Yakasarudzika Thromboplastin Nguva (PTT) Bvunzo
Zvemukati
- Sei ndichida PTT bvunzo?
- Ndino gadzirira sei bvunzo ye PTT?
- Ndeipi njodzi dzinosanganisirwa nePTT bvunzo?
- Bvunzo dzePTT dzinoitwa sei?
- Zvinorevei mhedzisiro yacho?
- Zvakajairika PTT bvunzo mhedzisiro
- Asina kujairika PTT bvunzo mhedzisiro
Chii chinonzi chikamu chetromboplastin nguva (PTT) bvunzo?
Chikamu chepakati chepromboplastin nguva (PTT) bvunzo yeropa iyo inobatsira vanachiremba kuongorora kugona kwemuviri wako kugadzira kuumbika kweropa.
Kubuda ropa kunokonzeresa akateedzana maitiro anozivikanwa seye coagulation cascade. Coagulation ndiyo nzira inoshandiswa nemuviri wako kumisa kubuda kweropa. Masero anonzi maplatelet anogadzira plug yekuvhara izvo zvakakanganiswa nyama. Ipapo zvinovhara muviri zvemuviri wako zvinopindirana kuita ropa rinovhara. Kuderera kwenzvimbo dzekuvhara zvinhu kunogona kudzivirira kugwamba kubva pakuumba. Kushomeka kwekuvhara zvinhu kunogona kutungamira kuzviratidzo sekubuda ropa zvakanyanya, kuramba uchibuda ropa mumhino, uye kupwanya kuri nyore.
Kuti uedze kugona kwemuviri wemuviri wako, rabhoritari inounganidza sampuro yeropa rako muhombodo uye inowedzera makemikari anozoita kuti ropa rako rigwamba. Muedzo unoyera masekondi mangani zvinotora kuti ganda riumbike.
Iyi bvunzo dzimwe nguva inonzi yakamisirwa chikamu chetromboplastin nguva (APTT) bvunzo.
Sei ndichida PTT bvunzo?
Chiremba wako anogona kuraira PTT bvunzo kuti aongorore chinokonzera kubuda kwenguva refu kana kunyanyisa kubuda ropa. Zviratidzo zvinogona kukurudzira chiremba wako kuraira iyi bvunzo zvinosanganisira:
- kakawanda kana rinorema mhino dzemhino
- inorema kana yakareba kwenguva yekuenda kumwedzi
- ropa mumurini
- kuzvimba uye kurwadza majoini (kunokonzerwa nekubuda ropa munzvimbo dzako dzakabatana)
- kupwanya kuri nyore
Iyo PTT bvunzo haigone kuongorora yakatarwa mamiriro. Asi zvinobatsira chiremba wako kuti adzidze kana ako ekuvhara ropa zvinhu zvisina kukwana. Kana mhedzisiro yako yekuedzwa isina kujairika, chiremba wako angangoda kuraira mimwe bvunzo kuti aone icho muviri wako usiri kuburitsa.
Chiremba wako anogona zvakare kushandisa iyi bvunzo kuongorora mamiriro ako kana iwe ukatora ropa rakatetepa heparin.
Ndino gadzirira sei bvunzo ye PTT?
Mishonga yakati wandei inogona kukanganisa mhedzisiro yePTT bvunzo. Izvi zvinosanganisira:
- heparin
- warfarin
- asipurini
- antihistamines
- vhitamini C
- chlorpromazine
Iva nechokwadi chekuudza chiremba wako nezvemishonga yose yaunotora. Ungangoda kumira kuatora usati waedzwa.
Ndeipi njodzi dzinosanganisirwa nePTT bvunzo?
Sezvakaita chero bvunzo yeropa, pane njodzi shoma yekupwanya, kubuda ropa, kana hutachiona panzvimbo yekubaya. Muzviitiko zvisingawanzoitika, tsinga yako inogona kuzvimba mushure mekudonha kweropa. Aya mamiriro anozivikanwa se phlebitis. Kuisa inodziya compress kakawanda pazuva kunogona kurapa phlebitis.
Kuenderera mberi kwekubuda ropa kunogona kuve dambudziko kana uine chirwere chekubuda ropa kana uchitora mushonga wekuonda-ropa, senge warfarin kana aspirin.
Bvunzo dzePTT dzinoitwa sei?
Kuti uite bvunzo, phlebotomist kana mukoti anotora muyenzaniso weropa kubva paruoko rwako. Ivo vanochenesa saiti ne swab yedoro uye vanoisa tsono mukati mutsinga yako. Chubhu yakabatana netsono inounganidza ropa. Mushure mekutora ropa rakaringana, vanobvisa tsono uye vovhara nzvimbo yekubaya nepadhesi.
Nyanzvi yeelebhu inowedzera makemikari kune iyi ropa sampuro uye kuyera huwandu hwesekondi iyo inotora kuti muyenzaniso ufuke.
Zvinorevei mhedzisiro yacho?
Zvakajairika PTT bvunzo mhedzisiro
PTT bvunzo dzinoyerwa mumasekondi. Zvakajairika mhedzisiro anowanzo se25 kusvika makumi matatu nemashanu masekondi Izvi zvinoreva kuti zvakatora ropa rako sampuro masekondi makumi maviri neshanu kusvika makumi matatu nemashanu kuvhara mushure mekuwedzera mishonga.
Izvo chaizvo zviyero zvemhedzisiro mhedzisiro zvinogona kusiyana zvichienderana nachiremba wako uye lab, saka bvunza chiremba wako kana iwe uine chero zvinokunetsa.
Asina kujairika PTT bvunzo mhedzisiro
Rangarira kuti mhedzisiro yePTT isina kujairika haiongorore chero chirwere. Inongopa kunzwisisa nezve nguva inotora kuti ropa rako rigadzike. Zvirwere zvakawanda nemamiriro ezvinhu zvinogona kukonzera zvisina kujairika PTT mhedzisiro.
Yakareba PTT mhedzisiro inogona kunge iri nekuda kwe:
- mamiriro ekubereka, senge kubata nhumbu kuchangobva kuitika, kubata pari zvino, kana kusununguka kwepashure
- hemophilia A kana B
- kushomeka kwekuvhara kweropa zvinhu
- von Willebrand chirwere (chirwere chinokonzera kusanzwisisika kweropa)
- yakaparadzirwa intravascular coagulation (chirwere umo mapuroteni anokonzera kugwamba kweropa anoshanda zvisingaite)
- hypofibrinogenemia (kushomeka kweropa rinovhara chinhu fibrinogen)
- mimwe mishonga, senge yeropa rinotetepa heparin uye warfarin
- zvinovaka muviri nyaya, dzakadai vhitamini K kushomeka uye malabsorption
- antibodies, kusanganisira cardiolipin antibodies
- lupus anticoagulants
- leukemia
- chirwere chechiropa
Hupamhi hwakawanda hwezvinogona kukonzeresa mhedzisiro isina kujairika zvinoreva kuti bvunzo iyi yega haina kukwana kuti uone mamiriro aunayo. Mhedzisiro isina kujairika ingangoita kuti chiremba wako arayire mimwe bvunzo.