Fahimtar sakamakon gwajin jini
Kafin ka yi tiyata likita zai iya yin gwajin jini don sanin yadda zubin jininka ya yi sauri. Wannan rukuni na gwaje-gwaje ana sani ne a binciken binciken coagulation. Kowace waɗannan gwaje-gwaje ana kiransu PT (Time Prothrombin), PTT (Time Particular Thromboplastin), da kuma INR (Ratsaren Ƙarshe na Duniya).
A lokacin da ake cike da ilimin kanji yana da muhimmanci cewa jinin ba jini ba ne da sauri, kuma ana iya ba da magunguna don jinkirta kwancen jini.
Magunguna da aka yi amfani da shi don jinkirta clotting suna da sunaye iri-iri, amma Heparin , Coumadin, Lovenox , da Warfarin suna cikin mafi yawan. A wasu lokuta, mai haƙuri ba zai iya yaduwa da sauri ba, kuma za'a iya daukar matakai don yasa jini ya fi sauri.
Sakamakon da aka lissafa a kasa suna "dabi'u na al'ada" maimakon sakamakon da muke fata don lokacin da mutum yake ɗaukar jini. Zubar da jini zai sa jini ya yi tsayi a kan jini, saboda haka mai haƙuri da ke ɗaukar jinin jini yana sa ran zai sami sakamako mai zurfi fiye da waɗanda aka lissafa a nan.
Prothrombin Time Blood Test-PT
An yi wannan gwaji don kimanta jinin da zai iya yaduwa. Ana yin sau da yawa kafin a tiyata don gwada yadda mai yiwuwa mai haƙuri ya kasance yana zub da jini ko yin rikici a lokacin ko bayan tiyata.
Halaye na PT: 10-12 seconds (wannan zai iya bambanta kadan daga Lab zuwa Lab)
Abubuwan da ke faruwa na al'ada ta PT sun haɗa da nauyin bitamin K, kwayoyin hormone ciki har da maye gurbin hormone da maganin maganin jijiyoyi, rarraba hulɗar ƙwayoyin intravascular (wani rikici mai rikitarwa wanda ke buƙatar gaggawa), cututtukan hanta, da kuma yin amfani da maganin warfarin magani na kwarai.
Bugu da ƙari, sakamakon PT zai iya canzawa ta hanyar abinci mai yawa a bitamin K, hanta, koren shayi, kayan lambu mai duhu, da waken soya.
Gwaje-gwaje-gwaje na Thromboplastin Time-PTT
An gwada wannan gwaji ne don sanin ko yadarin (jinin jini) yana da tasiri. Hakanan za'a iya amfani dasu don gano gaban rikici na jini.
Ba ya nuna sakamakon kwayoyi da ake kira "heparin kwayoyin ƙananan kwayoyin" ko mafi mahimmanci da sunan suna Lovenox.
Halaye na PTT: 30 zuwa 45 seconds (wannan zai iya darajar dan kadan daga Lab zuwa Lab)
Lokaci PTT mai tsawo zai iya haifar da farfadowa na maganin rigakafi, matsalolin hanta, lupus, da kuma sauran cututtuka da suka haifar da kisa.
Rahotanni na al'ada na kasa da kasa na gwaji-INR
Ayyukan INR al'ada: 1 zuwa 2
Ana amfani da INR don tabbatar da sakamakon daga jarrabawar PT daidai ne a ɗaya lab kamar yadda yake a wani Lab. A cikin shekarun 1980s Hukumar Lafiya ta Duniya ta ƙaddara cewa marasa lafiya na iya zama cikin hadari domin sakamakon binciken PT zai bambanta daga wannan lab zuwa wani, bisa ga yadda aka yi gwajin. Yanayin "al'ada" na launi daya zai bambanta da darajar "al'ada" daga wani lab, yana haifar da matsalolin marasa lafiya wadanda aka kula da su a wurare da yawa. Don daidaita daidaitattun sakamakon labs, an halicci INR. Sakamakon INR ya zama daidai, ba tare da la'akari da wurin da aka yi gwaje-gwaje ba.
> Sources:
> PTT. Ƙungiyar Amurkan Cibiyar Nazarin Harkokin Kasuwancin Amirka ta https://labtestsonline.org/understanding/analytes/aptt/tab/glance
> Zehnder JL. Amfani da gwaji na gwaji. A cikin: UpToDate. 2017. http://www.uptodate.com/contents/clinical-use-of-coagulation-tests