Hliam tenau i nei tawh em? I kut chu chemte hmangin i tan a ni mai thei, a nih loh leh khawi emaw laiah i tlu a ni mai thei. Chutiang a nih chuan rei vak lo hnuah thisen chhuah chu a reh ta a ni lawm ni? A chhan chu kan taksaa mechanism mak tak mai a ni. Chu chu thisen zam (blood clotting) a ni. Mahse a chang chuan he kalphung hi a thawk tha lo. Thisen hian a mamawh aia rei a daih emaw, a nih tur aia rang zawk emaw a ni thei. Chutiang hunah chuan test awlsam tak, mahse pawimawh tak, i thisen a zang chak dan dik tak hriat theihna tura tih kan sawi a ni. Prothrombin Time, a nih loh leh PT/INR test an ti a.
A awlsam zawngin, he PT/INR test hi eng nge ni?
PT/INR test hi i thisen sample lak a, a clot theih hun chhung tehna a ni. Ngaihtuah teh, hliam i neih hian kan taksaa protein (clotting factors an tih) te hian thisen zam (blood clot) siamin thisen chhuah a titawp thin. Prothrombin hi protein dang, kan thin siam a ni a, thisen zam chhuahna atana pawimawh tak a ni.
He test result hi second tlemte chhunga pek theih a ni a, a nih loh leh ``INR - International Normalized Ratio'' tih hming puin chhut dan bik hmanga pek a ni fo bawk. INR hi standard measurement a ni a, khawvel hmun hrang hranga lab hrang hrangah a danglam lo. Chuvang chuan Doctor te tan chuan a result hriatthiam a awl em em a ni.
Vawi tam tak chu doctor chuan he PT test nen hian thisen zam test dang PTT (Partial Thromboplastin Time) tih a nei bawk ang. Thisen zam tura puitu thil dangte chu a thawk tha em tih a enfiah thin.
Eng dinhmunah nge he PT/INR test hi tih a nih?
Doctor-te chuan he test hi i thisen a inzawm tha em tih enfiah nan an ti thin. Ngaihtuah teh, i thisen a zawi zawi a nih chuan hliam tenau tak atang pawhin thisen a chhuak nasa lutuk thei. Chutiang bawkin, i thisen chu a rang lutuk a nih chuan, chu chu i thisen kalna kawngah a tang a, dinhmun hlauhawm tak a siam thei a ni.
I doctor-in he test hi a order theih chhan lian ber berte chu hetiang hi a ni:
- Warfarin i hman zat enfiah rawh: Warfarin, Coumadin® tia hriat bawk hi thisen tithianghlimtu a ni. Taksa chhunga thisen zam hlauhawm tak tak a lo awm loh nan pek a ni. Entirnan, he damdawi hi ke ruh chhunga thisen zam (Deep Venous Thrombosis) emaw, lung chhunga thisen zam (Pulmonary Embolism) hlauhawma awmte hnenah pek thin a ni. Chuvangin, he PT/INR test hi i warfarin dose hi a dik em, a tam lutuk em, a tawk lo em tih hriat nan an ti fo thin.
- Surgery hma: He test hi operation hmaa tih thin a ni a, i thisen chu a pangngaiin a inzawm em tih enfiah thin a ni. Hei hian doctor-te chu operation neih chhungin thisen chhuah tam lutuk a awm loh nan a pui dawn a ni.
- Thisen chhuah leh thisen zam natna (blood clotting disorders) hriatchhuah: Hrilhfiahna hriat loha hliam i neih te, hnar thisen chhuak fo emaw, hliam tenau tak atanga thisen chhuah tihtawp harsatna i neih chuan he test hian a chhan hriat theih nan a pui thei a ni.
- Liver natna i rinhlelh chuan: Prothrombin hi liver siam a nih thu kan sawi tawh a. Chuvangin, he protein hi harsatna a awm chuan thin natna a awm tihna a ni thei. PT/INR test hi liver function endikna atana hman thin test hrang hrang zinga pakhat a ni.
Test hmain inbuatsaihna bik a ngai em?
Ni e, a châng chuan inbuatsaihna tlem a ngai mai thei. I doctor chuan hei hi a hrilhfiah ang che. A tlangpuiin hetiang hi a ni thei:
- Damdawi thenkhat chu rei lo te atan chawlhsan rawh: Damdawi thenkhat, antibiotics ang chi te hian i PT/INR a tisang thei a ni. Hormonal damdawi, naupai venna pill te pawhin he hlutna hi a tihniam thei bawk. Chuvangin i damdawi ei zawng zawng chu i doctor hnenah i hrilh vek tur a ni. Mahse, i doctor-in a tih loh chuan i damdawi ei kha titawp ngai suh.
- Vitamin K ei tlem rawh: Vitamin K hi thisen zam tura puitu a ni. Chuvangin vitamin K pill i ei a nih chuan, emaw, vitamin K tamna ei tur cabbage, spinach, leh broccoli te i ei tam chuan tlem tal tihtlem turin an ti mai thei che a ni. A chhan chu chu chuan result pawh a nghawng thei a ni. Mahse heng zinga pakhat tal i tih hmain i doctor i zawt hmasa phawt tur a ni.
Test neih chhung hian eng nge thleng?
Hei hi a awlsam hle a, thisen pek dan pangngai ang bawkin.
1. Nurse emaw lab technician emaw chuan i kut chhung chu zu hmangin a swab ang a, i kut chunglam vel chu elastic band a dah ang.
2. Tichuan i kut chu hnawih turin an ti ang che. Tichuan vein te chu chiang takin i hmu ang.
3. Vein atanga thisen engemaw zat lakchhuah nan needle hmangin vial te tak teah an la lut thin. Needle i dah chuan stinging sensation tlem i nei ang.
4. Thisen an lak chhuah hunah chuan a zung chungah plaster te tak te emaw, cotton chi khat emaw dah la, a hmunah vawn tlat turin an ti ang che.
A chang chuan, a bik takin warfarin ei thinte tan chuan test hi an tih fo a ngai a, chuvang chuan an kut zungtang atanga thisen tla khat an lak a ngai thin. At-home test kit pawh a awm bawk. I duh chuan i doctor chuan a hman dan tur leh a result i doctor hnena report dan tur a entir ang che.
Results nge result hi engtin nge kan hriatthiam ang?
I result i hmuh hunah number awmzia chu i en ang u. Hei hi hriatthiam a pawimawh hle a, a bik takin warfarin i ei a nih chuan.
| Result chi hrang hrang | Normal Range a ni |
|---|---|
| Prothrombin Hun (second chhungin) 1.1. | Second 11 leh 13.5 inkar a ni. |
| INR (mi hrisel tak) 1.1. | 0.8 leh 1.1 inkar a ni. |
| INR (Warfarin - Warfarin ei mi pakhat tan target) . | 2.0 leh 3.0 inkar a ni. (Damdawi lam dinhmun thenkhatah chuan he target value hi a hniam emaw a sang emaw a ni thei. Hei hi i doctor-in a ruat ang.) |
Results pangngai lo tih awmzia chu eng nge ni?
PT value emaw INR value emaw a san chuan:
Chumi awmzia chu i thisen chu a tlangpui aia rei a ni tihna a ni.
- Warfarin i ei loh chuan thisen chhuah loh vang emaw, thin lama harsatna vang emaw, vitamin K tlakchham vang emaw a ni thei.
- Warfarin i ei a, i INR chu target aia sang (e.g., 3.0 aia tam) a nih chuan thisen chhuah theihna i nei a ni. Hei hi a chhan pawh a ni thei:
- I warfarin dose hi a sang lutuk deuh a ni.
- Doctor hrilh lova damdawi dang i ei avang khan (painkiller thenkhat, khawsik damdawi).
- Warfarin hian spinach, kale, cranberry tui, zu ang chi thilte nen a inzawm tlat a ni.
PT value emaw INR value emaw a hniam chuan:
Chumi awmzia chu i thisen chu a pangngai aia rang zawkin a clot tihna a ni. Warfarin ei mi pakhatin INR value a target aia hniam (e.g., 2.0 aia tlem) a neih chuan thisen zam a la awm theihna a la awm tho.
A pawimawh ber chu, i result chu eng ang pawhin ni se, hlauthawng suh la, i doctor nen inbia ang che. A chhan chu a zawng chhuak ang a, a tul ang chu a ti ang.
Results a dik lo a nih chuan eng nge i tih leh ang?
Results a zirin i doctor chuan eng nge i tih tur tih a rel ang.
- Warfarin i ei a nih chuan: I doctor chuan i INR chu target range-ah a hruai kir leh theih nan i dose chu tlem a siamrem ang. Hei hian i dose hi tlem tal tihpun emaw tihhniam emaw a ngai mai thei tihna a ni.
- Natna dang rinhlelh a nih chuan: Doctor chuan PT leh PTT test pahnih result chu a ngaihtuah dun ang. Natna hriat theihna tura test dang neih belh turin a refer thei bawk che.
Results hi darkar tlemte chhung emaw ni khatah emaw hmuh theih a ni tlangpui. Fingerstick test hi minute tlemte chauh a ni.
Take-Home Thuchah a ni
- PT/INR hi thisen test awlsam tak a ni a, i thisen a zam theih hun chhung tehna a ni.
- Warfarin ang chi thisen tithianghlimtu damdawi ei thinte chuan he test hi tih fo a ngai a ni. Damdawi hman dan tur dik taka control turin a pui thin.
- He test hian thisen chhuahna lama harsatna leh thin natna te pawh a hriat theih nan a pui bawk.
- I result chu normal range atanga chhuak a nih chuan lungngai suh. I doctor nen a awmzia leh a hnua i tih tur chungchang sawipui rawh.
- Damdawi zawng zawng, vitamin zawng zawng, leh i ei leh in dan zawng zawng doctor hnenah hriattir a pawimawh hle.
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