Thisen zam tithianghlimtu leh nunna chhanhimtu Thrombolytic Therapy chungchang i zir dawn teh ang!

Thisen zam chuan i thinlung, thluak, a nih loh leh i lung lam panna thisen kalna kawng lian tak chu a tikhawlo nghal a nih chuan eng nge thleng ang tih han ngaihtuah teh? Chu chuan chu taksa peng hrang hrangte thisen kal chu a titawp ang a, chhiatna a thlen ang. Hei hi nunna atana hlauhawm tak a ni. Chutiang emergency-ah chuan doctor-te chuan nunna chhanhim nan enkawlna bik an hmang thin. Vawiin hian chu thisen zamte chu a tithianghlim a, a paih chhuak thei damdawi, ‘Thrombolytic Therapy’ tih kan sawi dawn a ni.

A awlsam zawngin, Thrombolytic Therapy chu eng nge ni?

A hming hi a buaithlak deuh a, mahse a concept erawh a awlsam hle. A awlsam zawngin, hei hian kan taksa chhunga thisen kalna kawng hrang hranga thisen zam hlauhawm tak tak lo awm chu tihthianghlim leh paih chhuahna atana damdawi chi khat hman a huam a ni. Tui pipe-a clog awm chu chemical hmanga tihthianghlim leh paih ang mai a ni.

He enkawlna hian a tum ber chu thisen zam avanga thisen kal dan khap tawh chu siam that leh a ni. Chumi hnuah chuan chu thisen kalnain a pek chhuah taksa peng (thinlung leh thluak ang chi) te chu a tichhe tlem thei a ni. Hei hi emergency thila enkawlna pek thin a ni. He enkawlna hi nunna chhanhim thei a ni a, a bik takin heart attack (`(Myocardial Infarction)`), thluaka thisen kalna kawngkhar a block avanga stroke (`(Ischemic Stroke)`), emaw, lung chhunga thisen zam (`(Pulmonary Embolism)`) ang chi te hian nunna a chhanhim thei a ni.

He enkawlna hi tute nge mamawh? Tin, tuin nge dawng lo tur?

Hei hi mi zawng zawng tana pek theih tur enkawlna a ni lo. Doctor-te chuan he damdawi hi mi pakhat hnena an pek hmain thil tam tak an ngaihtuah hmasa thin. Risk engemaw zat a neih avangin. He inenkawlna hi engtikah nge a \ha a, engtikah nge a \ha lo tih i lo en ang u.

Chu bâkah, doctor-te chuan nu naupai leh tarte hnêna he damdawi hi an pêk hian harsatna a thlen theih dân an ngaihtuah hle bawk.

He enkawlna chi hrang hrangte hi engte nge ni?

He thisen zam damdawi hi pek dan kawng hrang hrang a awm. Doctor chuan damlo dinhmun leh thisen zam awmna hmun a zirin a hman dan tur dik ber a thlang ang.

1. Systemic Thrombolysis tih a ni

Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian IV tube chu kut chhunga vein pakhatah dahin, saline drip ang maiin, chuta tang chuan damdawi chu pek a ni. He damdawi hian circulatory system zawng zawng a fang kual a, chutah chuan thisen zam chu a tithianghlim a ni. Hetiang hmanrua hi emergency-ah te, heart attack, stroke, leh lung chhunga thisen zam (blood clots)-ah te hman a ni fo thin.

2. Catheter hmanga Thrombolysis tih thin

Hetiang tih dan hi a danglam deuh hlek a ni. Hetah hian tube sei tak, sei tak (hei hi catheter an ti a) chu taksaah hian groin, neck, arm-a vein hmangin taksaah dah a ni. Tichuan, X-ray ang chi technique hmangin he catheter tip hi thisen zam awmna hmun dik takah an kaihruai a. Tichuan, damdawi chu taksa pum puiah pek ai chuan catheter hmangin thisen zam chhungah direct-in a inject a ni. Hei hian damdawi chu a concentrate zawka pek theih a ni a, target-ah direct-in pek theih a ni. Hetiang method hi DVT leh PAD ang chi condition atan hman a ni ber. Hei hi a hmaa tih a ni tlangpui.

3. Mechanical Thrombectomy tih a ni

Chutiang a nih chuan damdawi pek bakah hian thisen zam chu a chhe vek a, mechanical-in a paih chhuak thin. Catheter tawp lama hmanraw bik (thisen chhuak chu a vibrate, rotate, emaw suck thei) hmangin thisen zam chu a tikehsawm a, a chi hrang hrangin a paih chhuak thin. A châng chuan he method hi catheter-directed method nen hian hman dun a ni.

Enkawl lai leh enkawl hnuah eng nge thleng?

He enkawl dan hi i dawn chi hrang hrang a zirin a danglam ang.

Emergency a nih chuan

Emergency, heart attack emaw stroke emaw i neih chuan doctor-te chuan damdawi in Emergency Treatment Unit (ETU)-a i dah hnuah a rang thei ang bera enkawl tan an tum ang. A tha ber tur chuan natna lan chhuah atanga darkar hnih chhung emaw, damdawi in thlen atanga minute 30 chhunga enkawl tan a pawimawh.

Enkawlna tih dan tur

Heng hmanraw lian pahnihah hian eng nge thleng tih i lo en ang u.

Enkawl lai hian medical team chuan i heart rate, lung function, leh blood pressure te chu an enfiah chhunzawm zel ang.

Enkawl hnuah

Doctor chuan thisen zam chu a lo hmin vek tawh em tih test eng emaw zat a kalpui ang.

• Angiogram hmanga enfiah a ni
• CT scan a ni
• Echocardiogram hmanga tih a ni

Enkawl zawhah intensive care unit (ICU)-ah ni khat vel i awm a ngai dawn a ni. Chumi hnuah chuan damdawi inah ni khat atanga ni thum dang enkawlna hnuaiah i awm a ngai dawn a ni. In i haw hnuah pawh thisen zam a lo awm leh tawh loh nan thisen tithianghlimtu damdawi i ei chhunzawm a ngai dawn a ni.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna a nei vek a ni.

A thatna ber chu:

• Nunna chhanhim theihna: Hei hi a thatna lian ber a ni. He enkawlna hian heart attack leh stroke ang chi case-ah thihna a veng thei a ni.
• Permanent disabilities venna: Thluak chhiatna tihziaawmna hmang hian stroke hnua tawng harsatna leh taksa peng hloh te ven theih a ni.
• Amputation venna: Kut emaw ke emaw a thisen kalna lian tak a inkhar chuan chu taksa peng chu thisen kal lovin a thi thei a ni. He enkawlna hian chu hlauhawmna chu a ti tlem a ni.

Risk lian ber berte:

• Brain hemorrhage: Hei hi complication hlauhawm ber a ni. Hetiang enkawlna dawngtu zinga 1% vel chuan thluaka thisen chhuak vangin stroke an nei thei a ni.
• Thisen chhuak dang: Hnar atang emaw, i ek atang emaw, i zun atanga thisen a chhuak thei bawk. IV emaw catheter emaw dahna hmunah hian hliam emaw thisen chhuak emaw i nei thei.
• Risk dangte chu:
• Allergy natna a awm thei
• Kidney chhiatna (a bik takin zunthlum vei te tan) .
• Thisen sang hniam (`(Hypotension)`) .
• Thisen zam chu a chhe a, hmun dangah a kal a, a tang ta a ni.
• Lungphun lama harsatna (`(Ventricular arrhythmia)`) .

Heng hlauhawmna avang hian doctor-te chuan he damdawi hi mi pakhat hnena an pek hmain thil tam tak an ngaihtuah thin.

Engtikah nge enkawl zawhah doctor ka hmuh ang?

In i haw hnuah chuan symptom thenkhat i en reng a pawimawh. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.

Heng symptoms te hian complication a awm tih a tilang thei a, chuvangin ngaihthah suh.