Ngaba wakha waphawula ukuba xa ufumana isilonda esincinci okanye umkrwelo engalweni okanye emlenzeni wakho, ukopha kuyayeka emva kwexesha elithile? Yindlela emangalisayo yokuzikhusela emzimbeni wethu. Siyibiza ngokuba yi "Blood Clotting". Le nkqubo isebenza kakuhle, yiyo loo nto nokwenzakala okuncinci kungabangela ukopha okuninzi kwaye kubangele ingozi enkulu. Nangona kunjalo, ngamanye amaxesha le nkqubo yokuqhekeka kwegazi ayisebenzi kakuhle. Nokuba yenzeka kancinci kunokuba kufanele, okanye yenzeka ngokukhawuleza kunokuba kufanele. Kulapho oogqirha kufuneka benze uvavanyo olukhethekileyo ukuze bafumane oku. Namhlanje siza kuthetha ngovavanyo lwegazi olubaluleke kakhulu. Olu luvavanyo lwe-PTT.
Ngamafutshane, yintoni olu vavanyo lwe-PTT?
Uvavanyo lwe-PTT, okanye uvavanyo lwexesha le-Partial Thromboplastin , luvavanyo olulula lwegazi oluthatha isampuli yegazi lakho kwaye lulinganise, ngemizuzwana, ukuba kuthatha ixesha elingakanani ukuba elo gazi lijiye.
Cinga nje ngeqela labapheki abanobuchule abalungiselela ukutya. Ukuze esi sidlo sibe sihle, kufuneka wongeze isithako ngasinye ngokulandelelana okuchanekileyo nangomlinganiselo ofanelekileyo. Kukho iqela "labapheki" kwinkqubo yethu yokuqunjelwa kwegazi. Kwizonyango, sizibiza ngokuba "zizinto eziqunjelwayo." Ezi ziiproteni ezikhethekileyo egazini lethu. Ukuba kukho naziphi na kwezi zinto zokuqunjelwa kwegazi ezingekhoyo, okanye ukuba azisebenzi kakuhle, yonke inkqubo yokuqunjelwa kwegazi iyalibaziseka, njengokuba isidlo silibaziseka. Uvavanyo lwe-PTT lujonga ikakhulu ukuba ezi zinto zokuqunjelwa zisebenza ngokufanelekileyo na kwaye ngesantya esifanelekileyo.
Usenokuba ukhe weva olu vavanyo lubizwa ngokuba yi-aPTT . Lumele i-activated Partial Thromboplastin Time . Alwahlukanga kangako. Lubizwa ngolo hlobo kuba ilebhu yongeza ikhemikhali ekhethekileyo kwisampulu yegazi lakho ukuze "isebenze" inkqubo yokuqunjelwa kwegazi.
Eyona nto ibalulekileyo kukuba uvavanyo lwe-PTT luvavanye uninzi lwezinto ezibangela ukujiya kwegazi ezinceda ukujiya kwegazi. Kodwa kukho ezinye izinto ezininzi ezingavavanyelwanga lolu vavanyo. Kukho olunye uvavanyo olubizwa ngokuba luvavanyo lwe-PT (uvavanyo lwexesha le-Prothrombin) ukuze luvavanywe. Ngamanye amaxesha ugqirha wakho angakucela ukuba wenze zombini ezi mvavanyo. Ukuze ufumane umfanekiso ocacileyo wenkqubo yonke.
Ngaphantsi kwaziphi iimeko ugqirha angakucela ukuba wenze uvavanyo lwe-PTT?
Kukho izizathu ezahlukeneyo zokuba kutheni ungayalelwa ukuba wenze olu vavanyo. Ngokwesiqhelo, ugqirha uya kucebisa olu vavanyo kwiimeko ezilandelayo:
| Isizathu/Isihlandlo | Ingcaciso elula |
|---|---|
| Ukopha rhoqo okanye okugqithisileyo | Ukuba iintsini zakho ziphuma igazi rhoqo, impumlo yakho iphuma igazi rhoqo, okanye nenxeba elincinci lithatha ixesha elide ukuyeka ukopha. |
| Ukugruzuka ngaphandle kwesizathu esicacileyo | Ukuba ngequbuliso kuvela amabala aluhlaza okwesibhakabhaka (imivumbo) emzimbeni wakho ngaphandle kokubetheka nantoni na. |
| Ihlwili legazi emthanjeni wegazi | Ukuba kukho ukurhaneleka kokuba igazi liqhekekile emthanjeni wegazi emlenzeni okanye kwenye indawo. |
| Ngaphambi kotyando | Oku kwenziwa ngaphambi kotyando olukhulu ukuqinisekisa ukuba amandla akho okujiya kwegazi aqhelekile. Oku kunokunceda ekuthinteleni ukopha okungeyomfuneko ngexesha lotyando. |
| Xa ufumana unyango lwe-heparin | IHeparin inciphisa igazi. Olu vavanyo ludla ngokwenziwa ukuze kubonwe ukuba idosi enikwe umntu othatha eli yeza ichanekile na. Ukuba idosi iphezulu kakhulu, ukopha kungenzeka, kwaye ukuba iphantsi kakhulu, amahlwili egazi angenzeka. |
| Xa ukuphuphuma kwesisu kwenzeka rhoqo | Olu vavanyo lukwasetyenziselwa ukujonga iingxaki zokujiya kwegazi, ezinokubangela ukuphuphuma kwesisu okuphindaphindiweyo kwabanye abafazi. |
| Xa unesifo sesibindi | Uninzi lwezinto zethu ezibangela ukujiya kwegazi ziveliswa sisibindi. Le nkqubo inokuphazamiseka kumntu onesifo sesibindi. |
Ngaba kufuneka ndilungiselele ngaphambi kovavanyo? Kwenzeka ntoni xa kutsalwa igazi?
Ukulungiselela uvavanyo
Ezi zezona ndaba zibalaseleyo. Akukho lungiselelo likhethekileyo lifunekayo kuvavanyo lwe-PTT. Akufuneki uzile ukutya okanye wenze nantoni na enye. Kodwa ndiza kukunika icebiso elincinci. Sela amanzi amaninzi ngaphambi kokuba uye kunikela ngegazi. Oku kuya kwenza kube lula kumntu othatha igazi kuba imithambo yakho iya kuba mhlophe kwaye icace ngakumbi. Kwakhona, ukuba unxiba ihempe enemikhono emifutshane, akuyi kufuneka ukhathazeke ngokuphakamisa iingalo zakho.
Indlela yokuthatha igazi
Le yinkqubo elula kakhulu, njengokuba uqhele ukunika igazi.
1. Umongikazi okanye igosa lezonyango liza kukuhlala esitulweni lize likucele ukuba ubambe ingalo yakho ngokukhululeka.
2. Emva koko, ibhande lerabha (i-tourniquet) libekwa lijikeleze ingalo yakho engasentla lize liqiniswe kancinci. Oku kwenziwa ukuze imithambo yegazi ibonakale ngakumbi.
3. Emva koko, kukhethwa umthambo ofanelekileyo kufutshane nengqiniba kwaye indawo leyo icocwe ngeqhekeza elincinci lekotoni.
4. Okulandelayo, kufakwa inaliti encinci kakhulu emthanjeni kwaye inani legazi elifunekayo liqokelelwa kwityhubhu ekhethekileyo. Kule ndawo, uya kuziva nje ukuhlaba okuncinci, njengokulunywa imbovane .
5. Xa igazi litsalwa, ibhande lerabha elibotshelelwe engalweni liyasuswa, inaliti isuswe, iqhekeza lekotoni libekwe kwindawo leyo kwaye uxinzelelo lufakwe okwethutyana. Emva koko kufakwa iplasta encinci kwindawo leyo.
Yiyo loo nto! Yonke le nkqubo ithatha imizuzu embalwa kuphela. Emva kokunikela ngegazi, ungenza imisebenzi yakho yesiqhelo. Ngamanye amaxesha, indawo apho inaliti ifakwe khona inokuba luhlaza okwesibhakabhaka kancinci (ibe nemikrwelo). Oku kuya kuphela emva kweentsuku ezimbalwa, ngoko ungakhathazeki ngako.
Ithini ingxelo ye-PTT? Ungazitolika njani iziphumo?
Iziphumo zovavanyo lwakho lwe-PTT ziyafumaneka ngemizuzwana embalwa . Oko kukuthi, ixesha elithathayo ukuze igazi lakho lijiye.
Umlinganiselo oqhelekileyo womntu ophilileyo uphakathi kwemizuzwana engama-25 ukuya kwengama-35 . Kodwa nantsi into ebalulekileyo ekufuneka uyiqaphele: Olu luhlu oluqhelekileyo lunokwahluka kancinci ukusuka kwelinye ilabhoratri ukuya kwelinye . Ngoko ke thelekisa ixabiso lakho nomlinganiselo oqhelekileyo abakunika wona kwingxelo yakho.
Kuthetha ukuthini ukuba ne-PTT ephezulu?
Ukuba i-PTT yakho iphezulu kunomlinganiselo oqhelekileyo (umz. imizuzwana engama-40 okanye engama-50), oko kuthetha ukuba igazi lakho lithatha ixesha elide kunesiqhelo ukuba lijiye. Oku kunokubangela izizathu ezahlukeneyo.
| Isizathu esinokwenzeka | Ingcaciso elula |
|---|---|
| Ukunyuka kwedosi yeHeparin | Ukuba uthatha i-heparin, i-blood thinner, ixabiso eliphezulu le-PTT lithetha ukuba idosi inokuba phezulu kunokuba kuyimfuneko. |
| Iimeko zofuzo | Kwiimeko zokuzalwa ezifana nesifo se -hemophilia okanye i-von Willebrand , kukho ukusilela kwizinto ezibangela ukujiya kwegazi. |
| Isifo sesibindi | Izifo zesibindi ezifana ne-cirrhosis zinokunciphisa ukuveliswa kwezinto ezibangela ukujiya kwegazi kwaye zonyuse ixabiso le-PTT. |
| Ukunqongophala kweVitamin K | I-Vitamin K yivithamini ebalulekileyo kwinkqubo yokuqina kwegazi. Xa i-vitamin K ingekho ngokwaneleyo emzimbeni, ukuqina kwegazi kuyalibaziseka. |
| Isifo Sokuzikhusela Emzimbeni | Ngamanye amaxesha inkqubo yomzimba yokuzikhusela isebenza ngokuchasene nezinto ezibangela ukujiya kwegazi. Kwimeko ezinjalo, ixabiso le-PTT nalo liyanyuka. |
| I-Leukemia | Ezinye iintlobo ze-leukemia (umhlaza wegazi) zinokuchaphazela inkqubo yokujiya kwegazi. |
Khumbula, ungoyiki ukuba ubona i-PTT ephezulu. Oku akusiyo ingxaki, yingcaciso ebalulekileyo kugqirha wakho. Uza kuyalela uvavanyo olongezelelekileyo ukuze afumanise ukuba yintoni kanye kanye ebangela oku.
Yintoni omele uyenze ukuba unamathandabuzo ngeziphumo?
Emva kokuba ufumene ingxelo evela kwilebhu, ukuba unemibuzo okanye iinkxalabo malunga nexabiso elikuyo, eyona nto ingcono onokuyenza kukudibana nogqirha wakho oku-odolele olu vavanyo kwaye uthethe ngalo .
- Ugqirha wakho uza kuqwalasela iimpawu zakho, amanye amayeza owasebenzisayo, kunye neziphumo zolu vavanyo lwe-PTT aze agqibe ngokuchanekileyo ukuba uza kwenza ntoni emva koko.
- Usenokucelwa ukuba wenze uvavanyo lwegazi olucacileyo ngakumbi.
- Ukuba usebenzisa i-heparin, unokucelwa ukuba utshintshe umthamo weyeza.
Ungaze usekele isigqibo sakho kwinto oyibonayo kwi-intanethi okanye into ethethwa ngabanye abantu. Qiniseka ukuba uxoxa ngayo nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-PTT luvavanyo lwegazi olulula, kodwa olubaluleke kakhulu olulinganisa ixesha elithathayo ukuze igazi lakho lijiye.
- Akukho mfuneko yokulungiselela okukhethekileyo (njengokuzila ukutya) ukuze ubhale olu vavanyo.
- Isiphumo se-PTT esingaphaya komlinganiselo oqhelekileyo sinokuba luphawu lwengxaki yempilo efihlakeleyo. Asikuko ukuxilongwa.
- Nokuba iziphumo zakho zithini na, musa ukoyika, kodwa hlala uxoxa ngayo nogqirha wakho ukuze ufumane ukuqonda okucacileyo kwaye wazi amanyathelo omawuwathathe ngokulandelayo.
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