Hōʻike Manaʻo Prothrombin

Anter

• No ke aha e hana ʻia ai kahi manawa prothrombin?
• Pehea e hana ai kahi hōʻike manawa prothrombin?
• He aha nā pilikia e pili ana i kahi hōʻike manawa prothrombin?
• He aha ke ʻano o nā hopena hōʻike?

Hōʻike Overview

Kuhi kahi manawa prothrombin (PT) i ka nui o ka manawa no kāu plasma toto e hoʻopili. ʻO Prothrombin, ka mea i ʻike ʻia ma ke ʻano he II, ʻo ia wale nō ia o nā protein protein i pili i ka hana hoʻopili.

No ke aha e hana ʻia ai kahi manawa prothrombin?

Ke ʻoki ʻoe a haki kou kīʻaha koko, ʻohiʻohi ʻia nā pā koko ma ke kahua o ka ʻeha. Hoʻokumu lākou i kahi kuʻupuʻu kūlohelohe e hoʻokū i ke kahe. I mea e hoʻohua ai i kahi kōkō koko ikaika, kahi hui o 12 proteins plasma, a i ʻole nā ​​"mea" coagulation, e hana pū e hana i kahi mea i kapa ʻia ʻo fibrin, kahi e sila ai ka ʻeha.

ʻO kahi maʻi kahe i kapa ʻia ʻo hemophilia hiki ke hana i kou kino e hana pololei ʻole i kekahi mau kumu coagulation, ʻaʻole paha. ʻO kekahi mau lāʻau, maʻi maʻi akepaa, a i ʻole hemahema hoʻi ka wikamina K hiki i ke kumu o ka hoʻokumu ʻana i nā ʻōpala abnormal.

ʻO nā ʻōuli o kahi maʻi hoʻokahe keu:

• paopao maʻalahi
• kahe kahe e kū ʻole, ʻoiai ma hope o ka hoʻopili ʻana i ka ʻeha
• wā kaumaha loa
• koko i ka mimi
• pehu, ʻeha hoʻi o nā hono
• ihu ihu

Inā manaʻo kāu kauka he maʻi koko kou, e kauoha paha lākou i kahi hōʻike PT e kōkua iā lākou e hana i kahi kuhi. ʻOiai ʻaʻohe ou ʻōuli o ke kahe koko, hiki i kāu kauka ke kauoha i kahi hōʻike PT e hōʻoia i ke kahe ʻana o kou koko ma mua o ka hana ʻana i kahi ʻoki nui.

Inā ʻoe e lawe i ka warfarin lāʻau hoʻoliʻiliʻi koko, e kauoha kāu kauka i nā hoʻokolohua PT maʻamau e hōʻoia ʻaʻole ʻoe e lawe i ka lāʻau nui loa. Lawe ka nui loa warfarin hiki i ke kahe nui o ke kahe.

Hiki i ka maʻi maʻi a i ʻole ka wikamina K ke kumu i kahi maʻi koko. Kauoha paha kāu kauka iā PT e nānā i ke kahe o kou koko inā loaʻa iā ʻoe kekahi o kēia mau ʻano.

Pehea e hana ai kahi hōʻike manawa prothrombin?

Hiki i ka lāʻau hōʻemi koko ke hoʻololi i nā hopena o ka hoʻāʻo. E haʻi i kāu kauka e pili ana i nā lāʻau āpau a me nā mea hoʻopihapiha āu e lawe nei. E aʻo lākou iā ʻoe inā e hoʻōki i ka lawe ʻana iā lākou ma mua o ka hoʻāʻo. ʻAʻole pono ʻoe e hoʻokē ʻai ma mua o kahi PT.

Pono ʻoe e kau i kou koko no kahi hōʻike PT. ʻO kēia kahi ʻōnaehana outpatient i hana mau ʻia ma kahi keʻena diagnostic. He mau minuke wale nō ia a ʻaʻole ʻeha iki.

ʻO kahi kahu hānai a i ʻole phlebotomist (kahi kanaka i hoʻomaʻamaʻa kūikawā ʻia i ke kiʻi ʻana i ke koko) e hoʻohana i kahi nila liʻiliʻi e huki i ke koko mai kahi aa, ma ka lima a i ʻole ka lima. E hoʻohui kahi loea loea i nā kemikal i ke koko e ʻike i ka lōʻihi o ke kūkulu ʻana i kahi ʻōpala.

He aha nā pilikia e pili ana i kahi hōʻike manawa prothrombin?

Pili nā mea liʻiliʻi loa me ka huki ʻia o kou koko no kahi hōʻike PT. Eia nō naʻe, inā he maʻi kahe kou, aia ʻoe i kahi kiʻekiʻe kiʻekiʻe aʻe no ka nui o ke kahe ʻana a me ka hematoma (ke koko e hōʻiliʻili ma lalo o ka ʻili).

Aia kahi liʻiliʻi liʻiliʻi o ka maʻi maʻi ma ka pūnaewele puncture. E maʻule paha ʻoe a ʻeha paha ʻoe a ʻeha paha ma ka pūnaewele kahi i huki ʻia ai kou koko. Pono ʻoe e makaʻala i ke kanaka e lawelawe ana i ka hoʻokolohua inā hoʻomaka ʻoe e ʻōpule a maule paha.

He aha ke ʻano o nā hopena hōʻike?

Lawe ka wai koko ma waena o 11 a me 13.5 kekona i ka hoʻopili inā ʻaʻole ʻoe e lawe i ka lāʻau hoʻoliʻiliʻi koko. Hōʻike pinepine ʻia nā hopena PT ma ke ʻano he lākiō maʻamau o ka honua (INR) i hōʻike ʻia ma ke ʻano he helu. ʻO kahi laulā maʻamau no ke kanaka e lawe ʻole ana i ka lāʻau ʻoi aku ka lahilahi o 0.9 a ma kahi o 1.1. No kekahi e lawe ana i ka warfarin, ʻo ka INR i hoʻolālā ʻia ma waena o 2 a 3.5.

Inā kō kou koko i loko o ka manawa maʻamau, ʻaʻole paha ʻoe i loaʻa i kahi maʻi kahe. Inā 'oe he ke lawe nei i kahi mea lahilahi o ke koko, ʻoi aku ka lōʻihi o ka paʻa ʻana o kahi ʻōpala. E hoʻoholo kāu kauka i kāu manawa pahu hopu pahu hopu.

Inā ʻaʻole e kō kou koko i ka manawa maʻamau, hiki iā ʻoe:

• ma ka mahele lāʻau kūpono ʻole o warfarin
• he maʻi ate
• loaʻa ka loaʻa ʻole ka wikamina K
• loaʻa kahi maʻi koko, e like me ka hemahema o ka mea II

Inā loaʻa iā ʻoe kahi maʻi kahe o ke kahe, hiki i kāu kauka ke koi aku i ke olakino olakino a i ʻole ke hoʻololi ʻana o nā pā koko a i ʻole ka plasma paʻahau hou.