An ka dɔnniya sɔrɔ Thrombolytic Therapy kan, furakɛli min bɛ joli kuruw labɔ ani ka mɔgɔ kisi!

Miiri k’a filɛ mun bɛna kɛ ni joli kurulen dɔ barila ka joli siraba dɔ datugu min bɛ taa i dusukun, i kunkolo walima i fogonfogon la? O tun bɛna joli bɔli tigɛ o farikolo yɔrɔw la ani ka tiɲɛni kɛ. O ye bana ye min bɛ mɔgɔ ka ɲɛnamaya bila farati la. O kɔrɔtɔko sugu de la, dɔgɔtɔrɔw bɛ furakɛli kɛrɛnkɛrɛnnen dɔ kɛ walasa ka mɔgɔw kisi. Bi, an bɛ kuma furakɛli dɔ kan min bɛ o joli kuruw labɔ ani k’u bɔ, n’o bɛ wele ko ‘Thrombolytic Therapy’.

N’an y’a fɔ cogo nɔgɔman na, Thrombolytic Therapy ye mun ye?

Hali n’a tɔgɔ ka gɛlɛn dɔɔnin, a hakilina ka nɔgɔn kosɛbɛ. N’an y’a fɔ cogo nɔgɔman na, o bɛ tali kɛ fura suguya kɛrɛnkɛrɛnnen dɔ kɛli la walasa ka joli kuru faratilenw labɔ ani k’u bɔ, joli siraw la minnu kɛra an farikolo kɔnɔ. A bɛ i n’a fɔ ka jibolisira dɔ wuli ka a bɔ ni kemikɛli ye.

Nin furakɛli in kunba ye ka joli segin min balilen don joli kurulen fɛ. O kɔfɛ, o bɛ se ka tiɲɛni dɔgɔya farikolo yɔrɔw la (i n’a fɔ dusukun ni kunsɛmɛ) minnu bɛ sɔrɔ o joli sira fɛ. Nin ye furakɛli ye min bɛ kɛ kɔrɔtɔko la. Nin furakɛli in bɛ se ka mɔgɔ kisi, kɛrɛnkɛrɛnnenya la ni dusukun tantanni (`(Myocardial Infarction)`), kirinni min bɛ sɔrɔ joli sira dɔ datuguli fɛ kunsɛmɛ na (`(Ischemic Stroke)`), walima joli kurulen fogonfogon la (`(Pulmonary Embolism)`).

Jɔn mago bɛ nin furakɛli in na? Ani jɔn man kan k’a sɔrɔ?

Nin tɛ fura ye min bɛ se ka di bɛɛ ma. Dɔgɔtɔrɔw bɛ fɛn caman jateminɛ sani u ka nin fura in di mɔgɔ dɔ ma. Sabula farati dɔw b’a la. An k’a lajɛ waati min na nin furakɛli in bɛnnen don ani waati min na a man ɲi.

Ka fara o kan, dɔgɔtɔrɔw bɛ hami kɛrɛnkɛrɛnnenya la gɛlɛyaw farati la ni u bɛ nin furakɛli in kɛ denba kɔnɔmaw ni mɔgɔkɔrɔbaw la.

Nin fura in suguya kunbabaw ye jumɛnw ye?

Fɛɛrɛ caman bɛ yen ka nin joli-sira-fura in di. Dɔgɔtɔrɔ bɛna fɛɛrɛ bɛnnen sugandi ka kɛɲɛ ni banabagatɔ ka cogoya ye ani joli kurulen bɛ yɔrɔ min na.

1. Trombolyse (Trombolyse systémique) (Trombolyse systémique).

Nin ye fɛɛrɛ ye min bɛ kɛ ka caya. Yan, tubabufura IV bɛ don jolisira dɔ kɔnɔ bolokɔni na, i n’a fɔ kɔgɔjibɔlan, fura bɛ di a fɛ. Nin fura in bɛ taama joli-sira-funu-yɔrɔ bɛɛ la, a bɛ joli kurukuruw labɔ yen. A ka ca a la nin fɛɛrɛ in bɛ kɛ kɔrɔtɔko la i n’a fɔ dusukun tantanni, kirinni, ani joli kurulenw fogonfogon la.

2. Trombolyse (Trombolyse) min ɲɛsinnen bɛ katetɛri ma

O fɛɛrɛ in ni tɔw tɛ kelen ye dɔɔnin. Yan, tubabufura janba dɔ (o bɛ wele ko catheter) bɛ don farikolo la jolisira dɔ fɛ min bɛ kɔkolo, kɔ walima bolokɔni na. O kɔ, ni fɛɛrɛ dɔ bɛ kɛ i n’a fɔ X-ray, o cathéter in kun bɛ bilasira ka taa joli kurulen yɔrɔ tigitigi la. O kɔ, sanni fura ka di farikolo fan bɛɛ la, a bɛ pikiri kɛ joli kurulen na ka ɲɛ ka tɛmɛ katetɛri fɛ. O b’a to fura bɛ se ka di cogo la min ka ca, ka ɲɛsin a laɲinita ma. Nin fɛɛrɛ in bɛ kɛ ka caya banaw la i n’a fɔ DVT ni PAD. A ka c’a la, o bɛ kɔn ka kɛ.

3. Thrombectomie mécanique (Trombectomie mécanique) ye

O cogo la, ka fara fura tali kan, joli kurulen bɛ kari ka bɔ a la ni masin ye. Minɛn kɛrɛnkɛrɛnnen (minɛn min bɛ joli kuru yɛrɛyɛrɛ, ka a wuli, walima ka a sama) min bɛ kɛ ka joli kurulen laban na, o bɛ kɛ ka joli kuru kari ka a bɔ a la. Tuma dɔw la, o fɛɛrɛ in bɛ kɛ ka fara fɛɛrɛ kan min ɲɛsinnen bɛ katetɛri ma.

Mun bɛ kɛ furakɛli senfɛ ani furakɛli kɔfɛ?

Nin furakɛli in kɛcogo bɛna ɲɔgɔn ta ka kɛɲɛ ni aw bɛ a kɛ cogo min na.

Ni kɔrɔtɔko dɔ kɛra

Ni kɔrɔtɔko dɔ kɛra aw la, i n’a fɔ dusukun tantanni walima kirinni, dɔgɔtɔrɔw bɛna a ɲini ka furakɛli daminɛ joona aw donna dɔgɔtɔrɔso la furakɛli kɔrɔtɔlen yɔrɔ la (ETU). Walasa ka nɔ ɲuman sɔrɔ, a nafa ka bon ka furakɛli daminɛ lɛri fila kɔnɔ bana taamasiɲɛw daminɛni kɔfɛ, walima miniti 30 kɔnɔ a selen dɔgɔtɔrɔso la.

Furakɛli bɛ kɛ cogo min na

An k’a lajɛ min bɛ kɛ nin fɛɛrɛba fila in na.

Furakɛli waati, dɔgɔtɔrɔso jɛkulu bɛna taa a fɛ ka fɛnw kɔlɔsi i n’a fɔ i dusukun tantanni, fogonfogon baara, ani tansiyɔn.

Furakɛli kɔfɛ

Dɔgɔtɔrɔ bɛna sɛgɛsɛgɛli caman kɛ walasa ka a dɔn ni joli kurulen bɔra pewu.

• Angiogramme (banakisɛfagalan).
• CT scan (CT scan) kɛcogo
• Échocardiogramme (Echocardiogramme) ye

Furakɛli kɔfɛ, aw bɛna a ɲini ka to dɔgɔtɔrɔso la min bɛ mɔgɔ tɔɔrɔ kosɛbɛ (ICU) tile kelen ɲɔgɔn. O kɔfɛ, aw bɛna to dɔgɔtɔrɔso la tile kelen fo tile saba wɛrɛ kɔlɔsili la. Hali ni aw taara so, aw bɛna a ɲini ka taa a fɛ ka joli segin furaw ta walasa joli kurukuruw kana bɔ tuguni.

Nin furakɛli in nafa ni a farati jumɛnw bɛ a la?

I n’a fɔ furakɛli suguya bɛɛ, nin furakɛli in nafa ni farati bɛɛ bɛ a la.

Nafa kunbabaw:

• Se ka ɲɛnamaya kisi: O de ye nafa belebeleba ye. Nin furakɛli in bɛ se ka dɛmɛ don ka saya bali bana dɔw la i n’a fɔ dusukun tantanni ni kirinni.
• Nalomaya banbaliw kunbɛnni : Ni dɔ bɔra tiɲɛni na kunsɛmɛ na, a bɛ se ka kɛ ka kuma gɛlɛyaw ni farikolo yɔrɔw bɔnɛni bali sɔgɔsɔgɔninjɛ kɔfɛ.
• Farikolo tigɛcogo balili : Ni bolo walima sen dɔ joli siraba dɔ datugulen don, o farikolo yɔrɔ bɛ se ka sa ni joli ma bɔ. Nin furakɛli in bɛ dɔ bɔ o farati la.

Faratiba minnu bɛ a la:

• Sugunɛbilenni: O de ye gɛlɛya ye min farati ka bon kosɛbɛ. Mɔgɔ minnu bɛ nin furakɛli in kɛ, olu 1% ɲɔgɔn bɛ se ka kirinni sɔrɔ ka a sababu kɛ joli bɔli ye kunsɛmɛ na.
• Joli wɛrɛw : Aw bɛ se ka joli bɔ nugu la, ni aw ka banakɔtaa ye, walima ni aw ka sugunɛ ye. Aw bɛ se ka kurukuru walima joli bɛ bɔ IV walima katetɛri donna yɔrɔ min na.
• Farati wɛrɛw:
• Farikoloɲɛnajɛ minnu bɛ mɔgɔ la
• Sugunɛ tiɲɛni (kɛrɛnkɛrɛnnenya la sukarodunbana bɛ mɔgɔ minnu na) .
• Tansiyɔn jiginni (`(Tansiyɔn jiginni)`) .
• Joli kurukuru bɛ ​​kari ka taa yɔrɔ wɛrɛ la ka nɔrɔ.
• Dusukun tantanni gɛlɛyaw (`(Ventriculaire arrhythmie)`) .

O faratiw kosɔn, dɔgɔtɔrɔw bɛ fɛn caman jateminɛ sani u ka fura in di mɔgɔ dɔ ma.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la furakɛli kɔfɛ?

Ni aw taara so, a nafa ka bon aw ka aw ɲɛ jɔ bana taamasiɲɛ dɔw la. Ni aw ye nin taamasiɲɛ ninnu dɔ ye aw la, aw ka kan ka aw ka dɔgɔtɔrɔ ladɔnniya joona.

Nin taamasiɲɛ ninnu bɛ se ka gɛlɛya dɔ jira, o la aw kana aw ɲɛmajɔ u la.