Prothrombin Lub Sij Hawm Ntsuam Xyuas thiab INR (PT / INR)

Zoo Siab

• Lub sij hawm ntsuas prothrombin nrog INR (PT / INR) yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj xav tau PT / INR kuaj?
• Dab tsi tshwm sim thaum kuaj PT / INR?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev ntsuam xyuas PT / INR?
• Ua tim khawv

Lub sij hawm ntsuas prothrombin nrog INR (PT / INR) yog dab tsi?

Lub sijhawm tshuaj prothrombin (PT) ntsuas tau ntsuas nws siv sijhawm ntev npaum li cas txhawm rau txhawm rau txhawm rau hauv cov ntshav ntsuas. Ib qho INR (kev sib piv hauv ib txwm thoob ntiaj teb) yog ib hom kev suav raws li cov txiaj ntsig ntawm PT.

Prothrombin yog cov protein ua los ntawm lub siab. Nws yog ib qho ntawm ntau yam tshuaj hu ua ntshav (coagulation) yam. Thaum koj tau txais kev txiav lossis raug mob lwm yam uas ua rau los ntshav, koj cov ntshav txhaws ua haujlwm ua ke txhaws ntshav txhaws. Clotting cov qib uas qis heev yuav ua rau koj los ntshav ntau dhau tom qab raug mob. Qib uas tsis dhau dhau lawm tuaj yeem ua rau txhawm rau txhawm rau tsim hauv koj cov hlab ntsha lossis leeg ntshav.

Kev ntsuas PT / INR pab xyuas seb koj cov ntshav puas txhaws li cas. Nws tseem kuaj xyuas seb cov tshuaj uas tiv thaiv cov ntshav txhaws yog ua haujlwm zoo li nws.

Lwm lub npe: prothrombin lub sijhawm / thoob ntiaj teb li qub piv, PT tiv thaiv

Nws siv rau dab tsi?

Kev ntsuas PT / INR feem ntau siv rau:

• Saib seb warfarin puas ua haujlwm tau zoo. Warfarin yog tshuaj ntshav uas yog siv los kho thiab tiv thaiv cov ntshav txhaws. (Coumadin yog hom muaj npe ua lag luam rau warfarin.)
• Nrhiav cov laj thawj uas ua rau txhaws ntshav txhaws
• Tshawb xyuas qhov laj thawj ntawm kev los ntshav tsis txawv
• Kuaj ntshav khov ua ntej phais
• Kuaj kab mob siab

Kev ntsuas PT / INR feem ntau ua nrog rau qee lub sijhawm thromboplastin lub sijhawm (PTT) cov ntawv xeem. Kev ntsuam xyuas PTT kuj kuaj xyuas cov teeb meem hauv ntshav khov.

Vim li cas kuv thiaj xav tau PT / INR kuaj?

Koj tuaj yeem xav tau qhov kev sim no yog tias koj noj tshuaj warfarin tsis tu ncua. Qhov kev kuaj mob yuav pab kom koj tau noj cov tshuaj kom yog.

Yog tias koj tsis noj tshuaj warfarin, tej zaum koj yuav xav tau qhov kev ntsuas no yog tias koj muaj cov tsos mob ua los ntshav lossis ua tsis taus pa.

Cov tsos mob ntawm kev los ntshav tsis xws li:

• Kev tsis pom zoo hnyav li los ntshav
• Bruising tau yooj yim
• Qhov uas ntshav ntau dhau los ntshav
• Kev ua poj niam hnyav thaum muaj poj niam coj khaub ncaws

Cov tsos mob ua mob ntsws txhaws:

• Mob ceg lossis mob siab
• Mob ceg o
• Liab lossis liab txoj kab ntawm ob txhais ceg
• Teeb meem ua pa
• Hnoos
• Kev mob hauv siab
• Lub plawv dhia ceev ceev

Ib qho ntxiv, koj yuav xav kuaj PT / INR yog tias koj tau teem sijhawm mus phais. Nws ua kom koj cov ntshav txhaws khov kho, koj thiaj li tsis poob ntshav ntau dhau hauv cov txheej txheem.

Dab tsi tshwm sim thaum kuaj PT / INR?

Kev sim kab mob tuaj yeem kuaj ntshav tawm los ntawm txoj hlab ntsha los yog lub taub ntiv tes.

Rau kev coj cov ntshav los ntawm txoj leeg:

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Rau kev ntsuas ntshav los ntawm lub ntsis ntiv tes:

Tuav cov ntiv tes yuav ua tau nyob hauv tus kws kuaj mob chav haujlwm lossis hauv koj lub tsev. Yog tias koj noj tshuaj warfarin, koj tus kws khomob yuav qhia koj kom ntsuas ntshav tas li uas siv cov khoom kuaj PT / INR hauv tsev. Thaum lub sijhawm kuaj no, koj lossis koj tus kws khomob yuav:

• Siv rab koob me me txhawm rau txhaws koj lub ntsis ntiv tes
• Sau cov ntshav poob thiab tso nws mus rau hauv txoj kev sim lossis lwm yam cuab yeej tshwj xeeb
• Tso lub ntsuas los ntsuas cov hlua rau hauv cov khoom siv uas ntsuas qhov ntsuas tawm. Cov cuab yeej siv hauv tsev yog me me thiab lub teeb yuag.

Yog tias koj tab tom siv cov cuab yeej ntsuas tom tsev, koj yuav tsum tau soj ntsuam koj qhov kev tshwm sim nrog koj tus kws muab kev pab. Koj lub koom haum kho mob yuav qhia koj seb nws yuav xav tau cov ntsiab li cas.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Yog tias koj noj tshuaj warfarin, tej zaum koj yuav tsum ncua koj txoj kev noj tshuaj txhua hnub kom txog rau thaum kuaj tas. Koj tus kws kho mob yuav qhia rau koj paub yog tias nws muaj lwm cov lus qhia tshwj xeeb yuav tsum ua raws.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Yog tias koj tau kuaj vim tias koj noj tshuaj warfarin, koj cov txiaj ntsig yuav tshwm sim INR qib. Cov qib INR feem ntau siv vim tias lawv ua kom yooj yim los sib piv cov txiaj ntsig los ntawm ntau qhov sib txawv thiab ntau txoj kev ntsuas. Yog tias koj tsis noj tshuaj warfarin, koj cov txiaj ntsig yuav yog ua INR qib lossis siv sijhawm ntev li ntawm koj cov ntshav ua rau ntshav txhaws (lub sijhawm prothrombin).

Yog tias koj noj tshuaj warfarin:

• Cov qib INR uas qis dhau lawm yuav txhais tau tias koj muaj feem yuav pheej hmoo ntshav txhaws.
• Cov ntshav INR uas dhau hwv dhau lawm yuav txhais tau tias koj muaj feem yuav los ntshav txaus ntshai.

Koj tus kws kho mob yuav hloov pauv koj cov tshuaj warfarin los txo cov kev pheej hmoo no.

Yog tias koj tsis noj tshuaj warfarin thiab koj li INR lossis prothrombin lub sijhawm ua haujlwm tsis zoo, nws yuav txhais tau ib qho teebmeem hauv qab no:

• Kev los ntshav tsis xwm yeem, ib qho mob uas lub cev tuaj yeem tsis tuaj yeem ntshav tau zoo, ua rau kom los ntshav heev
• Ib qho ua tsis taus ntshav, ib qho mob uas lub cev tsim ua cov ntshav txhaws ntau nyob rau ntawm cov hlab ntsha lossis leeg ntshav
• Mob siab
• Vitamin K tsis txaus.Vitamin K ua lub luag haujlwm tseem ceeb hauv cov ntshav txhaws.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev ntsuam xyuas PT / INR?

Qee zaum qee qhov kev kuaj mob siab yog txiav txim nrog PT / INR kuaj. Cov no suav nrog:

• Qhia Txog Aminotransferase (AST)
• Alanine Aminotransferase (ALT)

Ua tim khawv

1. American Society of Hematology [Internet]. Washington D.C .: Asmeskas haiv neeg Hematology; c2020. Ntshav; [raug suav xyoo 2020 Jan 30]; [txog 3 ntxaij]. Muaj los ntawm: https://www.hematology.org/Patients/Clots
2. Kev Noj Qab Haus Huv Menyuam Yaus los ntawm Nemours [Is Taws Nem]. Jacksonville (FL): Lub Chaw Nemours; c1995–2020. Kev Ntshav Ntshav: Lub Sij Hawm Prothrombin (PT); [raug nplua 2020 Jan 30]; [txog 3 ntxaij]. Muaj los ntawm: https://kidshealth.org/en/parents/test-pt.html
3. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .; Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2020. Kev Cuam Tshuam Tsis Txaus Siab; [kho tshiab 2019 Oct 29; raug nplua 2020 Jan 30]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/excessive-clotting-disorders
4. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .; Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2020. Lub Sijhawm Prothrombin (PT) thiab Cov Qauv Txheej Txheem Thoob Ntiaj Teb (PT / INR); [hloov tshiab 2019 Nov 2; raug nplua 2020 Jan 30]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/prothrombin-time-and-inationalational-normalized-ratio-ptinr
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6. Kev Koom Tes Hauv Lub Tebchaws Sib Hawm: Tso Qhov Clot [Is Taws Nem]. Gaithersburg (MD): Lub Tebchaws Cov Ntshav Sib Luag; INR Kev Ntsuas Tus Kheej; [raug nplua 2020 Jan 30]; [txog 3 ntxaij]. Muaj los ntawm: https://www.stoptheclot.org/about-clots/blood-clot-treatment/warfarin/inr-self-testing
7. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Txhawj Tsis Txaus; [hloov tshiab 2019 Sep 11; raug nplua 2020 Jan 30]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/bleeding-disorders
8. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav; [raug nplua 2020 Jan 30]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
9. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (FL): University of Florida; c2020. Lub sijhawm Prothrombin (PT): Txheej txheem cej luam; [kho tshiab 2020 Jan 30; raug nplua 2020 Jan 20]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/prothrombin-time-pt
10. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2020. Kev Noj Qab Haus Huv Phau Ntawv Teev Npe: Lub Sij Hawm Prothrombin; [raug nplua 2020 Jan 30]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=pt_prothrombin_time
11. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2020. Cov Phau Ntawv Qhia Kev Noj Qab Haus Huv: Vitamin K; [raug suav xyoo 2020 Jan 30]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=19&contentid=VitaminK
12. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Lub Sijhawm Prothrombin thiab INR: Yuav Ua Li Cas; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 30]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-thiab-inr/hw203083.html#hw203099
13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Lub sijhawm Prothrombin thiab INR: Cov txiaj ntsig; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 30]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-and-inr/hw203083.html#hw203102
14. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Lub Sijhawm Prothrombin thiab INR: Cov Lus Qhia Tag Nrho; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 30]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-thiab-inr/hw203083.html#hw203086
15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Lub Sijhawm Prothrombin thiab INR: Yuav Tsum Xav Txog Dab Tsi; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 30]; [txog 10 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-thiab-inr/hw203083.html#hw203105
16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Lub Sijhawm Prothrombin thiab INR: Vim Li Cas Nws Ua; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 30]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/prothrombin-time-thiab-inr/hw203083.html#hw203092

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.