Zikutanthauza chiyani ngati aPTT yanu ndiyotsika?


Wolemba: Wolowa m'malo   

APTT imayimira activated partial thromboplastin time, yomwe imatanthawuza nthawi yofunikira kuwonjezera pang'ono thromboplastin ku plasma yoyesedwa ndikuwona nthawi yofunikira kuti plasma coagulation.APTT ndi mayeso owunikira komanso omwe amagwiritsidwa ntchito kwambiri kuti adziwe momwe ma endogenous coagulation system.Mtundu wabwinobwino ndi masekondi 31-43, ndipo masekondi 10 kuposa momwe amawongolera ali ndi tanthauzo lachipatala.Chifukwa cha kusiyana pakati pa anthu, ngati kufupikitsa kwa APTT kuli kochepa kwambiri, kungakhalenso chinthu chachilendo, ndipo palibe chifukwa chokhalira ndi mantha kwambiri, ndipo kuyesanso nthawi zonse ndikokwanira.Ngati mukumva kuti simukupeza bwino, onani dokotala nthawi yake.

Kufupikitsa kwa APTT kumasonyeza kuti magazi ali mu hypercoagulable state, yomwe imapezeka mu mtima ndi matenda a cerebrovascular thrombotic, monga cerebral thrombosis ndi matenda a mtima.

1. Cerebral thrombosis

Odwala omwe ali ndi APTT yofupikitsidwa kwambiri amakhala ndi chiopsezo chowonjezereka cha cerebral thrombosis, chomwe chimapezeka m'matenda okhudzana ndi hypercoagulation ya magazi chifukwa cha kusintha kwa zigawo za magazi, monga hyperlipidemia.Panthawi imeneyi, ngati mlingo wa thrombosis wa ubongo ndi wochepa, zizindikiro zokha za magazi osakwanira ku ubongo zidzawonekera, monga chizungulire, mutu, nseru, ndi kusanza.Ngati mlingo wa thrombosis wa ubongo ndi waukulu kwambiri moti ungayambitse ubongo wa parenchymal ischemia, zizindikiro zachipatala monga kusayenda bwino kwa miyendo, kulephera kulankhula, ndi kusadziletsa zimawonekera.Kwa odwala omwe ali ndi vuto la cerebral thrombosis, kupuma kwa mpweya ndi kuthandizira mpweya wabwino nthawi zambiri amagwiritsidwa ntchito kuti awonjezere mpweya.Pamene zizindikiro za wodwalayo zikuwopseza moyo, thrombolysis yogwira ntchito kapena opaleshoni yothandizira ayenera kuchitidwa kuti atsegule mitsempha ya magazi mwamsanga.Pambuyo pa zizindikiro zovuta za thrombosis ya ubongo zimachepetsedwa ndikulamuliridwa, wodwalayo ayenera kumamatirabe ku zizoloŵezi zabwino za moyo ndikumwa mankhwala a nthawi yayitali motsogozedwa ndi madokotala.Ndibwino kuti mudye chakudya chochepa cha mchere ndi mafuta ochepa panthawi yochira, kudya masamba ndi zipatso zambiri, kupewa kudya zakudya za sodium monga nyama yankhumba, pickles, zakudya zamzitini, ndi zina zotero, komanso kupewa kusuta fodya ndi mowa.Muzichita masewera olimbitsa thupi pamene thupi lanu likulola.

2. Matenda a mtima

Kufupikitsa kwa APTT kumasonyeza kuti wodwalayo akhoza kudwala matenda a mtima, omwe nthawi zambiri amayamba chifukwa cha hypercoagulation ya magazi yomwe imatsogolera ku stenosis kapena kutsekeka kwa lumen ya chotengera, zomwe zimapangitsa kuti myocardial ischemia, hypoxia, ndi necrosis ifanane.Ngati mlingo wa kutsekeka kwa mitsempha ya m'mitsempha ndi yokwera kwambiri, wodwalayo sangakhale ndi zizindikiro zoonekeratu zachipatala mu chikhalidwe chopumula, kapena amangomva zowawa monga chifuwa cha chifuwa ndi kupweteka pachifuwa pambuyo pa ntchito.Ngati kuchuluka kwa kutsekeka kwa mitsempha yam'mitsempha kumakhala kwakukulu, chiopsezo cha infarction ya myocardial chimawonjezeka.Odwala amatha kumva kuwawa pachifuwa, kutsekeka pachifuwa, komanso kupuma movutikira akapuma kapena akusangalala kwambiri.Ululu ukhoza kufalikira ku ziwalo zina za thupi ndikupitirizabe popanda mpumulo.Kwa odwala omwe ali ndi vuto lalikulu la matenda a mtima, mutatha kugwiritsa ntchito nitroglycerin kapena isosorbide dinitrate, funsani dokotala mwamsanga, ndipo dokotala amawunika ngati kuikidwa kwa coronary stent implantation kapena thrombolysis ndikofunikira mwamsanga.Pambuyo pachimake, chithandizo cha nthawi yayitali cha antiplatelet ndi anticoagulant chimafunika.Pambuyo potuluka m’chipatala, wodwalayo ayenera kukhala ndi zakudya zopanda mchere ndi mafuta ochepa, kusiya kusuta ndi kumwa, kuchita masewera olimbitsa thupi moyenera, komanso kumvetsera kupuma.