Teko ea Nako ea Prothrombin le INR (PT / INR)

Litaba

• Teko ea nako ea prothrombin le INR (PT / INR) ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea PT / INR?
• Ho etsahalang nakong ea tlhahlobo ea PT / INR?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea PT / INR?
• Litšupiso

Teko ea nako ea prothrombin le INR (PT / INR) ke eng?

Teko ea prothrombin (PT) e lekanya hore na ho nka nako e kae hore lesela le be teng ka sampole ea mali. Kakaretso ea INR (kakaretso e tloaelehileng ea machabeng) ke mofuta oa lipalo o ipapisitseng le sephetho sa liteko tsa PT.

Prothrombin ke protheine e entsoeng ke sebete. Ke e 'ngoe ea lintho tse' maloa tse tsejoang e le ho koala (coagulation). Ha u khaola kapa kotsi e 'ngoe e bakang ho tsoa mali, lintho tsa hao tse hoamisa li sebetsa' moho ho etsa mali. Maemo a ho koala a tlase haholo a ka etsa hore u tsoe mali haholo kamora ho tsoa kotsi. Litekanyo tse phahameng haholo li ka baka hore maqeba a kotsi a thehe methapong kapa methapong ea hau.

Teko ea PT / INR e thusa ho fumana hore na mali a hao a koaleha ka tsela e tloaelehileng. E boetse e hlahloba ho bona hore na moriana o thibelang ho hoama hoa mali o sebetsa ka tsela eo o lokelang ho sebetsa ka eona.

Mabitso a mang: prothrombin nako / karolelano e tloaelehileng ea machabeng, PT protime

E sebelisetsoa eng?

Hangata tlhahlobo ea PT / INR e sebelisoa ho:

• Bona kamoo warfarin e sebetsang hantle kateng. Warfarin ke moriana o fokotsang mali o sebelisetsoang ho alafa le ho thibela ho ba le mali a kotsi. (Coumadin ke lebitso le tloaelehileng la warfarin.)
• Fumana lebaka la ho koala mali ho sa tloaelehang
• Fumana lebaka la ho tsoa mali ho sa tloaelehang
• Lekola ts'ebetso ea ho koala pele o etsoa opereishene
• Lekola mathata a sebete

Teko ea PT / INR hangata e etsoa hammoho le teko ea karolo ea thromboplastin (PTT). Teko ea PTT e boetse e hlahloba mathata a ho koala.

Hobaneng ha ke hloka tlhahlobo ea PT / INR?

U kanna ua hloka teko ena haeba u nka warfarin khafetsa. Teko e thusa ho etsa bonnete ba hore o nka lethal dose e nepahetseng.

Haeba o sa nke warfarin, o kanna oa hloka teko ena haeba o na le matšoao a lefu la ho tsoa mali kapa la ho koama.

Matšoao a lefu la ho tsoa mali a kenyelletsa:

• Ho tsoa mali a mangata a sa hlaloseheng
• Ho rohakana habonolo
• Nko e boima bo sa tloaelehang e tsoa mali
• Linako tse boima bo sa tloaelehang ba ho ilela khoeli ho basali

Matšoao a lefu la ho koala a kenyelletsa:

• Bohloko ba leoto kapa bonolo
• Ho ruruha ha leoto
• Bokhubelu kapa mela e khubelu maotong
• Ho hema ka thata
• Khohlela
• Bohloko ba sefuba
• Ho otla ha pelo kapele

Ntle le moo, o kanna oa hloka tlhahlobo ea PT / INR haeba u reretsoe ho buuoa. E thusa ho etsa bonnete ba hore mali a hao a koama ka tloaelo, ka hona o ke ke oa lahleheloa ke mali a mangata nakong ea ts'ebetso.

Ho etsahalang nakong ea tlhahlobo ea PT / INR?

Teko e ka etsoa sampoleng ea mali e tsoang mothapong kapa menoaneng.

Bakeng sa sampole ea mali e tsoang mothapong:

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Bakeng sa sampole ea mali e tsoang monoaneng:

Teko ea menoana e ka etsoa ofising ea mofani oa thepa kapa lapeng la hau. Haeba u nka warfarin, mofani oa hau a ka u khothaletsa hore u leke mali a hau khafetsa u sebelisa sesebelisoa sa tlhatlhobo sa PT / INR lapeng. Nakong ea tlhahlobo ena, uena kapa mofani oa mofani oa hau le tla:

• Sebelisa nale e nyane ho phunya menoana ea hau
• Bokella lerotholi la mali 'me u le behe holim'a sekhechana sa liteko kapa sesebelisoa se seng se khethehileng
• Beha sesebelisoa kapa sekhechana sa liteko ho sesebelisoa se lekanyang liphetho. Lisebelisoa tsa lapeng li nyane ebile ha li bobebe.

Haeba u sebelisa sesebelisoa sa lapeng, u tla hloka ho lekola liphetho tsa hau le mofani oa hau. Mofani oa hau o tla u tsebisa hore na a ka rata ho fumana liphetho joang.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Haeba o nka warfarin, o kanna oa hloka ho liehisa lethal dose ea hau ea letsatsi le letsatsi ho fihlela kamora tlhahlobo. Mofani oa hao oa tlhokomelo ea bophelo o tla u tsebisa haeba ho na le litaelo tse ling tse ikhethang tseo u lokelang ho li latela.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba u ile ua lekoa hobane u nka warfarin, sephetho sa hau se kanna sa ba ka maemo a INR. Methati ea INR e sebelisoa khafetsa hobane e nolofalletsa ho bapisa liphetho ho tsoa lilabong tse fapaneng le mekhoa e fapaneng ea liteko. Haeba u sa nke warfarin, liphetho tsa hau li kanna tsa ba ka mofuta oa maemo a INR kapa palo ea metsotsoana eo e e hlokang hore sampole ea hau ea mali e hoame (prothrombin time).

Haeba u nka warfarin:

• Methati ea INR e tlase haholo e kanna ea bolela hore o kotsing ea maqeba a mali a kotsi.
• Methati ea INR e phahameng haholo e ka bolela hore o kotsing ea ho tsoa mali a kotsi.

Mofani oa hao oa tlhokomelo ea bophelo o tla fetola lethal dose ea warfarin ho fokotsa likotsi tsena.

Haeba u sa nke warfarin mme liphetho tsa hau tsa INR kapa prothrombin li ne li sa tloaeleha, e kanna ea bolela e 'ngoe ea maemo a latelang:

• Boloetse ba ho tsoa mali, boemo boo 'mele o ke keng oa koala mali hantle, o baka ho tsoa mali haholo
• Bothata ba ho hoama, boemo boo 'mele o etsang liphahlo tse fetelletseng methapong kapa methapong
• Lefu la sebete
• Khaello ea Vitamin K.Vithamine K e bapala karolo ea bohlokoa ho hoameng ha mali.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea PT / INR?

Ka linako tse ling liteko tse itseng tsa sebete li laeloa hammoho le tlhahlobo ea PT / INR. Tsena li kenyelletsa:

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

Litšupiso

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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.