Kodi magazi anu amaundana mofulumira? Kapena pang'onopang'ono? Tiyeni tikambirane za mayeso a Prothrombin Time (PT/INR)!

Tikapeza bala kwinakwake m'thupi mwathu ndikuyamba kutuluka magazi, thupi lathu limagwira ntchito molimbika kuti lisiye kutuluka magazi, sichoncho? Kusiya kutuluka magazi kumeneku ndiko timatcha kuti kutseka magazi. Nthawi zina kutseka magazi kumeneku sikungachitike bwino. Kungakhale pang'onopang'ono kwambiri, kapena kungachitike mofulumira kwambiri. Pazochitika zotere, mayeso ofunikira kuti mudziwe momwe magazi anu amagwirira ntchito amatchedwa Mayeso a Prothrombin Time (PT/INR) . Tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi mayeso a Prothrombin Time (PT/INR) ndi otani?

Mwachidule, Prothrombin Time (PT) , kapena nthawi zina yotchedwa PT/INR, imayesa momwe magazi anu amaundana mofulumira. Zotsatira zake zitha kuperekedwa m'masekondi, kapena, nthawi zambiri, mu kuwerengera kotchedwa International Normalized Ratio (INR) .

Mukakhala ndi vuto ndipo mukutuluka magazi, magazi athu amakhala ndi mapuloteni apadera otchedwa clotting factors . Izi zili ngati gulu lomwe limagwira ntchito limodzi. Gululi limagwira ntchito limodzi kuti lipange magazi oundana ndikuletsa kutuluka magazi. Prothrombin ndi puloteni ina yofunika kwambiri pa njirayi. Imapangidwa ndi chiwindi chathu.

Madokotala nthawi zambiri amachita mayeso ena otchedwa Partial Thromboplastin Test (PTT) pamodzi ndi mayeso a PT. Mayeso a PTT amaona momwe zinthu zina zomwe zimayambitsa magazi kuundana m'magazi anu zimagwirira ntchito. Mwa kuphatikiza mfundo zonse ziwiri, dokotala wanu amatha kumvetsetsa bwino za matenda anu.

N’chifukwa chiyani timachita mayeso a PT awa? Kodi tikuyembekezera chiyani kuchokera pamenepo?

Madokotala amachita mayeso a PT awa kuti aone ngati magazi anu akutseka bwino magazi. Tangoganizirani, ngati magazi anu sakutseka bwino magazi, ngakhale kuvulala pang'ono kungayambitse magazi ambiri m'thupi lanu. Komanso, ngati magazi anu akutseka mofulumira kwambiri, magaziwo amatha kutseka mitsempha yathu yamagazi. Izi ndi zoopsanso.

Pali zifukwa zingapo zomwe dokotala wanu angasankhire kuchita mayeso a PT awa:

1. Onani ngati mankhwala a Warfarin akugwira ntchito bwino.

Warfarin , yomwe anthu ena angaidziwe ndi dzina loti Coumadin® , ndi mankhwala ochepetsa magazi. Amaperekedwa kuti apewe kupanga magazi oundana oopsa. Ngati sapatsidwa chithandizo choyenera, anthu omwe ali pachiwopsezo cha magazi oundana amatha kukhala ndi matenda oopsa monga Deep Vein Thrombosis (DVT) kapena Pulmonary Embolism (PE) m'mitsempha yawo. Chifukwa chake, madokotala nthawi zambiri amachita mayeso a PT kuti atsimikizire kuti mlingo wa warfarin womwe mukupatsidwa ndi wolondola.

2. Konzekerani musanachite opaleshoni

Ngati mukuchitidwa opaleshoni, dokotala wanu angakupatseni mayesowa kuti aone ngati magazi anu amaundana bwino musanachite opaleshoniyi. Izi zikutanthauza kuti simuli pachiwopsezo chotaya magazi ambiri panthawiyi.

3. Dziwani matenda otuluka magazi ndi magazi kuundana

Kuyezetsa kwa PT kungakuthandizeni kudziwa ngati muli ndi vuto la matenda lomwe limakupangitsani kutuluka magazi ambiri. Anthu ena ali nalo, monga kuvulala mosavuta, kutuluka magazi m'mphuno pafupipafupi, kapena kutuluka magazi komwe sikusiya ngakhale ndi bala laling'ono. Kuyezetsa kumeneku kungathandize kudziwa chomwe chimayambitsa zizindikirozi.

4. Yang'anani matenda a chiwindi

Monga ndanenera kale, puloteni yotchedwa prothrombin imapangidwa ndi chiwindi. Chifukwa chake, vuto la prothrombin ndi chizindikiro chakuti mwina muli ndi matenda a chiwindi. Kuyesa kwa PT ndi chimodzi mwa mayeso a chiwindi omwe amachitidwa kuti aone momwe chiwindi chikugwira ntchito komanso kuchuluka kwa matenda a chiwindi.

Kodi mayeso a Prothrombin Time Test amachitika bwanji?

Uku ndi kuyesa magazi kosavuta. Pambuyo pochotsa magazi pang'ono kuchokera kwa inu, labu imawonjezera chinthu chotchedwa thromboplastin ku chitsanzo cha magazi. Izi zimathandiza magazi kuundana. Kenako, katswiri wa labu amagwiritsa ntchito chipangizo kuti ayese nthawi yomwe magazi anu amatenga kuti aundane.

Kodi mungakonzekere bwanji mayeso a PT?

Dokotala wanu adzakufotokozerani momwe mungakonzekerere izi. Mungafunike kuchita izi:

• Pewani kumwa mankhwala ena: Mwachitsanzo, mankhwala ena, monga maantibayotiki , amatha kuwonjezera PT/INR yanu. Komanso, zinthu monga mapiritsi oletsa kubereka ndi mankhwala obwezeretsa mahomoni zimatha kuchepetsa PT yanu.
• Chepetsani Vitamini K: Mungauzidwe kuti musiye kumwa mankhwala owonjezera a Vitamini K kapena kuchepetsa kudya zakudya zokhala ndi Vitamini K wambiri, monga kale, sipinachi, broccoli, ndi masamba a tiyi. Izi zili choncho chifukwa Vitamini K ndi chinthu chomwe chimakhudza magazi kuundana.

Koma kumbukirani, zonsezi ziyenera kuchitika motsatira malangizo a dokotala wanu. Musasiye kumwa mankhwala anu popanda malangizo a dokotala wanu.

Kodi mungayembekezere chiyani mukachita mayeso a PT?

Izi zili ngati kupereka magazi. Dokotala kapena namwino angachite izi motere:

• Malo omwe magazi adzatengedwe adzatsukidwa ndi mowa. Kenako, lamba wopyapyala adzaikidwa pa mkono wanu.
• Amakuuzani kuti mugwire dzanja lanu kuti mitsempha yamagazi ikwere bwino.
• Kenako, singano imalowetsedwa pang'onopang'ono mumtsempha ndipo magazi ochepa amasonkhanitsidwa mu kabotolo kakang'ono. Mungamve kupweteka pang'ono mukamalowetsa singano.
• Magazi akatengedwa, pulasitala kapena bandeji yaying'ono imayikidwa pamalo pomwe singano inalowetsedwa.

Nthawi zina, mayesowa amachitika potenga magazi pang'ono kuchokera ku chala chanu. Palinso zida zoyesera za PT kunyumba zomwe zimagwira ntchito potenga magazi kuchokera ku chala chanu. Ngati mukumwa warfarin ndipo mukufunika kuchita mayesowa pafupipafupi, dokotala wanu angakulangizeni kuti mugwiritse ntchito zida zoyesera kunyumba ngati izi. Ngati ndi choncho, mudzalangizidwa momwe mungagwiritsire ntchito komanso momwe mungafotokozere dokotala wanu zotsatira zake.

Kodi chimachitika ndi chiyani pambuyo pa mayeso a PT?

Kawirikawiri, mukamaliza mayeso a PT, mutha kuchita zinthu zanu zatsiku ndi tsiku monga mwachizolowezi. Mutha kumva kusasangalala kapena kuvulala komwe kunayikidwa singano. Koma izi sizitenga nthawi yayitali.

Kodi zotsatira zake ndi ziti? Kodi zikutanthauza chiyani?

Labu imapereka lipoti la zotsatira za mayeso a PT m'masekondi, kapena (kawirikawiri) ngati mtengo wotchedwa International Normalized Ratio (INR) . Mtengo wa INR uwu ndi muyeso wokhazikika womwe unayambitsidwa ndi World Health Organization (WHO). Njira iyi ya INR idayambitsidwa kuti zitsimikizire kuti zotsatira zake sizisiyana chifukwa cha kusiyana pang'ono kwa njira zoyesera za ma lab osiyanasiyana, komanso kuti aliyense athe kupereka tanthauzo lofanana.

Nazi mitundu yanthawi zonse ya zotsatira za PT/INR:

• Ngati mu masekondi: masekondi 11 mpaka 13.5.
• Mtengo wa INR: 0.8 mpaka 1.1. (Izi ndi za munthu amene sakumwa mankhwala ochepetsa magazi monga warfarin)
• Ngati mukumwa warfarin, INR yanu iyenera kukhala pakati pa 2.0 ndi 3.0 . (Komabe, m'matenda ena, INR yokwera kapena yotsika ingafunike. Izi zidzatsimikiziridwa ndi dokotala wanu.)

Zotsatira za PT zosazolowereka

Kuyezetsa magazi kwa PT kapena INR kumatanthauza kuti magazi anu akutenga nthawi yayitali kuposa masiku onse kuti amange magazi. Ngati simukumwa warfarin, izi zitha kukhala chizindikiro chakuti muli ndi vuto la magazi, vuto la magazi kuundana, kapena vuto la chiwindi. Zingatanthauzenso kuti mulibe vitamini K wokwanira m'thupi lanu.

Ngati mukumwa warfarin, INR yanu ikhoza kukhala yosazolowereka (kaya yokwera kwambiri kapena yotsika kwambiri) pazifukwa zotsatirazi:

• Ngati simukumwa mlingo woyenera wa warfarin.
• Mankhwala ena omwe mumamwa popanda upangiri wa dokotala, mwachitsanzo mankhwala ozizira ndi mavitamini, angagwirizane ndi warfarin.
• Zakudya ndi zakumwa zina zomwe mumamwa, monga kale, sipinachi, madzi a cranberry, ndi mowa, zingagwirizane ndi warfarin.
• Ngati mankhwala omwe mukumwa chifukwa cha vuto lina amakhudza mphamvu ya warfarin ndipo amawonjezera kapena kuchepetsa INR yanu.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira za mayeso?

Anthu ambiri amatha kupeza zotsatira za mayeso a PT/INR mkati mwa maola ochepa kapena tsiku limodzi. Mayeso a zala amatha kupereka zotsatira mumphindi zochepa. Komabe, ngati magazi anu akufunika kutumizidwa ku labu ina, zingatenge masiku angapo kuti zotsatira zake zibwererenso.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Madokotala nthawi zambiri amagwiritsa ntchito zotsatira za mayeso a PT ndi PTT kuti asankhe choti achite kenako. Kutengera ndi matenda anu, dokotala wanu angakupatseni mayeso ena. Izi zimachitika kuti adziwe matendawa molondola ndikuyamba kulandira chithandizo choyenera. Mayeso a PT ndi amodzi mwa mayeso oyamba ozindikira matenda otuluka magazi kapena magazi kuundana. Kuti atsimikizire matendawa, pamafunika mayeso ena.

Ngati mukumwa warfarin, dokotala wanu adzasintha mlingo wanu kuti magazi anu aziundana bwino, popanda chiopsezo cha magazi kuundana.

Kodi ndiyenera kuyimbira dokotala wanga liti?

Ngati muli ndi mafunso okhudza momwe mungakonzekerere mayeso a PT awa, momwe mungapezere zotsatira, kapena choti muchite kenako, onetsetsani kuti mwafunsa dokotala wanu. Popeza zinthu zili zosiyana kwa aliyense, dokotala wanu yekha ndi amene angakupatseni malangizo abwino kwambiri pa tanthauzo la zotsatira zanu pa dongosolo lanu lazaumoyo.

Kumbukirani, mukavulala ndipo mukutuluka magazi, thupi lanu limapanga magazi oundana mwachangu kuti lisiye kutuluka magazi ndikuyamba kuchira. Ngati zimenezo sizichitika, madokotala amagwiritsa ntchito mayeso a Prothrombin Time (PT) kuti adziwe chifukwa chake.

Mwachidule, zinthu zoti muzikumbukira

Chabwino, nazi zina mwa zinthu zazikulu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana lero:

• Kuyesa kwa Prothrombin Time (PT/INR) kumayesa momwe magazi anu amaundana mofulumira.
• Ngati mukumwa mankhwala ochepetsa magazi monga Warfarin , muyenera kuyesedwa pafupipafupi.
• Izi zimathandiza kuzindikira matenda otuluka magazi, matenda otsekeka magazi, ndi matenda ena a chiwindi.
• Mungafunike kukonzekera musanayese mayeso, zomwe dokotala adzakuuzani.
• Ngati zotsatira zake sizili zachilendo, dokotala adzapeza chifukwa chake ndikulemba chithandizo chofunikira.

Choncho, ngati dokotala wanu akupemphani kuti muchite mayeso a PT/INR awa, musachite mantha. Ndi mayeso osavuta omwe angakuuzeni zambiri zofunika zokhudza thanzi lanu. Dokotala wanu adzakufotokozerani zonse zokhudza tanthauzo la zotsatira zanu komanso zomwe mungachite kenako.

Kuyesa kwa nthawi ya prothrombin , mayeso a PT/INR, magazi kuundana, warfarin, mayeso a magazi, ntchito ya chiwindi, kutuluka magazi