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Hōʻike Manaʻo Prothrombin a me INR (PT / INR) - Kino PaʻA
Hōʻike Manaʻo Prothrombin a me INR (PT / INR) - Kino PaʻA

Anter

He aha kahi hōʻike manawa prothrombin me kahi INR (PT / INR)?

Kuhi kahi manawa prothrombin (PT) i ka lōʻihi o ke kūkulu ʻana o kahi ʻōpala i kahi hāpana koko. He INR (international normalized ratio) kahi ʻano o ka helu ʻana ma muli o nā hopena hōʻike PT.

ʻO Prothrombin kahi protein i hana ʻia e ke ake. ʻO ia kekahi o nā mea i ʻike ʻia ma ke ʻano he clotting (coagulation). Ke hōʻoki ʻia ʻoe a i ʻole ʻeha ʻē aʻe e kumu ai ke kahe ʻana o ke koko, hana pū pū kāu mau mea pili i ke kāpili ʻana e hana i kahi kōkō koko. Hiki i nā pae o ka paʻa ʻana i nā haʻahaʻa haʻahaʻa ke kumu e kahe nui ke koko ma hope o kahi ʻeha. Hiki i nā pae kiʻekiʻe ke hana i nā clots weliweli e hana i loko o kāu aʻa a i ʻole nā ​​uaua.

Kōkua kahi hōʻike PT / INR i ka ʻike inā ke kāpili pinepine nei kou koko. Nānā ʻia ia e ʻike inā ke hana nei kahi lāʻau e pale ai i nā kahe koko e like me ka mea e pono ai.

Nā inoa ʻē aʻe: ka manawa prothrombin / ka lākiō maʻamau o ka honua, PT protime

No ke aha ia e hoʻohana ai?

Hoʻohana pinepine ʻia kahi hōʻike PT / INR i:

  • E ʻike i ka maikaʻi o ka hana ʻana ʻo warfarin. ʻO Warfarin kahi lāʻau lapaʻau koko e hoʻohana ʻia e mālama a pale i nā kaola koko weliweli. (ʻO Coumadin kahi inoa inoa maʻamau no warfarin.)
  • E ʻike i ke kumu o ke kahe koko ʻole
  • E ʻike i ke kumu no ke kahe mau ʻana o ke kahe
  • E hōʻoia i ke kāpili ʻana ma mua o ke kaha ʻana
  • E hōʻoia no nā pilikia o ke ake

Hana pinepine ʻia kahi hōʻike PT / INR me kahi hōʻike manawa thromboplastin hapa (PTT). Nānā ʻia kahi hōʻike PTT no nā pilikia o ka hoʻopili ʻana.


No ke aha wau e pono ai kahi hōʻoia PT / INR?

Pono ʻoe i kēia hōʻoia inā lawe ʻoe i warfarin ma kahi maʻamau. Kōkua ka hoʻāʻo e hōʻoia i ka lawe ʻana i ka lāʻau kūpono.

Inā ʻaʻole ʻoe e lawe i ka warfarin, pono paha ʻoe i kēia hōʻoia inā loaʻa iā ʻoe nā ʻōuli o ke kahe a me ka maʻi kō.

ʻO nā ʻōuli o kahi maʻi hoʻokahe keu:

  • Ke kahe nui ʻana o ke kahe
  • Māmā maʻalahi
  • Kipi ke ihu kaumaha nui ʻole
  • ʻO nā wā maʻamau maʻamau ʻole o nā wahine

ʻO nā ʻōuli o kahi maʻi kāpili:

  • ʻEha wāwae a palupalu paha
  • Huʻi wāwae
  • ʻO nā ʻulaʻula a ʻulaʻula paha i nā wāwae
  • Hī pilikia
  • Cough
  • ʻEha ʻeha
  • Kuʻi puʻuwai wikiwiki

Eia hou, pono paha ʻoe i kahi hōʻike PT / INR inā hoʻonohonoho ʻia ʻoe no ke ʻoki. Kōkua ia e hoʻopili pono i kou koko, no laila ʻaʻole ʻoe e lilo i ke koko i ka manawa o ke kaʻina hana.

He aha ka hana ma kahi hōʻike PT / INR?

Hiki ke hana i ka hoʻokolohua ma kahi laʻana koko mai kahi aa a i ʻole ka manamana lima.


No kahi laʻana koko mai kahi aa:

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

No kahi hōʻailona koko mai ka manamana lima:

E hana ʻia paha kahi hoʻokolohua manamana lima ma ke keʻena o kahi mea hoʻolako a i kou home paha. Inā ʻoe e lawe warfarin, hiki i kāu mea hāʻawi ke paipai iā ʻoe e hoʻāʻo pinepine i kou koko ma ka hoʻohana ʻana i kahi pahu hoʻāʻo PT / INR ma ka home. Ma kēia hōʻike, ʻo ʻoe a ʻo kāu mea hāʻawi paha:

  • E hoʻohana i kahi kui kele liʻiliʻi e hou i kou manamana lima
  • E hōʻiliʻili i kahi kulu o ke koko a kau iā ia ma kahi kaha hoʻāʻo a i ʻole mea kani kūikawā ʻē aʻe
  • E kau i ka mea kani a i ʻole ka papa hoʻāʻo i loko o kahi hāmeʻa e helu ana i nā hopena. Liʻiliʻi a māmā hoʻi nā hāmeʻa ma ka home.

Inā ʻoe e hoʻohana nei i kahi pahu hoʻāʻo ma ka home, pono ʻoe e loiloi i kāu mau hopena me kāu mea hāʻawi. E haʻi aku kāu mea lawelawe iā ʻoe pehea e makemake ai e loaʻa nā hopena.


Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

Inā ʻoe e lawe ana i ka warfarin, pono paha ʻoe e hoʻolohi i kāu lāʻau i kēlā me kēia lā a hiki i ka hoʻāʻo ʻana. E haʻi aku kāu mea mālama ola iā ʻoe inā aia kekahi ʻōlelo aʻoaʻo ʻē aʻe e hāhai ai.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā ua hoʻāʻo ʻia ʻoe no ka lawe ʻana i ka warfarin, aia paha kāu mau hopena ma ke ʻano o nā pae INR. Hoʻohana pinepine ʻia nā pae INR no ka mea maʻalahi ka hoʻohālikelike i nā hopena mai nā labs like ʻole a me nā ʻano hoʻokolohua like ʻole. Inā ʻaʻole ʻoe e lawe i ka warfarin, aia paha kāu mau hopena ma ke ʻano o nā pae INR a i ʻole ka helu o nā kekona e lawe ai i kāu hāpana koko e hoʻopili (manawa prothrombin)

Inā ʻoe e lawe warfarin:

  • ʻO nā pae INR i haʻahaʻa loa he mea ia e makaʻu ai ʻoe no nā huehue koko weliweli.
  • ʻO nā pae INR kiʻekiʻe loa paha he mea ia e makaʻu ʻoe i ke kahe koko weliweli.

E loli paha kāu mea mālama ola i kāu mahele lāʻau o warfarin e hōʻemi i kēia mau pilikia.

Inā ʻaʻole ʻoe e lawe i ka warfarin a me kāu INR a i ʻole prothrombin manawa hopena ʻaʻole maʻamau, ʻo ia paha kekahi o kēia mau ʻano:

  • ʻO kahi maʻi hoʻokahe, kahi ʻano e hiki ʻole ai i ke kino ke hoʻopili pono i ke koko, e hōʻeha ana i ke kahe nui
  • ʻO kahi maʻi hōʻino, kahi kūlana e hana ai ke kino i nā clots nui i nā aʻa a i ʻole nā ​​uaua
  • Maʻi maʻi ate
  • Ka hemahema o ka wikamina K.He mea nui ka wikamina K i ke kāpili ʻana i ke koko.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike PT / INR?

I kekahi manawa kauoha ʻia kekahi mau hoʻāʻo ate me kahi hōʻike PT / INR. Pākuʻi ʻia kēia mau mea:

  • Aspartate Aminotransferase (AST)
  • Alanine Aminotransferase (ALT)

Nā kūmole

  1. ʻAhahui ʻAmelika o Hematology [Pūnaewele]. Wakinekona D.C .: ʻAhahui ʻAmelika o Hematology; c2020. Nā Koko koko; [i helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.hematology.org/Patients/Clots
  2. ʻO ke olakino kamaliʻi mai Nemours [Pūnaewele]. Jacksonville (FL): Ke Kulanui Nemours; c1995–2020. Hōʻoia Koko: Manawa Prothrombin (PT); [i helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://kidshealth.org/en/mother/test-pt.html
  3. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C.; ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2020. Nā maʻi kīnā nui loa; [hōʻano hou ʻia 2019 Oct 29; helu ʻia 2020 Jan 30]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/excessive-clotting-disorder
  4. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C.; ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2020. Ka Manawa Prothrombin (PT) a me ka Ratio Normalized International (PT / INR); [hōʻano hou ʻia 2019 Nov 2; helu ʻia 2020 Jan 30]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/prothrombin-time-and-international-normalized-ratio-ptinr
  5. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2020. Hōʻike manawa Prothrombin: Overview; 2018 Nov 6 [helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/tests-procedures/prothrombin-time/about/pac-20384661
  6. National Blood Clot Alliance: Kāohi i ka Clot [Pūnaewele]. Gaithersburg (MD): Ka Hui Huʻihu Koko Aupuni; ʻO ka ho'āʻo ʻana iā INR iho; [i helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.stoptheclot.org/about-clots/blood-clot-treatment/warfarin/inr-elf-testing
  7. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā maʻi hōʻeha; [hoʻohou 2019 Sep 11; helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/bleeding-disorder
  8. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [i helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
  9. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kulanui o Florida; c2020. Ka manawa Prothrombin (PT): Hōʻike Overview; [hōʻano 2020 Jan 30; helu ʻia 2020 Jan 20]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/prothrombin-time-pt
  10. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2020. ʻO Encyclopedia Health: ʻO Prothrombin Manawa; [i helu ʻia 2020 Jan 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=pt_prothrombin_time
  11. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2020. ʻO Encyclopedia Health: Wikamina K; [i helu ʻia 2020 Jan 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=19&contentid=VitaminK
  12. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Manawa Prothrombin a me INR: Pehea e hana ai; [hoʻohou 2019 Apr 9; helu ʻia 2020 Jan 30]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-and-inr/hw203083.html#hw203099
  13. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Ka Manawa Prothrombin a me INR: Nā hopena; [hoʻohou 2019 Apr 9; helu ʻia 2020 Jan 30]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-and-inr/hw203083.html#hw203102
  14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Manawa Prothrombin a me INR: Hōʻike Manaʻo hōʻike; [hoʻohou 2019 Apr 9; helu ʻia 2020 Jan 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-and-inr/hw203083.html#hw203086
  15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Manawa Prothrombin a me INR: He aha e noʻonoʻo ai; [hoʻohou 2019 Apr 9; helu ʻia 2020 Jan 30]; [ma kahi o 10 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-and-inr/hw203083.html#hw203105
  16. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Manawa Prothrombin a me INR: No ke aha e hana ai; [hoʻohou 2019 Apr 9; helu ʻia 2020 Jan 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-and-inr/hw203083.html#hw203092

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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