Yu dɔn ɛva gɛt smɔl injuri? Sɔntɛm yu kɔt yu an wit nɛf, ɔ yu fɔdɔm sɔnsay. We dat apin, di blɔd kin stɔp afta sɔm tɛm, nɔto so? Di rizin fɔ dis na wan wɔndaful we aw wi bɔdi de wok. Dat na fɔ mek blɔd klɔt. Bɔt sɔntɛnde dis prɔses nɔ kin wok fayn. Di blɔd kin tek lɔng tɛm pas aw i fɔ tek, ɔ i kin apin kwik pas aw i fɔ apin. Insay dɛn kayn tin ya, wi de tɔk bɔt wan tɛst we rili simpul, bɔt we rili impɔtant we dɛn kin du fɔ no ustɛm yu blɔd kin klɔt kwik kwik wan. Dɛn kɔl am di Prothrombin Time, ɔ PT/INR tɛst.
Fɔ tɔk am simpul wan, wetin na dis PT/INR tɛst?
Di PT/INR tɛst na tɛst we de tek wan sɛmpul pan yu blɔd ɛn mɛzhɔ aw lɔng i tek fɔ mek i klot. Tink bɔt am, we yu gɛt injuri, di prɔtin dɛn na wi bɔdi (we dɛn kɔl klotin factors) de wok togɛda fɔ mek blɔd klɔt fɔ stɔp blɔd. Prothrombin na ɔda prɔtin we wi liva de mek ɛn i impɔtant fɔ mek di blɔd klɔt.
di rizulεt fכ dis tεst kin gi insay sεkכnd, כ dεn kin gi am bכku tεm insay wan spεshal kכlkyulshכn we dεn kכl ``INR - Intεrnashכnal Nכmalayz Rεshכ''. INR na standad mɛzhɔmɛnt we nɔ de difrɛn frɔm wan lab to ɔda lab ɔlsay na di wɔl. So, i rili izi fɔ lɛ dɔktɔ dɛn ɔndastand di tin dɛn we kin apin.
Bɔku tɛm, di dɔktɔ go du ɔda blɔd klot tɛst bak we dɛn kɔl PTT (Partial Thromboplastin Time) wit dis PT tɛst. I de chɛk if di ɔda tin dɛn we de ɛp fɔ mek blɔd klɔt de wok fayn.
Insay us sityueshɔn dɛn kin du dis PT/INR tɛst?
Dɔktɔ dɛn kin du dis tɛst fɔ mek shɔ se yu blɔd de klot fayn fayn wan. Jɔs tink bɔt dat, if yu blɔd de slo fɔ klɔt, yu kin blɔd pasmak ivin if yu wund smɔl. Semweso, if yu blɔd klɔt tu kwik, di blɔd kin stɔp na yu blɔd vesel ɛn mek yu gɛt prɔblɛm dɛn we de mek yu sɔfa.
Na sɔm pan di men rizin dɛn we mek yu dɔktɔ du dis tɛst:
- Monitor yu warfarin doz: Warfarin, we dɛn kin kɔl bak Coumadin®, na wan tin we de mek yu blɔd tan. Dɛn kin gi am fɔ mek di blɔd we de mek pɔsin denja nɔ kam insay di bɔdi. fכ egzampl, dεn kin gi dis mεdikeshכn to pipul dεm we de pan risk fכ blכd kכlכt na di vein dεm na di leg (Deep Venous Thrombosis) כ blɔd kכlכt na di lכng (Pulmonary Embolism). So, bɔku tɛm dɛn kin du dis PT/INR tɛst fɔ si if di doz fɔ di warfarin we yu de tek rayt, tumɔs, ɔ nɔ inof.
- Bifo Dɛn Ɔpreshɔn: Dɛn kin du dis tɛst bifo dɛn du ɔpreshɔn fɔ si if yu blɔd kin klɔt nɔmal wan. Dis go ɛp di dɔktɔ dɛn fɔ mek shɔ se no risk nɔ de fɔ mek di blɔd kɔmɔt pasmak we dɛn de du di ɔpreshɔn.
- No se yu gɛt prɔblɛm wit blɔd ɛn blɔd we de klɔt: If yu gɛt brus we yu nɔ ɛksplen, yu nos de blɔd ɔltɛm, ɔ i nɔ izi fɔ stɔp blɔd frɔm ivin smɔl wund, dis tɛst kin ɛp fɔ no wetin mek yu gɛt am.
- If yu saspek liva sik: Wi bin dɔn tɔk se na di liva de mek prothrombin. So, if prɔblɛm de wit dis prɔtin, i kin min se sik de na di liva. di PT/INR tεst na wan pan difrεn tεst dεm we dεn kin yus fכ chεk di liva fכ wok.
Ɛni spɛshal pripia de we dɛn nid fɔ pripia bifo di tɛst?
Yɛs, sɔntɛnde, dɛn kin nid fɔ pripia smɔl. Yu dɔktɔ go ɛksplen dis to yu. Bɔku tɛm, i kin bi sɔntin lɛk dis:
- Stɔp sɔm mɛrɛsin fɔ sɔm tɛm: Sɔm mɛrɛsin, lɛk antibayɔtik, kin mek yu PT/INR bɔku. Ɔmon mɛrɛsin dɛn lɛk bɔn kɔntrol pils kin mek dis valyu bak go dɔŋ. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Bɔt mɛmba se, nɔ ɛva stɔp yu mɛrɛsin pas yu dɔktɔ tɛl yu fɔ du dat.
- Ridyus di Vitamin K we yu de it: Vitamin K na sɔntin we de ɛp fɔ mek blɔd klɔt. So if yu tek vaytamɛn K pils, ɔ it bɔku it dɛn we gɛt vaytamɛn K lɛk kabij, spinach, ɛn brɔkoli, dɛn kin aks yu fɔ ridyus dɛn smɔl. Na bikɔs dat kin afɛkt di tin dɛn we kin apin bak. Bɔt bifo yu du ɛni wan pan dɛn tin ya, yu fɔ rili aks yu dɔktɔ.
Wetin kin apin we dɛn de du di tɛst?
Dis na tin we rili simpul, jɔs lɛk fɔ gi blɔd nɔmal wan.
1. Nɔs ɔ lab tɛknishian go swab insay yu an wit rɔm ɛn put ɛlastik band rawnd di tap pat pan yu an.
2. Den dem go ask yu to rub yu han. Dɔn yu go si di vein dɛn klia wan.
3. Dɛn kin yuz nidul fɔ pul sɔm blɔd frɔm di vein insay wan smɔl vayl. Yu go fil smɔl smɔl we yu put di nidul.
4. We dɛn pul di blɔd, dɛn go aks yu fɔ put smɔl plasta ɔ kɔtɔn oba di nidul ɛn ol am na in ples.
Sɔntɛnde, mɔ fɔ pipul dɛn we de tek warfarin, dɛn fɔ du di tɛst ɔltɛm, so dɛn fɔ tek wan drop blɔd na dɛn finga. Test kit dɛn de bak we dɛn kin yuz na os. If yu want wan, yu dɔktɔ go sho yu aw fɔ yuz am ɛn aw fɔ ripɔt di rizɔlt to yu dɔktɔ.
Rizult ɔ aw fɔ ɔndastand di rizulyt?
We yu gɛt yu rizɔlt, lɛ wi si wetin di nɔmba dɛn min. Dis rili impɔtant fɔ ɔndastand, mɔ if yu de tek warfarin.
| Rizult tayp | Nɔmal Rɛnj |
|---|---|
| Prothrombin Tɛm (insay sɛkɔn) . | Bitwin 11 ɛn 13.5 sɛkɔn. |
| INR (fɔ pɔsin we gɛt wɛlbɔdi) . | Bitwin 0.8 ɛn 1.1. |
| INR (Warfarin - di target fɔ pɔsin we de tek Warfarin) | Bitwin 2.0 ɛn 3.0. (Insay sɔm mɛrɛsin, dis target valyu kin smɔl ɔ pas dat. Na yu dɔktɔ go disayd dis.) |
Wetin abnɔmal rizulyt min?
If di PT valyu ɔ INR valyu ay:
Dis min se yu blɔd kin tek lɔng tɛm pas aw i kin tek fɔ mek i klot.
- If yu nɔ de tek warfarin, dis kin bi bikɔs yu gɛt prɔblɛm wit yu liva, yu gɛt prɔblɛm wit yu liva, ɔ yu nɔ gɛt bɛtɛ vaytamɛn K.
- If yu de tek warfarin ɛn yu INR pas di target (e.g., pas 3.0), yu de pan risk fɔ blɔd. Dis kin bi bikɔs ɔf:
- Yu warfarin doz tu ay smɔl.
- Bikɔs ɔf ɔda mɛrɛsin we yu tek we yu nɔ tɛl di dɔktɔ (sɔm pen kil, kol mɛrɛsin).
- Warfarin intarakshɔn wit tin dɛm lɛk spinach, kale, kranberi jus, ɔr rɔm.
If di PT valyu ɔ INR valyu smɔl:
Dis min se yu blɔd kin klot kwik pas aw i kin klot. If pɔsin we de tek warfarin gɛt INR valyu dɔŋ di target (e.g., less dan 2.0), risk stil de fɔ mek blɔd klot fɔm.
Di tin we impɔtant pas ɔl na dat, ilɛk wetin yu gɛt, nɔ panik ɛn tɔk to yu dɔktɔ. I go fɛn di rizin ɛn du wetin nid fɔ apin.
If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?
Bay di rizɔlt, yu dɔktɔ go disayd wetin fɔ du nɛks.
- If yu de tek warfarin: Yu dɔktɔ go ajɔst yu doz smɔl fɔ mek yu INR kam bak na di say we yu want fɔ tek. Dis min se yu kin nid fɔ inkrisayz ɔ ridyus yu doz smɔl.
- If dɛn tink se ɔda sik: Di dɔktɔ go tink bɔt di rizɔlt fɔ ɔl tu di PT ɛn PTT tɛst dɛn togɛda. I kin rifer yu bak fɔ mek dɛn du ɔda tɛst fɔ no if yu gɛt di sik.
Bɔku tɛm, dɛn kin gɛt di rizɔlt insay sɔm awa ɔ wan de. Fɔ tɛst finga stik kin tek jɔs sɔm minit.
Mɛsej we dɛn kin kɛr go na os
- PT/INR na simpul blɔd tɛst we de mɛzhɔ di tɛm we i tek fɔ mek yu blɔd klɔt.
- Pipul dɛm wae de tek mɛrɛsin wae de mek dɛn blɔd tan lɛk Warfarin nid fɔ gɛt dis tɛst ɔltɛm. I kin ɛp fɔ kɔntrol di doz fɔ di mɛrɛsin kɔrɛkt wan.
- Dis tɛst kin ɛp bak fɔ no tin dɛm lɛk blɔd disɔda ɛn liva sik.
- Nɔ wɔri if yu rizɔlt nɔ de pan di nɔmal rɛnj. Tɔk to yu dɔktɔ bɔt wetin i min ɛn wetin fɔ du nɛks.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn aw yu de it.
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