Aw ka kan ka min dɔn Thrombolytic Therapy ko la!

Miiri k’a filɛ, an farikolo joli-sira-funu-yɔrɔ bɛ i n’a fɔ siraw sirilen bɛ duguba kɔnɔ min falen bɛ mɔgɔw la. Joli bɛ taama o siraw kan tuma bɛɛ walasa ka an farikolo yɔrɔw bɛɛ balo, i n’a fɔ an dusukun, an kunkolo ani an fogonfogon. O la sa, mun bɛ kɛ ni nin siraba in, n’o ye joli-sira-funu-yɔrɔ ye, o barika banna joli-sira-funuba dɔ fɛ? I n’a fɔ kasaaraba min bɛ kɛ sira kan ani siraba kan, joli min bɛ taa an farikolo yɔrɔw la, o bɛ se ka jɔ, o bɛ na ni ko ye min farati ka bon kosɛbɛ i n’a fɔ dusukun tantanni walima kirinni. Bi, an bɛ kuma furakɛli nafamaba dɔ kan, dɔgɔtɔrɔw bɛ min kɛ walasa ka o joli kuru sugu min bɛ mɔgɔ ka ɲɛnamaya bila farati la, o labɔ ani ka joli segin a cogo kɔrɔ la.

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

O kɔrɔ ye ko ‘joli kurukuru furakɛli’ Sinhalakan na. N’an y’a fɔ cogo nɔgɔman na, o ye ka fura barikamaw (trombolytiques) di farikolo ma walasa ka joli kuru faratilenw labɔ minnu sirilen don joli siraw kɔnɔ. Ni kurukuru in wulila, joli sira min datugulen don, o bɛ da wuli kokura ani joli bɛ segin ka taa farikolo yɔrɔ min bananen don. Nin ye furakɛli ye min bɛ mɔgɔ kisi , min bɛ kɛ kɔrɔtɔkoba la . Ni furakɛli in daminɛna joona, a ka teli ka ɲɛ.

Jɔn mago bɛ nin furakɛli in na ani ko jumɛnw na?

A ka ca a la dɔgɔtɔrɔw bɛ nin furakɛli in jateminɛ bana jugumanbaw la, kɔrɔtɔko la i n’a fɔ ninnu.

• Dusukun tantanni : Ni joli kurulen dɔ ye koronawirisi dɔ datugu min bɛ joli lase dusukun ma, kɛrɛnkɛrɛnnenya la ni stent bilali walima opereli tɛ kɛ joona.
• Ischemic Stroke (Sɔgɔsɔgɔninjɛ) : O ye kirinni ye min bɛ sɔrɔ joli kurulen fɛ min bɛ joli sira dɔ datugu min bɛ joli lase kunsɛmɛ ma.
• Fogonfogonlabana : Ni joli kurulen min bɛ kɛ farikolo yɔrɔ wɛrɛw la (a ka ca a la senw na) karilen don ka don fogonfogon la jolisira dɔ kɔnɔ.
• Joli jugumanba (DVT): Joli kurukurubaw, kɛrɛnkɛrɛnnenya la senkɔniw na, olu bɛ gɛlɛyaw lase mɔgɔ ma i n’a fɔ senw bulu, dimi jugumanba, ani u tɛ joli segin furaw (anticoagulants) minnu bɛ kɛ tuma caman na, olu jaabi.
• Acute Peripheral Arterial Occlusion : Joli kurulen bɛ joli siraba dɔ datugu bolo walima sen dɔ la .

Yala mɔgɔ dɔw bɛ yen minnu man kan ka nin furakɛli in kɛ wa?

Ɔwɔ, tiɲɛ yɛrɛ la. Ikomi furakɛli in faratiba ye joli bɔli ye, a tɛ di banabagatɔ dɔw ma. Sabula u fɛ, furakɛli bɛ se ka tiɲɛni min kɛ, o bɛ se ka tɛmɛ nafa kan.

Ka fara o kan, dɔgɔtɔrɔw bɛ miiri o la siɲɛ fila barisa denba kɔnɔmaw ni mɔgɔkɔrɔbaw ka gɛlɛn ka gɛlɛyaw sɔrɔ.

O furakɛli bɛ kɛ cogo di?

Furakɛli fɛɛrɛba fila bɛ yen, ka kɛɲɛ ni aw ka bana ye ani kɔrɔtɔko.

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

Nin ye fɛɛrɛ ye min bɛ kɛ ka caya kɔrɔtɔko la (dusukun tantanni, kirinni).

• O ye joli kurukuru furaw tali ye joli la k’a ɲɛsin IV kanni ma min bilalen don bolokɔni jolisira dɔ kɔnɔ.
• Nin fura in bɛ taa ni joli ye, ka taa joli kuruyɔrɔ la, ka a daminɛ ka a wuli.
• A ka ca a la, nin wale in bɛ kɛ dɔgɔtɔrɔso la min ka gɛlɛn kosɛbɛ (ICU) . O kɛcogo bɛɛ bɛ se ka lɛri kelen ɲɔgɔn kɛ.

2. Trombolyse (Trombolyse) min ɲɛsinnen bɛ katetɛri ma

A ka ca a la nin fɛɛrɛ in bɛ kɛ furakɛli bolodalenw na i n’a fɔ DVT walima PAD.

• O kɛcogo la, dingɛ fitini dɔ bɛ kɛ kɔkolo, kɔ walima bolokɔni fari la, ka sɔrɔ ka tubabufura finmanba dɔ don a kɔnɔ min bɛ wele ko catheter joli sira fɛ.
• Ni aw bɛ baara kɛ ni fɛɛrɛ ye min bɛ i n’a fɔ X-ray, o katetɛri kun bɛ ɲɛsin joli kurulen yɔrɔ ma tigitigi.
• O kɔ, fura in pikiri bɛ kɛ joli kurulen na ka ɲɛ ka tɛmɛ katetɛri fɛ. Tuma dɔw la, minɛn kɛrɛnkɛrɛnnen dɔ bɛ se ka kɛ katetɛri laban na walasa ka joli kuru kari (trombectomie mécanique).
• Nin fɛɛrɛ in bɛ se ka lɛri 48 (tile 2) kɛ walasa joli kurulen ka bɔ pewu. O waati kɔnɔna na, aw bɛna to dɔgɔtɔrɔso la, ka aw kɔlɔsi dɔgɔtɔrɔso jɛkulu fɛ.

Farati ni gɛlɛya jumɛnw bɛ furakɛli la?

I n’a fɔ furakɛli suguya bɛɛ, farati dɔw bɛ a la.

Ka fara nin faratiba in kan, a bɛ se ka kɛ fana ko nin ko ninnu bɛna kɛ:

• Fura in faritanabanaw.
• Joli walima joginda bɛ kɛ yɔrɔ min na kansɛri walima katetɛri donna yɔrɔ min na.
• Tansiyɔn jiginni (tansiyɔn jiginni).
• Joli kurukuru min bɛ wuli, o yɔrɔ fitinin dɔ bɛ kari ka nɔrɔ joli sira wɛrɛ la.
• Sugunɛ tiɲɛni (kɛrɛnkɛrɛnnenya la sukarodunbana bɛ mɔgɔ minnu na).
• Joli misɛnniw bɛ bɔ nugu la, ni banakɔtaa ye, walima ni sugunɛ ye.

Aw ka dɔgɔtɔrɔ bɛna o faratiw ɲɛfɔ aw ye walima aw ladonbagaw ye sani aw ka furakɛli kɛ.

Furakɛli ni kɛnɛya kɔfɛ

Furakɛli kɔfɛ, dɔgɔtɔrɔ bɛna sɛgɛsɛgɛli caman kɛ, i n’a fɔ joli-sira-funu ni CT scan, walasa ka a dɔn ni joli kurulen bɔra pewu.

Aw bɛna a ɲini ka to dɔgɔtɔrɔso la min ka dɔgɔn kosɛbɛ (ICU) tile kelen ni kɔ, o kɔfɛ, aw bɛ tile kelen fo tile saba wɛrɛ kɔlɔsi dɔgɔtɔrɔso la.

Aw seginnen kɔ so, a ka c’a la dɔgɔtɔrɔ bɛna joli segin furaw di aw ma walasa joli kurulenw kana bɔ tuguni . A nafa ka bon kosɛbɛ ka tugu nin cikanw kɔ tigitigi.

Lakɔlɔsili taamasiɲɛ minnu b’a jira ko aw ka kan ka taa dɔgɔtɔrɔso la so kɔfɛ

Ni aw ye nin taamasiɲɛ ninnu dɔ ye, .Aw bɛ aw ka dɔgɔtɔrɔ ladɔnniya joona walima aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la Kɔrɔtɔko ɲɛmɔgɔso (ETU).