Prothrombin nguva (PT)

Prothrombin nguva (PT) kuongororwa kweropa kunoyera nguva yainotora kuti chikamu chemvura (plasma) cheropa rako chivharike.

Kuongororwa kweropa kwakabatana chikamu chetromboplastin nguva (PTT).

Muenzaniso weropa unodiwa. Kana iwe uri kutora mishonga-yekuchera ropa mishonga, iwe unozotariswa nezviratidzo zvekubuda ropa.

Mimwe mishonga inogona kuchinja mhedzisiro yeropa.

• Anokuchengetedza hutano anokuudza kana uchifanira kurega kutora chero mishonga usati waongororwa. Izvi zvinogona kusanganisira aspirin, heparin, antihistamines, uye vhitamini C.
• Usamise kana kushandura mishonga yako usati wataura nemupi wako kutanga.

Taurira zvakare mupi wako kana iwe uri kutora chero mishonga yemakwenzi.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Chikonzero chakajairika kwazvo chekuita iyi bvunzo ndechekutarisa ako mazinga paunenge uchitora mushonga wekuonda-ropa unonzi warfarin. Iwe unogona kunge uchitora mushonga uyu kudzivirira kugwamba kweropa.

Mupi wako anoongorora PT yako nguva dzose.

Iwe unogona zvakare kuda bvunzo iyi ku:

• Tsvaga chinokonzera kubuda ropa zvisina kujairika kana kupwanya
• Tarisa kuti chiropa chako chiri kushanda sei
• Tarisa zviratidzo zvekuvhara ropa kana kubuda ropa kusagadzikana

PT inoyerwa mumasekondi. Kazhinji yenguva, mhedzisiro inopihwa seinonzi INR (yepasi rose yakaenzana chiyero).

Kana usiri kutora mishonga yekuchenesa ropa, senge warfarin, iwo akajairwa renji rezvabuda zvako zvePT ndeiyi:

• Masekondi 11 kusvika 13.5
• INR ye0.8 kusvika 1.1

Kana iwe uri kutora warfarin kudzivirira kuwanda kweropa, mupi wako anogona kuzonyanya kusarudza kuchengeta INR yako pakati pe2.0 ne3.0.

Kumbira mupiki wako mhedzisiro yakakunakira iwe.

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Kana iwe hazvisi kutora mishonga yekucheresa ropa, senge warfarin, mhinduro yeINR pamusoro apa 1.1 zvinoreva kuti ropa rako riri kugwamba zvishoma nezvishoma kupfuura zvakajairwa. Izvi zvinogona kukonzerwa ne:

• Kuvhiringidzika kweropa, boka remamiriro ezvinhu mune dambudziko remutumbi wekuvhara ropa kwemuviri.
• Kuvhiringidzika umo mapuroteni anodzora kugwamba kweropa anova pamusoro peanoshanda (anoparadzirwa intravascular coagulation).
• Chiropa chirwere.
• Chikamu chakadzika chevhitamini K.

Kana iwe vari kutora warfarin kudzivirira kugwamba, mupi wako anogona kusarudza kusarudza INR yako pakati pe2.0 na3.0:

• Zvichienderana nekuti nei uri kutora iro ropa rakatetepa, danho raunoda rinogona kunge rakasiyana.
• Kunyangwe INR yako ikagara pakati pe2.0 ne3.0, unowanzove uine matambudziko ekubuda ropa.
• Mhedzisiro yeINR yakakwira kupfuura 3.0 inogona kuisa iwe pangozi yakanyanya yekubuda ropa.
• INR mhedzisiro yakaderera pane 2.0 inogona kukuisa iwe panjodzi yekuvandudza ropa clot.

Mhedzisiro yePT iyo yakanyanya kukwirira kana kuderera zvakanyanya kune mumwe munhu ari kutora warfarin (Coumadin) inogona kunge iri nekuda kwe:

• Dozi isiriyo yemushonga
• Kunwa doro
• Kutora imwe over-the-counter (OTC) mishonga, mavitamini, zvinowedzera, inotonhora mishonga, maantibayoti, kana mimwe mishonga
• Kudya chikafu chinoshandura mashandiro anoita mushonga unoonda-ropa mumuviri wako

Wako mupi achakudzidzisa nezve kutora warfarin (Coumadin) nenzira kwayo.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe, uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kuwana muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kufenda kana kunzwa kushaya musoro
• Hematoma (ropa rinoungana pasi peganda)
• Akawanda punctures ekutsvaga mutsinga
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Muedzo uyu unowanzoitwa kune vanhu vanogona kunge vaine matambudziko ekubuda ropa. Ngozi yavo yekubuda ropa yakakwira zvishoma pane kune vanhu vasina matambudziko ekubuda ropa.

PT; Pro-nguva; Anticoagulant-prothrombin nguva; Nguva yekuvhara: protime; INR; International zvakajairika reshiyo

• Yakadzika tsinga thrombosis - kubuda

Chernecky CC, Berger BJ. Prothrombin nguva (PT) uye yepasi rose yakajairwa muyero (INR) - ropa. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 930-935.

Ortel TL. Antithrombotic kurapa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsuwa 42.