So woahyɛ no nsow pɛn sɛ sɛ wo nsa anaa wo nan ho twitwa anaa wobɔ wo ho ketewaa bi a, mogya no gyae kɛkɛ wɔ bere tiaa bi akyi? Ɛyɛ ahobammɔ afiri a ɛyɛ nwonwa ankasa wɔ yɛn nipadua mu. Yɛfrɛ eyi "Mogya a Ɛtwetwe". Saa adeyɛ yi yɛ adwuma yiye, na ɛno nti na opira ketewaa bi mpo mma mogya pii ntu obi na ɛde akwanhyia kɛse ba no. Nanso, ɛtɔ mmere bi a, mogya a ɛma mogya tu yi ntumi nyɛ adwuma yiye. Sɛ ɛba brɛoo sen sɛnea ɛsɛ sɛ ɛba, anaasɛ ɛba ntɛmntɛm sen sɛnea ɛsɛ sɛ ɛba. Ɛno ne bere a ɛsɛ sɛ nnuruyɛfo yɛ nhwehwɛmu titiriw bi na ama wɔahu eyi ho asɛm. Ɛnnɛ yɛrebɛka mogya mu nhwehwɛmu a ɛho hia paa saa no biako ho asɛm. Ɛno ne PTT sɔhwɛ no.
Sɛ yɛbɛka no tiawa a, dɛn ne PTT sɔhwɛ yi?
PTT nhwehwɛmu, anaa Partial Thromboplastin Time sɔhwɛ, yɛ mogya mu nhwehwɛmu a ɛnyɛ den a ɛfa wo mogya bi na ɛkyerɛ, wɔ sikɔne kakraa bi mu, bere tenten a egye ansa na saa mogya no ayɛ kɛse.
Fa no sɛ aduannoafo kuw bi a wɔn ho akokwaw a wɔresiesie aduan. Sɛ wobɛma saa aduan yi ayɛ nea ɛfata a, ɛsɛ sɛ wode nneɛma biara ka ho nhyehyɛe a ɛfata ne dodow a ɛfata. "Nnoa aduannoafo" kuw bi wɔ yɛn mogya a ɛtwetwe no mu. Wɔ aduruyɛ mu no, yɛfrɛ wɔn "clotting factors." Eyinom yɛ protein soronko a ɛwɔ yɛn mogya mu ankasa. Sɛ nneɛma a ɛma mogya tu yi mu biara nni hɔ, anaasɛ ɛnyɛ adwuma yiye a, mogya a ɛtwetwe no nyinaa kyɛ, te sɛ nea aduan no kyɛ no. PTT sɔhwɛ no hwehwɛ titiriw sɛ ebia saa nneɛma a ɛma mogya tu yi reyɛ adwuma yiye na ɛreyɛ adwuma ntɛmntɛm anaa.
Ebia woate sɔhwɛ yi a wɔfrɛ no aPTT . Egyina hɔ ma Partial Thromboplastin Time a wɔayɛ adwuma . Ɛnyɛ soronko koraa. Wɔfrɛ no saa efisɛ lab no de nnuru titiriw bi ka wo mogya nhwɛsode ho de "ma mogya a ɛtwetwe no yɛ adwuma."
Ade a ɛho hia sen biara ne sɛ PTT nhwehwɛmu no hwehwɛ nneɛma a ɛma mogya tu a ɛboa ma mogya no tu no mu dodow no ara mu. Nanso nneɛma afoforo pii wɔ hɔ a sɔhwɛ yi nsɔ nhwɛ. Sɔhwɛ foforo bi wɔ hɔ a wɔfrɛ no PT sɔhwɛ (Prothrombin Time sɔhwɛ) a wɔde sɔ wɔn hwɛ. Ɛtɔ da bi a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nhwehwɛmu abien yi nyinaa. Sɛnea ɛbɛyɛ a wubenya adeyɛ no nyinaa ho mfonini a emu da hɔ.
Tebea bɛn mu na oduruyɛfo bɛka akyerɛ wo sɛ yɛ PTT nhwehwɛmu?
Nneɛma pii nti na ebia wɔbɛhyɛ wo sɛ yɛ sɔhwɛ yi. Mpɛn pii no, oduruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wɔ tebea horow a edidi so yi mu:
| Ntease/Adeyɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mogya a ɛtaa tu anaasɛ ɛyɛ den | Sɛ mogya taa tu wo hwene mu, mogya taa tu wo hwene mu, anaasɛ kuru ketewaa bi mpo gye bere tenten ansa na mogya no agyae. |
| Bruising a ntease biara nnim | Sɛ mpofirim ara wunya nsensanee bruu (akuru) wɔ wo nipadua so a wommɔ biribiara a. |
| Mogya a ɛtɔ wɔ mogya ntini bi mu | Sɛ adwenem naayɛ bi wɔ hɔ sɛ mogya a ɛtɔ gu mogya ntini bi mu wɔ nan no mu anaa baabi foforo a. |
| Ansa na wɔreyɛ no oprehyɛn | Wɔyɛ eyi ansa na wɔayɛ oprehyɛn kɛse de ahwɛ ahu sɛ wo mogya a ɛtwetwe no yɛ nea ɛfata. Eyi betumi aboa ma wɔasiw mogya a ɛho nhia ano bere a wɔreyɛ oprehyɛn no. |
| Bere a wɔrenya heparin ayaresa no | Heparin yɛ aduru a ɛma mogya yɛ mmerɛw. Wɔtaa yɛ nhwehwɛmu yi de hwɛ sɛ dodow a wɔde ma obi a ɔnom aduru yi teɛ anaa. Sɛ dodow a wɔde ma no dɔɔso dodo a, mogya betumi atu, na sɛ ɛba fam dodo a, mogya tu betumi ayɛ. |
| Bere a nyinsɛn a wotu gu taa ba no | Wɔde nhwehwɛmu yi nso di dwuma de hwɛ sɛ mogya a ɛtwetwe ho haw bi wɔ hɔ, a ebetumi ama mmea binom nyinsɛn atu mpɛn pii. |
| Bere a wowɔ mmerɛbo mu yare no | Yɛn mogya mu nneɛma pii fi mmerɛbo no mu. Saa adeyɛ yi betumi asɛe wɔ obi a ɔwɔ mmerɛbo mu yare mu. |
So ɛsɛ sɛ misiesie me ho ansa na sɔhwɛ no aba? Sɛ wɔtwe mogya a, dɛn na ɛba?
Ahosiesie a wɔbɛyɛ ama sɔhwɛ no
Eyi ne asɛmpa a eye sen biara. Ahosiesie titiriw biara nni hɔ a ɛho hia ma PTT sɔhwɛ. Ɛho nhia sɛ wudi mmuada anaa woyɛ biribi foforo biara. Nanso mɛma wo afotu kakra. Nom nsu pii ansa na woakɔ akɔma mogya. Eyi bɛma ayɛ mmerɛw ama onipa a ɔregye mogya no efisɛ wo ntini bɛyɛ ma kakra na ayɛ pefee sɛ wubehu. Afei nso, sɛ wohyɛ atade a nsa tiaa a, ɛho renhia sɛ wohaw wo ho sɛ wobɛma wo nsa so.
Sɛnea wɔfa mogya
Eyi yɛ adeyɛ a ɛnyɛ den koraa, sɛnea wotaa ma mogya no.
1. Ɔyarehwɛfo anaa oduruyɛfo bi bɛtra akongua so na waka akyerɛ wo sɛ kura wo nsa mu yiye.
2. Afei, wɔde rɔba (tourniquet) bi twa wo nsa atifi ho hyia na wɔkyekyere no denneennen kakra. Wɔyɛ eyi na ama mogya ntini no ada adi yiye.
3. Afei, wɔpaw ntini a ɛfata wɔ baabi a ɛbɛn nsateaa no na wɔde kotoku ketewaa bi tew beae no ho.
4. Afei, wɔde ade ketewaa bi hyɛ ntini no mu na wɔboaboa mogya dodow a ɛho hia ano gu afiri titiriw bi mu. Saa bere yi de, wobɛte nka sɛ ɛyɛ wo yaw kakra, te sɛ nea ntɛtea aka wo .
5. Sɛ wɔtwe mogya no a, woyi rɔba a wɔakyekyere no abasa no, woyi ade no, wɔde kotokuo bi gu beaeɛ hɔ na wɔde nhyɛsoɔ gu so kakra. Afei wɔde plaster ketewaa bi gu beae no so.
Ɛno ne no! Adeyɛ no nyinaa gye simma kakraa bi pɛ. Sɛ wode mogya ma wie a, wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ no. Ɛtɔ da bi a, baabi a wɔde ade no guu mu no betumi adan bruu kakra (akuru). Eyi ankasa befi hɔ wɔ nna kakraa bi mu, enti mma ɛnhaw wo.
Dɛn na PTT amanneɛbɔ no ka? Ɔkwan bɛn so na wɔbɛkyerɛ nea efi mu ba no ase?
Wo PTT sɔhwɛ mu aba no wɔ sikani mu . Ɛne sɛ, bere a egye ansa na wo mogya atɔ.
Nea ɛfata ma obi a ɔwɔ apɔwmuden no yɛ sikɔne 25 kosi 35 . Nanso ade titiriw bi a ɛsɛ sɛ yɛhyɛ no nsow ni: Saa dodow a wɔtaa yɛ yi betumi ayɛ soronko kakra wɔ lab biako mu akɔ foforo mu . Enti fa wo bo toto range a ɛfata a wɔde ma wo wɔ w’amanneɛbɔ so no ho.
Dɛn na PTT a ɛkɔ soro kyerɛ?
Sɛ wo PTT boro nea ɛfata (e.g. sikani 40 anaa 50) a, ɛkyerɛ sɛ wo mogya no regye bere tenten sen sɛnea ɛte daa ansa na ayɛ mmerɛw. Eyi betumi afi nneɛma pii nti.
| Ntease a ebetumi aba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Heparin dodow a wɔde ma no kɔ soro | Sɛ worenom heparin, aduru a ɛma mogya yɛ mmerɛw a, PTT dodow a ɛkɔ soro kyerɛ sɛ ebia dodow no bɛboro nea ɛho hia. |
| Awosu mu tebea horow | Wɔ awo mu tebea horow te sɛ hemophilia anaa von Willebrand yare mu no, nneɛma a ɛma mogya tu no sintɔ. |
| Mmɛn Yare | Mmɛn mu nyarewa te sɛ mmerɛbo mu yare betumi atew nneɛma a ɛma mogya tu no so na ama PTT bo akɔ soro. |
| Vitamin K a enni nipadua mu | Vitamin K yɛ vitamin a ɛho hia ma mogya a ɛtwetwe. Sɛ vitamin K nnɔɔso wɔ nipadua no mu a, mogya a ɛtwetwe no kyɛ. |
| Yare a Nkwammoaa a Ɛko Tia Nyarewa | Ɛtɔ mmere bi a, nipadua no mu tumi a ɛko tia nyarewa no ankasa yɛ adwuma tia nneɛma a ɛma mogya tu no. Wɔ tebea horow a ɛtete saa mu no, PTT bo nso kɔ soro. |
| Leukemia a ɛma mogya tu | Leukemia (mogya mu kokoram) ahorow bi nso betumi aka mogya a ɛtwetwe no. |
Kae sɛ, sɛ wuhu PTT a ɛkɔ soro a, mma wo ho nnpopo. Eyi nyɛ diagnosis, ɛyɛ clue a ɛho hia ma wo duruyɛfo ara kwa. Ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde eyi ba ankasa.
Sɛ w’adwene mu yɛ wo naa wɔ nea ebefi mu aba no ho a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo nsa ka amanneɛbɔ no fi lab akyi a, sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ gyinapɛn ahorow a ɛwɔ mu no ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo a ɔhyɛɛ nhwehwɛmu yi maa wo no behyia na woaka ho asɛm .
- Wo duruyɛfo no besusuw wo yare no ho sɛnkyerɛnne, nnuru afoforo a worenom, ne nea ebefi PTT nhwehwɛmu yi mu aba ho na wasi nea ɔbɛyɛ akyi ankasa ho gyinae.
- Ebia wɔbɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu pɔtee bi.
- Sɛ worenom heparin a, ebia wɔbɛka akyerɛ wo sɛ sesa aduru no dodow.
Mfa wo gyinaesi nnyina nea wuhu wɔ intanɛt so anaa nea afoforo ka so da. Hwɛ hu sɛ wo ne wo duruyɛfo bɛbɔ ho nkɔmmɔ.
Nkrasɛm a Wɔde Kɔ Fie
- PTT yɛ mogya mu nhwehwɛmu a ɛnyɛ den, nanso ɛho hia yiye a ɛkyerɛ bere tenten a egye ansa na wo mogya atɔ.
- Ahosiesie titiriw biara (te sɛ mmuadadi) ho nhia na wɔde ayɛ sɔhwɛ yi.
- PTT a efi mu ba a ɛnyɛ nea ɛfata no betumi ayɛ akwahosan ho haw bi a ɛda adi ho sɛnkyerɛnne. Ɛnyɛ nea wɔde hu yare no.
- Ɛmfa ho nea ebefi mu aba biara no, mma wo ho nnyɛ wo hu, na mmom wo ne wo duruyɛfo nsusuw ho bere nyinaa na ama woate ase yiye na woahu anammɔn a ɛsɛ sɛ woyɛ akyi.
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