Heart attack emaw, stroke emaw i neih thut chuan eng ang nge a hlauhawm ang tih han ngaihtuah teh. Chutiang huna harsatna lian ber chu kan taksa thisen kalna kawng chhunga thisen zam hlauhawm tak tak lo awm hi a ni. He thisen zam hi thinlung emaw thluaka thisen phurtu vein-ah a tlakbuak chuan chhiatna nasa tak a thlen thei a ni. Chutiang nunah hun pawimawh takah chuan, chu thisen zamte chu a tithianghlim thei a, nunna chhanhim thei damdawi chak tak, bik tak kan sawi a ni.
Alteplase chu eng nge ni?
A awlsam zawngin sawi ila, Alteplase hi damdawi a ni a, thisen zam chhungah inject a ni a, emergency-ah chauh hman a ni. A hnathawh ber chu taksaa hmun hlauhawma thisen zam lo awm tawhte tihthianghlim a ni. Chuvangin "clot buster" an ti fo thin.
Heart attack a lo awm chuan thisen kalna kawng (blood vessels) te chu thisen zam (blood clot) in a lo dang thin. Chutiang bawkin, stroke a lo thlen hian thisen zam hian thluaka thisen petu thisen kalna kawng a tikhawlo fo thin. He thisen zam hi damdawi Alteplase pek a nih chuan a bo nghal vat a nih chuan thinlung emaw thluak emaw chhiatna a ti tlem thei a, damlo dam leh theihna a tipung thei a, chak lohna a ti tlem thei bawk.
A pawimawh ber chu, hei hi damdawi dawr atanga lei leh in lama dah theih damdawi a ni lo. Damdawi inah chauh pek a ni a, doctor leh nursing staff te enkawlna hnuaiah direct-a pek a ni.
He damdawi hi i pek hmaa i doctor hnena i hrilh tur thilte
Alteplase hi damdawi chak tak a nih avangin i doctor-in i medical history kimchang a hriat hmasak phawt a pawimawh hle. Hei hi a chhan chu he damdawi hi damdawi lam harsatna nei mi pakhat hnena pek a hlauhawm theih vang a ni. A hnuaia thil awmte hi i neih chuan i doctor hnenah i hrilh ngei ang.
| I hriselna dinhmun | Engvangin nge notification hi a pawimawh? |
|---|---|
| Thisen kalna kawng bang chak lo (Aneurysm) . | Damdawi hnathawh avang hian vein chak lo tak chu a puak thei a ni. |
| Thisen chhuahna lama harsatna emaw thisen zam harsatna emaw | He damdawi hian thisen chhuah theihna a tipung lehzual a ni. |
| Tun hnaia surgery emaw biopsy emaw tih a ni | Surgery hliam hi thisen a chhuak nasa lutuk thei. |
| Thisen sang thunun theih loh | Thluak thisen chhuak ang chi natna khirh tak tak a awm thei. |
| Lu hliam, thluaka tumor emaw, a hmaa stroke emaw | Luruh chhunga thisen chhuah theihna a sang hle. |
| Zunthlum vanga mit chhiatna (Diabetic Retinopathy) . | Mit ah thisen a chhuak thei. |
| Naupai lai te, nau pai tum te, nau hnute pek te | Doctor chuan nu leh naute tana hlauhawm thei tur chu a rel tur a ni. |
| Damdawi dang emaw ei tur dang emaw allergy nei | Damdawi allergy a awm loh nan. |
He damdawi hman dan leh fimkhur tur
He damdawi hi vein chhunga cannula dah hmanga injection angin pek thin a ni. Hei hi damdawi in emaw clinic emaw-ah tih vek a ni.
Damdawi a ei lai hian
Alteplase pek i nih hunah i dinhmun chu doctor leh nurse ten uluk takin an enfiah ang. I heart rate, thisen sang leh thil pawimawh dangte chu enfiah reng a ni ang. Thisen chhuah theihna tur a tihziaawm theih nan khumah chawl turin an hrilh ang che.
Thisen chhuah theihna a awm
He damdawi ei avanga hlauhawm ber leh pawi ber chu thisen chhuah hi a ni. Alteplase hian thisen zamte chu a tithianghlim a, taksaa thisen zam (natural blood clotting process) chu rei lo te chhung atan a tichak lo a ni.
- Chuvangin , ha sil leh hnar i tihfai hian zawi zawiin fimkhur takin i ti tur a ni.
- Taksa hliam tenau tak pawh hian a tlangpui aia thisen a chhuah tam thei.
- Natna tidamtu dang (a bik takin NSAID) Aspirin leh Ibuprofen , leh thisen tithianghlimtu dang Warfarin leh Heparin te chu doctor phalna la hmasa lovin ei ngai suh .
Damdawi dose a san chuan engtin nge ni ang?
He damdawi hi damdawi ina pek a nih avangin a hman dan tur ngaihtuah a ngai lo. A dik taka chhut a ni a, damdawi lam thiamte’n an enkawl bawk. Overdose rinhlelhna a awm chuan damdawi ina thawktute chuan damdawi in Emergency Treatment Unit (ETU) emaw, a tul chuan Colombo National Hospital-a National Poisons Information Center emaw hnenah an hriattir nghal ang.
Side effect awm thei te
Damdawi dang ang bawkin Alteplase hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, ṭhenkhat chu a awm fo bawk.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effects awm thei chu i doctor emaw nursing staff emaw hnenah hriattir nghal tur a ni | |
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Thisen chhuahna symptoms a awm | Black or tarry stools, red or dark brown urine, coffee grounds ang maia thil luak chhuak, vunah sen hring, hmui, mit leh hnar atanga thisen chhuak danglam tak. |
| Stroke natna lan chhuah dan | Mit danglam, buai, tawng leh hriatthiam harsa, lu na na tak, hmai, kut emaw ke emaw a rang emaw chak lo emaw, kal harsa, luak chhuak. |
| Heart rate a inthlak danglam thin | Lungphun pangngai lo taka slow emaw fast emaw. |
| Side effects a tlangpuiin a na lo (mahse a awm reng chuan report tur a ni) . | |
| Luak chhuak thei | Khum atanga thawh dawnin zawi zawia thawh a pawimawh. |
| Khawsik | Taksa lumna a sang. |
| Nausea leh luak chhuak (Nausea, Vomiting) . | Hun rei lote chhunga thil awm dan a ni fo. |
Take-Home Thuchah a ni
- Alteplase hi nunna chhanhim thei, damdawi chak tak a ni a, emergency heart attack leh stroke-ah thisen zam a tithianghlim a ni.
- Hei hi damdawi inah chauh pek a ni a, damdawi lam enkawlna hnuaiah pek a ni. In lama hruai emaw, mahni chauha hman emaw phal a ni lo.
- I damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawng (vitamin leh herbs te pawh tel) i doctor hriattir hi a pawimawh hle.
- He damdawi ei hian a hlauhawm ber chu thisen chhuah a nih avangin enkawl lai leh a hnu ni engemaw zat chhung chu uluk takin enkawl i ni ang.
- Lu na tak, thisen chhuak danglam tak, allergy chhinchhiahna te i hmuh chuan damdawi in thawktute hriattir nghal rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Alteplase / tPA / Activase vaccine hi eng atan nge hman?
Hei hi khawvela ‘clot buster / thrombolytic’ damdawi chak ber a ni! Damlo pakhatin ‘heart attack’ a neih thut emaw, minute tlemte chhunga paralysis (ischemic stroke) thlentu thluak a tichhe emaw (darkar 3 atanga darkar 4.5 chhunga damdawi inah rawn hruai a nih chuan), damdawi in emergency department (IV)-a thisen zam chu a hmin a, damlo nunna 100% a chhanhim theih nan nunna chhanhimna injection a ni!
💬 Engtin nge he injection (Alteplase) hian thluak/thinlung chhunga thisen zam tang chu a tihthianghlim nghal theih?
Hei hian a tih chu kan taksa ngeia dissolving machine (Plasmin) chu tharum hmanga kan on hi a ni! Thisen cell te chu ‘Fibrin’ an tih mesh-a an inzawm chuan thisen zam (blood clot) a lo awm thin. He injection hi taksaah a luh veleh chu thisen zam (Tissue Plasminogen Activator) chu a hmuchhuak a, a chhunga enzyme plasmin an tih chu a tam thei ang berin a tichak a ni. Tichuan, mesh (Fibrin) chu a then a, a hmin a, thisen kal a tan leh ta a ni.
💬 He vaccine (tPA) hmang hian damlo chhanchhuah ni mah se, thihna hlauhawm ber (Black Box Warning) chu eng nge ni?
A hlauhawm ber chu ‘Intracranial Hemorrhage’ a ni! Hei hian thisen zam a tithianghlim a, chuvangin taksa khawi hmunah pawh hliam te tak te a awm chuan thisen a chhuak chhunzawm zel ang a, thisen chhuah chu a reh thei lo ang. A châng chuan thluaka thisen kalna kawng a puak a, paralysis chu a ṭhat phah a, mahse damlo chu thluaka thisen chhuak a nih pawhin a thihpui a, thihna a thlen nghal thei! (Chuvang chuan hei hi pek hmain thisen chhuahna (bleeding disorders/pressure) te hi enfiah hmasak phawt a ngai).
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