Fa no sɛ ɔdɔfo bi nya koko mu yaw kɛse mpofirim, ontumi nkasa... anaasɛ mpofirim ara n’adwene fi ne ho so wɔ nipadua no fã biako... Wɔ bere a ɛte saa mu no, yɛn nyinaa bɔ hu na yɛde ahopere kɔ ayaresabea ntɛm ara sɛnea yebetumi. Wɔ nkwa ne owu akodi a ɛte saa mu no, ɛnnɛ yɛreka aduru bi a tumi wom na ɛsom bo yiye a nnuruyɛfo de gye nkwa ho asɛm. Wɔfrɛ eyinom Thrombolytics, sɛ yɛbɛka no tiawa a, "nnuru a ɛma mogya tu".
Dɛn ne saa Thrombolytics yi? Momma yɛnte ase tiawa.
Sɛ yɛbɛka no tiawa a, eyinom yɛ ‘nnuru a ɛma mogya tu’, anaa nnuru a ɛma mogya tu a ɛyɛ hu a ɛba yɛn mogya ntini mu na esiw mogya kwan no na eyi fi hɔ. Eyinom yɛ enzyme ahorow bi.
Fa no sɛ, sɛ efĩ bi kɔhyɛ nsu paipu mu a, nsu no gyae sen. Saa ara na sɛ mogya a ɛtɔ kɔ yɛn mogya ntini no biako mu a, mogya no gyae. Sɛ mogya a ɛkɔ akwaa bi a ɛho hia paa te sɛ amemene, koma, anaa ahurututu mu no gyae a, ɔsɛe a ebetumi aba no yɛ nea wontumi nsusuw ho.
Ɛha na nnuru a wɔfrɛ no thrombolytics ba Saa nnuru yi bubu protein a wɔfrɛ no fibrin a ɛka bom yɛ mogya a ɛtɔ no, ɛma mogya a ɛtɔ no, na ɛma mogya no san kɔ . Eyi ma akwaa a asiw no tumi nya mframa pa bio, na ɛmma ɛnsɛe bio.
Nsɛm bɛn mu na wɔde saa aduru yi di dwuma?
Eyinom nyɛ nnuru a wubetumi atɔ wɔ aduruyɛdan mu. Wɔde di dwuma wɔ ayaresabea nkutoo, titiriw wɔ adan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) mu, bere a tebea bi a ɛde nkwa to asiane mu wɔ hɔ no. Bere yɛ ade titiriw wɔ ha . Sɛ wotumi de saa nnuru yi ma wɔ nnɔnhwerew kakraa a edi kan wɔ tebea a egye ntɛmpɛ mu a, nea efi mu ba no ye paa.
Ɛtɔ da bi mpo a, wobetumi afi saa ayaresa yi ase wɔ ambulance mu. Oduruyɛfo no betumi afa IV so ama saa aduru yi wɔ ntini bi a ɛwɔ wo nsa mu anaasɛ wɔde catheter akɔ mogya a ɛtwetwe no mu tẽẽ.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nnwodwoɔ | Mogya a ɛtwetwe wɔ ntini bi a ɛde mogya kɔ amemene no mu. Ɛho hia yiye sɛ wode ma wɔ nnɔnhwerew 3-4.5 a edi kan wɔ bere a yare no ho sɛnkyerɛnne no afi ase no mu . |
| Koma a Ɛyare | Mogya a ɛtwetwe wɔ ahrawa mu ntini bi a ɛde mogya kɔ koma no mu. Eyi yɛ ayaresa titiriw wɔ ayaresabea ahorow a wonni nneɛma a wɔde bɛhyɛ ntini (stent) mu wɔ koma no mu na wɔayi mogya a ɛtɔ no afi hɔ no mu. |
| Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ | Mogya a ɛtwetwe a ayɛ nipadua no mmeae afoforo (a ɛtaa wɔ nan mu) bubu na ɛkɔhyɛ ntini bi mu wɔ ahurututu no mu. |
| Ntini a Ɛkɔ Mu Ntini a Ɛyɛ Den (DVT) . | Mpɛn pii no, mogya a ɛtɔ wɔ nan no mu ntini a emu dɔ no mu. |
| Nsɛm afoforo | Ntini bi a ɛwɔ nan no mu a esiw anaasɛ mogya a ɛtwetwe ntini a ɛwɔ mfinimfini a ɛtra hɔ kyɛ no siw. |
Nsonsonoe a ɛda thrombolytics ne ‘mogya a ɛma mogya tu’ afoforo ntam.
Eyi yɛ beae a nnipa pii adwene tu fra. Ebia woate ‘nnuru a ɛma mogya yɛ mmerɛw’ te sɛ Warfarin, Aspirin, ne Clopidogrel ho asɛm. Nanso Thrombolytics yɛ biribi soronko koraa.
Thrombolytics: Eyinom yɛ nnuru a wɔde di dwuma wɔ tebea a egye ntɛmpɛ mu de bubu mogya a ɛyɛ mmerɛw a ayɛ dedaw na ɛresiw mogya ntini bi no mu na ɛpete . Ɛte sɛ nea wode dynamite redi dwuma de ayi ɔbotan kɛse bi a asiw kwan bi afi hɔ.
Nnuru a ɛko tia mogya mmoroso/Atiplatelets (te sɛ Warfarin, Aspirin): Saa nnuru yi yɛ adwuma denam mogya a ɛtwetwe foforo a asiane wom a esiw ano no so . Eyi yɛ aduru a ɛtra hɔ kyɛ, a ɛtew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so. Ɛte sɛ nea wode ahobammɔ asau ato kwan so de asiw abotan ano.
Mfaso ne asiane bɛn na ɛwɔ nnuru yi so?
Mfaso kɛse a ɛwɔ so ne sɛ saa nnuru yi tumi ma mogya no san kɔ ntɛmntɛm yiye, na ɛmma mframa pa a enni hɔ nti sɛe amemene anaa koma no daa. Titiriw wɔ tebea te sɛ ɔyare a ɛma obi hwe ase mu no, dodow a wo nsa ka aduru yi ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wo ho bɛtɔ wo koraa no yɛ kɛse.
Nanso, te sɛ aduru biara a ano yɛ den no, asiane ahorow bi wɔ hɔ.
Asiane titiriw ne nea emu yɛ den sen biara ne mogya a wɔtow a wontumi nni so. Esiane sɛ saa aduru yi yɛ adwuma denam mogya a ɛtwetwe no so nti, mogya betumi atu wɔ nipadua no mu baabiara. NkankaSɛ mogya tu wɔ amemene no mu a, ɛyɛ hu paa. Ebetumi ama obi anya akisikuru foforo.
Hena na asiane kɛse wom sɛ mogya bɛtɔ no?
- Wɔ nnipa a wɔn mfe akɔ anim fam
- Wɔn a wɔpɛ sɛ mogya tu wɔn no fam
- Wɔn a wɔayɛ wɔn oprehyɛn anaa wɔapirapira kɛse nnansa yi no
- Wɔn a wɔnom nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin dedaw no fam
- Wɔn a wɔn mogya mmoroso a wontumi nni so no fam
Enti, sɛ oduruyɛfo bi susuw ɔyarefo no tebea ne asiane ahorow nyinaa ho wie a, mfaso a ɛwɔ aduru no a wɔde bɛma so no boro asiane a ɛwɔ so koraa nkutoo a , na oduruyɛfo besi gyinae sɛ ɔbɛma no aduru yi . Aduruyɛ adwumayɛfo no bɛhwɛ wo mogya mmoroso ne nneɛma afoforo so bere nyinaa bere a wɔreyɛ ayaresa no ne bere a wɔasa yare no akyi.
Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara?
Eyi yɛ biribi a ɛsɛ sɛ wokae ampa. Sɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ wo anaa obi a ɔbɛn wo renya komayare anaa akisikuru ho sɛnkyerɛnne a, nsɛe bere.
Sɛ wohu komayare anaa akisikuru ho sɛnkyerɛnne (sɛ nhwɛso no, wo koko mu yaw mpofirim, ɛyɛ den sɛ wobɛhome, nipadua no fã biako a ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛkasa) a, frɛ 1990 Ambulance Service ntɛm ara anaa fa wo ho kɔ ayaresabea a ɛbɛn wo Emergency Department (ETU) ntɛm ara sɛnea wubetumi .
Wɔ tebea horow a ɛte sɛɛ mu no, sekan biara ho hia. Ayaresa a wɔde ma ntɛm no betumi agye nnipa nkwa na asiw dɛmdi a ɛtra hɔ kyɛ ano.
Nkrasɛm a Wɔde Kɔ Fie
- Thrombolytics yɛ aduru bi a tumi wom a wɔde ma bere a egye ntɛmpɛ de apete mogya a ayɛ mmerɛw dedaw.
- Wɔde eyinom di dwuma wɔ tebea horow a ɛde nkwa to asiane mu te sɛ akisikuru ne komayare mu.
- Bere ho hia na ama saa ayaresa yi adi yiye. Ayaresabea a wɔde obi bɛkɔ bere a yare no ho sɛnkyerɛnne afi ase ara pɛ no betumi ama nea efi mu ba no atu mpɔn.
- Esiane sɛ asiane titiriw a ɛwɔ nnuru yi mu ne mogya a ɛbɛtɔ no nti, bere a oduruyɛfo bi asusuw mfaso ne asiane a ɛwɔ so ma ɔyarefo no ho yiye akyi nkutoo na ɔbɛkyerɛw ama no.
- Hu komayare anaa akisikuru ho sɛnkyerɛnne, ne w’abusua mufo. Sɛ woyɛ ho biribi ntɛm ara a, ebetumi agye obi nkwa.
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