Isivivinyo Sesikhathi se-Prothrombin ne-INR (PT / INR)

-Delile

• Yini isivivinyo sesikhathi se-prothrombin nge-INR (PT / INR)?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-PT / INR?
• Kwenzekani ngesikhathi sokuhlolwa kwe-PT / INR?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-PT / INR?
• Izinkomba

Yini isivivinyo sesikhathi se-prothrombin nge-INR (PT / INR)?

Isivivinyo seprothrombin (PT) silinganisa ukuthi kuthatha isikhathi esingakanani ukuthi ihlwili lakheke kusampula yegazi. I-INR (isilinganiso esijwayelekile somhlaba wonke) uhlobo lokubala olususelwa kumiphumela yokuhlolwa kwe-PT.

I-Prothrombin yiprotheni eyenziwe yisibindi. Ingenye yezinto eziningana ezaziwa njengezici ze-clotting (coagulation). Uma uthola ukusika noma okunye ukulimala okubangela ukuphuma kwegazi, izinto zakho zokujiyisana zisebenza ngokubambisana ukwakha ihlule legazi. Amazinga okuvalwa aphansi kakhulu angadala ukuthi wophe kakhulu ngemuva kokulimala. Amaleveli aphakeme kakhulu angadala ukuthi amahlule abe yingozi emithanjeni noma emithanjeni yakho.

Ukuhlolwa kwe-PT / INR kusiza ekutholeni ukuthi igazi lakho lijiya ngendlela ejwayelekile yini. Iphinde ibheke ukuthi ingabe umuthi ovimbela amahlule egazi usebenza ngendlela okufanele ngabe uyasebenza ngayo.

Amanye amagama: isikhathi se-prothrombin / isilinganiso samazwe omhlaba jikelele, i-PT protime

Kusetshenziselwa ini?

Ukuhlolwa kwe-PT / INR kuvame ukusetshenziselwa:

• Bona ukuthi i-warfarin isebenza kanjani. I-Warfarin ngumuthi wokunciphisa igazi osetshenziselwa ukwelapha nokuvikela amahlule egazi ayingozi. (ICoumadin igama lomkhiqizo elijwayelekile le-warfarin.)
• Thola isizathu samahlule egazi angajwayelekile
• Thola isizathu sokopha okungavamile
• Hlola umsebenzi wokujiya ngaphambi kokuhlinzwa
• Bheka izinkinga zesibindi

Ukuhlolwa kwe-PT / INR kuvame ukwenziwa kanye nokuhlolwa okuyingxenye ye-thromboplastin time (PTT). Ukuhlolwa kwe-PTT kubheka nezinkinga zokujiya.

Kungani ngidinga ukuhlolwa kwe-PT / INR?

Ungadinga lolu vivinyo uma uthatha i-warfarin njalo. Ukuhlolwa kusiza ekuqinisekiseni ukuthi uthatha isilinganiso esifanele.

Uma ungathathi i-warfarin, ungahle udinge lokhu kuhlolwa uma unezimpawu zokuphazamiseka kwegazi noma kwe-clotting.

Izimpawu zesifo sokopha zibandakanya:

• Ukopha okukhulu okungachazeki
• Ukulimaza kalula
• Kuphuma igazi ngamakhala asindayo angajwayelekile
• Izikhathi zokuya esikhathini ezisindayo ngokungavamile kwabesifazane

Izimpawu zesifo sokuvala zihlanganisa:

• Ubuhlungu bomlenze noma isisa
• Ukuvuvukala kwemilenze
• Ubomvu noma izintambo ezibomvu emilenzeni
• Ukuphefumula kanzima
• Khwehlela
• Ubuhlungu besifuba
• Ukushaya kwenhliziyo okusheshayo

Ngaphezu kwalokho, ungadinga ukuhlolwa kwe-PT / INR uma uhlelelwe ukuhlinzwa. Kuyasiza ukuqinisekisa ukuthi igazi lakho lijiya ngokujwayelekile, ngakho-ke ngeke ulahlekelwe igazi eliningi ngesikhathi senqubo.

Kwenzekani ngesikhathi sokuhlolwa kwe-PT / INR?

Ukuhlolwa kungenziwa kusampula yegazi kusuka emthanjeni noma eminwe.

Ngesampula segazi elivela emthanjeni:

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.

Ngesampula segazi elivela eminweni yomunwe:

Ukuhlolwa komunwe kungenziwa ehhovisi lomhlinzeki noma ekhaya lakho. Uma uthatha i-warfarin, umhlinzeki wakho angancoma ukuthi uhlole igazi lakho njalo usebenzisa ithuluzi lokuhlola elenzelwa ekhaya le-PT / INR. Ngalesi sivivinyo, wena noma umhlinzeki wakho:

• Sebenzisa inaliti encane ukubhoboza umunwe wakho
• Qoqa ithonsi legazi ulibeke emgqeni wokuhlola noma kwenye insimbi ekhethekile
• Beka insimbi noma umucu wokuhlola kudivayisi ebala imiphumela. Amadivayisi asekhaya amancane futhi alula.

Uma usebenzisa ikhi yokuhlola ekhaya, uzodinga ukubuyekeza imiphumela yakho nomhlinzeki wakho. Umhlinzeki wakho uzokwazisa ukuthi angathanda ukuthola kanjani imiphumela.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Uma uthatha i-warfarin, kungadingeka ukuthi ubambezele umthamo wakho wansuku zonke kuze kube ngemuva kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwazisa uma ngabe kukhona eminye imiyalelo ekhethekile ongayilandela.

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?

Uma ngabe uhlolwe ngoba uthatha i-warfarin, imiphumela yakho kungenzeka ibe sesimweni samazinga e-INR. Amazinga we-INR avame ukusetshenziswa ngoba enza kube lula ukuqhathanisa imiphumela evela kumalebhu ahlukene nezindlela ezahlukahlukene zokuhlola. Uma ungathathi i-warfarin, imiphumela yakho ingaba ngesimo samazinga we-INR noma inani lemizuzwana eliyithathayo ukuze isampula lakho legazi limboze (isikhathi se-prothrombin).

Uma uthatha i-warfarin:

• Amazinga we-INR aphansi kakhulu kungasho ukuthi usengozini yokuqina kwamagazi okuyingozi.
• Amazinga we-INR aphakeme kakhulu angasho ukuthi usengozini yokuphuma kwegazi okuyingozi.

Umhlinzeki wakho wokunakekelwa kwezempilo mhlawumbe uzoshintsha umthamo wakho we-warfarin ukunciphisa lezi zingozi.

Uma ungathathi i-warfarin futhi imiphumela yakho ye-INR noma ye-prothrombin ibingeyona eyejwayelekile, kungasho enye yezimo ezilandelayo:

• Isifo sokopha, isimo lapho umzimba ungeke ukwazi ukuvimba igazi kahle, kubangele ukopha ngokweqile
• Isifo sokujiya, isimo lapho umzimba wakheka amahlule ngokweqile emithanjeni noma emithanjeni
• Isifo sesibindi
• Ukushoda kukaVitamin K.UVitamin K ubamba iqhaza elibalulekile ekunqandeni igazi.

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

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-PT / INR?

Kwesinye isikhathi kuhlolwa ukuhlolwa kwesibindi okuthile kanye nokuhlolwa kwe-PT / INR. Lokhu kufaka phakathi:

• I-Aspartate Aminotransferase (AST)
• I-Alanine Aminotransferase (ALT)

Izinkomba

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