Ixesha leprothrombin: yintoni, yintoni eyixabiso kunye nexabiso

Umxholo

• Amaxabiso esalathiso
• Intsingiselo yeziphumo
• Ixesha eliphezulu leprothrombin
• Ixesha eliphantsi leprothrombin

Ixesha leprothrombin okanye i-PT luvavanyo lwegazi oluvavanya amandla egazi okugubungela, okt ixesha elifunekayo lokumisa ukopha, umzekelo.

Ke, uvavanyo lweprothrombin lusetyenziswa nangaliphi na ixesha ukopha rhoqo okanye ukugruzuka kwenzeka ukuzama ukufumana unobangela wengxaki, naxa kukho urhano lweengxaki zesibindi, kucelwa ukuba ulinganise i-TGO, TGP kunye ne-GGT, umzekelo. Jonga ukuba zeziphi iimvavanyo ezivavanya isibindi.

Kwimeko yabantu abasebenzisa i-anticoagulants zomlomo, ezinje ngeWarfarin okanye i-Aspirin, ugqirha amaxesha ngamaxesha ucela i-INR, eyona nto ingaphezulu kwe-TP yokuvavanya isiphumo samachiza, kuba i-TP ihlala iphezulu phantsi kwezi meko.

Iprothrombin, ekwabizwa ngokuba yi-coagulation factor II, yiprotein eveliswa sisibindi kwaye xa iyenziwa ikhuthaza ukuguqulwa kwe-fibrinogen ibe yi-fibrin, yona, kunye neeplatelets, eyenza umaleko othintela ukopha. Ke, iprothrombin yinto ebalulekileyo ekunqandeni kwegazi.

Amaxabiso esalathiso

Ixabiso lesalathiso se ixesha leprothrombin ngokuba umntu ophilileyo kufuneka ahluke phakathi Imizuzwana eyi-10 ne-14. Kwindaba ye INR, Ixabiso lesalathiso lomntu ophilileyo kufuneka lahluke phakathi ko-0.8 no-1.

Nangona kunjalo, ukuba usebenzisa i-anticoagulants yomlomo, ixabiso kufuneka libe phakathi kwe-2 kunye ne-3, kuxhomekeke kwisifo esikhokelele kwimfuno yolu hlobo lonyango.

Intsingiselo yeziphumo

Iziphumo zovavanyo lwexesha leprothrombin zinokutshintshwa ngenxa yezizathu ezahlukeneyo, ke xa kukho utshintsho, ugqirha unokuyalela iimvavanyo ezintsha ukuze akwazi ukubona unobangela ochanekileyo kwaye aqale unyango.

Ezinye zezizathu eziqhelekileyo zibandakanya:

Ixesha eliphezulu leprothrombin

Esi siphumo sibonisa ukuba ukusikwa kwenzeka, ukopha kuya kuthatha ixesha elide ukuyeka, kwaye ezinye zezona zinto zixhaphakileyo zibandakanya:

• Ukusetyenziswa kwee-anticoagulants;
• Ukutshintshwa kweentyatyambo zamathumbu;
• Ukutya okungalinganiyo;
• Isifo sesibindi;
• Ukunqongophala kukaVitamin K;
• Iingxaki zokuxinana, ezinje ngehemophilia;

Ukongeza, amanye amayeza afana ne-antibiotics, i-corticosteroids kunye ne-diuretics nazo zinokutshintsha ixabiso lovavanyo, ke kuyacetyiswa ukuba wazise ugqirha ngalo lonke unyango olisebenzisayo.

Ixesha eliphantsi leprothrombin

Xa ixabiso leprothrombin lisezantsi oko kuthetha ukuba ingxinano yenzeka ngokukhawuleza okukhulu. Ke, nangona ukopha kunqabile kwaye kuyeka ngokukhawuleza, kukho umngcipheko owandayo wamahlwili anokukhokelela kukutheleka okanye ukubetha.

Ezinye zezizathu ezinokubangela olu tshintsho zibandakanya:

• Ukusetyenziswa kwezongezelelo zevithamini K;
• Ukusetyenziswa kakhulu kokutya okune-vitamin K, enje ngesipinatshi, i-broccoli okanye isibindi;
• Ukusetyenziswa kweepilisi ze-estrogen njengepilisi yolawulo lokuzalwa.

Kwezi meko, kunokuba yimfuneko ukuqala ukusebenzisa i-anticoagulants okanye inaliti ye-heparin de kuchongwe unobangela wotshintsho. Emva koko, ugqirha uya kuncomela olona nyango lufanelekileyo.