Uvavanyo lwexesha le-Prothrombin kunye ne-INR (PT / INR)

Umxholo

• Yintoni uvavanyo lwexesha leprothrombin nge-INR (PT / INR)?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lwe-PT / INR?
• Kwenzeka ntoni ngexesha lovavanyo lwe-PT / INR?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-PT / INR?
• Izalathiso

Yintoni uvavanyo lwexesha leprothrombin nge-INR (PT / INR)?

Ixesha lovavanyo lweprothrombin (PT) lilinganisa ukuba kuthabatha ixesha elingakanani ukuze iqokobhe lenze isampulu yegazi. I-INR (umlinganiso oqhelekileyo kwilizwe jikelele) luhlobo lokubala olusekwe kwiziphumo zovavanyo lwe-PT.

Iprothrombin yiprotein eyenziwe sisibindi. Yenye yezinto ezininzi eyaziwa ngokuba yi-clotting (coagulation). Xa usikwa okanye wenzakala ibangela ukopha, izinto zakho zokujiyisa zisebenza kunye ukwenza iqokobhe legazi. Amanqanaba ezinto zokuvala aphantsi kakhulu kunokubangela ukuba wophe kakhulu emva kokonzakala. Amanqanaba aphezulu kakhulu anokubangela ukuba amahlwili ayingozi enze kwimithambo yakho okanye kwimithambo.

Uvavanyo lwe-PT / INR luyanceda ukufumanisa ukuba ngaba igazi lakho liyajiya ngesiqhelo. Ikwajonga ukuba amayeza athintela amahlwili egazi asebenza ngendlela efanelekile na.

Amanye amagama: ixesha leprothrombin / umlinganiso oqhelekileyo kwilizwe jikelele, ixesha le-PT

Isetyenziselwa ntoni?

Uvavanyo lwe-PT / INR luhlala lusetyenziselwa:

• Jonga indlela esebenza ngayo i-warfarin. I-Warfarin liyeza elinciphisa igazi elisetyenziselwa ukunyanga nokukhusela amahlwili egazi anobungozi. (I-Coumadin ligama eliqhelekileyo lophawu lwe-warfarin.)
• Fumanisa unobangela wamahlwili egazi angaqhelekanga
• Fumana isizathu sokopha ngokungaqhelekanga
• Jonga umsebenzi wokuvala umsebenzi ngaphambi kotyando
• Jonga iingxaki zesibindi

Uvavanyo lwe-PT / INR luhlala lusenziwa kunye novavanyo lwe-thromboplastin (PTT). Uvavanyo lwe-PTT lukwajonga iingxaki ekunqandeni.

Kutheni ndifuna uvavanyo lwe-PT / INR?

Unokulufuna olu vavanyo ukuba uthatha i-warfarin rhoqo. Uvavanyo luyanceda ukuqinisekisa ukuba uthatha idosi elungileyo.

Ukuba awuthathi warfarin, unokufuna olu vavanyo ukuba uneempawu zokopha okanye ukuphazamiseka kwengqondo.

Iimpawu zesifo esophayo zibandakanya:

• Ukopha kakhulu okungachazwanga
• Ukukrala ngokulula
• Impumlo engaqhelekanga enzima ngokungaqhelekanga iyopha
• Ukuya exesheni okunzima ngokungaqhelekanga kubafazi

Iimpawu zengxaki yokunqanda igazi zibandakanya:

• Intlungu yomlenze okanye ukuthamba
• Ukudumba kwemilenze
• Ubomvu okanye imigca ebomvu emilenzeni
• Ingxaki yokuphefumla
• Khohlela
• Iintlungu zesifuba
• Ukubetha kwentliziyo okukhawulezayo

Ukongeza, unokufuna uvavanyo lwe-PT / INR ukuba ucwangciselwe uqhaqho. Kuyanceda ukuqinisekisa ukuba igazi lakho liyajiya ngesiqhelo, ke ngekhe ulahlekelwe ligazi elininzi ngexesha lenkqubo.

Kwenzeka ntoni ngexesha lovavanyo lwe-PT / INR?

Uvavanyo lunokwenziwa kwisampulu yegazi elivela kumthambo okanye incam yomnwe.

Isampulu yegazi evela emthanjeni:

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Isampulu yegazi kwincam yomnwe:

Uvavanyo lweminwe lunokwenziwa kwiofisi yomboneleli okanye ekhayeni lakho. Ukuba uthatha i-warfarin, umboneleli wakho unokucebisa ukuba uvavanye igazi lakho rhoqo usebenzisa ikhithi yovavanyo lwekhaya lwe-PT / INR. Ngexesha lovavanyo, wena okanye umboneleli wakho uya:

• Sebenzisa inaliti encinci ukubhoboza umnwe wakho
• Qokelela ithontsi legazi ulibeke kwisiqwenga sovavanyo okanye esinye isixhobo esikhethekileyo
• Beka isixhobo okanye umtya wovavanyo kwisixhobo esibala iziphumo. Izixhobo zasekhaya zincinci kwaye zilula.

Ukuba usebenzisa iikiti zasekhaya zokuvavanya, kuya kufuneka uphonononge iziphumo zakho nomboneleli wakho. Umboneleli wakho uya kukwazisa ukuba angathanda ukufumana njani iziphumo.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Ukuba uthatha i-warfarin, unokufuna ukulibazisa idosi yakho yemihla ngemihla de kube emva kovavanyo. Umboneleli wakho wokhathalelo lwempilo uya kukwazisa ukuba ngaba kukho eminye imiyalelo ekhethekileyo emayilandelwe.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Ukuba uvavanyiwe kuba uthatha i-warfarin, iziphumo zakho ziya kuba zikwimo yamanqanaba e-INR. Amanqanaba e-INR ahlala esetyenziswa kuba enza kube lula ukuthelekisa iziphumo ezivela kwiilebhu ezahlukeneyo kunye neendlela zovavanyo ezahlukeneyo. Ukuba awuthathi warfarin, iziphumo zakho zinokuba zikwimo yamanqanaba e-INR okanye inani lemizuzwana eliyithathayo kwisampulu yakho yegazi ukuyigquma (ixesha leprothrombin).

Ukuba uthatha i-warfarin:

• Amanqanaba e-INR aphantsi kakhulu kunokuthetha ukuba usemngciphekweni wamagazi ayingozi.
• Amanqanaba e-INR aphezulu kakhulu kunokuthetha ukuba usemngciphekweni wokopha okuyingozi.

Umboneleli wakho wezempilo uya kutshintsha idosi yakho ye-warfarin ukunciphisa le mngcipheko.

Ukuba awuthathi warfarin kwaye i-INR yakho okanye ixesha leprothrombin iziphumo bezingaqhelekanga, oko kunokuthetha enye yezi meko zilandelayo:

• Ingxaki yokopha, imeko apho umzimba ungenako ukuqinisa igazi ngokufanelekileyo, ubangele ukopha kakhulu
• Ukuphazamiseka ekunqandeni, imeko apho umzimba wenza amahlwili agqithisileyo kwimithambo okanye kwimithambo
• Isifo sesibindi
• Ukunqongophala kukaVitamin K.Vitamin K idlala indima ebalulekileyo ekunqandeni igazi.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-PT / INR?

Ngamanye amaxesha iimvavanyo ezithile zesibindi ziyalelwa kunye novavanyo lwe-PT / INR. Oku kubandakanya:

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

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.