Kodi mwazindikirapo kuti mukavulala pang'ono kapena kukanda pa mkono kapena mwendo wanu, kutuluka magazi kumasiya pakapita kanthawi? Ndi njira yodzitetezera yodabwitsa m'thupi lathu. Timatcha izi kuti "Kutseka Magazi". Njirayi imagwira ntchito bwino, ndichifukwa chake ngakhale kuvulala pang'ono sikuyambitsa kutuluka magazi ambiri ndipo kumayambitsa ngozi yayikulu. Komabe, nthawi zina njira iyi yotseka magazi sigwira ntchito bwino. Mwina zimachitika pang'onopang'ono kuposa momwe ziyenera kukhalira, kapena zimachitika mofulumira kuposa momwe ziyenera kukhalira. Pamenepo ndi pomwe madokotala amafunika kuchita mayeso apadera kuti adziwe za izi. Lero tikambirana za mayeso amodzi ofunikira kwambiri a magazi. Umenewo ndi mayeso a PTT.
Mwachidule, kodi mayeso a PTT awa ndi chiyani?
Kuyesa kwa PTT, kapena Partial Thromboplastin Time test, ndi kuyesa magazi kosavuta komwe kumatenga chitsanzo cha magazi anu ndikuyesa, m'masekondi, nthawi yomwe imatenga kuti magaziwo aundane.
Taganizirani ngati gulu la ophika aluso omwe akukonzekera chakudya. Kuti chakudyachi chikhale cholondola, muyenera kuwonjezera chilichonse motsatira ndondomeko yoyenera komanso muyeso woyenera. Pali gulu la "ophika" mu ndondomeko yathu yothira magazi. Mu zamankhwala, timawatcha "zinthu zothira magazi." Izi ndi mapuloteni apadera m'magazi athu. Ngati chimodzi mwa zinthuzi zothira magazi sichikugwira ntchito bwino, kapena ngati sizikugwira ntchito bwino, njira yonse yothira magazi imachedwa, monga momwe kukonzekera chakudyacho kumachedwera. Kuyesa kwa PTT kumawunikira makamaka ngati zinthuzi zothira magazi zikugwira ntchito bwino komanso pa liwiro loyenera.
Mwina munamvapo mayeso awa otchedwa aPTT . Amayimira nthawi yogwira ntchito ya Partial Thromboplastin . Sizosiyana kwambiri. Amatchedwa choncho chifukwa labu imawonjezera mankhwala apadera ku magazi anu kuti "ayambe" njira yothira magazi.
Chofunika kwambiri ndichakuti mayeso a PTT ayesere zinthu zambiri zotsekereza magazi zomwe zimathandiza kukhuthala kwa magazi. Koma pali zinthu zina zingapo zomwe mayesowa sayesa. Pali mayeso ena otchedwa PT test (Prothrombin Time test) kuti ayesere. Nthawi zina dokotala wanu angakupempheni kuti muchite mayeso onsewa. Kuti mupeze chithunzi chomveka bwino cha njira yonseyi.
Kodi dokotala angakupempheni kuti muyesedwe PTT pazochitika ziti?
Pali zifukwa zingapo zomwe mungalamuliridwe kuti muyesedwe. Nthawi zambiri, dokotala amalangiza mayesowa pazochitika izi:
| Chifukwa/Chochitika | Kufotokozera kosavuta |
|---|---|
| Kutuluka magazi pafupipafupi kapena kwakukulu | Ngati m'kamwa mwanu mukutuluka magazi pafupipafupi, mphuno yanu ikutuluka magazi pafupipafupi, kapena bala laling'ono limatenga nthawi yayitali kuti magazi asiye kutuluka. |
| Kutupa popanda chifukwa chomveka | Ngati mwadzidzidzi mutuluka mabala abuluu (mabala) pathupi lanu osagunda chilichonse. |
| Kuundana kwa magazi m'mitsempha yamagazi | Ngati pali kukayikiridwa kuti magazi aundana m'mitsempha ya magazi yomwe ili m'mwendo kapena kwina kulikonse. |
| Musanachite opaleshoni | Izi zimachitika musanachite opaleshoni yayikulu kuti muwonetsetse kuti magazi anu amaundana bwino. Izi zingathandize kupewa kutuluka magazi kosafunikira panthawi ya opaleshoni. |
| Mukalandira chithandizo cha heparin | Heparin ndi mankhwala ochepetsa magazi. Kuyesa kumeneku kumachitika nthawi zambiri kuti aone ngati mlingo womwe waperekedwa kwa munthu amene akumwa mankhwalawa ndi wolondola. Ngati mlingowo uli wokwera kwambiri, kutuluka magazi kumatha kuchitika, ndipo ngati uli wochepa kwambiri, magazi amatha kuundana. |
| Pamene mimba imachitika nthawi zambiri | Mayesowa amagwiritsidwanso ntchito pofufuza mavuto okhudza magazi kuundana, omwe angayambitse kupititsa padera mobwerezabwereza kwa akazi ena. |
| Mukakhala ndi matenda a chiwindi | Zinthu zambiri zomwe zimayambitsa magazi kuundana zimapangidwa ndi chiwindi. Izi zimatha kusokonekera kwa munthu amene ali ndi matenda a chiwindi. |
Kodi ndiyenera kukonzekera ndisanayesedwe? Kodi chimachitika n'chiyani ndikatenga magazi?
Kukonzekera mayeso
Iyi ndi nkhani yabwino kwambiri. Palibe kukonzekera kwapadera kofunikira poyesa PTT. Simukuyenera kusala kudya kapena kuchita china chilichonse. Koma ndikukupatsani upangiri pang'ono. Imwani madzi ambiri musanapite kukapereka magazi. Izi zipangitsa kuti munthu amene akutenga magaziwo akhale wosavuta chifukwa mitsempha yanu idzakhala yodzaza komanso yomveka bwino. Komanso, ngati muvala shati lalifupi, simudzadandaula za kukweza manja anu.
Momwe mungamwere magazi
Iyi ndi njira yosavuta kwambiri, monga momwe mumaperekera magazi nthawi zambiri.
1. Namwino kapena dokotala adzakukhazikani pampando ndikukupemphani kuti mugwire dzanja lanu momasuka.
2. Kenako, lamba wa rabara (tourniquet) umayikidwa mozungulira mkono wanu wapamwamba ndikumangiriridwa pang'ono. Izi zimachitika kuti mitsempha yamagazi iwonekere bwino.
3. Kenako, mtsempha woyenera umasankhidwa pafupi ndi chigongono ndipo malowo amatsukidwa ndi thonje laling'ono.
4. Kenako, singano yaying'ono kwambiri imalowetsedwa mumtsempha ndipo magazi ofunikira amasonkhanitsidwa mu chubu chapadera. Pa nthawiyi, mudzamva kuluma pang'ono, ngati kulumidwa ndi nyerere .
5. Magazi akatengedwa, lamba wa rabara womangiriridwa pa mkono umachotsedwa, singano imachotsedwa, thonje limayikidwa pamalopo ndipo limapanikizika kwa kanthawi. Kenako pulasitala yaying'ono imayikidwa pamalopo.
Ndi zimenezo! Ntchito yonse imatenga mphindi zochepa chabe. Mukapereka magazi, mutha kuchita zinthu zanu zachizolowezi. Nthawi zina, malo omwe singano inalowetsedwa amatha kukhala abuluu pang'ono (osweka). Izi zimatha zokha pakatha masiku ochepa, choncho musadandaule nazo.
Kodi lipoti la PTT likuti chiyani? Kodi zotsatira zake tingazitanthauzire bwanji?
Zotsatira za mayeso anu a PTT zimapezeka m'masekondi ochepa . Izi zikutanthauza kuti, nthawi yomwe imatenga kuti magazi anu aundane.
Mlingo woyenera kwa munthu wathanzi ndi pakati pa masekondi 25 ndi 35. Koma nayi mfundo yofunika kuikumbukira: Mlingo woyenerawu ukhoza kusiyana pang'ono kuchokera ku labu imodzi kupita ku ina . Choncho yerekezerani mtengo wanu ndi mlingo woyenera womwe amakupatsani pa lipoti lanu.
Kodi PTT yapamwamba imatanthauza chiyani?
Ngati PTT yanu ili yokwera kuposa nthawi yodziwika bwino (monga masekondi 40 kapena 50), zikutanthauza kuti magazi anu akutenga nthawi yayitali kuposa nthawi yodziwika bwino kuti amaundana. Izi zitha kukhala chifukwa cha zifukwa zingapo.
| Chifukwa chotheka | Kufotokozera kosavuta |
|---|---|
| Kuwonjezeka kwa mlingo wa Heparin | Ngati mukumwa heparin, mankhwala ochepetsa magazi, omwe ali ndi PTT yokwera, zikutanthauza kuti mlingo ukhoza kukhala wokwera kuposa momwe mukufunira. |
| Matenda a majini | Mu matenda obadwa nawo monga hemophilia kapena von Willebrand disease, pali kusowa kwa zinthu zomwe zimapangitsa magazi kuundana. |
| Matenda a Chiwindi | Matenda a chiwindi monga cirrhosis amatha kuchepetsa kupanga kwa zinthu zomwe zimayambitsa magazi kuundana ndikuwonjezera PTT. |
| Kusowa kwa Vitamini K | Vitamini K ndi vitamini wofunikira kwambiri pa ndondomeko yothira magazi. Ngati palibe vitamini K wokwanira m'thupi, kuthira magazi kumachedwa. |
| Matenda Odziteteza Kuthupi | Nthawi zina chitetezo cha mthupi chimagwira ntchito motsutsana ndi zinthu zomwe zimayambitsa magazi kuundana. Pazochitika zotere, PTT imawonjezekanso. |
| Khansa ya m'magazi | Mitundu ina ya khansa ya m'magazi (khansa ya m'magazi) ingakhudzenso njira youndana kwa magazi. |
Kumbukirani, musachite mantha ngati muwona PTT yokwera. Ichi si matenda, ndi chizindikiro chofunikira kwa dokotala wanu. Iye adzalamula kuti mupimidwenso kuti adziwe chomwe chikuyambitsa vutoli.
Kodi muyenera kuchita chiyani ngati mukukayikira zotsatira zake?
Mukalandira lipotilo kuchokera ku labu, ngati muli ndi mafunso kapena nkhawa zokhudzana ndi zomwe zili mmenemo, chinthu chabwino kwambiri choti muchite ndikukumana ndi dokotala wanu amene anakulamulani mayesowa ndikukambirana za izi .
- Dokotala wanu adzaganizira zizindikiro zanu, mankhwala ena omwe mukumwa, ndi zotsatira za mayeso a PTT awa ndipo adzasankha chomwe angachite kenako.
- Mungapemphedwe kuti muyese magazi mwatsatanetsatane.
- Ngati mukumwa heparin, mungapemphedwe kusintha mlingo wa mankhwalawo.
Musamasankhe zochita zanu potengera zomwe mumaona pa intaneti kapena zomwe ena akunena. Onetsetsani kuti mwakambirana ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- PTT ndi njira yosavuta, koma yofunika kwambiri yoyezera magazi yomwe imayesa nthawi yomwe magazi anu amaundana.
- Palibe kukonzekera kwapadera (monga kusala kudya) komwe kumafunika kuti munthu achite mayesowa.
- Zotsatira za PTT zomwe zili kunja kwa mlingo woyenera zitha kukhala chizindikiro cha vuto linalake la thanzi. Si matenda omwe amabwera chifukwa cha matendawa.
- Kaya zotsatira zanu zili zotani, musachite mantha nazo, koma nthawi zonse kambiranani ndi dokotala wanu kuti mumvetse bwino ndikudziwa zomwe mungachite kenako.
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