Hmangaihtuin a rilru a na hle thut a, a tawng thei lo... a nih loh leh taksa sir khatah a hriatna a hloh thut mai ang tih han ngaihtuah teh... Chutiang hunah chuan kan zavaiin kan hlauthawng a, a rang thei ang bera damdawi inah kan tlan nghal thin. Hetiang nunna leh thihna inbeihnaah hian vawiinah hian damdawi chi khat thiltithei tak leh hlu tak, doctor-te’n nunna chhanhimna atana an hman thin chungchang kan sawi dawn a ni. Chungte chu Thrombolytics an ti a, a awlsam zawngin, "thisen tichhe thei damdawi" an ti.
Heng Thrombolytics te hi engte nge ni? A awlsam zawngin i hrethiam ang u.
A awlsam zawngin sawi ila, hengte hi ‘clot-busting drugs’, a nih loh leh kan thisen kalna kawng chhunga thisen zam hlauhawm tak tak lo awm, thisen kal dan tikhawlotu chu a tithianghlim a, a paih chhuak thei a ni . Hengte hi enzyme chi khat an ni.
Tui pipe-a bawlhhlawh chi khat a tlak chuan tui chu a luang tawh lo tih han ngaihtuah teh. Chutiang bawkin kan thisen kalna kawng pakhata thisen zam a tlakbuak chuan thisen kal chu a tawp ta a ni. Thluak, thinlung emaw, lung emaw ang chi taksa peng pawimawh tak takah thisen kal chu a tawp a nih chuan chhiatna thleng thei chu ngaihtuah phak rual a ni lo.
Hetah hian thrombolytics an tih damdawi a lo lut a, heng damdawi te hian thisen zam siamtu fibrin an tih protein chu a tichhia a, thisen zam chu a tithianghlim a, thisen kal dan a siam tha leh thin Hei hian blocked organ chu oxygen a dawng leh thei a, chhiatna dang a veng thei a ni.
Eng dinhmunah nge he damdawi hi hman a nih?
Heng damdawi hi counter atanga lei theih chi a ni lo. Damdawi inah chauh hman a ni a, a bik takin emergency room (ETU)-ah te, nunna atana hlauhawm dinhmun a awm hunah chauh hman a ni. Hetah hian hun hi a pawimawh ber a ni . Heng damdawi te hi emergency atanga darkar tlemte chhunga pek theih a nih chuan a result a tha hle.
A chang chuan he enkawlna hi ambulance-ah pawh tan theih a ni. Doctor chuan he damdawi hi i kut vein pakhatah IV hmangin emaw, catheter hmangin thisen zam chhungah direct-in emaw a pe thei bawk.
| Damdawi lam dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Thai | Thluaka thisen pe chhuaktu vein-a thisen zam (blood clot) a awm. A lan chhuah tirh atanga darkar 3-4.5 chhungin pek a pawimawh hle . |
| Lung natna (Heart Attack) a awm | Thinlung hnena thisen pe chhuaktu coronary artery-a thisen zam (blood clot) a awm. Hei hi damdawi-inah chuan thinlung chhunga tube (stent) dah a, a thisen zam (clot) lak chhuah theihna tur facility nei loah chuan enkawlna lian tak a ni. |
| Pulmonary Embolism natna a awm | Taksa hmun danga thisen zam (a tam zawk chu keah) lo awm tawh chu a chhuak a, lung chhunga vein pakhatah a inkhung ta a ni. |
| Deep Vein Thrombosis (DVT) natna hi a awm thei lo. | Ke ruh thuk takah thisen zam a lo awm fo thin. |
| Case dang pawh a awm | Kea thisen kalna kawng (artery) a block emaw, thisen zam avanga hun rei tak chhunga central venous catheter a block emaw. |
Thrombolytics leh ‘thisen tithianghlimtu’ dang inthlauhna.
Hei hi mi tam tak buaina hmun a ni. Warfarin, Aspirin, leh Clopidogrel ang chi ‘thisen tithianghlimtu’ tih hi i hre tawh ngei ang. Mahse Thrombolytics hi thil danglam tak a ni.
Thrombolytics: Heng damdawi hi emergency-a thisen zam lo awm tawh leh thisen kalna kawng tikhawlo mek chu tihchhiat leh tihthianghlimna atana hman thin damdawi te an ni Dynamite hmanga kawngpui daltu lung lian tak paih chhuah ang mai a ni.
Anticoagulants/Antiplatelets (Warfarin, Aspirin ang chi): Heng damdawi te hian thisen zam thar, hlauhawm tak siam chhuah a veng a ni . Hei hi hun rei tak chhunga hman theih damdawi a ni a, thisen zam awm theihna a ti tlem a ni. Lung tlak loh nan kawngpuiah safety net dah ang mai a ni.
Heng damdawi te hian eng nge a thatna leh a hlauhawmna?
A thatna lian ber chu heng damdawi te hian thisen kal dan a siam tha rang hle a, oxygen tlakchham vanga thluak emaw thinlung emaw a chhiatna awm reng chu a ti tlem thei hle. A bik takin stroke ang dinhmunah chuan he damdawi hi i dawn hma poh leh dam kim theihna chance a sang zawk.
Mahse, damdawi chak tak ang bawkin, hlauhawmna engemaw zat a awm.
A hlauhawm ber leh pawi ber chu control loh thisen chhuah hi a ni. He damdawi hian thisen zam a tihthianghlim avangin hna a thawk a, taksa khawi hmunah pawh thisen a chhuak thei a ni. Bik takinThluak chhungah thisen chhuak a awm chuan a hlauhawm hle. Stroke dang a thlen leh thei bawk.
Tute nge thisen chhuah hlauhawmna sang zawk?
- Kum upa lam tan
- Thisen chhuah duhna nei tan
- Tun hnaia zai emaw, hliam lian tak emaw nei tawhte
- Thisen tihthianghlimna damdawi Warfarin ang chi ei tawh tan
- Thisen sang thunun theih loh nei tan
Chuvângin, doctor chuan damlo dinhmun leh a hlauhawmna zawng zawng a ngaihtuah hnuah, damdawi pêk hlawkna chuan a hlauhawmna aiin a tam zâwk daih chauhvin he damdawi hi pe tûrin a rêl ang Damdawi lam thawktute chuan i thisen sang leh thil dangte chu enkawl lai leh enkawl zawhah an enfiah reng ang.
Engtikah nge damdawi lam thurawn i lak nghal ang?
Hei hi i hriat reng tur a ni. Nangmah emaw, i hnaih ber tu emaw hian heart attack emaw stroke emaw symptoms a nei tih rinhlelhna tlemte pawh i neih chuan hun khawhral suh.
Heart attack emaw stroke emaw symptoms i neih chuan (e.g. rilru na nghal, thawk harsa, taksa sir khatah rilru hah, tawng harsa) i neih chuan 1990 Ambulance Service call nghal la emaw, a rang thei ang bera damdawi in hnai ber Emergency Department (ETU)-ah hruai rawh
Hetiang dinhmunah hian second tin hi a pawimawh vek. Inenkawl vat chuan nunna a chhanhim thei a, hun rei tak chhunga rualbanlote a veng thei bawk.
Take-Home Thuchah a ni
- Thrombolytics hi damdawi chi khat chak tak a ni a, emergency-a thisen zam lo awm tawh chu tihthianghlim nan pek thin a ni.
- Hengte hi nunna atana hlauhawm, stroke leh heart attack-ah te hman a ni.
- He enkawlna hlawhtlinna atan hian hun hi a pawimawh ber a ni. Symptoms a lan tan veleh damdawi ina dah hian outcome a ti tha thei hle.
- Heng damdawi te hian a hlauhawm ber chu thisen chhuah a nih avangin doctor chuan damlo tana a thatna leh a hlauhawm dan uluk taka a ngaihtuah hnuah chauh a pe ang.
- Heart attack emaw stroke emaw chhinchhiahna te, leh i chhungte pawh hre reng ang che. A rang lama hmalak chuan nunna a chhanhim thei a ni.
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