Ukuqonda imiphumela ye-clot test test
Ngaphambi kokuba uhlinzwe udokotela wakho angalawula ukuhlolwa kwegazi ukuze anqume ukuthi igazi lakho livale ngokushesha kangakanani. Leli qembu lokuhlolwa liyaziwa ngokuthi isifundo se-coagulation. Ngokuvamile lezi zivivinyo zivame ukubizwa nge-PT (Prothrombin Time), i-PTT (i-Partial Thromboplastin Time), ne-INR (International Normalized Ratio).
Phakathi nokuhlinzwa okubalulekile kubalulekile ukuthi igazi lingagcini ngokushesha njengokujwayelekile, futhi imithi inganikezwa ukuba iphuze isikhathi sokuvala.
Izidakamizwa ezivame ukusetshenziselwa ukunciphisa amagama zinamagama ahlukahlukene, kodwa uHeparin , Coumadin, Lovenox , neWarfarin ziphakathi kwezivamile. Kwezinye izimo, isiguli asikwazi ukugubha ngokushesha, futhi kungathathwa izinyathelo zokwenza i-clot yegazi ngokushesha.
Imiphumela ebalwe ngezansi "yimigomo ejwayelekile" kunokuba imiphumela esiyilindele uma umuntu ethatha igazi elincane. I-Blood thinners izokwenza igazi lithathe isikhathi eside ukugqoka, ngakho-ke isiguli esithatha igazi elincane singalindeleka ukuthi sibe nemiphumela yamabhodi ephakeme (isikhathi eside) kunalawo abhalwe lapha.
I-Prothrombin Time Test Blood-PT
Lokhu kuhlolwa kwenziwa ekuhloleni igazi ngenxa yokukwazi ukuvala. Kuvame ukwenziwa ngaphambi kokuhlinzwa ukuhlola ukuthi kungenzeka ukuthi isiguli sinenkinga yokuphuma noma yokuqeda ngesikhathi noma emva kokuhlinzwa.
Amanani we-PT evamile: amasekhondi angu-10-12 (lokhu kungahluka kancane kusuka kumabhabhu kubhala)
Izimbangela ezivamile ze-PT ezinde zibandakanya ukutholakala kwe-vitamin K, izidakamizwa ze-hormone ezifaka esikhundleni se-hormone kanye nezindlela zokuvimbela izitho zomlomo, zisakaze i-coagulation ye-intravascular (inkinga yokuqeda imithi edinga ukungenelela ngokushesha), izifo zesibindi, nokusetshenziswa kwe-anti-coagulant drugfarfarin.
Ukwengeza, imiphumela ye-PT ingashintshwa ngokudla okunengi ku-vitamin K, isibindi, itiye eluhlaza, imifino eluhlaza kanye namasiya.
Isikhathi Sengxenye Ye-Thromboplastin I-Blood Test-PTT
Lokhu kuhlola kwenziwa ngokuyinhloko ukuthola ukuthi i-heparin (i-blood thinning) yokwelashwa isebenza kahle. Kungasetshenziselwa futhi ukubona ukuthi kukhona ukuphazamiseka kwesifo.
Awukhombisi imiphumela yezidakamizwa ezibizwa ngokuthi "isisindo esincane se-molecular heparin" noma ngokuvamile esivame igama elithi Lovenox.
Amanani we-PTT avamile: amasekhondi angu-30 kuya kwangu-45 (lokhu kunganciphisa kancane kusuka kubhabhu kubhala)
Izikhathi ze-PTT ezongeziwe zingabangela imiphumela yokwelashwa kwe-anticoagulation, izinkinga zesibindi, i-lupus, nezinye izifo eziholela ekugqaseni okuncane.
Ukulinganisa Kwemvelo Ejwayelekile Yomhlaba-I-INR
Amanani we-INR avamile: 1 kuya ku-2
I-INR isetshenziselwa ukuqinisekisa ukuthi imiphumela evela kuhlolo lwe-PT ifana nelebhu eyodwa njengenye kwelinye lab. Ngama-1980 iNhlangano YezeMpilo Yomhlaba inqume ukuthi iziguli zingase zisengozini ngenxa yokuthi imiphumela yokuhlolwa kwe-PT yayizohluka kusuka ebhodini elilodwa kuya kwelinye, ngokusekelwe endleleni yokuhlolwa okwenziwe ngayo. Uhlobo "olujwayelekile" lwelebhu eyodwa luyoba luhluke kunenani elivamile "kusuka kulesinye ibhubhu, ukudala izinkinga ezigulini ezasiphathwa ezindaweni eziningana. Ukuze kulungiswe imiphumela phakathi kwama-lab, i-INR yadalwa. Umphumela we-INR kufanele ube okufanayo, kungakhathaliseki indawo lapho ukuhlolwa kwenziwa khona.
> Imithombo:
> PTT. I-American Association of Clinical Chemistry https://labtestsonline.org/understanding/analytes/aptt/tab/glance
> Zehnder JL. Ukusetshenziswa kwemitholampilo yokuhlolwa kwe-coagulation. Ku: UpToDate. 2017. http://www.uptodate.com/contents/clinical-use-of-coagulation-tests