Ukuhlolwa Kwesikhathi Esincane seThromboplastin (PTT)

-Delile

• Luyini uvivinyo lwe-PTT (ingxenye yengxenye ye-thromboplastin)?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-PTT?
• Kwenzekani ngesikhathi sokuhlolwa kwe-PTT?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-PTT?
• Izinkomba

Luyini uvivinyo lwe-PTT (ingxenye yengxenye ye-thromboplastin)?

Isikhathi esivivinywayo se-thromboplastin (PTT) silinganisa isikhathi esisithathayo sokwakheka kwegazi. Imvamisa, lapho uthola ukusikeka noma ukulimala okubangela ukopha, amaprotheni egazini lakho abizwa ngokuthi ama-coagulation factor asebenza ndawonye ukwakha ihlwili legazi. Ihlule likuvimba ekulahlekelweni yigazi eliningi.

Unezici eziningana zokujiya egazini lakho. Uma kukhona noma yiziphi izinto ezingekho noma ezinesici, kungathatha isikhathi eside kunokujwayelekile ukuthi igazi limile. Kwezinye izimo, lokhu kubangela ukuphuma kwegazi okunzima, okungalawulwa. Ukuhlolwa kwe-PTT kubheka ukusebenza kwezici ezithile ze-coagulation. Lokhu kufaka phakathi izinto ezaziwa ngokuthi i-factor VIII, factor IX, factor X1, ne-factor XII.

Amanye amagama: isikhathi se-thromboplastin esenziwe sasebenza, i-aPTT, iphrofayli yendlela yangaphakathi ye-coagulation factor

Kusetshenziselwa ini?

Ukuhlolwa kwe-PTT kusetshenziselwa:

• Hlola ukusebenza kwezici ezithile ze-coagulation. Uma ngabe ezinye zalezi zinto zilahlekile noma zinephutha, kungasho ukuthi unenkinga yokopha. Izinkinga zokopha ziqembu lezimo ezingavamile lapho igazi lingagundi ngokwejwayelekile. Isifo esaziwa kakhulu sokopha yi-hemophilia.
• Thola ukuthi ngabe kunesinye isizathu sokopha ngokweqile noma ezinye izinkinga zokujiya. Lokhu kufaka phakathi izifo ezithile ezizimele zomzimba ezenza ukuthi amasosha omzimba ahlasele izici ze-coagulation.
• Gada abantu abathatha i-heparin, uhlobo lomuthi oluvimbela ukuqina. Kwezinye izifo zokopha, igazi ligaxa kakhulu, kunokuba lincane kakhulu. Lokhu kungadala isifo senhliziyo, unhlangothi, nezinye izimo ezisongela impilo. Kodwa ukuthatha i-heparin eningi kakhulu kungadala ukopha ngokweqile futhi okuyingozi.

Kungani ngidinga ukuhlolwa kwe-PTT?

Ungadinga ukuhlolwa kwe-PTT uma:

• Ukopha kakhulu okungachazeki
• Bruise kalula
• Yiba nehlule legazi emthanjeni noma emthanjeni
• Unesifo sesibindi, kwesinye isikhathi esingadala izinkinga ngokujiya kwegazi
• Sizobe sihlinzwa. Ukuhlinzwa kungadala ukulahleka kwegazi, ngakho-ke kubalulekile ukwazi ukuthi unenkinga yokujiya yini.
• Ngike ngaba nezisu eziningi
• Bathatha i-heparin

Kwenzekani ngesikhathi sokuhlolwa kwe-PTT?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi amalungiselelo akhethekile ohlolo lwe-PTT.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Imiphumela yakho yokuhlolwa kwe-PTT izokhombisa ukuthi kuthathe isikhathi esingakanani ukuthi igazi lakho limile. Imiphumela ivame ukunikezwa njengenombolo yamasekhondi. Uma imiphumela yakho ikhombisa ukuthi igazi lakho lithathe isikhathi eside kunokujwayelekile ukuvaleka, kungasho ukuthi une:

• Ukuphazamiseka kokopha, njenge-hemophilia noma isifo se-von Willebrand. Isifo iVon Willebrand yisona sifo esivame ukopha kakhulu, kepha kuvame ukudala izimpawu ezinzima kunezinye izifo zokopha.
• Isifo sesibindi
• I-Antiphospholipid antibody syndrome noma i-lupus anticoagulant syndrome. Lezi yizifo ezizimele ezenza ukuthi amasosha omzimba wakho ahlasele izici zakho ze-coagulation.
• Ukushoda kukaVitamin K. UVitamin K udlala indima ebalulekile ekwakheni izinto ezijiyanayo.

Uma uthatha i-heparin, imiphumela yakho ingasiza ekuboniseni ukuthi ngabe uthatha isilinganiso esifanele. Cishe uzohlolwa njalo ukuze uqiniseke ukuthi umthamo wakho uhlala ezingeni elifanele.

Uma kutholakala ukuthi unenkinga yokopha, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo. Yize lungekho ikhambi lezinkinga eziningi zokopha, kunezindlela zokwelashwa ezitholakalayo ezingasiza ukuphatha isimo sakho.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-PTT?

Ukuhlolwa kwe-PTT kuvame uku-oda kanye nokunye ukuhlolwa kwegazi okubizwa nge-prothrombin time. Ukuhlolwa kwesikhathi se-prothrombin kungenye indlela yokukala ikhono lokujiya.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.