Reka twige ku ikizamini cya PT / INR. Uku niko igipimo cy'amaraso yawe gipimwa (Igihe cya Prothrombin / INR Test)

Ese wigeze ugira imvune nto? Wenda warakubise ukuboko n'icyuma, cyangwa waguye ahantu runaka. Iyo ibyo bibaye, kuva amaraso kurahagarara nyuma y'igihe runaka, si byo se? Impamvu y'ibi ni uburyo butangaje mu mubiri wacu. Ni ukuvuga kuvura amaraso. Ariko rimwe na rimwe iyi nzira ntikora neza. Amaraso amara igihe kirekire kuruta uko bikwiye, cyangwa biba vuba kurusha uko bikwiye. Muri ibyo bihe, tuvuga ku ikizamini cyoroshye cyane, ariko cy'ingenzi cyane gikorwa kugira ngo hamenyekane neza uko amaraso yawe yihuta. Byitwa Prothrombin Time, cyangwa ikizamini cya PT / INR.

Mu magambo make, iki kizamini cya PT/INR ni iki?

Ikizamini cya PT/INR ni ikizamini gifata icyitegererezo cy'amaraso yawe kikapima igihe bifata kugira ngo apfunde. Tekereza nawe, iyo ufite imvune, poroteyine zo mu mibiri yacu (zitwa ibintu bituma amaraso apfunda) zikorana kugira ngo zikore akantu ko kuvura amaraso kugira ngo ahagarike kuva amaraso. Prothrombin ni indi poroteyine ikorwa n'umwijima wacu kandi ni ingenzi mu mikorere yo kuvura amaraso.

Ibisubizo by'iki kizamini bishobora gutangwa mu masegonda, cyangwa akenshi bigatangwa mu ibarura ryihariye ryitwa ``INR - International Normalized Ratio''. INR ni igipimo gisanzwe kidahinduka bitewe na laboratwari hirya no hino ku isi. Kubwibyo, biroroshye cyane ku baganga gusobanukirwa ibisubizo.

Akenshi, muganga azakora ikindi kizamini cyo kuvura amaraso cyitwa PTT (Partial Thromboplastin Time) hamwe n'iki kizamini cya PT. Kigenzura niba ibindi bintu bifasha kuvura amaraso bikora neza.

Ni mu bihe bihe iki kizamini cya PT/INR gikorerwa?

Abaganga bakora iki kizamini kugira ngo barebe neza ko amaraso yawe yivanga neza. Tekereza gato, niba amaraso yawe atinda kuziba, ushobora kuva amaraso menshi nubwo waba wakomeretse gato. Mu buryo nk'ubwo, niba amaraso yawe yivanga vuba cyane, izi zifunga zishobora gufata imitsi yawe y'amaraso bigatera indwara zikomeye.

Dore zimwe mu mpamvu z'ingenzi zituma muganga wawe ashobora gutegeka iki kizamini:

• Genzura urugero rwa warfarin: Warfarin, izwi kandi nka Coumadin®, ni umuti ugabanya amaraso. Utangwa kugira ngo wirinde ko amaraso yangirika mu mubiri. Urugero, uyu muti uhabwa abantu bafite ibyago byo kurwara amaraso mu mitsi y'amaguru (Deep Venous Thrombosis) cyangwa amaraso yangiritse mu bihaha (Pulmonary Embolism). Rero, iki kizamini cya PT / INR gikunze gukorwa kugira ngo harebwe niba urugero rwa warfarin ufata ari rwiza, rurenze urugero, cyangwa rudahagije.

• Mbere yo Kubagwa: Iki kizamini gikorwa mbere yo kubagwa kugira ngo barebe niba amaraso yawe yacitse nk'uko bisanzwe. Ibi bizafasha abaganga kwemeza ko nta ngaruka zo kuva amaraso menshi mu gihe cyo kubagwa.

• Gusuzuma indwara zo kuva amaraso no kuvura amaraso: Niba ufite ibisebe bidasobanutse, kuva amaraso kenshi mu mazuru, cyangwa se ukagorwa no guhagarika kuva amaraso no mu gisebe gito, iki kizamini gishobora kugufasha kumenya impamvu.

• Niba ukeka ko umwijima urwaye: Twavuze mbere ko prothrombin ikorwa n'umwijima. Rero, niba hari ikibazo kuri iyi poroteyine, bishobora gusobanura ko hari indwara y'umwijima. Ikizamini cya PT / INR ni kimwe mu bizamini byinshi bikoreshwa mu gusuzuma imikorere y'umwijima.

Ese hari imyiteguro yihariye ikenewe mbere yo gupimwa?

Yego, rimwe na rimwe bishobora kuba ngombwa kwitegura gato. Muganga wawe azagusobanurira ibi. Ubusanzwe, bishobora kuba nk'ibi:

• Hagarika imiti imwe n'imwe by'agateganyo: Imiti imwe n'imwe, nka antibiyotike, ishobora kongera PT/INR yawe. Imiti ikoreshwa mu misemburo, nk'ibinini byo kuboneza urubyaro, nayo ishobora kugabanya iki gipimo. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata. Ariko ibuka ko utazigera uhagarika imiti yawe keretse muganga wawe abikubwiye.

• Gabanya Vitamine K ufata: Vitamine K ni ikintu gifasha amaraso kuzura. Niba rero ufata ibinini bya Vitamine K, cyangwa urya ibiryo byinshi bikungahaye kuri Vitamine K nka amashu, epinari na broccoli, ushobora gusabwa kubigabanya gato. Kuko ibyo bishobora kugira ingaruka ku bisubizo. Ariko mbere yo gukora kimwe muri ibi, ugomba kubaza muganga wawe.

Ni iki kibaho mu gihe cy'ikizamini?

Ibi biroroshye cyane, kimwe no gutanga amaraso mu buryo busanzwe.

1. Umuforomo cyangwa umutekinisiye wo muri laboratwari azagusiga imbere mu kuboko kwawe alukolo hanyuma ashyireho umukandara urinda ku kuboko hejuru.

2. Hanyuma bazagusaba gukaraba ikiganza cyawe. Hanyuma uzabona imitsi neza.

3. Urushinge rukoreshwa mu gukura amaraso mu mitsi rukayashyira mu gacupa gato. Uzumva ubabara gato iyo urushinge rushyizwemo.

4. Iyo amaraso afashwe, uzasabwa gushyira plaster nto cyangwa agace k'ipamba hejuru y'urushinge hanyuma ukagafata mu mwanya warwo.

Hari igihe, cyane cyane ku bantu bafata warfarin, bagomba kwipimisha buri gihe, bityo bakaba bagomba gufata igitonyanga cy'amaraso mu rutoki rwabo. Hariho kandi n'ibikoresho byo gupimisha mu rugo. Niba ubyifuza, muganga wawe azakwereka uko ubikoresha n'uko wabwira muganga wawe ibisubizo.

Ibisubizo cyangwa ni gute wasobanukirwa ibisubizo?

Umaze kubona ibisubizo byawe, reka turebe icyo imibare isobanura. Ibi ni ingenzi cyane kubisobanukirwa, cyane cyane niba ufata warfarin.

Ibisubizo bidasanzwe bivuze iki?

Niba agaciro ka PT cyangwa agaciro ka INR kari hejuru:

Ibi bivuze ko amaraso yawe atwara igihe kirenze igisanzwe kugira ngo agire ubwonko.

• Niba utari gufata warfarin, ibi bishobora guterwa n'indwara yo kuva amaraso, ikibazo cy'umwijima, cyangwa kubura vitamine K.
• Niba ufata warfarin kandi INR yawe iri hejuru y’icyitegererezo (urugero, irenga 3.0), uba ufite ibyago byo kuva amaraso. Ibi bishobora guterwa na:
• Igipimo cyawe cya warfarin kiri hejuru cyane.
• Kubera undi muti wafashe utabibwiye muganga (imiti igabanya ububabare, imiti igabanya ibicurane).
• Ingano ya Warfarin n'ibintu nka epinari, kale, umutobe wa cranberry, cyangwa inzoga.

Niba agaciro ka PT cyangwa agaciro ka INR kari hasi:

Ibi bivuze ko amaraso yawe afunga vuba kurusha uko bisanzwe. Niba umuntu ufata warfarin afite agaciro ka INR kari munsi y’icyerekezo (urugero, munsi ya 2.0), haracyari ibyago byo kuzinga amaraso.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Hashingiwe ku bisubizo, muganga wawe ni we uzafata icyemezo cy'icyo gukora nyuma.

• Niba ufata warfarin: Muganga wawe azahindura urugero rw'umuti wawe gato kugira ngo agarure INR yawe ku rugero rwagenwe. Ibi bivuze ko ushobora gukenera kongera cyangwa kugabanya urugero rw'umuti wawe gato.
• Niba hari indi ndwara ikekwa: Muganga azasuzuma hamwe ibyavuye mu ibizamini bya PT na PTT. Ashobora kandi kukwohereza kugira ngo uhabwe ibindi bipimo kugira ngo umenye iyo ndwara.

Ibisubizo bikunze kuboneka mu masaha make cyangwa umunsi umwe. Ikizamini cyo gupima intoki gifata iminota mike gusa.