Wā thromboplastin manawa (PTT)

ʻO ka manawa thromboplastin hapa (PTT) kahi hōʻike koko e nānā i ka lōʻihi o ke kō ʻana o ke koko. Hiki iā ia ke kōkua e haʻi inā loaʻa iā ʻoe kahi pilikia kahe o ke kahe a i ʻole ʻaʻole huʻi pono kou koko.

ʻO kahi hōʻike koko pili ka manawa prothrombin (PT).

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

E haʻi paha kāu mea mālama ola iā ʻoe e kū iki i ka lawe ʻana i nā lāʻau i hiki ke hoʻololi i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. E haʻi pū aku i kāu mea hoʻolako e pili ana i nā lāʻau lapaʻau āu e lawe ai.

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.

Pono paha ʻoe i kēia hōʻike inā loaʻa ʻoe i nā pilikia me ke kahe ʻana o ke koko a i ʻole ʻaʻole huʻu pono kou koko. Ke kahe ʻoe, kahi o nā hana e pili ana i nā protein ʻē aʻe (nā kumu ʻōpili) i loko o ke kino e kōkua i ke kōkuʻu koko. Kapa ʻia kēia ʻo ka cascade coagulation. Nānā ka hōʻike PTT i kekahi o nā protein a i ʻole nā ​​mea i pili i kēia kaʻina hana a ana i ko lākou hiki ke kōkua i ke kōkuʻu koko.

Hoʻohana ʻia paha ka hōʻike e nānā ai i nā mea maʻi e lawe nei i ka heparin, kahi lahilahi o ke koko.

Hana pinepine ʻia kahi hōʻike PTT me nā hoʻokolohua ʻē aʻe, e like me ka hōʻike prothrombin.

Ma ka laulā, pono ke kāpili ma waena o 25 a 35 kekona. Inā lawe ke kanaka i nā wīwī o ke koko, ʻoi aku ka lōʻihi o ka hoʻopili ʻana i 2 ½ mau manawa ka lōʻihi.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā labs. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi hopena PTT (lōʻihi paha) ma muli o:

• 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 mālama ai nā protein i ka hoʻopili ʻia ʻana o ke koko ma luna o kahi hana (hoʻolaha ʻia i ka coagulation intravascular)
• Maʻi maʻi ate
• Hōʻalo paʻakikī i nā meaʻai mai ka meaʻai (malabsorption)
• Low pae o ka wikamina K

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 ka poʻe me ka pilikia ʻole o ke kahe.

APTT; PTT; Hoʻonohonoho ʻia ka manawa thromboplastin hapa

• Trombosis o ka aa hohonu - hoʻokuʻu

Chernecky CC, Berger BJ. Hōʻoia i ka tromboplastin hōʻoia hoʻokolohua hoʻokolohua - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 101-103.

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.