Ka manawa Prothrombin (PT)

ʻO ka manawa Prothrombin (PT) kahi hoʻāʻo o ke koko e ana i ka manawa e pono ai no ka ʻāpana wai (plasma) o kou koko e hoʻopili.

ʻO kahi hoʻokolohua koko e pili ana he manawa thromboplastin hapa (PTT).

Pono kahi laʻana koko. Inā ʻoe e lawe i nā lāʻau hoʻoliʻiliʻi koko, e nānā ʻia ʻoe no nā hōʻailona o ke kahe ʻana.

Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena hōʻoia ke koko.

• E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka loaʻa ʻana o kēia hōʻike. Hiki i kēia ke komo i ka aspirin, heparin, antihistamines, a me ka vitamina C.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

E haʻi pū aku i kāu mea hāʻawi inā lawe ʻoe i nā lāʻau lapaʻau.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

ʻO ke kumu maʻamau e hana ai i kēia hoʻokolohua e nānā i kāu mau pae ke lawe ʻoe i kahi lāʻau lapaʻau koko i kapa ʻia warfarin. Ke lawe nei paha ʻoe i kēia lāʻau i mea e pale aku ai i ke koko koko.

E hōʻoia pinepine kāu mea hāʻawi i kāu PT.

Pono paha ʻoe i kēia hōʻoia i:

• E ʻike i ke kumu o ke kahe ʻana o ke kōkō a ʻeha paha
• E hōʻoia i ka maikaʻi o ka hana a kou ake
• E nānā i nā hōʻailona o ke kōkō ʻana o ke koko a i ʻole ka maʻi koko

Ana ʻia ʻo PT i kekona. ʻO ka hapa nui o ka manawa, hāʻawi ʻia nā hopena e like me ka mea i kapa ʻia ʻo INR (ka helu maʻamau maʻamau o ka honua).

Inā ʻaʻole ʻoe e lawe i nā lāʻau lahilahi i ke koko, e like me warfarin, ʻo ka pae maʻamau no kāu hopena PT.

• 11 a 13.5 kekona
• INR o 0.8 a 1.1

Inā ʻoe e lawe ana i warfarin e pale aku i nā kahe koko, e koho paha kāu mea lawelawe e mālama i kāu INR ma waena o 2.0 a me 3.0.

E nīnau i kāu mea hāʻawi i ka hopena kūpono iā ʻoe.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Inā 'oe poo lawe i nā lāʻau lahilahi o ke koko, e like me warfarin, kahi hopena INR ma luna o 1.1 ʻo ia hoʻi ke lohi o ke kō ʻana o kou koko ma mua o ka maʻamau. Pili paha kēia i:

• ʻO nā maʻi heʻe, he hui o nā kūlana kahi e pilikia ai me ke kaʻina o ke kōkō ʻana o ke kino.
• ʻO ka maʻi kahi e lilo ai nā protein i kaohi ʻana i ke kāpili ʻana o ke koko ma luna o kahi hana (dissemined intravascular coagulation).
• Maʻi maʻi ate.
• Low pae o ka wikamina K.

Inā 'oe he e lawe ana i warfarin e pale aku ai i nā clots, e koho paha kāu mea lawelawe e mālama i kāu INR ma waena o 2.0 a me 3.0:

• Aia i ke kumu o kou lawe ʻana i ka lahilahi o ke koko, ʻokoʻa paha ka pae i makemake ʻia.
• ʻOiai ke noho mau kāu INR ma waena o 2.0 a 3.0, hiki paha iā ʻoe ke loaʻa nā pilikia kahe.
• Hiki i nā hopena INR ke kiʻekiʻe aʻe ma mua o 3.0 ke waiho iā ʻoe i ka makaʻu kiʻekiʻe loa no ke kahe ʻana o ke kahe.
• Hiki i nā hopena INR ma lalo o 2.0 ke hoʻokau iā ʻoe i ka makaʻu no ka hoʻomohala ʻana i kahi ʻōpū o ke koko.

ʻO kahi hopena PT kiʻekiʻe a haʻahaʻa paha i kekahi e lawe ana i warfarin (Coumadin) ma muli o:

• Ka mahele lāʻau kūpono ʻole o ka lāʻau
• Ka inu lama
• Lawe ʻia i kekahi mau lāʻau ʻoi loa (OTC) lāʻau, nā wikamina, nā mea hoʻohui, nā lāʻau anuanu, nā lāʻau antibiotic, a i ʻole nā ​​lāʻau ʻē aʻe
• ʻO ka ʻai ʻana i nā meaʻai e hoʻololi i ke ʻano o ka hana ʻana o ka lāʻau hoʻoliʻiliʻi koko i kou kino

E aʻo aku kāu mea hāʻawi iā ʻoe e pili ana i ka lawe ʻana i warfarin (Coumadin) i ke ala kūpono.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Nā punctures he nui e ʻimi i nā uaua
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hana pinepine ʻia kēia hōʻike i ka poʻe i loaʻa i nā pilikia kahe. ʻOi aku ka kiʻekiʻe o ko lākou kahe ʻana o ke kahe ma mua o nā poʻe me ka pilikia ʻole o ke kahe.

PT; Pro-manawa; Anticoagulant-prothrombin manawa; Ka manawa lole: protime; INR; Lākiō maʻamau o ka lākiō

• Trombosis o ka aa hohonu - hoʻokuʻu

Chernecky CC, Berger BJ. Ka manawa Prothrombin (PT) a me ka lakio normalized kūwaho (INR) - ke koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 930-935.

ʻO Ortel TL. ʻO Antithrombotic therapy. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 42.