Thrombolytic Therapy chungchanga hriat tur awmte!

Kan taksa thisen kalna kawngte hi khawpui buaina hmuna kawngpui network ang mai a ni ang tih han ngaihtuah teh. Kan taksa peng zawng zawng, kan thinlung, thluak, leh lungte chawm turin heng kawngpuiah hian thisen a kal chhunzawm zel a. Chuti a nih chuan, he kawngpui lian tak, chu chu thisen kalna kawng hi thisen zam lian takin a lo dang nghal a nih chuan eng nge thleng ang? Kawngpuiah accident lian tak leh traffic jam ang bawkin kan taksa peng hrang hranga thisen kalna chu a tawp thei a, chu chuan heart attack emaw stroke emaw ang chi dinhmun hlauhawm tak a thlen thei a ni. Vawiin hian doctor-te’n hetiang nunna atana hlauhawm thisen zam hi tihthianghlim a, thisen kal dan siam\hatna atana an hman \hin damdawi pawimawh tak kan sawi dawn a ni.

A awlsam zawngin, Thrombolytic Therapy chu eng nge ni?

Hei hian Sinhala tawngin ‘thisen tichhe thei enkawlna’ tihna a ni. A awlsam zawngin, hei hian thisen kalna kawng chhunga thisen zam hlauhawm tak tak, thisen zam hlauhawm tak takte tihthianghlim nan damdawi chak tak tak (thrombolytics) taksaah pek a huam a ni. Clot chu a lo hmin chuan thisen kalna kawngkhar kha a inhawng leh a, a natna taksa peng lama thisen kal chu a lo awm leh ta a ni. Hei hi nunna chhanhim thei damdawi a ni a, thil pawimawh tak takah hman thin a ni . He enkawlna hi an tan hma poh leh a hlawhtlin theihna a sang zawk.

He enkawlna hi tute nge mamawh a, eng thilah nge mamawh?

Doctor-te chuan he enkawlna hi a hnuaia mi ang hian thil pawi tak, emergency-ah an ngaihtuah tlangpui.

• Myocardial Infarction: Thisen zam hian thinlunga thisen petu coronary artery a block hian, a bik takin stent dah nghal emaw, operation emaw tih theih a nih loh chuan.
• Ischemic Stroke: Thluak a thisen petu thisen kalna kawng (artery) a tihkhawtlai avanga thisen zam a tihkhawtlai avanga stroke a awm.
• Pulmonary Embolism: Taksa hmun dangah (a tlangpuiin keah) thisen zam lo awm chu a lo chhuak a, lung chhunga vein pakhatah a lo awm a.
• Deep Vein Thrombosis (DVT): Thisen zam lian tak tak, a bik takin ke ruh thuk takah hian harsatna a thlen a, chu chu ke sen, natna nasa tak a thlen a, thisen tihthianghlimna damdawi hman tlanglawn tak tak (anticoagulants) te pawh a chhang lo.
• Acute Peripheral Arterial Occlusion: Thisen zam hian kut emaw ke emawa thisen kalna lian tak a block .

Hetiang enkawlna dawng lo tur mi an awm em?

Ni e, a dik tak zet. He enkawlna atana hlauhawm ber chu thisen chhuah a nih avangin damlo thenkhat hnenah pek a ni lo. A chhan chu an tan chuan enkawlna atanga chhiatna chu a hlawkna aiin a tam zawk thei a ni.

Chu bâkah, doctor-te chuan he thil hi vawi hnih an ngaihtuah a, a chhan chu nu naupai leh tarte chu harsatna an tawh theihna a sang zâwk a ni.

Engtin nge he enkawlna hi tih a nih?

I dinhmun leh hmanhmawhthlak dan azirin enkawl dan tlangpui pahnih a awm.

1. Systemic Thrombolysis tih a ni

Hei hi emergency (heart attack, stroke)-a hman tlanglawn ber a ni.

• Hei hian thisen zam tichhe thei damdawi chu kut chhunga vein pakhata dah IV cannula hmangin thisenah direct-a pek a ni.
• He damdawi hian thisen nen a kal a, thisen zam awmna hmunah a kal a, a tithianghlim tan thin.
• Hetiang tih dan hi intensive care unit (ICU) ah tih thin a ni tlangpui. Procedure zawng zawng hi darkar khat vel a ni thei.

2. Catheter hmanga Thrombolysis tih thin

Hetiang method hi DVT emaw PAD emaw ang chi pre-planned treatment atan hman a ni fo thin.

• Hetiang tihnaah hian groin, neck, emaw arm vun atang hian khur te tak te siam a ni a, chuta tang chuan thisen kalna kawngah hian catheter an tih tube te tak te, sei tak tak an dah a ni.
• X-ray ang chi technology hmangin he catheter tip hi thisen zam awmna hmunah chiang takin a kal a ni.
• Tichuan, damdawi chu catheter hmangin thisen zam chhungah direct-in an inject leh thin. A châng chuan catheter tawp lama hmanraw bik hmangin thisen zam (mechanical thrombectomy) a tichhia thei bawk.
• Hetiang tih dan hian thisen zam chu a hmin vek theih nan darkar 48 (ni 2) vel a ngai thei a ni. Hemi chhung hian damdawi inah dahin medical team ten an vil reng ang che.

Enkawlna avanga hlauhawm leh harsatna awm thei te chu engte nge ni?

Damdawi dang ang bawkin, hlauhawmna engemaw zat a awm.

He risk lian ber bakah hian a hnuaia thilte hi a thlen theihna chance tlemte a awm bawk:

• Damdawi avanga allergy awm thei.
• Cannula emaw catheter emaw dahna hmuna thisen chhuah emaw, hliam emaw.
• Thisen sang hniam (hypotension).
• Thisen chhuak (dissolving blood clot) tlemte chu a chhe vek a, thisen kalna kawng dangah a tang ta a ni.
• Kidney chhiatna (a bik takin zunthlum vei te tan).
• Hnar atanga thisen tlem lo chhuak, bawlhhlawh nen emaw, zun nen emaw.

I doctor chuan enkawl hmain heng hlauhawmnate hi nangmah emaw, i enkawltu te hnenah emaw a hrilhfiah ang che.

Enkawl leh dam leh hnuah

Enkawl zawhah doctor chuan test eng emaw zat a ti ang a, chu chu angiogram leh CT scan te a ni ang a, thisen zam chu a lo hmin vek tawh em tih a en ang.

Intensive care unit (ICU)-ah ni khat tal i awm a ngai ang a, chumi hnuah general ward-ah ni khat atanga ni thum dang enkawlna hnuaiah i awm leh tur a ni.

In i haw hnuah i doctor chuan thisen zam a lo awm leh tawh loh nan thisen tithianghlimtu damdawi a pe mai thei . Heng thupekte hi dik taka zawm a pawimawh hle.

In lama haw hnua doctor pan tur a nih thu vaukhânna chhinchhiahna

A hnuaia symptoms te hi i neih chuan, .Doctor hnenah hriattir nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh.