Kodi magazi anu amaundana mofulumira? Kapena pang'onopang'ono? Tiyeni tiphunzire za mayeso a PTT (Partial Thromboplastin Time)!

Moni! Muli bwanji? Lero tikambirana za kuyezetsa magazi komwe kungakhale kwatsopano kwa anthu ambiri, koma nthawi zina ndikofunikira kwambiri. Izi zimatchedwa mayeso a PTT, kapena kwathunthu, mayeso a `(Partial Thromboplastin Time)`. Kodi mudamvapo za dzinali? Mwina dokotala wakuuzani kuti muchite izi. Kapena mwina winawake m'banja mwanu wachita izi. Chifukwa chake, tiyeni tikambirane za izi lero m'njira yosavuta yomwe mungamvetse.

Kodi mayeso a PTT ndi chiyani? Mwachidule...

Mwachidule, mayeso a PTT awa ndi mayeso a magazi omwe amayesa nthawi yomwe magazi anu amaundana . Tangoganizirani, mukavulala pang'ono, magazi pang'ono amatuluka ndikusiya. Kutuluka magazi kumeneko kumasiya chifukwa magazi amaundana. Kuti njira yowuma magaziyi ichitike bwino, mapuloteni ambiri osiyanasiyana m'thupi lathu, otchedwa zinthu zowuma magazi , ayenera kugwira ntchito limodzi. Zili ngati gulu logwira ntchito limodzi. Ngati pali vuto ndi chilichonse mwa zinthuzi, zimakhudza njira yonse yowuma magazi, zomwe zikutanthauza kuti nthawi yomwe imatenga kuti magazi awume ikhoza kusintha.

Mayeso amenewa nthawi zina amatchedwa `aPTT` (`(nthawi yogwira ntchito ya thromboplastin)`). Izi zili choncho chifukwa labu imawonjezera chinthu chochepa m'magazi anu chomwe chimathandiza magazi kuundana. Apa ndi pomwe mawu oti `agwira ntchito` amalowa.

Kuyesa kwa PTT kumeneku kungawone momwe zinthu zambiri zomwe magazi anu amaundana zikugwira ntchito. Komabe, pali zinthu zina zomwe mayesowa sangawone. Pali mayeso ena oti muwone izi, otchedwa PT test (Prothrombin Time test kapena PT test). Nthawi zina madokotala amalamula mayeso onse awiri kuti apeze chithunzi chonse cha momwe magazi anu amaundana.

Kodi mayeso a PTT amenewa amayesa chiyani kwenikweni?

Monga tanenera kale, mayeso a PTT makamaka amayesa nthawi yomwe magazi anu amaundana . Izi zikutanthauza kuti amayesedwa mu masekondi.

Kuphatikiza apo, izi zingatipatse lingaliro la zinthu zina zingapo:

• Kuchuluka kwa zinthu zina zochititsa magazi kuundana m'magazi anu.
• Kaya zinthu zimenezo zikugwira ntchito bwino kapena ayi.

Taganizirani izi motere: kutsekeka kwa magazi kuli ngati unyolo. Ngati unyolo umodzi wamasuka, unyolo wonse sugwira ntchito bwino. Umu ndi momwe zilili ndi izi.

Kodi mayeso a PTT amachitidwa liti?

Tsopano mwina mukuganiza kuti, "Chabwino, izi ndi nthawi yoti magazi azithira magazi. Ndiye, dokotala angakupatseni liti PTT?" Nazi zitsanzo zina:

• Ngati magazi anu amaundana mofulumira kwambiri kapena akuoneka kuti akuundana pang'onopang'ono kwambiri .
• Ngati mukukayikira kuti muli ndi magazi oundana m'mitsempha yamagazi.
• Ngati mukutuluka magazi nthawi zonse popanda chifukwa(Mwachitsanzo, kutuluka magazi m'mphuno, kutuluka magazi m'kamwa) kapena kuvulala thupi lonse.
• Ngati ndinu mkazi, nthawi zambiri mumakhala ndi mimba zosabereka .
• Ngati muli ndi matenda a chiwindi . Chifukwa chiwindi chimapanga zinthu zambiri zotsekereza magazi.
• Musanachite opaleshoni iliyonse kapena chithandizo china chilichonse chamankhwala , yang'anani ngati muli ndi vuto la kutuluka magazi.
• Ngati mukumwa mankhwala ochepetsa magazi otchedwa heparin , onetsetsani kuti mlingo wake ndi woyenera kwa inu. Heparin wochuluka ungayambitse kutuluka magazi, ndipo kuchepa kwake kungayambitse magazi kuundana.
• Ngati dokotala wanu akufuna kudziwa chomwe chimayambitsa magazi kuundana kapena vuto la kutuluka magazi,

Ndi pazochitika ngati izi pamene dokotala amasankha kuchita mayeso a PTT.

Kodi mayeso a PTT awa amachitidwa bwanji mu labu?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika mu labu titatenga magazi kuchokera kwa inu. Izi ndi zasayansi pang'ono, koma ndizisunga zosavuta.

1. Choyamba, amapatula gawo lokhalo lomwe amafunikira poyesa, plasma , kuchokera ku chitsanzo cha magazi chomwe amatenga kuchokera kwa inu.

2. Kenako, choyambitsa magazi chimawonjezedwa ku plasma. Izi ndi zomwe zimathandiza kuti magazi aziundana.

3. Kenako, plasma imasungidwa pa kutentha kwina kwa kanthawi (izi zimatchedwa ``incubating'').

4. Pomaliza, mankhwala otchedwa calcium chloride amawonjezedwa. Apa ndi pamene magazi amayamba kuundana.

Anthu ofufuza akufufuza nthawi yomwe magazi amaundana (m'masekondi) amatenga kuti magazi ayambe kuundana kuyambira nthawi yomwe calcium chloride inawonjezeredwa komaliza. Ndiwo mtengo wa PTT wanu. Mwamvetsa?

Kodi muyenera kukonzekera mayeso a PTT musanachite?

Anthu ambiri amachita mantha pang'ono akamva za kuyezetsa magazi. Koma palibe chomwe muyenera kuchita kuti mukonzekere mayeso a PTT awa. Simukuyenera kuchepetsa zakudya zanu kapena kuchita china chilichonse.

Komabe, pali chinthu chimodzi chaching'ono chomwe mungachite. Ndibwino kumwa madzi ambiri musanatenge magazi anu. Mwanjira imeneyi, zidzakhala zosavuta kupeza mtsempha. Chinthu china ndichakuti, ngati n'kotheka, valani shati la manja afupi . Mwanjira imeneyi, simudzafunika kukulunga mkono wanu.

Kodi muyenera kuyembekezera chiyani mukatenga magazi?

Izi zili ngati kutenga magazi kuti akayesedwe magazi ena. Tangoganizani kuti mwapita ku ofesi ya dokotala kukatenga magazi.

• Namwino kapena munthu wina wochokera ku labu adzakupemphani kuti mukhale pampando. Ikhoza kukhala mpando wokhala ndi chopumira cha mkono komwe mungathe kutambasula manja anu.
• Kenako amamanga tourniquet mozungulira mkono wanu, ngati lamba wa rabara, kuti mitsempha iwonekere bwino.
• Kenako, malo oboolerawo amayeretsedwa powapukuta ndi chinthu chonga mowa.
• Kenako, singano yaying'ono kwambiri imayikidwa pakhungu loyeretsedwa.
• Magazi ochepa amatengedwa kuchokera mumtsempha ndikusonkhanitsidwa mu chubu chapadera. Chubuchi chili ndi mankhwala omwe amaletsa magazi kuti asatseke mkati mwa chubucho.

Ndicho chimene chimachitika. Pamene mbola ikubaya, umamva ngati nyerere yaying'ono ikukuluma , koma imangokhala masekondi ochepa okha.

Kodi chimachitika n’chiyani magazi akatengedwa?

Akamaliza kutenga magazi, adzachita izi:

• Amachotsa lamba wa rabara womangiriridwa padzanja lake.
• Mmonkeyo achotsa munga m'manja mwake.
• Ikani chinthu chonga thonje pamalo pomwe panalumidwa ndipo chigwireni pamenepo kwa kanthawi.
• Kenako, bandeji yaying'ono imayikidwa pamalopo.

Mukhoza kuchotsa pulasitalayo m'maola ochepa.

Kodi pali zoopsa zilizonse ndi mayesowa?

Ndipotu, mayeso a PTT awa ndi otetezeka kwambiri . Palibe zoopsa zazikulu.

• Ndi zachilendo kumva kupweteka pang'ono singano ikalowetsedwa.
• Nthawi zina, malo ozungulira malo oboola amatha kukhala abuluu, ngati bala laling'ono . Izi zitha kuchira zokha patatha masiku ochepa. Palibe chodetsa nkhawa.

Ndikosowa kwambiri kuti magazi apitirize kutuluka magazi kapena kutenga kachilomboka kuchokera pamalo omwe magaziwo adatengedwa. Ngati izi zitachitika, muyenera kuuza dokotala wanu .

Zotsatira za lipoti la PTT... akunena chiyani?

Zotsatira za mayeso a PTT zimapezeka m'masekondi ochepa . Izi zikutanthauza kuti zimatenga masekondi angapo kuti magazi anu aundane.

Kawirikawiri, PTT value pakati pa masekondi 25 ndi 35 imaonedwa kuti ili mkati mwa ``normal range'' . Komabe, normal range iyi imatha kusiyana pang'ono kuchokera ku labu imodzi kupita ku ina. Chifukwa chake, muyenera kuyerekeza mtengo wanu ndi normal range yomwe ili mu lipoti lanu.

Kodi PTT yokwera imatanthauza chiyani? Zimatanthauza kuti zimatenga nthawi yayitali kuti magazi aundane!

Tangoganizirani kuti PTT yanu ndi yokwera kuposa yachibadwa. Izi zikutanthauza kuti magazi anu akutenga nthawi yayitali kuposa yachibadwa kuti amange magazi . Pakhoza kukhala zifukwa zingapo izi:

• Ngati mukumwa heparin, mlingo wa heparin womwe mukupatsidwa ukhoza kukhala wokwera pang'ono .
• Mungakhale ndi matenda a autoimmune omwe amakhudza magazi kuundana.
• Mungakhale ndi matenda a chiwindi (monga tanenera kale, chiwindi chimapanga zinthu zotsekereza magazi).
• Mwina muli ndi leukemia , matenda omwe amakhudza magazi kuundana.
• Mungakhale ndi matenda obadwa nawo ochokera kwa makolo anu, monga matenda a hemophilia kapena von Willebrand . Awa ndi matenda omwe amachepetsa magazi kuundana.
• Vitamini K m'thupi lanuMwina muli ndi Vitamini K yochepa. Vitamini K ndi chinthu chomwe chimathandiza kuti magazi aziundana.

Izi zingapangitse kuti PTT yanu ichuluke. Koma musadandaule. Dokotala wanu adzakufotokozerani zambiri.

Kodi zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira za mayeso a PTT?

Izi zimasiyana malinga ndi labu yomwe mudalandira mayeso. Ma labu ena angakupatseni zotsatira tsiku lomwelo . Malo ena angatenge masiku angapo . Mukapereka magazi, mutha kuwafunsa nthawi yomwe mungapeze lipotilo.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Ngati zotsatira za mayeso anu a PTT zili kunja kwa mlingo woyenera, zomwe zikutanthauza kuti sizachilendo, dokotala wanu adzakuuzani choti muchite kenako. Angatero:

• Mungapemphedwe kuti muchite mayeso ambiri kuti mudziwe vuto lanu lenileni. Mwachitsanzo, kuti muwone ngati pali vuto ndi chinthu china chothandizira magazi kuundana (`(clotting factor)`).
• Ngati mukumwa heparin, mlingo wanu wa heparin ungafunike kusinthidwa .

Komabe, dokotala adzakuuzani zomwe mungachite kenako.

Kodi mukufuna kukaonananso ndi dokotala?

Inde, ndithudi.

• Ngati simunalandire lipotilo pofika nthawi yake, imbani dokotala wanu .
• Mukalandira lipotilo, ngati simukudziwa bwino za zotsatira zake kapena choti muchite kenako , onetsetsani kuti mwaonana ndi dokotala wanu ndikufunsa za izi. Musabise chilichonse.

Kodi kusiyana pakati pa mayeso a PT ndi mayeso a PTT (aPTT) ndi kotani?

Monga tanenera kale, mayeso a `PT` (`(Prothrombin Time test)`) ndi mayeso a `aPTT` (PTT) ndi mayeso awiri omwe amayang'ana magulu awiri osiyana a zinthu zolimbitsa magazi (`(zinthu zolimbitsa magazi)`). Ngati mukufuna kudziwa zambiri za zinthu zingapo kuposa zomwe zingawonekere ndi mayeso amodzi okha, dokotala wanu angakupatseni mayeso onse awiriwa. Izi zikupatsani chithunzi chokwanira cha momwe magazi amagwirira ntchito.

Zingakhale zodetsa nkhawa kwambiri kudziwa kuti magazi anu amaundana mofulumira kwambiri kapena mwamphamvu kwambiri. Komabe, ndi mayeso osavuta a magazi ngati awa, dokotala wanu angapeze chomwe chimayambitsa vuto lanu la kuuma kwa magazi ndikuchiza moyenera.

Chofunika kwambiri ndichakuti, ngati simukumvetsa kanthu kena, musaope kufunsa dokotala wanu. Kenako angakuuzeni zonse.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi?

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino mayeso a PTT omwe takambirana lero. Mwachidule:

• Kuyeza kwa PTT ndi mayeso ofunikira a magazi omwe amayesa nthawi yomwe magazi anu amaundana .
• Izi zimayang'ananso ngati zinthu zomwe zimayambitsa magazi kuundana zikugwira ntchito bwino.
• Kuyezetsa kumeneku kungachitike ngati mukutuluka magazi pafupipafupi, muli ndi magazi oundana, mukuchitidwa opaleshoni, kapena mukumwa mankhwala monga heparin.
• Mayesowa safuna kukonzekera kwapadera , koma msewu wovuta pang'ono.
• Ngati zotsatira zake sizili bwino, dokotala adzafufuza chomwe chikuyambitsa vutoli ndikukuuzani choti muchite kenako .
• Ngati muli ndi kukayikira kulikonse pa chilichonse, musaope kufunsa dokotala wanu.

Ndikofunikira kwambiri kusamalira thanzi lanu. Ndi mayeso ngati awa, titha kuzindikira ndikuchiza mavuto aliwonse msanga. Chifukwa chake, khalani athanzi aliyense!

Kuyesa kwa PTT , mayeso a aPTT, magazi kuundana, kutuluka magazi, heparin, mayeso a magazi, zinthu zolimbitsa magazi kuundana