So wo mogya tu ntɛmntɛm? Anaasɛ nkakrankakra? Momma yɛnka Prothrombin Bere (PT/INR) Sɔhwɛ no ho asɛm!

Sɛ yenya kuru wɔ yɛn nipadua mu baabi na yefi ase tu mogya a, yɛn nipadua no yɛ adwumaden paa ma mogya no gyae, ɛnte saa? Saa mogya a wogyae yi ne nea yɛfrɛ no mogya a ɛtɔ. Ɛtɔ mmere bi a, ebia mogya a ɛtwetwe yi rensi yiye. Ebia ɛbɛyɛ brɛoo dodo, anaasɛ ebetumi asi ntɛmntɛm dodo. Wɔ tebea horow a ɛtete saa mu no, wɔfrɛ nhwehwɛmu a ɛho hia a ɛbɛma woahu sɛnea wo mogya a ɛtwetwe no kɔ so ankasa no Prothrombin Time (PT/INR) Test . Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ.

Dɛn ne Prothrombin Bere (PT/INR) Sɔhwɛ no?

Sɛ yɛbɛka no tiawa a, Prothrombin Time (PT) , anaa ɛtɔ mmere bi a wɔfrɛ no PT/INR, na ɛkyerɛ sɛnea wo mogya tu ntɛmntɛm. Wobetumi de nea efi mu ba no ama wɔ sikani mu, anaasɛ, mpɛn pii no, wɔde akontaabu bi a wɔfrɛ no International Normalized Ratio (INR) .

Sɛ woapira na mogya retu wo a, protein soronko bi a wɔfrɛ no clotting factors wɔ yɛn mogya mu . Eyinom te sɛ kuw bi a wɔbom yɛ adwuma. Saa kuw yi bom yɛ adwuma de yɛ mogya a ɛtɔ gu nipadua no mu na ɛma mogya no gyae. Prothrombin yɛ protein foforo a ɛho hia a ɛho hia ma saa adeyɛ yi. Yɛn mmerɛbo na ɛyɛ.

Nnuruyɛfo taa yɛ nhwehwɛmu foforo a wɔfrɛ no Partial Thromboplastin Test (PTT) ka PT nhwehwɛmu no ho. PTT nhwehwɛmu no hwɛ sɛnea nneɛma afoforo a ɛma mogya tu wɔ wo mogya mu no reyɛ adwuma. Ɛdenam nsɛm a efi abien no nyinaa mu a wobɛka abom so no, wo duruyɛfo no betumi ate wo tebea no ase yiye.

Dɛn nti na yɛyɛ saa PT Sɔhwɛ yi? Dɛn na yɛhwɛ kwan fi mu?

Nnuruyɛfo yɛ saa PT nhwehwɛmu yi de hwɛ sɛ wo mogya no reyɛ ayɛ den yiye anaa. Fa no sɛ, sɛ wo mogya ntumi nkɔ yiye koraa a, opira ketewaa bi mpo betumi ama mogya pii asen fa wo nipadua mu. Afei nso, sɛ wo mogya retu ntɛmntɛm dodo a, saa mogya a ɛretu no betumi ayɛ na asiw yɛn mogya ntini no ano. Eyi nso yɛ tebea a asiane wom.

Nneɛma pii nti na ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ PT nhwehwɛmu yi:

1. Hwɛ sɛ Warfarin aduru no reyɛ adwuma yiye anaa.

Warfarin , a ebia nnipa binom nim no din Coumadin® , yɛ aduru a ɛma mogya yɛ mmerɛw. Wɔde ma sɛnea ɛbɛyɛ a mogya a ɛbɛtɔ a asiane wom ansiw ano. Sɛ wɔansa wɔn yare yiye a, nnipa a wɔwɔ asiane mu sɛ mogya bɛtɔ wɔn no betumi anya tebea horow a emu yɛ den te sɛ Deep Vein Thrombosis (DVT) anaa Pulmonary Embolism (PE) wɔ wɔn ntini mu. Enti, nnuruyɛfo taa yɛ PT nhwehwɛmu yi de hwɛ hu sɛ warfarin dodow a wɔde rema wo no teɛ.

2. Siesie wo ho ansa na woayɛ wo oprehyɛn

Sɛ wɔreyɛ wo oprehyɛn a, ebia wo duruyɛfo bɛhyɛ nhwehwɛmu yi de ahwɛ sɛnea wo mogya tu ansa na wɔayɛ oprehyɛn no. Eyi yɛ nea wɔde hwɛ hu sɛ worenkɔ asiane mu sɛ mogya bɛtɔ wo dodo bere a wɔreyɛ oprehyɛn no.

3. Kyerɛ mogya a ɛtɔ ne mogya a ɛtwetwe

PT nhwehwɛmu betumi aboa ma woahu sɛ wowɔ ayaresa tebea bi a ɛma mogya tu wo dodo anaa. Nnipa binom wɔ bi, te sɛ akisikuru a ɛnyɛ den, mogya a wɔtaa tu fi hwene mu, anaa mogya a ennyae wɔ nea wɔatwa no ketewaa bi mpo mu. Saa sɔhwɛ yi betumi aboa ma wɔahu nea ɛde saa sɛnkyerɛnne ahorow yi ba.

4. Hwɛ sɛ mmerɛbo mu yare bi anaa

Sɛnea madi kan aka no, mmerɛbo no na ɛyɛ protein bi a wɔfrɛ no prothrombin. Enti, prothrombin ho haw bi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ mmerɛbo mu yare. PT sɔhwɛ no yɛ mmerɛbo dwumadi ho nhwehwɛmu a wɔyɛ de hwɛ sɛnea mmerɛbo no reyɛ adwuma yiye ne mmerɛbo mu yare dodow a ɛwɔ mu no mu biako.

Ɔkwan bɛn so na wɔyɛ Prothrombin Bere Sɔhwɛ yi?

Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Sɛ wɔtwe mogya kakraa bi fi wo mu wie a, aduruyɛdan no de ade bi a wɔfrɛ no thromboplastin ka mogya no ho. Eyi boa ma mogya no tu. Afei, ɔbenfo bi a ɔwɔ aduruyɛdan mu de afiri bi di dwuma de susuw bere tenten a egye ansa na wo mogya no ayɛ kɛse.

Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama PT Sɔhwɛ no?

Wo duruyɛfo bɛkyerɛkyerɛ sɛnea wubesiesie wo ho ama eyi mu. Ebia ebehia sɛ woyɛ nea edidi so yi:

• Kwati sɛ wobɛnom nnuru bi: Sɛ nhwɛso no, nnuru bi te sɛ nnuru a ekum ɔyare mmoawa , betumi ama wo PT/INR akɔ soro. Afei nso, nneɛma te sɛ nnuru a wɔde siw awo ano a wɔnom ne aduru a wɔde si hormone ananmu betumi atew wo PT so.
• Tew Vitamin K so: Ebia wɔbɛka akyerɛ wo sɛ gyae Vitamin K aduannuru a wobɛnom anaasɛ tew nnuan a Vitamin K pii wom te sɛ kale, spinach, broccoli, ne tii nhaban a wudi so. Nea enti a ɛte saa ne sɛ Vitamin K yɛ ade a ɛka mogya a ɛtwetwe.

Nanso kae sɛ, ɛsɛ sɛ woyɛ eyinom nyinaa wɔ wo duruyɛfo afotu ase nkutoo. Nnyae w’aduru nom da a wunnya wo duruyɛfo afotu.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a woreyɛ PT Sɔhwɛ no?

Eyi te sɛ mogya a wɔde ma ara kwa. Oduruyɛfo anaa ɔyarehwɛfo bɛyɛ no saa:

• Wɔde nsa bɛtew baabi a wɔbɛtwe wo mogya no. Afei, wɔde elastic band bɛhyɛ wo basa so.
• Wɔka kyerɛ wo sɛ kyekyere wo nsa na ama mogya ntini no akɔ soro yiye.
• Afei, wɔde ade bi hyɛ ntini no mu nkakrankakra na wɔboaboa mogya kakraa bi ano gu toa ketewa bi mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no ahyɛ mu no.
• Sɛ wɔtwe mogya no wie a, wɔde plaster anaa aduru ketewaa bi gu baabi a wɔde ade no guu no.

Ɛtɔ da bi a, wɔyɛ nhwehwɛmu yi denam mogya kakraa bi a woyi fi wo nsateaa ano so. PT nhwehwɛmu nneɛma a wɔde yɛ adwuma wɔ fie nso wɔ hɔ a ɛyɛ adwuma denam mogya a wogye fi wo nsateaa ano so. Sɛ worenom warfarin na ɛho hia sɛ wotaa yɛ nhwehwɛmu yi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa ofie nneɛma te sɛ eyi di dwuma. Sɛ saa a, wɔbɛkyerɛ wo sɛnea wode bedi dwuma ne sɛnea wobɛbɔ nea ebefi mu aba no ho amanneɛ akyerɛ wo duruyɛfo.

Dɛn na ɛba wɔ PT Sɔhwɛ no akyi?

Mpɛn pii no, wɔ PT sɔhwɛ no akyi no, wubetumi ayɛ wo da biara da dwumadi ahorow sɛnea wotaa yɛ no. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ anaasɛ wobɛpirapira baabi a wɔde ade no hyɛɛ mu no. Nanso eyi nkyɛ.

Dɛn ne nea efi mu ba a yenya? Ɛkyerɛ dɛn?

Lab no bɔ nea efii PT sɔhwɛ no mu bae ho amanneɛ wɔ sikɔne kakraa bi mu, anaasɛ (mpɛn pii) sɛ bo a wɔfrɛ no International Normalized Ratio (INR) . Saa INR bo yi yɛ susudua a wɔahyɛ da ayɛ a Wiase Nyinaa Akwahosan Ahyehyɛde (WHO) de bae. Wɔde saa INR kwan yi baeɛ sɛdeɛ ɛbɛyɛ a wɔbɛhwɛ sɛ nea ɛfiri mu ba no rennyɛ soronko ɛnam nsonsonoeɛ kakra a ɛwɔ sɔhwɛ akwan a ɛwɔ lab ahodoɔ mu nti, na obiara bɛtumi de nkyerɛaseɛ korɔ ama.

Nneɛma a ɛfata ma PT/INR aba no ni:

• Sɛ wɔ sikɔne mu a: sikɔne 11 kosi 13.5.
• INR bo: 0.8 kosi 1.1. (Eyi yɛ ma obi a ɔmfa nnuru a ɛma mogya yɛ mmerɛw te sɛ warfarin)
• Sɛ worenom warfarin a, ɛsɛ sɛ wo INR yɛ 2.0 kosi 3.0 . (Nanso, wɔ ayaresa tebea horow bi mu no, ebia wɔbɛpɛ sɛ wonya INR a ɛkɔ soro anaa ɛba fam. Wo duruyɛfo na obehu eyi.)

PT a ɛnyɛ ne kwan so aba

PT nhwehwɛmu a ɛkɔ soro anaa INR kyerɛ sɛ wo mogya no regye bere tenten sen sɛnea ɛte daa ansa na ayɛ mmerɛw. Sɛ worennom warfarin a, eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wowɔ mogya a ɛtɔ, mogya a ɛtwetwe, anaa mmerɛbo mu haw. Ebetumi akyerɛ nso sɛ wunni vitamin K a ɛdɔɔso wɔ wo nipadua mu.

Sɛ worenom warfarin a, ebia wo INR bo no bɛyɛ nea ɛnteɛ (ɛkɔ soro dodo anaasɛ ɛba fam dodo) esiane nneɛma a edidi so yi nti:

• Sɛ wo nnom warfarin dodow a ɛfata a.
• Nnuru bi a wɔtɔn a wɔmfa nnuru nhyɛ mu a wonom a wunni oduruyɛfo afotu, sɛ nhwɛso no, atiridiinini ne vitamin a wɔde ma no betumi ne warfarin adi nkitaho.
• Ebia nnuan ne anonne bi a wonom te sɛ kale, akutu, kranberɛ nsu, ne nsa ne warfarin bedi nkitaho.
• Sɛ aduru bi a worenom ama tebea foforo ka warfarin a etu mpɔn na ɛma wo INR kɔ soro anaasɛ ɛso tew a.

Bere tenten ahe na egye na obi ahu sɔhwɛ no mu aba?

Nnipa dodow no ara betumi anya wɔn PT/INR sɔhwɛ mu aba wɔ nnɔnhwerew kakraa bi anaa da koro mu. Nsateaa mu nhwehwɛmu betumi ama wɔanya nea efi mu ba wɔ simma kakraa bi mu. Nanso, sɛ ɛho hia sɛ wode wo mogya kɔ aduruyɛdan foforo mu a, ebetumi agye nna pii ansa na nea efi mu ba no asan aba.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?

Nnuruyɛfo taa de PT sɔhwɛ ne PTT nhwehwɛmu no nyinaa di dwuma de si nea wɔbɛyɛ akyi no ho gyinae. Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii a, egyina wo tebea no so. Wɔyɛ eyi na ama wɔahu yare no pɛpɛɛpɛ na wɔafi ayaresa a ɛfata ase ama no. PT sɔhwɛ no yɛ nhwehwɛmu a edi kan a wɔde hu mogya a ɛtɔ anaasɛ mogya a ɛtɔ gu nipadua mu no mu biako. Sɛnea ɛbɛyɛ na wɔakyerɛ sɛ wɔahu yare no, ɛho hia sɛ wɔyɛ nhwehwɛmu pii.

Sɛ worenom warfarin a, wo duruyɛfo no bɛyɛ nsakrae wɔ dodow a wode ma no mu na ama wo mogya no akɔ so ayɛ yiye, a asiane biara nni ho sɛ mogya bɛtɔ.

Bere bɛn na ɛsɛ sɛ mefrɛ me duruyɛfo?

Sɛ wowɔ nsɛmmisa bi fa sɛnea wubesiesie wo ho ama PT sɔhwɛ yi, sɛnea wubenya nea efi mu ba, anaa nea wobɛyɛ akyi a, hwɛ hu sɛ wubebisa wo duruyɛfo. Esiane sɛ ɛsono obiara tebea nti, wo duruyɛfo nkutoo na obetumi ama wo akwankyerɛ a eye sen biara wɔ nea nea efi mu ba no kyerɛ ma w’akwahosan nhyehyɛe no ho.

Kae sɛ, sɛ woatwitwa na mogya retu wo a, wo nipadua no yɛ mmerɛw ntɛmntɛm ma mogya no gyae na efi ase sa yare. Sɛ anyɛ saa a, nnuruyɛfo de Prothrombin Time (PT) nhwehwɛmu yi di dwuma de hu nea enti a ɛte saa.

Sɛ yɛbɛbɔ no mua a, nneɛma a ɛsɛ sɛ yɛkae

Okay, enti nneɛma atitiriw a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm nnɛ no mu bi ni:

• Prothrombin Time (PT/INR) nhwehwɛmu no kyerɛ sɛnea wo mogya no tu ntɛmntɛm.
• Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin , ɛho behia sɛ wɔtaa yɛ nhwehwɛmu yi.
• Eyi boa ma wohu mogyatɔw, mogya a ɛtwetwe, ne mmerɛbo mu nyarewa bi.
• Ebia ebehia sɛ woyɛ ahosiesie bi ansa na woayɛ nhwehwɛmu no, na oduruyɛfo no bɛka ho asɛm akyerɛ wo.
• Sɛ nea efi mu ba no nyɛ nea ɛfata a, oduruyɛfo no behu nea ɛde ba na wakyerɛw ayaresa a ɛho hia.

Enti, sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ saa PT/INR nhwehwɛmu yi a, nsuro. Ɛyɛ sɔhwɛ a ɛnyɛ den a ɛbɛma woahu w’akwahosan ho nsɛm a ɛho hia. Wo duruyɛfo bɛkyerɛkyerɛ biribiara mu akyerɛ wo wɔ nea nea efi mu ba no kyerɛ ne nea ɛsɛ sɛ woyɛ akyi no ho.

` Prothrombin bere nhwehwɛmu, PT/INR nhwehwɛmu, mogya a ɛtwetwe, warfarin, mogya mu nhwehwɛmu, mmerɛbo dwumadi, mogya a ɛtɔ