I kut emaw, i ke emaw-a hliam tenau emaw, i hliam emaw chuan rei vak lo hnuah thisen chhuahna chu a tawp mai tih i hre tawh em? Kan taksaah hian defense mechanism mak tak a ni tak zet a ni. Hei hi "Blood Clotting" kan ti a. Hetiang kalphung hian hna a thawk tha hle a, chuvang chuan hliam tenau tak pawhin thisen a chhuah tam lo va, accident lian tak a thlen lo. Mahse, a chang chuan he thisen zam hi a thawk tha lo. A nih tur aia slow zawkin a thleng emaw, a nih tur aia rang zawkin a thleng emaw pawh nise. Chutih lai chuan doctor-te chuan he thil hi hriat chian nan special test an tih a ngai a ni. Vawiin hian chutiang thisen test pawimawh tak pakhat chungchang kan sawi dawn a ni. Chu chu PTT test a ni.
A awlsam zawngin, he PTT test hi eng nge ni?
PTT test, a nih loh leh Partial Thromboplastin Time test hi thisen test awlsam tak a ni a, i thisen sample lak a, second tlemte chhungin chu thisen chu eng chen nge a clot theih tih a teh a ni.
Chef thiam tak tak team-in chaw ei tur an buatsaih ang maiin han ngaihtuah teh. He chaw ei tur dik tak siam tur hian thil chi hrang hrangte chu a order dik tak leh a zat tur dik takin i dah tel a ngai a ni. Kan thisen zam (blood clotting process) ah hian "cooks" team an awm a. Damdawi lamah chuan "clotting factors" kan ti thin. Hengte hi a takah chuan kan thisena protein bik an ni. Heng clotting factors zinga pakhat tal a tlachham a nih chuan, emaw, a thawk tha lo a nih chuan, chaw ei hun sawn a nih ang bawkin thisen clotting process zawng zawng chu a tlai vek a ni. PTT test hian heng clotting factors te hian hna an thawk tha em tih leh speed dik takah an thawk em tih a enfiah ber a ni.
He test hi aPTT tih hi i hre tawh mai thei. A awmzia chu activated Partial Thromboplastin Time tihna a ni. A danglam vak lo. Chutianga an tih chhan chu lab hian i thisen sample-ah chemical bik a dah a, chu chuan thisen zam (blotting process) a "activate" a ni.
A pawimawh ber chu PTT test hian thisen zam tura puitu clotting factors tam zawk a test thin a ni. Mahse he test hian a test loh thil dang engemaw zat a awm bawk. Anmahni test nan hian test dang PT test (Prothrombin Time test) tih a awm bawk. A châng chuan i doctor chuan heng test pahnih hi tihsak turin a ti thei che a ni. A kalphung zawng zawng chiang zawka hriat theih nan.
Eng dinhmunah nge doctor chuan PTT test ti turin a tih ang che?
He test hi neih tura thupek i nih chhan hi chhan hrang hrang a awm thei. A tlangpuiin, doctor chuan a hnuaia thil awm danah hian he test hi a rawt ang:
| Chhan/Thil awm dan | A sawifiahna awlsam tak |
|---|---|
| Thisen chhuak fo emaw, thisen chhuak nasa emaw | I hmui a thisen a chhuah fo chuan, i hnar a thisen a chhuak fo a nih chuan, a nih loh leh hliam te tak te pawhin thisen a chhuah loh nan hun rei tak a mamawh a ni. |
| A chhan hriat lohvin a hliam | I taksaah engmah vuak lovin blue spots (bruises) i lo awm nghal a nih chuan. |
| Thisen kalna kawng khata thisen zam (blood clot). | Ke emaw hmun dangah emaw thisen kalna kawng khatah thisen zam a lo awm nia rinhlelhna a awm chuan. |
| Surgery neih hmain | Hei hi operation lian tak neih hmain i thisen zam theihna chu a normal em tih enfiah nan tih thin a ni. Hei hian operation neih laiin a tul lo taka thisen chhuah loh nan a pui thei a ni. |
| Heparin enkawlna dawng dawnin | Heparin hi thisen tithianghlimtu a ni. He test hi he damdawi ei mi pakhat hnena dose pek hi a dik em tih hriat nan an ti fo thin. Dose a tam lutuk chuan thisen a chhuak thei a, a tlem lutuk chuan thisen zam a lo awm thei bawk. |
| Nau pai tam lutuk hian | He test hi thisen zam lama harsatna awm leh awm loh enfiahna atan pawh hman a ni a, hei hian hmeichhe thenkhatah nau pai nawn fo thei a ni. |
| Liver natna i neih hunah | Kan thisen zam tam tak hi thin (liver) atanga siam a ni. Hetiang kalphung hi thin natna nei tan chuan a tichhe thei a ni. |
Test hmain inbuatsaih a ngai em? Thisen an lak hian eng nge thleng thin?
Test atana inbuatsaihna
Hei hi chanchin tha ber a ni. PTT test atan hian inbuatsaihna bik a ngai lo . Chaw nghei leh thil dang tih a ngai lo. Mahse thurawn tlem ka pe ang che. Thisen pe tura i kal hmain tui tam tak in thin ang che. Hei hian thisen latu tan a awlsam phah ang a, a chhan chu i thisen kalna chu a khat deuh ang a, hmuh a fiah deuh ang. Tin, kawr kawr tawi i ha a nih chuan i kut phar chungchangah i buai a ngai lovang.
Thisen lak dan
Hei hi thil awlsam tak a ni a, thisen i pek dan pangngai ang bawkin.
1. Nurse emaw medical officer emaw chuan chair-ah a thuttir ang che a, i kut chu hahdam taka chelh turin a ti ang che.
2. Tichuan, i kut chunglam vel chu rubber band (tourniquet) dahin tlemin i tikhauh ang. Hei hi thisen kalna kawngte hmuh theih zawk nan tih a ni.
3. Tichuan, elbow bulah vein remchang thlangin a hmun chu cotton te tak te hmangin an tifai thin.
4. A dawtah chuan zungbun te tak te tak te chu thisen zam chhungah dahin thisen mamawh zat chu special tube ah an la khawm thin. Hetih lai hian, rulhut-in a seh ang maiin, hliam tlemte chauh i nei ang .
5. Thisen an lak chhuah chuan a ban vela rubber band an khih chu la chhuakin, needle chu la chhuakin, a hmunah cotton phek khat dahin rei lo te chhung pressure pek a ni. Tichuan plaster te tak te chu a hmunah an hnawih a.
Chu chu a ni ta! A kalphung zawng zawng hi minute tlemte chauh a ni. Thisen pek zawhah i hna pangngai i thawk thei tawh ang. A châng chuan, needle dahna hmun chu a rawn sen deuh (bruised) thei bawk. Hei hi ni engemaw zat hnuah a mah chauhin a bo dawn a, chuvangin lungngai suh.
PTT report hian eng nge a sawi? Engtin nge result chu hrilhfiah ang?
I PTT test result chu second tlemte chhungin i hmu thei ang . Chu chu i thisen a hmin hun chhung a ni.
Mi hrisel tan chuan a normal range chu second 25 leh 35 inkar a ni . Mahse hei hi hriat tur pawimawh tak a ni: He normal range hi lab hrang hrangah a danglam deuh thei . Chuvangin i value chu i report-a an pek che normal range nen khaikhin rawh.
PTT sang hian eng nge a awmzia?
I PTT chu a tlangpui aia sang (e.g. second 40 emaw 50 emaw) a nih chuan i thisen chu a pangngai aia rei a la rei tihna a ni. Hei hi chhan hrang hrang vang pawh a ni thei.
| A chhan awm thei | A sawifiahna awlsam tak |
|---|---|
| Heparin dose tihpun a ni | Thisen tithianghlimtu heparin i ei a nih chuan PTT value sang tak a nih chuan a dose chu a tul aia tam a ni thei tihna a ni. |
| Genetic dinhmun (genetic) a awm | Hemophilia emaw von Willebrand natna ang chi pianpui natnaah hian thisen zam (blood clotting factors) tlakchhamna a awm thin. |
| Liver Natna a awm | Liver natna, cirrhosis ang chi hian thisen zam (blood clotting factors) siam chhuah a tihtlem bakah PTT value a tisang thei a ni. |
| Vitamin K tlakchhamna | Vitamin K hi thisen zamna atana vitamin pawimawh tak a ni. Taksaah vitamin K a awm tawk loh chuan thisen zam a tikhawtlai thin. |
| Autoimmune Natna a awm | A chang chuan taksa invenna (immune system) ngei hian thisen zam (blood clotting factors) lakah hna a thawk \hin. Chutiang hunah chuan PTT value pawh a sang chho zel a ni. |
| Leukemia natna (Leukemia) a ni | Leukemia chi thenkhat (thisen cancer) hian thisen zam (blood clotting process) a tichhe thei bawk. |
PTT sang tak i hmuh chuan hlauthawng suh tih hre reng ang che. Hei hi diagnosis a ni lo va, i doctor tan chuan clue pawimawh tak mai a ni. Hei hi eng nge ni tih chiang taka hriat theih nan test dang neih belh turin a ti ang.
Results chungchangah rinhlelhna i neih chuan eng nge i tih ang?
Lab atanga report i dawn hnuah, a chhunga hlutna awmte chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan, a tha ber chu i doctor-in he test hi a order che a, i tan hmu a, sawipui rawh
- I doctor chuan i natna lan chhuah dan te, damdawi dang i ei te, leh he PTT test result te chu a ngaihtuah ang a, a hnua i tih tur dik tak chu a rel ang.
- Thisen test chiang zawk engemaw zat nei turin an ti mai thei che.
- Heparin i ei a nih chuan damdawi hman dan tur thlak danglam turin an ti thei che a ni.
Internet-a i thil hmuh leh midang sawi danah thutlukna siam ngai suh. I doctor nen pawh sawipui ngei ang che.
Take-Home Thuchah a ni
- PTT hi thisen test awlsam tak, mahse pawimawh tak a ni a, i thisen a inzawm hun chhung a tehna a ni.
- He test nei tur hian inbuatsaihna bik (chaw nghei ang chi) a ngai lo.
- PTT result chu normal range pawn lam a nih chuan hriselna lama harsatna awm thei chhinchhiahna a ni thei. Diagnosis a ni lo.
- I result chu eng pawh ni se, hlau suh la, hriatthiamna chiang tak neih theih nan leh a hnua i tih tur hriat theih nan i doctor nen sawiho fo ang che.











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