Nea ɛsɛ sɛ wuhu fa nnuru a "gye nkwa" a ɛma mogya a ɛtɔ (thrombolytics) ho .

So woasusuw nneɛma bɛn na nnuruyɛfo de gye yɛn nkwa sɛ tebea a egye ntɛmpɛ te sɛ komayare anaa akisikuru bi si a? Ɛtɔ da bi a, yɛn nkwa gyina ayaresa a wɔde ma wɔ simma kakraa bi mu no so. Wɔ mmere a ɛtete saa mu no, nnuru a egye nkwa a ɛyɛ adwuma te sɛ nkonyaayi kuw bi wɔ hɔ. Ɛnnɛ yɛrebɛka saa nnuru a wɔfrɛ no Thrombolytics no ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne saa Thrombolytics yi?

Fa no sɛ mogya ntini a ɛwɔ yɛn nipadua mu no te sɛ akwan a wɔabɔ no akuturuku. Ɛyɛ saa akwan yi so na mogya fa, na ɛde mframa pa ne aduannuru kɔ yɛn koma, amemene, ahurututu, ne ne tiawa mu no, yɛn nipadua nyinaa mu. Afei susuw ho hwɛ, sɛ ɔbotan kɛse bi tu faa ɔkwan yi so mpofirim na esiw kwan no a, dɛn na ɛbɛba? Ná kar ahorow rentumi nkɔ baabiara, na na kar ahorow begyae koraa.

Saa ara na ɛba bere a mogya a ɛtɔ gu yɛn mogya ntini no biako mu na esiw ano no. Mogya a ɛkɔ akwaa a saa ntini no de rema no (sɛ nhwɛso no, koma, amemene) no gyae, na saa akwaa no fi ase sɛe. Thrombolytics yɛ "Clot-Busting Drugs" a ɛpete mogya a ɛretu a ɛresiw kwan no, bubu, na eyi fi hɔ, na ɛma mogya san kɔ.

Saa nnuru yi yɛ enzymes ankasa. Wɔn adwuma titiriw ne sɛ wɔbɛbubu protein a wɔfrɛ no fibrin a ɛkura mogya a ɛtwetwe no mu no. Ɛte sɛ nea wɔrebubu akɔre ntaban.

Mpɛn pii no, sɛ wɔde wo kɔ ayaresabea no Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmntɛm (ETU) a wowɔ komayare, akisikuru, anaa ahurututu mu ntini a ɛma mogya tu a, nnuruyɛfo betumi asi gyinae sɛ wɔbɛma wo saa aduru yi wɔ dɔnhwerew fã pɛ mu. Ɛtɔ da bi mpo a, wobetumi afi saa ayaresa yi ase wɔ ambulance mu bere a wɔde wo rekɔ ayaresabea no.

Dɛn ne nnuru yi na nyarewa bɛn na wɔde di dwuma?

Nnuru ahorow pii wɔ hɔ a ɛma mogya mu nkwammoaa a ɛma mogya tu no tew. Wo duruyɛfo no begyina wo tebea, ayaresabea hɔ adan, ne nneɛma afoforo so apaw aduru a ɛfata sen biara. Momma yɛnhwɛ ahorow atitiriw no bi.

Tebea bɛn mu na aduru yi ho hia?

Nnuruyɛfo de saa nnuru yi di dwuma bere a mogya a atu no de tebea bi a emu yɛ den a ɛde ne nkwa to asiane mu ba nkutoo. Tebea horow a ɛtete saa no bi ne:

• Koma mu yare: Mogya a ɛtwetwe no siw ntini bi a ɛde mogya kɔ koma no mu no kwan.
• Akisikuru: Mogya a ɛtwetwe no siw mogya ntini bi a ɛde mogya kɔ amemene no mu no kwan.
• Pulmonary embolism: Mogya a ɛtwetwe a ayɛ nipadua no mmeae afoforo (a ɛtaa wɔ nan mu) no bubu na ɛkɔhyɛ ntini bi mu wɔ ahurututu no mu.
• Deep vein thrombosis (DVT): Mogya a ɛtɔ wɔ ntini a emu dɔ no mu , titiriw wɔ nan mu.
• Acute peripheral arterial occlusion: Ntini kɛse bi a ɛde mogya kɔ nan no mu a esiw .
• Ntini a ɛwɔ mfinimfini no mu a ɛsiw kwan.

Nsonsonoe bɛn na ɛwɔ nnuru a ɛma mogya tu ne nnuru a ekum mogya a ɛtwetwe no ntam?

Ɛha na nnipa pii adwene tu fra. Ɔkwan a nnuru ahorow abien yi fa so yɛ adwuma no yɛ soronko koraa.

Susuw ho kɛkɛ wɔ saa kwan yi so:

Thrombolytics yɛ nnuru a ɛpaapae mogya mu ntini kɛse bi a ayɛ dedaw na ɛresiw mogya ntini bi mu na ɛpopae.Te sɛ "emergency sabotage team." Wɔde eyinom di dwuma wɔ tebea horow a egye ntɛmpɛ mu nkutoo, wɔ ayaresabea mu. Worentumi ntɔ saa nnuru yi wɔ nnurutɔnbea.

Anticoagulants (mogya a ɛma mogya tu) , te sɛ warfarin, te sɛ "bodyguard" a esiw mogya a ɛtɔ foforo ano anaasɛ ɛma mogya a ɛtɔ no brɛ ase. Ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ kɔ so nom nnuru yi. Sɛ nnuru yi yɛ adwuma yiye a, ebetumi aboa ma woasiw tebea a egye ntɛmpɛ a ɛhwehwɛ sɛ wɔde thrombolytics di dwuma no ano.

So mfaso horow ne asiane ahorow nso wɔ hɔ?

Nokwarem no, yiw. Te sɛ aduru biara a ano yɛ den no, thrombolytics wɔ mfaso kɛse nanso asiane ahorow nso wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ.

Mfaso atitiriw a ɛwɔ so

Mfaso kɛse a ɛwɔ eyinom so ne sɛ wɔyɛ ntɛmntɛm . Saa nnuru yi betumi asan abue mogya ntini a asiw no ntɛm ara na ama mogya asan akɔ. Eyi betumi ama amemene anaa koma no sɛe daa esiane mframa pa a enni hɔ nti no so. Nhwehwɛmu ada no adi sɛ ayarefo a wɔde thrombolytic therapy ma wɔn wɔ nnɔnhwerew kakraa a edi kan wɔ akisikuru akyi no ho bɛtɔ wɔn koraa sen wɔn a wonnya ayaresa no.

Asiane atitiriw a ɛwɔ mu

Asiane yi sɔre efisɛ aduru a ebetumi apete mogya a ɛretu no nso betumi aka nipadua no mogya a ɛtwetwe no sɛnea ɛsɛ no.

• Nnipa binom betumi anya mogya nketenkete bi afi mmeae te sɛ anom ne hwene mu.
• Ɛntaa mma koraa, nanso ɛyɛ aniberesɛm, sɛ mogya bɛtɔ nipadua no mu, titiriw wɔ amemene no mu (Intracranial Hemorrhage) . Eyi yɛ tebea a ɛyɛ hu paa.

Henanom na ebia mogya bɛtɔ wɔn kɛse?

• Wɔ nnipa a wɔn mfe akɔ anim fam
• Wɔn a wɔanya mogyatɔw ho yare ho abakɔsɛm no fam
• Wɔn a wɔayɛ wɔn oprehyɛn anaa akwanhyia a emu yɛ den nnansa yi no fam
• Wɔn a wɔnom nnuru a ɛma mogya yɛ mmerɛw (Anticoagulants) dedaw no fam no .
• Wɔn a wɔn mogya mmoroso a wontumi nni so no fam

Esiane asiane yi nti, nnuruyɛfo bɛhwɛ wo yiye paa bere a wɔreyɛ ayaresa no ne bere a wɔawie no. Wɔbɛhwɛ wo mogya mmoroso daa. Afei nso, ɛtɔ mmere bi a mogya a atutu no fã ketewaa bi betumi abubu na akɔhyɛ ntini ketewaa foforo mu. Enti wɔ ayaresa no akyi no, wɔbɛyɛ biribi te sɛ CT scan de ahwɛ sɛ ebia mogya a ɛbɛtɔ no aka bi anaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Eyi ho hia paa. Sɛ wowɔ adwenem naayɛ ketewaa bi sɛ wo anaa obi a ɔbɛn wo renya komayare anaa akisikuru ho sɛnkyerɛnne a, frɛ 1990 ntɛm ara na kɔfa ambulance.

Enti, ɛho hia sɛ wo ne w’abusua hu komayare ho sɛnkyerɛnne ahorow (koma mu yaw a emu yɛ den, ɛyɛ den sɛ wobɛhome, ɛyaw a ɛhyerɛn kɔ fam benkum nsa) ne ɔyare a ɛma obi hwe ase (ɛyɛ den sɛ wobɛkasa, w’anim ahwe ase wɔ ɔfã biako, wo nsa a ɛnyɛ adwuma yiye).