Ese wigeze ubona ko iyo ukomeretse gato cyangwa ucitse ku kuboko cyangwa ku kuguru, kuva amaraso bihagarara nyuma y'igihe runaka? Ni uburyo butangaje bwo kwirwanaho mu mubiri wacu. Ibi tubyita "Gufunga amaraso". Ubu buryo bukora neza, niyo mpamvu n'igikomere gito kidatera kuva amaraso menshi kandi kigatera impanuka ikomeye. Ariko, rimwe na rimwe ubu buryo bwo kubumba amaraso ntibukora neza. Biba buhoro kurusha uko bikwiye, cyangwa biba vuba kurusha uko bikwiye. Ni bwo abaganga bagomba gukora ikizamini cyihariye kugira ngo bamenye ibi. Uyu munsi tugiye kuvuga ku ikizamini kimwe cy'ingenzi cyane cy'amaraso. Icyo ni ikizamini cya PTT.
Mu magambo make, iki kizamini cya PTT ni iki?
Ikizamini cya PTT, cyangwa ikizamini cya Partial Thromboplastin Time , ni ikizamini cyoroshye cy'amaraso gifata icyitegererezo cy'amaraso yawe kandi kigapima, mu masegonda, igihe bifata kugira ngo ayo maraso agire ubwoya.
Tekereza nk'itsinda ry'abatetsi b'abahanga bategura ifunguro. Kugira ngo iri funguro ribe ryiza, ugomba kongeramo buri kintu mu buryo bukwiye kandi mu rugero rukwiye. Hari itsinda ry' "abatetsi" mu buryo bwacu bwo kuvura amaraso. Mu buvuzi, tubyita "ibintu bigabanya amaraso." Mu by'ukuri ibi ni poroteyine zidasanzwe mu maraso yacu. Iyo hari kimwe muri ibi bintu bigabanya amaraso kibuze, cyangwa niba bidakora neza, uburyo bwose bwo kuvura amaraso buratinda, nk'uko ifunguro ritinda. Ikizamini cya PTT ahanini kigenzura niba ibi bintu bigabanya amaraso bikora neza kandi ku muvuduko ukwiye.
Ushobora kuba warumvise iki kizamini cyitwa aPTT . Gisobanura igihe cya "activated Partial Thromboplastin Time" . Ntabwo gitandukanye cyane. Byitwa gutyo kubera ko laboratwari yongeraho imiti idasanzwe mu maraso yawe kugira ngo "ikore" inzira yo kuvura amaraso.
Igikomeye ni uko ikizamini cya PTT gipima byinshi mu bintu bituma amaraso agwa bifasha kuvura amaraso. Ariko hari n'ibindi bintu byinshi iki kizamini kidapima. Hari ikindi kizamini cyitwa PT test (Prothrombin Time test) kugira ngo kigerageze. Hari igihe muganga wawe ashobora kugusaba gukora ibi bizamini byombi. Kugira ngo umenye neza uko bigenda.
Ni mu bihe ibihe muganga yagusaba gukora ikizamini cya PTT?
Hari impamvu nyinshi zishobora gutuma utegekwa gukora iki kizamini. Ubusanzwe, muganga azagusaba iki kizamini mu bihe bikurikira:
| Impamvu/Igihe | Ibisobanuro byoroshye |
|---|---|
| Kuva amaraso kenshi cyangwa menshi | Niba ishinya ryawe riva amaraso kenshi, izuru ryawe riva amaraso kenshi, cyangwa se igisebe gito bifata igihe kirekire kugira ngo amaraso ahagarike. |
| Gukomereka nta mpamvu igaragara | Niba ugize ibisebe by'ubururu mu buryo butunguranye (ubushye) ku mubiri wawe nta kintu na kimwe kigukozeho. |
| Udukoko tw'amaraso mu muyoboro w'amaraso | Iyo hari amakenga ko amaraso yacitse mu mitsi yo ku kaguru cyangwa ahandi hantu. |
| Mbere yo kubagwa | Ibi bikorwa mbere yo kubagwa cyane kugira ngo umenye neza ko ubushobozi bwawe bwo kuvura amaraso ari busanzwe. Ibi bishobora gufasha gukumira kuva amaraso bitari ngombwa mu gihe cyo kubagwa. |
| Mu gihe cyo guhabwa imiti ya heparin | Heparin ni umuti ugabanya amaraso. Iki kizamini gikunze gukorwa kugira ngo harebwe niba igipimo gihabwa umuntu ufata uyu muti ari cyo. Iyo igipimo kiri hejuru cyane, amaraso ashobora kuva, kandi iyo ari make cyane, amaraso ashobora kubyimba. |
| Iyo gukuramo inda bikunze kubaho | Iki kizamini kandi gikoreshwa mu gusuzuma ibibazo byo kuvura amaraso, bishobora gutera gukuramo inda inshuro nyinshi ku bagore bamwe na bamwe. |
| Iyo urwaye indwara y'umwijima | Ibintu byinshi bituma amaraso agwa bikomoka ku mwijima. Iyi gahunda ishobora kwangirika ku muntu urwaye umwijima. |
Ese ngomba kwitegura mbere yo gupimwa? Bigenda bite iyo amaraso afashwe?
Kwitegura ikizamini
Iyi ni inkuru nziza cyane. Nta kwitegura kwihariye gukenewe kugira ngo upime PTT. Ntabwo ukeneye kwiyiriza ubusa cyangwa gukora ikindi kintu icyo ari cyo cyose. Ariko ndakugira inama nto. Nywa amazi menshi mbere yo kujya gutanga amaraso. Ibi bizorohereza umuntu ufata amaraso kuko imitsi yawe izaba yuzuye kandi igaragara neza. Nanone, niba wambaye ishati y'amaboko magufi, ntuzahangayikishwa no kuzamura amaboko yawe.
Uburyo bwo gufata amaraso
Iki ni igikorwa cyoroshye cyane, nkuko bisanzwe utanga amaraso.
1. Umuforomo cyangwa umuganga azakwicaza ku ntebe maze agusabe gufata ukuboko kwawe neza.
2. Hanyuma, agapira k'umukara (tourniquet) gashyirwa ku kuboko kwawe ko hejuru hanyuma kagafatwaho gato. Ibi bikorwa kugira ngo imiyoboro y'amaraso igaragare neza.
3. Hanyuma, umutsi ukubereye utoranywa hafi y'inkokora hanyuma agace gasukurwa n'agace gato k'ipamba.
4. Hanyuma, urushinge ruto cyane rushyirwa mu mutsi hanyuma amaraso akenewe agashyirwa mu muyoboro wihariye. Muri iki gihe, uzumva gusa urumogi ruto, nk'aho urumwe n'ikimonyo .
5. Iyo amaraso afashwe, umugozi wa rubber uhambiriye ku kuboko urakurwaho, urushinge rurakurwaho, agace k'ipamba gashyirwa aho hantu hanyuma hagashyirwaho igitutu igihe gito. Hanyuma hagashyirwa plaster nto aho hantu.
Nibyo rwose! Igikorwa cyose kimara iminota mike gusa. Nyuma yo gutanga amaraso, ushobora gukomeza imirimo yawe isanzwe. Hari igihe, aho urushinge rwashyizwe rushobora guhinduka ubururu gato (gukomereka). Ibi bizashira ubwabyo mu minsi mike, bityo ntugahangayike.
Raporo ya PTT ivuga iki? Ni gute wasobanura ibyavuye mu bushakashatsi?
Ibisubizo by'ibipimo bya PTT biraboneka mu masegonda make . Ni ukuvuga igihe bifata kugira ngo amaraso yawe agire ubwoya.
Ingano isanzwe ku muntu muzima ni hagati y'amasegonda 25 na 35. Ariko hari ikintu cy'ingenzi ugomba kumenya: Iyi ntambwe isanzwe ishobora gutandukana gato bitewe na laboratwari imwe n'indi . Rero gereranya agaciro kawe n'ingano isanzwe baguha muri raporo yawe.
Kurwara cyane kw'umurwayi bivuze iki?
Niba PTT yawe iri hejuru y’urugero rusanzwe (urugero: amasegonda 40 cyangwa 50), bivuze ko amaraso yawe afashe igihe kirekire kuruta uko bisanzwe kugira ngo yivumbure. Ibi bishobora guterwa n’impamvu nyinshi.
| Impamvu ishoboka | Ibisobanuro byoroshye |
|---|---|
| Kongera igipimo cya Heparin | Niba ufata heparin, umuti ugabanya amaraso, ufite PTT nyinshi, bivuze ko ingano ishobora kuba iri hejuru kuruta uko bikenewe. |
| Indwara z'uturemangingo | Mu ndwara zavukanye nka hemophilia cyangwa von Willebrand disease, hari ikibazo cy’ibituma amaraso agwa. |
| Indwara y'umwijima | Indwara z'umwijima nka cirrhose zishobora kugabanya umusaruro w'ibintu bituma amaraso agwa ndetse no kongera agaciro ka PTT. |
| Kubura Vitamine K | Vitamine K ni vitamine y'ingenzi mu gutuma amaraso afungana. Iyo nta vitamine K ihagije mu mubiri, amaraso afungana biratinda. |
| Indwara z'ubudahangarwa bw'umubiri | Hari igihe ubudahangarwa bw'umubiri ubwabwo bukora ku buryo burwanya ibintu bituma amaraso agwa. Muri ibyo bihe, agaciro ka PTT na ko karazamuka. |
| Leukemia | Amwe mu moko ya kanseri y'amaraso (leukemia) ashobora no kugira ingaruka ku mikorere y'amaraso. |
Wibuke ko utagomba kugira ubwoba niba ubonye PTT iri hejuru. Iki si ikibazo, ni ikimenyetso cy'ingenzi kuri muganga wawe. Azagutegeka ko ukorerwa ibizamini birambuye kugira ngo amenye neza icyabiteye.
Wakora iki niba ufite gushidikanya ku bisubizo?
Nyuma yo kwakira raporo ivuye muri laboratwari, niba ufite ikibazo cyangwa impungenge ku gaciro kayo, ikintu cyiza wakora ni ukubonana na muganga wawe wagutegetse iki kizamini maze mukaganira kuri cyo .
- Muganga wawe azazirikana ibimenyetso byawe, indi miti urimo gufata, n'ibisubizo by'iki kizamini cya PTT maze afate umwanzuro w'icyo gukora nyuma yaho.
- Ushobora gusabwa gupimwa amaraso mu buryo bwihariye.
- Niba ufata heparin, ushobora gusabwa guhindura ingano y'umuti.
Ntukigere ushingira icyemezo cyawe ku byo ubona kuri interineti cyangwa ibyo abandi bavuga. Menya neza ko ubiganiriyeho na muganga wawe.
Ubutumwa bwo kujyana mu rugo
- PTT ni ikizamini cyoroheje cy'amaraso ariko cy'ingenzi cyane gipima igihe bifata kugira ngo amaraso yawe agire ubwoya.
- Nta kwitegura kwihariye (nk'igisibo) gukenewe kugira ngo ukore iki kizamini.
- Ibisubizo bya PTT biri hanze y’urugero rusanzwe bishobora kuba ikimenyetso cy’ikibazo cy’ubuzima cyihishe inyuma. Si indwara.
- Uko ibisubizo byawe byaba biri kose, ntugatinye, ahubwo buri gihe ubiganireho na muganga wawe kugira ngo usobanukirwe neza kandi umenye intambwe ugomba gutera nyuma.
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