Ðe wò ʋu ƒoa ƒu kabakabaa? Alo vivivi? Mina míaƒo nu tso Prothrombin Ɣeyiɣi (PT/INR) Dodokpɔa ŋu!

Ne míexɔ abi le míaƒe ŋutilã ƒe teƒe aɖe eye ʋu dze dodo gɔme la, míaƒe ŋutilã wɔa dɔ sesĩe ŋutɔ be yeatɔ te ʋu si le dodom la, alo? Ʋu ƒe dodo nutsitsi siae nye nusi míeyɔna be ʋu ƒe sisi. Ɣeaɖewoɣi la, ʋu ƒe sisi sia mate ŋu adzɔ nyuie o. Ate ŋu anɔ blewu akpa, alo ate ŋu adzɔ kabakaba akpa. Le nɔnɔme mawo me la, woyɔa dodokpɔ vevi aɖe si wowɔna tsɔ nya alesi tututu wò ʋu ƒe sisi ƒe ɖoɖoa le edzi yim be Prothrombin Time (PT/INR) Test . Mina míaƒo nu tso esia ŋu tsitotsito egbea.

Nukae nye Prothrombin Ɣeyiɣi (PT/INR) Dodokpɔ?

Kpuie ko la, Prothrombin Time (PT) , alo si woyɔna ɣeaɖewoɣi be PT/INR, dzidzea alesi wò ʋu ƒoa ƒu kabakabae. Woate ŋu agblɔ emetsonuwo le sɛkɛnd ʋɛ aɖewo ko me, alo, zi geɖe la, woate ŋu agblɔ le akɔntabubu si woyɔna be International Normalized Ratio (INR) me.

Ne abi aɖe xɔ wò eye ʋu le dodom le ŋuwò la, protein tɔxɛ siwo woyɔna be ʋumenugbagbeviɣidɔlékuiwo le míaƒe ʋu me . Amesiawo le abe ƒuƒoƒo si wɔa dɔ ɖekae ene. Ƒuƒoƒo sia wɔa dɔ aduadu tsɔ wɔa ʋuka si me ʋu sina tona eye wòdzudzɔa ʋu si le dodom. Prothrombin nye protein vevi bubu si le vevie na dɔ sia wɔwɔ. Míaƒe aklãe wɔa esia.

Zi geɖe la, ɖɔktawo wɔa dodokpɔ bubu si woyɔna be Partial Thromboplastin Test (PTT) kpe ɖe PT dodokpɔa ŋu. PTT dodokpɔa léa ŋku ɖe alesi nu bubu siwo naa ʋu ƒe sisi le wò ʋu me le dɔ wɔm ŋu. Ne ètsɔ nyatakaka siwo tso wo ame evea siaa me ƒo ƒui la, wò ɖɔkta ate ŋu ase wò nɔnɔmea gɔme nyuie wu.

Nukatae míewɔa PT Dodokpɔ sia? Nukae míele mɔ kpɔm na tso eme?

Ðɔktawo wɔa PT dodokpɔ sia be yewoakpɔe ɖa be wò ʋu le ƒoƒom nyuie hã. Bu eŋu kpɔ, ne wò ʋu mele ƒoƒom nyuie kura o la, abi sue aɖe gɔ̃ hã ate ŋu ana ʋu gbogbo aɖe nato wò ŋutilã me. Azɔ hã, ne wò ʋu le ƒoƒom kabakaba akpa la, ʋuka mawo ate ŋu adzɔ eye woaxe míaƒe ʋukawo. Esia hã nye nɔnɔme si me afɔku le.

Susu geɖe tae wò ɖɔkta ate ŋu atso nya me be yeawɔ PT dodokpɔ sia ɖo:

1. Kpɔe ɖa be Warfarin-tikea le dɔ wɔm nyuie hã.

Warfarin , si ame aɖewo anya kple ŋkɔ Coumadin® , nye ʋumenugbagbeviɣitike. Wonae be woatsɔ axe mɔ ɖe ʋuka siwo me afɔku le ƒe dzɔdzɔ nu. Ne womewɔ atike na amesiwo ŋu ʋu ƒe sisi le afɔku me o la, woate ŋu axɔ dɔléle sesẽwo abe Deep Vein Thrombosis (DVT) alo Pulmonary Embolism (PE) ene le woƒe ʋukawo me. Eyata zi geɖe la, ɖɔktawo wɔa PT dodokpɔ sia be yewoakpɔ egbɔ be warfarin ƒe agbɔsɔsɔ si wona wò la sɔ.

2. Dzra ɖo hafi nàwɔ dɔ na wò

Ne wole dɔ wɔm na wò la, wò ɖɔkta ate ŋu aɖe gbe na dodokpɔ sia be wòalé ŋku ɖe wò ʋu ƒe sisi ƒe ŋutete ŋu hafi woawɔ dɔ na wò. Esia nye be nàkpɔ egbɔ be ʋudodo fũu akpa mele afɔku me le dɔa wɔwɔ me o.

3. De dzesi ʋu ƒe sisi kple ʋu ƒe sisi ƒe dɔlélewo

PT dodokpɔ ate ŋu akpe ɖe ŋuwò nànya ne atikewɔwɔ me dɔléle aɖe le ŋuwò si nana ʋu dona le ŋuwò fũ akpa. Enɔa ame aɖewo ŋu, abe ƒoƒoe bɔbɔe, ʋu si dona le ŋɔti me enuenu, alo ʋu si medzudzɔna le lãɖeɖe sue aɖe gɔ̃ hã me o. Dodokpɔ sia ate ŋu akpe ɖe ame ŋu wòanya nusi gbɔ dzesi siawo tso.

4. Kpɔe ɖa be aklãdɔ hã

Abe alesi megblɔe va yi ene la, aklãe wɔa protein si woyɔna be prothrombin. Eyata, prothrombin ƒe kuxi aɖe nye dzesi be aklãdɔ ate ŋu anɔ ŋuwò. PT dodokpɔ nye aklã ƒe dɔwɔwɔ dodokpɔ siwo wowɔna be woakpɔ alesi aklãa le dɔ wɔm nyuie kple alesi aklãdɔléle le emee la dometɔ ɖeka.

Aleke wowɔa Prothrombin Ɣeyiɣi Dodokpɔ siae?

Esia nye ʋudodokpɔ bɔbɔe ŋutɔ. Ne woɖe ʋu sue aɖe le ŋuwò vɔ la, dodokpɔxɔa tsɔa nusi woyɔna be thromboplastin kpena ɖe ʋua ŋu. Esia kpena ɖe ʋua ŋu wòtsina. Emegbe la, eŋutinunyala bibi aɖe si le dodokpɔxɔa me zãa mɔ̃ aɖe tsɔ dzidzea ɣeyiɣi didi si wòxɔna hafi wò ʋu natsi.

Aleke woawɔ adzra ɖo ɖe PT Dodokpɔa ŋu?

Wò ɖɔkta aɖe alesi nàdzra ɖo ɖe esia ŋui me. Ðewohĩ ahiã be nàwɔ nu siwo gbɔna:

• Ƒo asa na atike aɖewo nono: Le kpɔɖeŋu me, atike aɖewo, abe dɔlékuiwutikewo ene, ate ŋu ana wò PT/INR nadzi ɖe edzi. Azɔ hã, nuwo abe fufɔfɔtike siwo woano kple lãmetsiŋusẽtikewo ɖɔliɖɔli ene ate ŋu aɖe wò PT dzi akpɔtɔ.
• Ðe Vitamin K dzi kpɔtɔ: Woate ŋu agblɔ na wò be nàdzudzɔ Vitamin K kpeɖeŋutɔ nono alo nàɖe nuɖuɖu siwo me Vitamin K sɔ gbɔ ɖo, abe kale, aŋanyi, broccoli, kple tii aŋgba ene, ɖuɖu dzi akpɔtɔ. Esia le alea elabena Vitamin K nye nusi gblẽa nu le ʋu ƒe sisi ŋu.

Gake ɖo ŋku edzi be wò ɖɔkta ƒe aɖaŋuɖoɖo nu koe wòle be nàwɔ nusiawo katã le. Mègadzudzɔ wò atikewo nono wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee gbeɖe o.

Nukae nàkpɔ mɔ na ne èle PT Dodokpɔa wɔm?

Esia le abe ʋudodo ene. Ðɔkta alo dɔnɔdzikpɔla awɔe ale:

• Woatsɔ aha akɔ teƒe si woaɖe wò ʋu le. Emegbe, woatsɔ elastic-ka aɖe aɖo wò alɔnu.
• Wogblɔna na wò be nàdo asi ɖa be ʋukawo nado nyuie wu.
• Emegbe, wotsɔa aŋe dea ʋukaa me vivivi eye woƒoa ʋu sue aɖe nu ƒu ɖe go sue aɖe me. Àte ŋu ase veve vie ne wotsɔ aŋea de eme.
• Ne woɖe ʋua vɔ la, wotsɔa aŋɔ alo aŋetu sue aɖe dea teƒe si wotsɔ aŋea de.

Ɣeaɖewoɣi la, wowɔa dodokpɔ sia to ʋu sue aɖe ɖeɖe le wò asibidɛ ƒe nugbɔ me. PT dodokpɔwɔnu siwo wozãna le aƒeme hã li siwo wɔa dɔ to ʋu ɖeɖe le wò asibidɛ ƒe nugbɔ me. Ne èle warfarin nom eye wòhiã be nàdo dodokpɔ sia enuenu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã aƒemenuzazãwo abe esia ene. Ne nenemae la, woafia alesi nàzãe kple alesi nàgblɔ emetsonuwo na wò ɖɔkta wò.

Nukae dzɔna le PT Dodokpɔa megbe?

Zi geɖe la, le PT dodokpɔa megbe la, àte ŋu awɔ wò gbesiagbedɔwo abe alesi nèwɔnɛ ɖaa ene. Àte ŋu ase veve alo abi aɖe le afisi wotsɔ aŋea de. Gake esia menɔa anyi didi o.

Nukawoe dona tso eme na mí? Nukae wòfia?

Nudokpɔƒea ka nya ta tso PT dodokpɔa me tsonu ŋu le sɛkɛnd ʋɛ aɖewo me, alo (zi geɖe wu) abe asixɔxɔ si woyɔna be International Normalized Ratio (INR) ene . INR ƒe asixɔxɔ sia nye dzidzenu si wozãna ɖaa si Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) to vɛ. Woto INR mɔnu sia vɛ be woakpɔ egbɔ be emetsonuwo meto vovo o le vovototo sue siwo le dodokpɔmɔnu siwo le dodokpɔxɔ vovovowo me ta, eye be amesiame ate ŋu aɖe gɔmeɖeɖe ɖeka.

PT/INR ƒe emetsonuwo ƒe didime siwo sɔ lae nye esi:

• Ne le sɛkɛnd me la: sɛkɛnd 11 va ɖo 13.5.
• INR ƒe asixɔxɔ: 0.8 va ɖo 1.1. (Esia nye na amesi mele ʋumenugbagbeviɣitikewo abe warfarin ene nom o)
• Ne èle warfarin nom la, ele be wò INR nanɔ 2.0 va ɖo 3.0 dome . (Gake le atikewɔwɔ ƒe nɔnɔme aɖewo me la, woate ŋu adi be INR nasɔ gbɔ alo naɖiɖi wu. Wò ɖɔktae atso nya me le esia ŋu.)

PT ƒe emetsonu siwo mesɔ o

PT dodokpɔ me tsonu alo INR si sɔ gbɔ fia be wò ʋu le ɣeyiɣi didi wu alesi wòle be wòate ŋu axe. Ne mèle warfarin nom o la, esia ate ŋu anye dzesi be ʋu le dodom le ŋuwò, ʋu ƒe sisi ƒe kuxi aɖe le ŋuwò, alo aklã ƒe kuxi aɖe le ŋuwò. Ate ŋu afia hã be vitamin K mele wò ŋutilã me o.

Ne èle warfarin nom la, wò INR ƒe xexlẽme ate ŋu anye esi mesɔ o (elolo akpa alo bɔbɔ akpa) le susu siwo gbɔna ta:

• Ne mèle warfarin ƒe agbɔsɔsɔ si sɔ nom o.
• Atike aɖewo siwo womeƒlena le atikedzraƒe o siwo nèno ɖɔkta ƒe aɖaŋuɖoɖo manɔmee, le kpɔɖeŋu me, vuvɔŋɔli kple vitamin kpeɖeŋutɔ ate ŋu awɔ dɔ kple warfarin.
• Nuɖuɖu kple nunono aɖewo siwo nèɖuna, abe kale, aŋanyi, cranberry detsiƒonu, kple aha ene, ate ŋu awɔ dɔ kple warfarin.
• Ne atike aɖe si nèzãna ɖe nɔnɔme bubu aɖe ta kpɔa ŋusẽ ɖe warfarin ƒe dɔwɔwɔ dzi eye wòdzia ​​wò INR ɖe edzi alo ɖea edzi.

Ɣeyiɣi didi kae wòxɔna hafi woate ŋu anya dodokpɔa me tsonu?

Ame akpa gãtɔ ate ŋu axɔ woƒe PT/INR dodokpɔ me tsonu le gaƒoƒo ʋɛ aɖewo alo ŋkeke ɖeka me. Asibidɛ dodokpɔ ate ŋu ana woakpɔ emetsonuwo le aɖabaƒoƒo ʋɛ aɖewo ko me. Gake ne ehiã be woaɖo wò ʋu ɖe dodokpɔxɔ bubu me la, ate ŋu axɔ ŋkeke geɖe hafi emetsonuwo nagatrɔ ava.

Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?

Zi geɖe la, ɖɔktawo zãa PT dodokpɔa kple PTT dodokpɔa me tsonu siaa tsɔ tsoa nya me le nusi woawɔ kplɔe ɖo ŋu. Le wò nɔnɔmea nu la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ geɖe wu. Wowɔa esia be woatsɔ anya dɔlélea nyuie eye woadze edada nyuitɔ gɔme. PT dodokpɔa nye dodokpɔ gbãtɔ siwo wowɔna tsɔ dea dzesi ʋu ƒe dodo alo ʋu ƒe sisi ƒe dɔléle aɖe la dometɔ ɖeka. Be woaɖo kpe dɔlélea dzi la, ehiã be woawɔ dodokpɔ geɖe wu.

Ne èle warfarin nom la, wò ɖɔkta atrɔ asi le wò agbɔsɔsɔme ŋu be wò ʋu natsi nyuie, eye ʋu ƒe sisi ƒe afɔku aɖeke manɔ eme o.

Ɣekaɣie wòle be maƒo ka na nye ɖɔkta?

Ne nyabiase aɖewo le asiwò ku ɖe alesi nàdzra ɖo ɖe PT dodokpɔ sia ŋu, alesi nàwɔ akpɔ dodokpɔa me tsonu, alo nusi nàwɔ azɔ ŋu la, kpɔ egbɔ be yebia wò ɖɔkta. Esi wònye be amesiame ƒe nɔnɔme to vovo ta la, wò ɖɔkta koe ate ŋu ana mɔfiame nyuitɔ kekeake wò le nusi wò emetsonuwo fia na wò lãmesẽnyawo ŋuti ɖoɖoa ŋu.

Ðo ŋku edzi be ne lã aɖe le ŋuwò eye ʋu le dodom le ŋuwò la, wò ŋutilã wɔa ʋuʋudedi kabakaba be ʋua natɔ te eye wòadze dɔyɔyɔ gɔme. Ne medzɔ nenema o la, ɖɔktawo zãa Prothrombin Time (PT) dodokpɔ sia tsɔ nyaa nusitae.

Kpuie ko la, nusiwo dzi wòle be woaɖo ŋkui

Enyo, eyata nu vevi siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe egbea me la dometɔ aɖewoe nye esi:

• Prothrombin Time (PT/INR) dodokpɔa dzidzea alesi wò ʋu ƒoa ƒu kabakabae.
• Ne èle ʋumenugbagbeviɣitikewo abe Warfarin ene zãm la, ahiã be woawɔ dodokpɔ sia zi geɖe.
• Esia kpena ɖe ame ŋu wòkpɔa ʋu ƒe sisi ƒe kuxiwo, ʋu ƒe sisi ƒe kuxiwo, kple aklãdɔ aɖewo.
• Ðewohĩ ahiã be nàwɔ dzadzraɖo aɖewo hafi awɔ dodokpɔa, si ŋu ɖɔktaa agblɔe na wò.
• Ne nusiwo do tso eme mesɔ o la, ɖɔktaa ake ɖe nusi gbɔ wòtso ŋu eye wòaŋlɔ atike si hiã.

Eyata, ne wò ɖɔkta bia tso asiwò be nàwɔ PT/INR dodokpɔ sia la, mègavɔ̃e o. Enye dodokpɔ bɔbɔe aɖe si ana nàgblɔ nyatakaka veviwo tso wò lãmesẽ ŋu. Wò ɖɔkta aɖe nusianu me na wò tso nusi wò emetsonuwo fia kple nusi nàwɔ emegbe ŋu.

` Prothrombin ɣeyiɣi dodokpɔ, PT/INR dodokpɔ, ʋu ƒe sisi, warfarin, ʋu dodokpɔ, aklã ƒe dɔwɔwɔ, ʋu dodo