Tsɔe be kasia ame vevi aɖe ƒe akɔta le veve sem vevie, mete ŋu ƒoa nu o... alo kasia eƒe susu meganɔa eŋu le ŋutilã ƒe akpa ɖeka o... Le ɣeyiɣi sia tɔgbe me la, mí katã míetsia dzodzodzoe eye míeƒua du yia kɔdzi kaba ale si míate ŋui. Le agbe kple ku ƒe aʋawɔwɔ sia tɔgbe me la, egbea míele nu ƒom tso atike ƒomevi aɖe si ŋu ŋusẽ le ŋutɔ eye wòxɔ asi si ɖɔktawo zãna tsɔ ɖea amewo ƒe agbe ŋu. Woyɔa esiawo be Thrombolytics, ne míagblɔe kpuie ko la, "atike siwo ʋua ʋu ƒe sisi".
Nukae nye Thrombolytics siawo? Mina míase egɔme bɔbɔe.
Kpuie ko la, esiawo nye ‘atike siwo gblẽa ʋu ƒe sisi’, alo atike siwo lɔ̃a ʋuka siwo me afɔku le siwo dzɔna ɖe míaƒe ʋukawo me eye woxea mɔ na ʋu ƒe sisi heɖea wo ɖa. Esiawo nye enzyme ƒomevi aɖe.
Tsɔe be ne ɖiƒoƒo aɖe ge ɖe tsido me la, tsia meganɔa sisim o. Nenema kee ne ʋuka aɖe tsi míaƒe ʋukawo dometɔ ɖeka me la, ʋua ƒe sisi nu tsona. Ne ʋu ƒe sisi yi ŋutinu vevi aɖe ŋutɔ abe ahɔhɔ̃, dzi, alo lãkusi ene gbɔ nu tso la, nusi ate ŋu agblẽ le eŋu la nye nusi womate ŋu asusu o.
Afi siae atike siwo woyɔna be ʋumenugbagbeviɣidɔlékuiwo va dona le.Atike siawo gblẽa protein si woyɔna be fibrin si wɔa ʋu ƒe sisi, tsɔa ʋu si le ʋuka me la ƒua gbe, eye wònaa ʋua gazɔna ake . Esia wɔnɛ be ŋutinu si xe mɔ na la gaxɔa oxygen ake, si wɔnɛ be womegagblẽa nu le eŋu o.
Nɔnɔme kawo mee wozãa atike sia le?
Menye atike siawo ƒomevie nàte ŋu aƒle le atikedzraƒe o. Kɔdziwo, vevietɔ le xɔ siwo me wowɔa dɔ kpata le (ETU) me ko hafi wozãa wo ne nɔnɔme aɖe si ate ŋu ade ame ƒe agbe afɔku me. Ɣeyiɣie nye nu vevitɔ le afisia . Ne woate ŋu ana atike siawo le gaƒoƒo ʋɛ gbãtɔ siwo me nudzɔdzɔ kpata aɖe dzɔ ɖo me la, emetsonuwo nyo ŋutɔ.
Ɣeaɖewoɣi la, woate ŋu adze atikewɔwɔ sia gɔme le dɔnɔdzikpɔʋu me gɔ̃ hã. Ðɔktaa ate ŋu ana atike sia to IV me le ʋuka aɖe me le wò alɔnu alo ana ʋu si me ʋu sina tona tẽ kple ʋuka si me ʋu sina tona.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe |
|---|---|
| Gbagbãdᴐ | Ʋu si le ʋuka aɖe si naa ʋu yia ahɔhɔ̃a me. Ele vevie ŋutɔ be woanae le gaƒoƒo 3-4.5 gbãtɔwo me tso esime dzesiawo dze egɔme . |
| Dzidɔ | Ʋu si ƒona ɖe dzitodzito me ʋuka si naa ʋu yia dzia me. Esia nye atikewɔwɔ gã aɖe le kɔdzi siwo me dɔwɔƒewo mele be woatsɔ mɔ̃ (stent) ade dzia me ahaɖe ʋuka si me ʋu sina tona la ɖa o. |
| Aklã me Ʋuʋudedi | Ʋu si ƒo ɖe ŋutilãa ƒe akpa bubu (zi geɖe le afɔ me) la gbãna eye wògena ɖe ʋuka aɖe me le lãkusi me. |
| Vein Deep Thrombosis (DVT) ƒe Dɔléle . | Zi geɖe la, ʋu ƒe sisi va nɔa afɔawo ƒe ʋuka gogloawo me. |
| Nya bubuwo | Ʋuka aɖe si le afɔ me ƒe xexe alo ʋuka si me ʋu sina tona le titina ƒe ʋuka si nɔa anyi didi ƒe xexe. |
Vovototo si le ʋumenugbagbeviɣidɔlékuiwutikewo kple ‘ʋuɖetikewo’ bubuwo dome.
Esia nye teƒe si ame geɖe tɔtɔna le. Ðewohĩ èse ‘ʋumenugbagbeviɣitikewo’ abe Warfarin, Aspirin, kple Clopidogrel ene ŋu nya kpɔ. Gake Thrombolytics nye nusi to vovo kura.
Ʋumenugbagbeviɣidɔlékuiwutikewo: Esiawo nye atike siwo wozãna le nɔnɔme kpata aɖe me tsɔ gbãa ʋuka si me ʋu sina tona xoxo eye wòle mɔ xem na ʋuka aɖe la heɖenɛ ɖa . Ele abe dynamite zazã atsɔ aɖe kpe gã aɖe si xe mɔ aɖe ɖa ene.
Anticoagulants/Antiplatelets (abe Warfarin, Aspirin ene): Atike siawo wɔa dɔ to mɔxexe ɖe ʋu ƒe sisi yeye siwo me afɔku le ƒe dzɔdzɔ nu . Esia nye atike si wozãna ɣeyiɣi didi, si ɖea ʋu ƒe sisi ƒe afɔkua dzi kpɔtɔna. Ðeko wòle abe dedienɔnɔ ƒe ɖɔ dada ɖe mɔa dzi be kpewo nagaʋuʋu ɖe anyi o ene.
Viɖe kple afɔku kawoe le atike siawo ŋu?
Viɖe gãtɔ kekeakee nye be atike siawo ate ŋu ana ʋu nagazɔ kaba ŋutɔ, si wɔnɛ be oxygen ƒe anyimanɔmanɔ ƒe nugbegblẽ le ahɔhɔ̃a alo dzia ŋu tegbee dzi ɖena kpɔtɔna. Vevietɔ le nɔnɔme abe ʋusɔgbɔdɔ ene me la, zi alesi nèxɔ atike sia kaba la, zi nenemae mɔnukpɔkpɔ si li be nàhaya bliboe.
Gake abe atike sesẽ ɖesiaɖe ene la, afɔku aɖewo li.
Afɔku vevitɔ kple esi nu sẽ wue nye ʋu si dona le ame ŋu si dzi womeɖu o. Esi wònye be atike sia wɔa dɔ to ʋuka siwo le ƒoƒom la tutu me ta la, ʋu ate ŋu ado le ŋutilãa ƒe akpa sia akpa. KãƲu si dona le ahɔhɔ̃a me nye afɔku gã aɖe. Ate ŋu ahe ʋusɔgbɔdɔ bubu vɛ.
Amekawoe le ʋudodo ƒe afɔku me wu?
- Le ame tsitsiwo gome
- Le amesiwo ʋu ƒe dodo ƒe nɔnɔme le gome
- Amesiwo wowɔ dɔ na nyitsɔ laa alo woxɔ abi vevie
- Le amesiwo le atike siwo nana ʋu mekɔna o abe Warfarin ene zãm xoxo gome
- Le amesiwo ƒe ʋusɔgbɔdɔ si dzi womate ŋu aɖu o gome
Eyata ne ɖɔkta aɖe atso nya me be yeana atike sia ne esi wòbu dɔnɔa ƒe nɔnɔmea kple afɔku siwo katã le eme ŋu vɔ la, viɖe si le atike la nana me sɔ gbɔ sã wu afɔku si le eme . Atikewɔlawo alé ŋku ɖe wò ʋu ƒe sisi kple nu bubuwo ŋu ɣesiaɣi le atikewɔwɔ me kple le atikewɔwɔ vɔ megbe.
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake?
Esia nye nusi dzi wòle be nàɖo ŋkui godoo. Ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò be dzidɔ alo ʋusɔgbɔdɔ ƒe dzesiwo le ye ŋu alo ame aɖe si te ɖe ye ŋu la, mègagblẽ ɣeyiɣi o.
Ne èkpɔ dzidɔ alo ʋusɔgbɔdɔ ƒe dzesiwo (e.g. akɔtave kpata, gbɔgbɔ sesẽ, ŋutilã ƒe akpa ɖeka ƒe ʋuʋu, nuƒoƒo sesẽ), ƒo ka na 1990 Ambulance Service enumake alo nàtsɔ ɖokuiwò ayi kɔdzi Kpata Dɔwɔƒe (ETU) si te ɖe ŋuwò kaba ale si nàte ŋui .
Le nɔnɔme siawo tɔgbe me la, sɛkɛnd ɖesiaɖe le vevie. Atikewɔwɔ kaba ate ŋu axɔ amewo ɖe agbe eye wòaxe mɔ ɖe nuwɔametɔnyenye si nɔa anyi didi nu.
Gbedasi si Wotsɔ Yi Aƒeme
- Thrombolytics nye atike sẽŋu aɖe si wonana le nɔnɔme kpata aɖe me be wòatsɔ alɔ ʋu ƒe sisi si do xoxo.
- Wozãa nusiawo le nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me abe ʋusɔgbɔdɔ kple dzidɔ ene me.
- Ɣeyiɣie nye nu vevitɔ si ana atikewɔwɔ sia nakpɔ dzidzedze. Kɔdziyiyi ne dzesiawo dze egɔme ko ate ŋu ana emetsonuwo nanyo ɖe edzi.
- Esi wònye be afɔku vevitɔ si le atike siawo ŋue nye ʋudodo ta la, ne ɖɔkta aɖe bu viɖe kple afɔku siwo le eme na dɔnɔa ŋu nyuie ko hafi aŋlɔ wo na wo.
- Nya nu tso dzidɔ alo ʋusɔgbɔdɔ ƒe dzesiwo ŋu, kple wò ƒomea me tɔwo. Afɔɖeɖe enumake ate ŋu axɔ ame aɖe ɖe agbe.
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