Lub sijhawm Prothrombin: nws yog dab tsi, nws yog dab tsi rau thiab muaj txiaj ntsig

Zoo Siab

• Kev siv qhov tseem ceeb
• Lub ntsiab lus ntawm cov txiaj ntsig
• Lub sijhawm siab prothrombin ntau
• Tsawg lub sijhawm prothrombin

Piv txwv Prothrombin lub sijhawm lossis PT yog kev kuaj ntshav uas ntsuas lub peev xwm txhawm rau txhaws, uas yog, lub sijhawm yuav tsum tau txwv qhov hemorrhage, piv txwv.

Yog li, lub sijhawm kuaj prothrombin yog siv thaum twg los ntshav lossis doog ntshav ntau zaus kom sim pom qhov ua rau muaj teeb meem, nrog rau thaum muaj kev ua haujlwm siab ntawm lub siab ua haujlwm, tseem raug thov kom ntsuas TGO, TGP thiab GGT, piv txwv. Saib dab tsi yog cov kev ntsuas uas ntsuam xyuas lub siab.

Cov neeg uas siv cov tshuaj tiv thaiv qhov ncauj, xws li Warfarin lossis Aspirin, tus kws kho mob tau thov sijhawm ntev li ntawm INR, uas yog qhov ntsuas tshwj xeeb tshaj li TP yuav tshuaj xyuas qhov tshwm sim ntawm cov tshuaj, vim tias TP feem ntau siab nyob rau hauv cov mob no.

Prothrombin, tseem hu ua coagulation factor II, yog cov protein tsim los ntawm lub siab thiab thaum ua haujlwm txhawb kev hloov pauv ntawm fibrinogen rau hauv fibrin, uas, ua ke nrog platelets, tsim ib txheej uas tiv thaiv los ntshav. Yog li, prothrombin yog qhov tseem ceeb tshaj plaws rau cov ntshav txhaws kom tshwm sim.

Kev siv qhov tseem ceeb

Cov siv tus nqi ntawm cov prothrombin lub sijhawm rau tus neeg noj qab nyob zoo yuav tsum sib txawv 10 thiab 14 feebCov. Xws li ntawm INR, tus nqi ntsuas rau kev noj qab haus huv tus neeg yuav tsum sib txawv nruab nrab ntawm 0.8 thiab 1.

Txawm li cas los xij, yog tias koj siv cov tshuaj tiv thaiv qhov ncauj, qhov nqi yuav tsum nyob nruab nrab ntawm 2 thiab 3, nyob ntawm tus kab mob uas ua rau kom xav tau kev kho mob nrog hom tshuaj no.

Lub ntsiab lus ntawm cov txiaj ntsig

Lub sijhawm kuaj prothrombin lub sijhawm yuav raug hloov vim tias muaj ntau yam ua haujlwm, yog li thaum twg muaj kev hloov, tus kws kho mob yuav xaj cov kev kuaj tshiab kom tuaj yeem paub qhov ua kom raug thiab pib kho.

Qee qhov teeb meem tshwm sim feem ntau suav nrog:

Lub sijhawm siab prothrombin ntau

Qhov tshwm sim no qhia tau hais tias yog tias kev txiav, qhov ntshav yuav siv sijhawm ntev kom nres, thiab qee qhov teeb meem feem ntau suav nrog:

• Siv cov tshuaj tiv thaiv;
• Kev hloov kho ntawm txoj hnyuv ntoo;
• Kev tsis zoo noj tsis txaus;
• Kab mob siab;
• Vitamin K tsis txaus;
• Teeb meem coagulation, xws li hemophilia;

Ntxiv rau, qee cov tshuaj xws li tshuaj tua kab mob, corticosteroids thiab diuretics tuaj yeem hloov pauv tus nqi kuaj, yog li nws yuav tsum tau qhia rau tus kws kho mob txog txhua yam tshuaj uas koj siv.

Tsawg lub sijhawm prothrombin

Thaum prothrombin tus nqi qis dua nws txhais tau tias coagulation tshwm sim nrawm heev. Yog li, txawm hais tias los ntshav tsawg tsawg thiab nres sai sai, muaj kev pheej hmoo ntawm txhaws uas tuaj yeem ua rau cuam tshuam lossis mob stroke.

Qee qhov ua rau ua rau qhov kev hloov pauv no suav nrog:

• Kev siv cov tshuaj vitamin K ntxiv;
• Kev noj ntau dhau ntawm cov zaub mov uas muaj vitamin K, xws li zaub ntsuab, zaub cob pob lossis nplooj siab;
• Kev siv cov tshuaj estrogen los ua cov ntsiav tshuaj tiv thaiv kev xeeb menyuam.

Hauv cov xwm txheej no, nws yuav tsim nyog pib siv tshuaj anticoagulants lossis txhaj tshuaj ntawm heparin txog thaum ua kom pom qhov hloov pauv. Tom qab ntawd, tus kws kho mob yuav pom zoo kom kho qhov tsim nyog tshaj plaws.