Prothrombin nguva: chii icho, chii chaicho uye kukosha

Zvemukati

• Referensi tsika
• Zvinoreva mhedzisiro
• Yakakwira prothrombin nguva
• Yakaderera prothrombin nguva

Prothrombin nguva kana PT kuongororwa kweropa kunoongorora kugona kweropa kuvhara, ndokuti nguva inoda kumisa kubuda kweropa, semuenzaniso.

Nekudaro, iyo prothrombin nguva bvunzo inoshandiswa chero nguva kubuda ropa kana kupwanya kunoitika kuyedza kutsvaga chinokonzera dambudziko, uyezve kana paine fungidziro yezvinetso zveropa, uchibvunzwawo kuyera TGO, TGP uye GGT, semuenzaniso. Ona kuti ndeapi mabvunzo anoongorora chiropa.

Panyaya yevanhu vanoshandisa anticoagulants yemumuromo, seWarfarin kana Aspirin, chiremba nguva nenguva anokumbira INR, inova imwe nhanho yakatarwa kupfuura TP yekuongorora zvinoitwa nemishonga, nekuti TP inowanzo kuve yakakwira pasi pemamiriro aya.

Prothrombin, inozivikanwawo secoagulation factor II, ipuroteni inogadzirwa nechiropa uye painomisikidzwa inosimudzira kushandurwa kwefibrinogen kuita fibrin, iyo, pamwe chete nemaplatelet, inoita rukoko runodzivirira kubuda kweropa. Nekudaro, prothrombin chinhu chakakosha pakuvhara kweropa kuti chiitike.

Referensi tsika

Iko kukosha kukosha kweiyo prothrombin nguva nekuti munhu ane hutano anofanira kusiyana pakati Masekonzi gumi ne14. Kana iri INR, kukosha kweiye munhu ane hutano kunofanirwa kusiyana pakati pe0.8 ne1.

Nekudaro, kana iwe uri kushandisa anticoagulants yemumuromo, kukosha kwacho kunofanira kunge kuri pakati pe2 ne3, zvinoenderana nechirwere chakakonzera kudiwa kwekurapwa nemhando iyi yemishonga.

Zvinoreva mhedzisiro

Iyo prothrombin nguva bvunzo mhedzisiro inogona kuchinjwa nekuda kwezvikonzero zvakasiyana, saka pese panenge paine shanduko, chiremba anogona kuraira miedzo mitsva kuti ikwanise kuziva chakakonzera chikonzero uye kutanga kurapwa.

Zvimwe zvezvikonzero zvinowanzoitika zvinosanganisira:

Yakakwira prothrombin nguva

Mhedzisiro iyi inoratidza kuti kana kucheka kukaitika, kubuda ropa kunotora nguva yakareba kuti kumire, uye zvimwe zvezvikonzero zvakanyanya zvinosanganisira:

• Kushandisa anticoagulants;
• Shanduko yematumbo maruva;
• Kudya zvisina mwero;
• Chiropa chirwere;
• Vitamin K kushomeka;
• Zvinetso zvecoagulation, senge hemophilia;

Uye zvakare, mimwe mishonga yakadai semishonga inorwisa mabhakitiriya, corticosteroids uye diuretics inogona zvakare kuchinja kukosha kweiyo bvunzo, saka zvinokurudzirwa kuzivisa chiremba nezve yese mishonga yauri kushandisa.

Yakaderera prothrombin nguva

Kana prothrombin kukosha kwadzikira zvinoreva kuti coagulation inoitika nekukurumidza. Nekudaro, kunyangwe kubuda ropa kusingawanzoitika uye kuchimira nekukurumidza, pane njodzi yakawedzera yemapfunde anogona kutungamira kukuvara kana kurohwa.

Zvimwe zvezvikonzero zvinogona kukonzera shanduko iyi zvinosanganisira:

• Kushandiswa kwevhitamini K zvinowedzera;
• Kunyanyisa kudyiwa kwezvikafu zvine vhitamini K, senge sipinashi, broccoli kana chiropa;
• Kushandisa mapiritsi eestrogen sepiritsi rekuberekwa.

Muzviitiko izvi, zvinogona kuve zvakakosha kutanga kushandisa anticoagulants kana majekiseni eheparini kusvikira chikonzero chekuchinja chazivikanwa. Mushure meizvozvo, chiremba anokurudzira kurapwa kwakakodzera kwazvo.