Ixesha leprothrombin (PT)

Ixesha leProthrombin (PT) luvavanyo lwegazi olulinganisa ixesha elithathayo ngenxalenye yolwelo (iplasma) yegazi lakho ukuba ligqume.

Uvavanyo lwegazi olunxulumene nexesha elithile le-thromboplastin (PTT).

Isampulu yegazi iyafuneka. Ukuba uthatha amayeza okucoca igazi, uya kujongwa ngeempawu zokopha.

Amayeza athile anokutshintsha iziphumo zovavanyo lwegazi.

• Umboneleli wakho wokhathalelo lwempilo uya kukuxelela ukuba ngaba ufuna ukuyeka ukuthatha nawaphi na amayeza phambi kokuba wenze olu vavanyo. Oku kunokubandakanya i-aspirin, i-heparin, i-antihistamines, kunye ne-vitamin C.
• SUKUYEKE okanye utshintshe amayeza akho ungakhange uthethe nomboneleli wakho kuqala.

Xelela umboneleli wakho ukuba uthatha nawaphi na amayeza esintu.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukutyumza kancinci. Oku kuya kuhamba kungekudala.

Esona sizathu siqhelekileyo sokwenza olu vavanyo kukujonga amanqanaba akho xa uthatha iyeza lokucoca igazi elibizwa ngokuba yi-warfarin. Kusenokwenzeka ukuba uthatha eli yeza ukunqanda amahlwili egazi.

Umboneleli wakho uya kujonga i-PT yakho rhoqo.

Unokulufuna olu vavanyo uku:

• Fumana unobangela wokopha okungaqhelekanga okanye ukugruzuka
• Jonga ukuba isibindi sakho sisebenza kakuhle kangakanani
• Khangela iimpawu zesifo segazi okanye ukuphazamiseka kwegazi

I-PT ilinganiswa ngemizuzwana. Uninzi lwexesha, iziphumo zinikwa into ebizwa ngokuba yi-INR (umlinganiso oqhelekileyo kwilizwe jikelele).

Ukuba awuthathi amayeza okucoca igazi, njenge-warfarin, uluhlu oluqhelekileyo lweziphumo zakho ze-PT zezi:

• Imizuzwana eyi-11 ukuya kwi-13.5
• I-INR ye-0.8 ukuya kwi-1.1

Ukuba uthatha i-warfarin ukunqanda amahlwili egazi, umboneleli wakho uya kukhetha ukugcina i-INR yakho phakathi kwe-2.0 kunye ne-3.0.

Buza umboneleli wakho ukuba zeziphi iziphumo ezilungileyo kuwe.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukuba u ayiyi ukuthatha amayeza okucoca igazi, njenge-warfarin, isiphumo se-INR ngaphezulu kwe-1.1 kuthetha ukuba igazi lakho liyajiya kancinci kancinci kunesiqhelo. Oku kunokuba ngenxa:

• Ukuphazamiseka kwegazi, iqela leemeko apho kukho ingxaki kwinkqubo yegazi yomzimba.
• Ukuphazamiseka apho iiproteni ezilawula ukujiya kwegazi ziye zisebenze ngakumbi (zisasazwe intravascular coagulation).
• Isifo sesibindi.
• Inqanaba eliphantsi levithamini K.

Ukuba u are ukuthatha i-warfarin ukunqanda amahlwili, umboneleli wakho uya kukhetha ukugcina i-INR yakho phakathi kwe-2.0 kunye ne-3.0:

• Kuxhomekeka ekubeni kutheni uthatha igazi elincinci, inqanaba elifunwayo linokwahluka.
• Nokuba i-INR yakho ihlala phakathi kwe-2.0 kunye ne-3.0, kunokwenzeka ukuba ube neengxaki zokopha.
• Iziphumo ze-INR ezingaphezulu kwe-3.0 zinokukubeka emngciphekweni omkhulu wokopha.
• Iziphumo ze-INR ezingaphantsi kwe-2.0 zinokukubeka emngciphekweni wokuphuhliswa kwegazi.

Iziphumo ze-PT eziphakamileyo kakhulu okanye ezisezantsi kakhulu emntwini othatha i-warfarin (Coumadin) inokuba ngenxa:

• Ithamo elingalunganga lamayeza
• Ukusela utywala
• Ukuthatha amayeza athile e-counter-the-counter (OTC), iivithamini, izongezo, amayeza abandayo, amayeza okubulala iintsholongwane, okanye amanye amayeza
• Ukutya ukutya okutshintsha indlela elisebenza ngayo iyeza lokucoca igazi emzimbeni wakho

Umboneleli wakho uya kukufundisa malunga nokuthatha i-warfarin (Coumadin) ngendlela efanelekileyo.

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye, kwaye ukusuka kwelinye icala lomzimba ukuya kwelinye. Ukufumana isampulu yegazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukufa isiqaqa okanye ukuziva ungenantloko
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Ukugqobhoza okuninzi ukufumana imithambo
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Olu vavanyo luhlala lusenziwa kubantu abanokuba neengxaki zokopha. Umngcipheko wokopha uphezulu kancinci kunabantu abangenazingxaki zokopha.

PT; Pro-ixesha; Ixesha le-Anticoagulant-prothrombin; Ixesha lokuvala: ixesha; INR; Umlinganiselo oqhelekileyo wamazwe ngamazwe

• I-vein thrombosis enzulu - ukukhutshwa

IChernecky CC, iBerger BJ. Ixesha leprothrombin (PT) kunye nomgangatho oqhelekileyo kwilizwe jikelele (INR) -igazi. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 930-935.

I-Ortel TL. Unyango lwe-Antithrombotic. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 42.