Tijaabada Waqtiga Prothrombin iyo INR (PT / INR)

Qanacsan

• Waa maxay tijaabada waqtiga prothrombin ee INR (PT / INR)?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka PT / INR?
• Maxaa dhacaya inta lagu jiro baaritaanka PT / INR?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka PT / INR?
• Tixraacyo

Waa maxay tijaabada waqtiga prothrombin ee INR (PT / INR)?

Waqtiga prothrombin (PT) waxaa lagu cabiraa inta ay qaadaneyso in xinjir ku sameysmo sambal dhiig. INR (saamiga caalamiga ah ee caadiga ah) waa nooc xisaabeed ku saleysan natiijooyinka baaritaanka PT.

Prothrombin waa borotiin uu sameeyo beerka. Waa mid ka mid ah dhowr maado oo loo yaqaanno xinjirowga (xinjirowga) arrimo. Markaad goysid ama dhaawac kale oo dhiig bax keenaya, arrimahaaga xinjirowga ayaa wada shaqeynaya si ay u noqdaan xinjirowga dhiigga. Heerarka cunsuriyada ee aad u hooseeya ayaa kuu horseedi kara inaad dhiig badan daadato dhaawaca ka dib. Heerarka oo aad u sarreeya waxay sababi karaan xinjiro khatar ah inay ku sameysmaan xididdada dhiigga ama xididdada dhiigga.

Baaritaanka PT / INR wuxuu kaa caawinayaa in la ogaado in dhiiggaagu si caadi ah u xinjiroobayo. Waxay sidoo kale hubineysaa in daawo ka hortageysa xinjirowga dhiigga ay u shaqeyneyso sidii la rabay.

Magacyada kale: waqtiga prothrombin / saamiga caadiga ah ee caalamiga, PT protime

Maxaa loo adeegsadaa?

Tijaabada PT / INR waxaa badanaa loo isticmaalaa:

• Eeg sida wanaagsan ee warfarin u shaqeyso. Warfarin waa daawo dhiiga khafiifisa oo loo isticmaalo daaweynta iyo ka hortagga xinjirowga dhiiga ee halista ah. (Coumadin waa magac caan ah oo loo yaqaan warfarin.)
• Soo ogow sababta xinjirowga dhiigga ee aan caadiga ahayn
• Soo ogow sababta dhiigbaxa aan caadiga ahayn
• Hubi shaqada xinjirowga qalliinka ka hor
• Hubi dhibaatooyinka beerka

Tijaabada PT / INR waxaa badanaa la sameeyaa iyada oo ay weheliso tijaabada qayb ahaan waqtiga tromboplastin (PTT). Tijaabada PTT sidoo kale waxaa lagu hubiyaa dhibaatooyinka xinjirowga.

Maxaan ugu baahanahay baaritaanka PT / INR?

Waxaad u baahan kartaa baaritaankaan haddii aad si joogto ah u qaadaneyso warfarin. Baaritaanku wuxuu kaa caawinayaa inaad hubiso inaad qaadanayso qiyaasta saxda ah.

Haddii aadan qaadanayn warfarin, waxaad u baahan kartaa baadhitaankan haddii aad leedahay astaamo dhiig-bax ama xinjirowga xinjirowga.

Calaamadaha cudurka dhiig-baxa waxaa ka mid ah:

• Dhiigbax culus oo aan la garanayn
• Dhaawac fudud
• Sanka oo aan caadi ahayn ayaa dhiig baxa
• Caado aan caadi aheyn oo caadada dumarka ah

Calaamadaha lagu garto xinjirowga xinjirowga waxaa ka mid ah:

• Lug xanuun ama danqasho
• Lug barar
• Casaan ama xariijimo cas oo lugaha ah
• Neefsashada oo dhib ah
• Qufac
• Laab xanuun
• Wadna garaac dhakhso leh

Intaas waxaa sii dheer, waxaad u baahan kartaa baaritaanka PT / INR haddii laguu qorsheeyay qalliin. Waxay kaa caawinaysaa inaad hubiso in dhiiggaagu si caadi ah u xinjiroobayo, markaa ma waayi doontid dhiig aad u tiro badan inta hawshu socoto.

Maxaa dhacaya inta lagu jiro baaritaanka PT / INR?

Baaritaanka waxaa laga yaabaa in lagu sameeyo sambal dhiig ah oo laga helo xididka ama faraha.

Tijaabada dhiigga xididka:

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Tijaabada dhiigga farta:

Tijaabada faraha waxaa laga yaabaa in lagu sameeyo xafiiska adeeg bixiyaha ama gurigaaga. Haddii aad qaadaneysid warfarin, adeeg bixiyahaagu wuxuu kugula talin karaa inaad si joogto ah u baarto dhiiggaaga adoo isticmaalaya qalabka baaritaanka guriga ee PT / INR. Inta lagu jiro baaritaanka, adiga ama daryeel bixiyahaagu waxaad:

• Isticmaal cirbad yar si aad farta uga qaaddo farahaaga
• Ururi dhibic yar oo dhiig ah oo ku rid marinka tijaabada ama qalab kale oo gaar ah
• Qalabka ama xariijinta tijaabada dhig qalab xisaabiya natiijooyinka. Qalabka guriga gudihiisa waa kuwo yar yar oo fudud.

Haddii aad isticmaaleyso xirmada baaritaanka guriga, waxaad u baahan doontaa inaad dib ula eegto natiijooyinkaaga adeeg bixiyahaaga. Adeeg bixiyahaaga ayaa ku ogeysiin doona sida isagu ama iyadu u jeclaan lahaayeen inay helaan natiijooyinka.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Haddii aad qaadanayso warfarin, waxaad u baahan kartaa inaad dib u dhigto qiyaastaada maalin kasta illaa baaritaanka ka dib. Bixiyahaaga daryeelka caafimaad ayaa kula socodsiin doona haddii ay jiraan tilmaamo kale oo gaar ah oo la raaco.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Haddii lagugu tijaabiyey sababta oo ah waxaad u qaadaneysaa warfarin, natiijooyinkaaga waxay u badan tahay inay noqon doonaan heerar heerarka INR ah. Heerarka INR badanaa waa la isticmaalaa maxaa yeelay waxay fududeynayaan in la isbarbardhigo natiijooyinka shaybaarada kala duwan iyo hababka tijaabooyinka kala duwan. Haddii aadan qaadanayn warfarin, natiijooyinkaagu waxay noqon karaan noocyo ah heerarka INR ama tirada ilbiriqsiyo ee ay qaadanayso sambalkaaga dhiiggu inuu xinjiroobo (waqtiga prothrombin).

Haddii aad qaadanayso warfarin:

• Heerarka INR ee aad u hooseeya waxay noqon karaan inaad halis ugu jirto xinjirowga dhiigga ee halista ah.
• Heerarka INR ee aad u sareeya waxay noqon karaan inaad qatar ugu jirto dhiig bax halis ah.

Bixiyaha xanaanada caafimaadkaaga ayaa badalidoona qiyaastaada warfarin si looyareeyo khatarahaan.

Haddii aadan qaadanaynin warfarin oo INR-gaaga ama natiijooyinka waqtiga prothrombinku caadi ma ahayn, waxaa laga yaabaa inay ka mid tahay xaaladaha soo socda:

• Xanuun dhiig-bax, xaalad ah in jidhku uusan si sax ah u xinji karin karin dhiigga, oo keenaya dhiig-bax xad-dhaaf ah
• Xanuun xinjirowga jirka ku dhaca, oo ah xaalad jirku ku sameeyo xinjirowga xad-dhaafka ah ee xididdada dhiigga ama xididdada dhiigga
• Cudurka beerka
• Faytamiin K yaraanta.Faytamiin K ayaa door muhiim ah ka ciyaara xinjirowga dhiigga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka PT / INR?

Mararka qaarkood baaritaanada beerka qaarkood ayaa la dalbadaa oo ay la socdaan baaritaanka PT / INR. Kuwaas waxaa ka mid ah:

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

Tixraacyo

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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.