana, chifukwa chake pakakhala zosintha, adokotala atha kuyitanitsa mayeso atsopano kuti athe kuzindikira choyenera ndikuyamba chithandizo.

Zina mwazimene zimayambitsa ndi izi:

Mkulu prothrombin nthawi

Zotsatira zake zikuwonetsa kuti ngati kudula kumachitika, kutuluka magazi kumatenga nthawi yayitali kuti iime, ndipo zina mwazimene zimayambitsa ndi izi:

• Kugwiritsa ntchito maanticoagulants;
• Kusintha kwa maluwa am'mimba;
• Zakudya zopatsa thanzi;
• Matenda a chiwindi;
• Kulephera kwa Vitamini K;
• Mavuto a coagulation, monga hemophilia;

Kuphatikiza apo, mankhwala ena monga maantibayotiki, corticosteroids ndi okodzetsa amathanso kusintha phindu la mayeso, chifukwa chake ndikofunikira kuti mudziwitse dokotala zamankhwala onse omwe mukugwiritsa ntchito.

Nthawi yotsika ya prothrombin

Mtengo wa prothrombin ukatsika zikutanthauza kuti kuwundana kumachitika mwachangu kwambiri. Chifukwa chake, ngakhale kutuluka magazi ndikosowa ndipo kumayima mwachangu, pamakhala chiopsezo chowundana chomwe chingayambitse infarction kapena stroke.

Zina mwazomwe zingayambitse kusintha kumeneku ndi monga:

• Kugwiritsa ntchito zowonjezera mavitamini K;
• Kudya kwambiri zakudya zokhala ndi vitamini K, monga sipinachi, broccoli kapena chiwindi;
• Kugwiritsa ntchito mapiritsi a estrogen ngati piritsi yolera.

Zikatero, pangafunike kuyamba kugwiritsa ntchito ma anticoagulants kapena jakisoni wa heparin mpaka chomwe chimasintha chadziwika. Pambuyo pake, adotolo amalangiza chithandizo choyenera kwambiri.