Ese amaraso yawe ahita yivanga vuba? Cyangwa buhoro buhoro? Reka tuvuge ku ikizamini cya Prothrombin Time (PT / INR)!

Iyo tugize igikomere ahantu runaka mu mubiri wacu tugatangira kuva amaraso, umubiri wacu ukora cyane kugira ngo uhagarike kuva amaraso, si byo se? Uku guhagarika kuva amaraso ni byo twita kubumba amaraso. Hari igihe uku kubumba amaraso bishobora kutabaho neza. Bishobora kuba buhoro cyane, cyangwa bikaba vuba cyane. Muri ibyo bihe, ikizamini cy'ingenzi cyo kumenya neza uko inzira yo kubumba amaraso yawe igenda cyitwa Ikizamini cya Prothrombin Time (PT / INR) . Reka tubiganireho birambuye uyu munsi.

Ikizamini cya Prothrombin Time (PT / INR) ni iki?

Mu magambo make, igihe cya Prothrombin (PT) , cyangwa rimwe na rimwe kitwa PT / INR, gipima uburyo amaraso yawe yihuta cyane. Ibisubizo bishobora gutangwa mu masegonda, cyangwa, akenshi, mu ibarwa ryitwa International Normalized Ratio (INR) .

Iyo ufite imvune kandi urimo kuva amaraso, amaraso yacu aba arimo poroteyine zidasanzwe zitwa ibintu bituma amaraso agwa . Izi ni nk'itsinda rikorana. Iri tsinda rikorana kugira ngo rikore agahu gatuma amaraso ahagarara. Prothrombin ni indi poroteyine y'ingenzi muri iki gikorwa. Ikorwa n'umwijima wacu.

Ubusanzwe abaganga bakora ikindi kizamini cyitwa Partial Thromboplastin Test (PTT) hamwe n'ikizamini cya PT. Ikizamini cya PTT kireba uburyo ibindi bintu bituma amaraso agwa mu maraso yawe bikora. Mu guhuza amakuru yo muri byombi, muganga wawe ashobora gusobanukirwa neza ikibazo cyawe.

Kuki dukora iki kizamini cya PT? Ni iki tugitegerejeho?

Abaganga bakora iki kizamini cya PT kugira ngo barebe niba amaraso yawe arimo kubyimba neza. Tekereza, niba amaraso yawe arimo kubyimba nabi cyane, ndetse n'igikomere gito gishobora gutuma amaraso menshi atembera mu mubiri wawe. Nanone, niba amaraso yawe arimo kubyimba vuba cyane, ibyo bice by'amaraso bishobora kwirema no kuziba imiyoboro yacu y'amaraso. Iki nacyo ni ikibazo gikomeye.

Hari impamvu nyinshi zishobora gutuma muganga wawe afata icyemezo cyo gukora iki kizamini cya PT:

1. Reba niba umuti wa Warfarin ukora neza.

Warfarin , bamwe bashobora kuba bazi ku izina rya Coumadin® , ni umuti woroshya amaraso. Itangwa kugira ngo hirindwe ko amaraso ashobora kugabanuka. Iyo idavuwe neza, abantu bafite ibyago byo kugabanuka kw'amaraso bashobora kurwara indwara zikomeye nka Deep Vein Thrombosis (DVT) cyangwa Pulmonary Embolism (PE) mu mitsi yabo. Rero, abaganga bakunze gukora iki kizamini cya PT kugira ngo barebe neza ko ingano ya warfarin uhabwa ari yo.

2. Itegure mbere yo kubagwa

Niba ugiye kubagwa, muganga wawe ashobora gutegeka iki kizamini kugira ngo arebe ubushobozi bwo kuvura amaraso yawe mbere yo kubagwa. Ibi ni ukugira ngo umenye neza ko utari mu kaga ko kuva amaraso menshi mu gihe cyo kubagwa.

3. Kumenya indwara zo kuva amaraso no kuvura amaraso

Ikizamini cya PT gishobora kugufasha kumenya niba ufite ikibazo cy’uburwayi gituma uva amaraso menshi cyane. Hari abantu bagirwaye, nko gukomereka byoroshye, kuva amaraso kenshi mu mazuru, cyangwa kuva amaraso bidahagarika no gukomereka gato. Iki kizamini gishobora gufasha kumenya impamvu y’ibi bimenyetso.

4. Suzuma indwara y'umwijima

Nkuko nabivuze mbere, poroteyine yitwa prothrombin ikorwa n'umwijima. Rero, ikibazo cya prothrombin ni ikimenyetso cy'uko ushobora kuba ufite indwara y'umwijima. Ikizamini cya PT ni kimwe mu bizamini by'imikorere y'umwijima bikorerwa kugira ngo harebwe uburyo umwijima ukora neza n'ingano y'indwara z'umwijima.

Iki kizamini cya Prothrombin Time Test gikorwa gite?

Iki ni ikizamini cyoroheje cyane cy'amaraso. Nyuma yo gukurwamo amaraso make, laboratwari yongeraho ikintu cyitwa thromboplastin mu gipimo cy'amaraso. Ibi bifasha amaraso kuziba. Hanyuma, inzobere muri laboratwari ikoresha igikoresho kugira ngo ipime igihe bifata kugira ngo amaraso yawe aziba.

Ni gute wakwitegura ikizamini cya PT?

Muganga wawe azagusobanurira uburyo bwo kwitegura ibi. Ushobora kuba ukeneye gukora ibi bikurikira:

• Irinde gufata imiti imwe n'imwe: Urugero, imiti imwe n'imwe, nka antibiyotike , ishobora kongera PT/INR yawe. Nanone, ibintu nk'ibinini byo kuboneza urubyaro binyobwa n'imiti isimbura imisemburo bishobora kugabanya PT yawe.
• Gabanya Vitamine K: Ushobora kubwirwa guhagarika gufata inyongeramusaruro za Vitamine K cyangwa kugabanya kurya ibiryo bikungahaye kuri Vitamine K, nka kale, epinari, broccoli, n'amababi y'icyayi. Ibi biterwa nuko Vitamine K ari ikintu bigira ingaruka ku kubumba kw'amaraso.

Ariko ibuka ko ibi byose bigomba gukorwa gusa ukurikije inama za muganga wawe. Ntugahagarike gufata imiti yawe udafite inama za muganga wawe.

Ni iki wakwitega mu gihe ukora ikizamini cya PT?

Ibi ni nko gutanga amaraso. Muganga cyangwa umuforomo azabikora gutya:

• Aho amaraso azakurwa hazaba hasukuwe n'inzoga. Hanyuma, umukandara uzashyirwa ku kuboko kwawe.
• Bakubwira kuzunguza ikiganza cyawe kugira ngo imiyoboro y'amaraso irusheho kumera neza.
• Hanyuma, urushinge rwinjizwa buhoro buhoro mu mitsi maze amaraso make agashyirwa mu gacupa gato. Ushobora kumva urimo kuruma gato iyo urushinge rushyizwemo.
• Nyuma yo gukurura amaraso, hashyirwa agapira gato cyangwa igitambaro aho urushinge rwashyizwe.

Hari igihe iki kizamini gikorwa ukoresheje amaraso make mu rutoki rwawe. Hariho kandi ibikoresho byo gupima PT byo mu rugo bigufasha gukora ikizamini cya PT mu rugo, kandi bikora ukoresheje amaraso mu rutoki rwawe. Niba ufata warfarin kandi ukaba ukeneye gukora iki kizamini kenshi, muganga wawe ashobora kukugira inama yo gukoresha ibikoresho byo mu rugo nk'ibi. Niba ari uko bimeze, uzabwirwa uburyo bwo kubikoresha n'uko wabwira muganga wawe ibisubizo.

Ni iki kibaho nyuma y'ikizamini cya PT?

Ubusanzwe, nyuma yo gupimwa PT, ushobora gukora imirimo yawe ya buri munsi nk'uko bisanzwe. Ushobora kugira ububabare cyangwa gukomereka aho urushinge rwashyizwe. Ariko ibi ntibimara igihe kirekire.

Ni izihe ngaruka tubona? Bisobanura iki?

Laboratwari itanga raporo y'ibyavuye mu isuzuma rya PT mu masegonda, cyangwa (bikunze kugaragara) nk'agaciro kitwa International Normalized Ratio (INR) . Iki gipimo cya INR ni igipimo gisanzwe cyashyizweho n'Ishami ry'Umuryango w'Abibumbye ryita ku Buzima (OMS). Ubu buryo bwa INR bwashyizweho kugira ngo harebwe ko ibisubizo bidatandukana bitewe n'itandukaniro rito mu buryo bwo gupima bwa laboratwari zitandukanye, kandi ko buri wese ashobora gutanga ibisobanuro bimwe.

Dore intera isanzwe y'ibisubizo bya PT / INR:

• Mu masegonda: amasegonda 11 kugeza 13.5.
• Agaciro ka INR: 0.8 kugeza 1.1. (Ibi ni iby'umuntu udafata imiti igabanya amaraso nka warfarin)
• Niba ufata warfarin, INR yawe igomba kuba hagati ya 2.0 na 3.0 . (Ariko, mu ndwara zimwe na zimwe, INR iri hejuru cyangwa iri hasi ishobora kuba ikenewe. Ibi bizagenwa na muganga wawe.)

Ibisubizo by'indwara ya PT idasanzwe

Ibisubizo by'ibizamini bya PT cyangwa INR bivuze ko amaraso yawe afashe igihe kirenze igisanzwe kugira ngo avunge. Niba utari gufata warfarin, ibi bishobora kuba ikimenyetso cy'uko ufite ikibazo cyo kuva amaraso, ikibazo cyo kuvura amaraso, cyangwa ikibazo cy'umwijima. Bishobora kandi gusobanura ko udafite vitamine K ihagije mu mubiri wawe.

Niba ufata warfarin, agaciro ka INR kawe gashobora kuba kadasanzwe (kaba kari hejuru cyane cyangwa kari hasi cyane) kubera impamvu zikurikira:

• Niba udafata dose ikwiye ya warfarin.
• Imiti imwe n'imwe ufata utabanje kugisha inama muganga, urugero nk'imiti y'ibicurane n'inyongeramusaruro za vitamine, ishobora kugira ingaruka ku miti ya warfarin.
• Ibiryo n'ibinyobwa bimwe na bimwe unywa, nka kale, epinari, umutobe wa cranberry, n'inzoga, bishobora kugira ingaruka ku mikorere ya warfarin.
• Niba umuti urimo gufata indi ndwara ugira ingaruka ku mikorere ya warfarin kandi wongera cyangwa ukagabanya INR yawe.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo by'ibizamini?

Abantu benshi bashobora kubona ibisubizo by'ibizamini bya PT/INR mu masaha make cyangwa umunsi umwe. Ibipimo by'intoki bishobora gutanga ibisubizo mu minota mike. Ariko, niba amaraso yawe akeneye koherezwa mu yindi laboratwari, bishobora gufata iminsi myinshi kugira ngo ibisubizo bigaruke.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Ubusanzwe abaganga bakoresha ibisubizo bya PT test na PTT kugira ngo bafate icyemezo cy'icyo bakora nyuma yaho. Bitewe n'uburwayi bwawe, muganga wawe ashobora gutumiza ibindi bipimo. Ibi bikorwa kugira ngo bamenye neza indwara kandi batangire kuyivura neza. Ikizamini cya PT ni kimwe mu bizamini bya mbere byo gusuzuma indwara yo kuva amaraso cyangwa kuvura amaraso. Kugira ngo hemezwe ko indwara yanduye, hakenewe ibindi bipimo.

Niba ufata warfarin, muganga wawe azahindura urugero rwawe kugira ngo amaraso yawe akomeze kuzura neza, nta ngaruka zo kuzura amaraso.

Ni ryari ngomba guhamagara muganga wanjye?

Niba ufite ikibazo ku bijyanye n'uburyo bwo kwitegura iki kizamini cya PT, uburyo bwo kubona ibisubizo, cyangwa icyo wakora nyuma yaho, menya neza ko wabaza muganga wawe. Kubera ko imimerere ya buri wese itandukanye, umuganga wawe ni we wenyine ushobora kuguha ubuyobozi bwiza ku cyo ibisubizo byawe bivuze kuri gahunda yawe y'ubuzima.

Wibuke ko iyo ukomeretse kandi urimo kuva amaraso, umubiri wawe uhita ukora agahu kugira ngo uhagarike kuva amaraso no gutangira gukira. Iyo bitabaye ibyo, abaganga bakoresha iki kizamini cya Prothrombin Time (PT) kugira ngo bamenye impamvu.

Muri make, ibintu byo kwibuka

Noneho rero, dore bimwe mu bintu by'ingenzi ugomba kwibuka mu byo twaganiriyeho uyu munsi:

• Ikizamini cya Prothrombin Time (PT / INR) gipima uburyo amaraso yawe yihuta cyane.
• Niba ufata imiti igabanya amaraso nka Warfarin , uzakenera kwipimisha kenshi.
• Ibi bifasha gusuzuma indwara zo kuva amaraso, indwara zo kuvura amaraso, ndetse n'izindi ndwara z'umwijima.
• Ushobora kuba ukeneye kwitegura mbere yo gupimwa, ibyo muganga azakubwira.
• Niba ibisubizo bidasanzwe, muganga azashakisha icyabiteye maze atange ubuvuzi bukenewe.

Rero, niba muganga wawe agusabye gukora iki kizamini cya PT/INR, ntukitinye. Ni ikizamini cyoroshye kizakubwira amakuru y'ingenzi ku buzima bwawe. Muganga wawe azagusobanurira byose ku bijyanye n'icyo ibisubizo byawe bivuze n'icyo wakora nyuma yaho.

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