Ingabe igazi lakho liyaqina ngokushesha? Noma kancane kancane? Ake sifunde ngokuhlolwa kwe-PTT (Partial Thromboplastin Time)!

Sawubona! Unjani? Namuhla sizokhuluma ngokuhlolwa kwegazi okungase kube kusha kubantu abaningi, kodwa ngezinye izikhathi kubaluleke kakhulu. Lokhu kubizwa ngokuthi ukuhlolwa kwe-PTT, noma ngokugcwele, ukuhlolwa kwe-`(Partial Thromboplastin Time)`. Wake wezwa ngaleli gama? Mhlawumbe udokotela ukutshelile ukuthi wenze lokhu. Noma mhlawumbe othile emndenini wakho ukwenzile. Ngakho-ke, ake sixoxe ngalokhu namuhla ngendlela elula ongayiqonda.

Kuyini ukuhlolwa kwe-PTT? Kalula nje...

Kalula nje, lokhu kuhlolwa kwe-PTT ukuhlolwa kwegazi okukala ukuthi kuthatha isikhathi esingakanani ukuthi igazi lakho lijiye . Cabanga, uma unenxeba elincane, igazi elincane lizogeleza futhi lime. Lokho kuphuma kwegazi kuyayeka ngoba igazi liyajiya. Ukuze le nqubo yokujiya kwegazi yenzeke kahle, amaprotheni amaningi ahlukene emzimbeni wethu, abizwa ngokuthi izinto ezijiya igazi , kudingeka asebenze ndawonye. Kufana neqembu elisebenza ndawonye. Uma kunenkinga nganoma iyiphi yalezi zici, izothinta yonke inqubo yokujiya kwegazi, okusho ukuthi isikhathi esithathayo ukuze igazi lijiye singashintsha.

Lokhu kuhlolwa ngezinye izikhathi kubizwa ngokuthi `aPTT` (`(isikhathi se-thromboplastin esingasebenzi)`). Lokhu kungenxa yokuthi ilebhu ifaka inani elincane lento egazini lakho esiza ekuqhekekeni kwegazi. Yilapho igama elithi `activated` livela khona.

Lokhu kuhlolwa kwe-PTT kungahlola ukuthi iningi lezinto zakho zokujiya kwegazi lisebenza kanjani. Kodwa-ke, kunezinye izinto lokhu kuhlolwa okungenakuzihlola. Kukhona ukuhlolwa okuhlukile kokuhlola lezi, okubizwa ngokuthi ukuhlolwa kwe-PT (ukuhlolwa kwesikhathi se-Prothrombin noma ukuhlolwa kwe-PT). Ngezinye izikhathi odokotela bayala zombili izivivinyo ukuze bathole isithombe esiphelele sendlela igazi lakho elijiya ngayo.

Yini ngempela elinganiswa yilolu vivinyo lwe-PTT?

Njengoba sishilo ekuqaleni, ukuhlolwa kwe-PTT kulinganisa kakhulu ukuthi kuthatha isikhathi esingakanani ukuthi igazi lakho lijiye . Lokho kusho ukuthi kulinganiswa ngemizuzwana.

Ngaphezu kwalokho, lokhu kungasinika umbono wezinye izinto eziningana:

• Inani lezinto ezithile ezibangela ukujiya kwegazi egazini lakho.
• Ukuthi lezo zinto zisebenza kahle noma cha.

Cabanga ngalokhu: ukujiya kwegazi kufana neketanga. Uma iketanga elilodwa likhululekile, lonke iketanga ngeke lisebenze kahle. Kunjalo nangalokhu.

Ukuhlolwa kwe-PTT kwenziwa nini?

Manje cishe ucabanga ukuthi, "Kulungile, lokhu kumayelana nesikhathi sokujiya kwegazi. Ngakho-ke, udokotela angayala nini i-PTT?" Nazi ezinye izibonelo:

• Uma igazi lakho liqina ngokushesha kakhulu noma libonakala liqina kancane kakhulu .
• Uma usola ukuthi une -blood clot emthanjeni wegazi.
• Uma uphuma igazi njalo ngaphandle kwesizathu(Isibonelo, ukuphuma kwegazi ekhaleni, ukuphuma kwegazi ezinsinini) noma ukushaqeka nje emzimbeni.
• Uma ungowesifazane, uvame ukuphuphuma kwezisu .
• Uma unesifo sesibindi . Ngoba isibindi sikhiqiza eziningi zalezi zinto ezibangela ukujiya kwegazi.
• Ngaphambi kokuba wenze noma yiluphi ukuhlinzwa noma olunye ukwelashwa , hlola ukuze ubone ukuthi unenkinga yokopha yini.
• Uma uthatha umuthi wokunciphisa igazi obizwa ngokuthi i-heparin , qiniseka ukuthi umthamo ukulungele. I-heparin eningi kakhulu ingabangela ukopha, kanti encane kakhulu ingabangela ukuqhekeka kwegazi.
• Uma udokotela wakho efuna ukuthola ukuthi iyiphi ngempela into ebangela ukujiya kwegazi noma inkinga yakho yokopha,

Kusezimweni ezinjengalezi lapho udokotela enquma khona ukwenza ukuhlolwa kwe-PTT.

Lolu vivinyo lwe-PTT lwenziwa kanjani elabhorethri?

Kulungile, manje ake sibone ukuthi kwenzekani elabhorethri ngemva kokuthatha igazi kuwe. Lokhu kungokwesayensi kancane, kodwa ngizokugcina kulula.

1. Okokuqala, bahlukanisa kuphela ingxenye abayidingayo yokuhlolwa, i-plasma , kusampula yegazi abayithatha kuwe.

2. Ngemuva kwalokho, kufakwa i-activator ku-plasma. Yilokhu okusiza ukuthi ihlule legazi liqale.

3. Okulandelayo, i-plasma igcinwa ekushiseni okuthile isikhashana (lokhu kubizwa ngokuthi ``ukufukamela'').

4. Ekugcineni, kufakwa ikhemikhali ebizwa ngokuthi i-calcium chloride . Yilapho-ke ihlule legazi liqala ukwakheka khona.

Abantu belabhorethri babheka ukuthi kuthatha isikhathi esingakanani (ngemizuzwana) ukuthi ihlule legazi lakheke kusukela ngesikhathi i-calcium chloride ifakwa okokugcina. Lelo yinani lakho le-PTT. Uyaqonda?

Ingabe udinga ukulungiselela ngaphambi kokuhlolwa kwe-PTT?

Abantu abaningi bayesaba kancane uma bezwa ngokuhlolwa kwegazi. Kodwa akukho okudingeka ukwenze ukuze ulungiselele lokhu kuhlolwa kwe-PTT. Akudingeki ukuthi unciphise ukudla kwakho noma wenze noma yini enye.

Nokho, kukhona into encane ongayenza. Kungumqondo omuhle ukuphuza amanzi amaningi ngaphambi kokukhipha igazi lakho. Ngaleyo ndlela, kuzoba lula ukuthola umthambo. Enye into, uma kungenzeka, gqoka ihembe elinemikhono emifushane . Ngaleyo ndlela, ngeke kudingeke ugoqe ingalo yakho.

Yini okufanele uyilindele lapho ukhishwa igazi?

Lokhu kufana nje nokudonswa kwegazi ukuze kwenziwe ezinye izivivinyo zegazi. Cabanga ukuthi uye ehhovisi likadokotela ukuze uyodonswa igazi.

• Umhlengikazi noma othile ovela elabhorethri uzokucela ukuthi uhlale esihlalweni. Kungaba isihlalo esinendawo yokubeka izingalo lapho ungelula khona izingalo zakho.
• Bese bebopha i-tourniquet engalweni yakho, njengebhande lerabha, ukuze imithambo ivele kahle.
• Okulandelayo, indawo yokubhoboza ihlanzwa ngokuyisula ngento efana notshwala.
• Ngemuva kwalokho, kufakwa inaliti encane kakhulu esikhumbeni esihlanziwe.
• Kuthathwa igazi elincane emthanjeni bese liqoqwa ngepayipi elikhethekile. Leli payipi liqukethe ikhemikhali evimbela igazi ukuthi lingaqini ngaphakathi kwepayipi.

Yilokho kuphela okwenzekayo. Uma uhlatshwa uhlatshwa, kuzwakala sengathi intuthwane encane iyakuluma , kodwa ihlala imizuzwana embalwa kuphela.

Kwenzekani ngemva kokukhishwa kwegazi?

Uma sebeqedile ukuthatha igazi, bazokwenza lokhu:

• Ususa ibhande lerabha eliboshwe esihlakaleni sakhe.
• Indela ikhipha iva esandleni sayo.
• Beka into efana nekotoni phezu kwendawo lapho kuhlatshwe khona bese uyibamba lapho isikhashana.
• Ngemuva kwalokho, kufakwa ibhandishi elincane endaweni.

Ungasusa lolo plasta emahoreni ambalwa.

Ingabe zikhona izingozi ngalolu vivinyo?

Empeleni, lokhu kuhlolwa kwe-PTT kuwukuhlolwa okuphephile kakhulu . Azikho izingozi ezinkulu.

• Kuvamile ukuzwa ubuhlungu obuncane uma inaliti ifakwa.
• Ngezinye izikhathi, indawo ezungeze indawo yokubhoboza ingase ibe luhlaza okwesibhakabhaka, njengenxeba elincane . Lokhu kuzophola ngokwako ezinsukwini ezimbalwa. Akukho okufanele ukhathazeke ngakho.

Akuvamile kakhulu ukuthi igazi liqhubeke liphuma igazi noma litheleleke endaweni lapho kukhishwe khona igazi. Uma lokhu kwenzeka, kufanele utshele udokotela wakho .

Imiphumela yombiko we-PTT... ithini?

Imiphumela yokuhlolwa kwe-PTT itholakala ngemizuzwana . Lokhu kusho ukuthi kuthatha imizuzwana embalwa ukuthi igazi lakho lijiye.

Ngokuvamile, inani le-PTT eliphakathi kwemizuzwana engama-25 nengama-35 libhekwa njengelingaphakathi "kwebanga elijwayelekile" . Kodwa-ke, leli banga elijwayelekile lingahluka kancane kusuka kwelinye ilabhorethri kuya kwelinye. Ngakho-ke, kufanele uqhathanise inani lakho nebanga elijwayelekile embikweni wakho.

Kusho ukuthini ukuthi inani eliphezulu le-PTT? Kusho ukuthi kuthatha isikhathi eside ukuthi igazi lijiye!

Cabanga ukuthi inani lakho le-PTT liphakeme kunezinga elijwayelekile. Lokhu kusho ukuthi igazi lakho lithatha isikhathi eside kunokujwayelekile ukuthi lijiye . Kungaba nezizathu eziningana zalokhu:

• Uma uthatha i-heparin, umthamo we-heparin owunikezwayo ungase ube phezulu kancane .
• Ungase ube nesifo sokuzivikela komzimba esithinta ukujiya kwegazi.
• Ungase ube nesifo sesibindi (njengoba sishilo ekuqaleni, isibindi sikhiqiza izinto ezibangela ukujiya kwegazi).
• Ungase ube ne -leukemia , isimo esithinta ukujiya kwegazi.
• Ungase ube nesifo sofuzo esizuzwe kubazali bakho, njengesifo se -hemophilia noma i-von Willebrand . Lezi yizifo ezinciphisa ukujiya kwegazi.
• I-Vitamin K emzimbeni wakhoUngase ube ne-Vitamin K entula. I-Vitamin K nayo iyinto esiza ekuqhekekeni kwegazi.

Lokhu kungabangela ukuthi i-PTT yakho ikhule. Kodwa ungakhathazeki. Udokotela wakho uzochaza lokhu kabanzi.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa kwe-PTT?

Lokhu kuyahlukahluka kuye ngelebhu othola kuyo ukuhlolwa. Amanye amalebhu angakunika imiphumela ngosuku olufanayo . Amanye izindawo zingathatha izinsuku ezimbalwa . Uma unikela ngegazi, ungababuza ukuthi ungawuthola nini umbiko.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Uma imiphumela yakho yokuhlolwa kwe-PTT ingaphandle kwebanga elijwayelekile, okusho ukuthi ayijwayelekile, udokotela wakho uzokutshela ukuthi wenzeni ngokulandelayo. Bangase:

• Ungase ucelwe ukuthi wenze izivivinyo ezengeziwe ukuze uthole ukuthi inkinga yakho iyini ngempela. Isibonelo, ukuze ubone ukuthi kunenkinga yini ngesici esithile sokujiya kwegazi (`(isici sokujiya kwegazi)`).
• Uma uthatha i-heparin, umthamo wakho we-heparin ungadinga ukulungiswa .

Kodwa-ke, udokotela uzokutshela ngqo ukuthi yini okufanele uyenze ngokulandelayo.

Uyafuna ukubona udokotela futhi?

Yebo, nakanjani.

• Uma ungakawutholi umbiko ngesikhathi esifanele, shayela udokotela wakho .
• Ngemva kokuthola umbiko, uma ungaqiniseki ngemiphumela noma ukuthi yini okufanele uyenze ngokulandelayo , qiniseka ukuthi ubona udokotela wakho bese umbuza ngakho. Ungagodli lutho.

Uyini umehluko phakathi kokuhlolwa kwe-PT nokuhlolwa kwe-PTT (aPTT)?

Njengoba sishilo ngaphambili, ukuhlolwa kwe-`PT` (`(Prothrombin Time test)`) kanye nokuhlolwa kwe-`aPTT` (PTT) yizivivinyo ezimbili ezibheka amaqembu amabili ahlukene ezici zokujiya kwegazi (`(izici zokujiya kwegazi)`). Uma udinga ukwazi okwengeziwe ngezici eziningana ezingabonwa ngokuhlolwa okukodwa nje, udokotela wakho angase aku-ode kokubili lokhu kuhlolwa. Lokhu kuzokunikeza isithombe esiphelele senqubo yokujiya kwegazi.

Kungaba yinto ekhathazayo ngempela ukwazi ukuthi igazi lakho liqina ngokushesha kakhulu noma kakhulu. Kodwa-ke, ngokuhlolwa kwegazi okulula okufana nalokhu, udokotela wakho angathola imbangela yenkinga yakho yokuqina kwegazi futhi ayelaphe ngokufanele.

Into ebaluleke kakhulu ukuthi, uma ungaqondi okuthile, ungesabi ukubuza udokotela wakho. Khona-ke bangachaza konke kuwe.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu?

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kahle ukuhlolwa kwe-PTT esikhulume ngakho namuhla. Ngamafuphi:

• Ukuhlolwa kwe-PTT ukuhlolwa kwegazi okubalulekile okukala isikhathi esithathwayo ukuze igazi lakho lijiye .
• Lokhu kuhlola nokuthi izici zokujiya kwegazi zisebenza kahle yini.
• Lokhu kuhlolwa kungenziwa uma uphuma igazi njalo, unamahlule egazi, uyahlinzwa, noma uphuza imithi efana ne-heparin.
• Ukuhlolwa akudingi noma yikuphi ukulungiselela okukhethekile , kumane nje kuyindlela encane enesihibe.
• Uma imiphumela ingajwayelekile, udokotela uzothola imbangela bese ekutshela ukuthi wenzeni ngokulandelayo .
• Uma unokungabaza nganoma yini, ungesabi ukubuza udokotela wakho.

Kubaluleke kakhulu ukunakekela impilo yakho. Ngokuhlolwa okufana nalokhu, singakwazi ukubona nokwelapha noma yiziphi izinkinga kusenesikhathi. Ngakho-ke, hlala uphilile wonke umuntu!

Ukuhlolwa kwe - PTT, ukuhlolwa kwe-aPTT, ukujiya kwegazi, ukopha, i-heparin, ukuhlolwa kwegazi, izinto zokujiya kwegazi