Kua whakaarohia e koe he aha ngā momo mea e whakamahia ana e ngā tākuta hei whakaora i ō tātou oranga i roto i te wā ohorere nui pēnei i te mate manawa, te whiu rānei? I ētahi wā ka whakawhirinaki ō tātou oranga ki te maimoatanga e tukuna ana i roto i ētahi meneti. I ēnei wā, he momo rongoā whakaora ora e mahi ana me te makutu. I tēnei rā ka kōrero tātou mō aua rongoā e kiia nei ko ngā Thrombolytics.
Hei whakarāpopototanga, he aha ēnei rongoā Thrombolytic?
Whakaarohia ko ngā uaua toto o roto i tō tātou tinana he rite ki te whatunga rori. Mā ēnei rori ka rere te toto, ka haria te hāora me ngā matūkai ki tō tātou ngākau, ki te roro, ki ngā pukahukahu, ā, ki tō tātou tinana katoa. Whakaarohia, he aha te mea ka tupu mēnā ka huri whakarere mai tētahi toka nui i tēnei rori ka ārai i te rori? Kāore e taea e ngā waka te neke, ā, ka mutu katoa ngā waka.
Ka pērā anō te āhua ina puta he toto totoka i roto i tētahi o ō tātou uaua toto, ā, ka aukatia. Ka mutu te rere o te toto ki te okana e tukuna ana e taua uaua totoka (hei tauira, te ngākau, te roro), ā, ka tīmata te pakaru o taua okana. Ko ngā rongoā thrombolytic he "Rongoā Whakakore Totoka" e whakarewa ana i te toto totoka e aukati ana i te ara, e pakaru ana, e tango ana, e whakaora ana i te rere o te toto.
He whākōkī ēnei rongoā. Ko tā rātou mahi matua he wawahi i te whatunga pūmua e kiia nei ko te fibrin e pupuri ana i te toto totoka kia piri. He rite ki te wawahi i te tukutuku pungawerewere.
Ko te mea nui ko te hoatu i ēnei rongoā i te tere tonu. He mea nui te wā ki konei, nā te mea i ia hēkona e mutu ai te rere o te toto, ka pakaru ō tātou whekau.
I te nuinga o te wā, mēnā ka whakaurua koe ki te Tari Ohotata o te hōhipera (ETU) me te mate manawa, te whiu, te mate pūkahukahu rānei, ka taea e ngā tākuta te whakatau ki te hoatu i tēnei rongoā ki a koe i roto i te hawhe haora noa iho. I ētahi wā, ka taea te tīmata i tēnei maimoatanga i roto i te waka tūroro i a koe e haria ana ki te hōhipera.
He aha ēnei rongoā, ā, mō ngā mate aha hoki?
He maha ngā momo rongoā whakaheke toto. Mā tō tākuta e whiriwhiri te rongoā tino tika i runga i tō āhua, ngā whare o te hōhipera, me ētahi atu āhuatanga. Me titiro tātou ki ētahi o ngā momo matua.
| Ingoa o te rongoā | Te motuhaketanga me te whakamahinga |
|---|---|
| Alteplase (t-PA) | He rongoā he iti te mōrearea o ngā mate pāwera, e whakamahia whānuitia ana mō te whiu, te embolism pūkahukahu, me te mate manawa. |
| Streptokinase | He momo e whakamahia whānuitia ana puta noa i te ao, ā, he iti ake te utu i ētahi atu. Heoi, ka pāngia ētahi tāngata e ngā mate pāwera. |
| Tenecteplase | He whānuitia te whakamahinga nā te mea he tino whai hua, ā, he iti hoki te mōrearea o te toto. |
| Whakarārangi anō | He tere ake te mahi a tēnei rongoā i ētahi atu rongoā whakaheke toto. |
| Urokinase | He mea whakamahi pinepine mō ngā toto totoka e puta ana i roto i ngā uaua o ngā waewae (ngā totoka ā-taha) me ngā katitere. |
I roto i ngā āhuatanga hea e hiahiatia ai tēnei rongoā?
Ka whakamahia ēnei rongoā e ngā tākuta ina puta he mate kino, he mate mōrearea i te toto totoka. Ko ētahi o ēnei āhuatanga ko:
- Te whakaekenga o te ngakau: Ka āraia te uaua toto e tuku toto ana ki te ngakau e te toto totoka.
- Te whiu: Ka ārai te toto totoka i tētahi oko toto e tuku toto ana ki te roro.
- Te toto totoka kua puea ake i tētahi atu wāhi o te tinana (i te waewae tonu) ka pakaru, ka mau ki roto i tētahi uaua o ngā pukahukahu .
- Te totohu toto hohonu (DVT): Nga toto toto i roto i nga uaua hohonu, ina koa i nga waewae.
- Te aukati whakapeka o te uaua taha: Te aukati i te uaua nui e tuku toto ana ki te waewae.
- Te aukati i roto i te catheter uaua pokapū.
He aha te rerekētanga i waenga i ngā rongoā thrombolytic me ngā rongoā anticoagulant?
Koinei te wāhi e pōhēhē ai te tini o te tangata. He rerekē rawa ngā tikanga mahi a ēnei momo rongoā e rua.
Whakaarohia pēnei:
Ko ngā rongoā thrombolytics he rongoā e pakaru ana, e whakarewa ana hoki i tētahi toto toto nui kua hangaia kētia, ā, e aukati ana i tētahi oko toto.Pērā i te "rōpū whakakore ohorere." Ka whakamahia anake ēnei i ngā wā ohorere, i roto i te hōhipera. Kāore e taea te hoko i ēnei rongoā i te whare rongoā.
Ko ngā rongoā ārai toto (ngā rongoā whakangawari toto) , pērā i te warfarin, he rite ki te "kaitiaki" e ārai ana i te hanganga o ngā toto toto hou, e whakaroa ana rānei i te tukanga o ngā toto toto. Tērā pea ka tūtohu tō tākuta kia haere tonu te tango i ēnei rongoā. Mēnā ka pai te mahi a ēnei rongoā, ka taea e rātou te āwhina i a koe kia kore e pāngia e tētahi āhuatanga ohorere e hiahia ana ki ngā rongoā thrombolytic.
He pai, he mōrearea anō hoki?
Ae, āe. Pērā i tētahi atu rongoā kaha, he nui ngā painga o ngā rongoā thrombolytics, engari he maha anō hoki ngā mōrearea me mōhio tātou ki ēnei.
Ngā painga matua
Ko te painga nui o ēnei ko te tere o te mahi . Ka taea e ēnei rongoā te whakatuwhera wawe i te oko toto kua āraia, me te whakahoki mai i te rere o te toto. Ka taea e tēnei te whakaiti i te kino tuturu ki te roro, ki te ngākau rānei nā te kore o te hāora. Kua kitea e ngā rangahau he nui ake te tūponotanga ka ora katoa ngā tūroro e whiwhi ana i te rongoā thrombolytic i roto i ngā haora tuatahi o te whiu i te hunga kāore i whiwhi i te rongoā.
Ngā mōrearea matua
Ko te pānga taha tino kino, tino wehingia hoki o ēnei rongoā ko te toto kore e taea te whakahaere .
Ka puta tēnei mōrearea nā te mea ka pāngia hoki te tukanga toto totoka noa o te tinana e te rongoā ka taea te whakarewa i te toto totoka.
- Tērā pea ka pāngia ētahi tāngata e te toto iti mai i ngā wāhi pēnei i ngā kapia me te ihu.
- He tino onge, engari he tino kino, ka puta te toto i roto i te tinana, inā koa i roto i te roro (Te toto i roto i te angaanga) . He mate tino morearea tēnei.
Ko wai ka nui ake te mōrearea o te toto?
- Mō ngā kaumātua
- Mō te hunga he hītori o ngā mate toto
- Mō te hunga kua oti te pokanga tata nei, kua pāngia rānei e tētahi aituā kino
- Mō te hunga kua tango kē i ngā rongoā whakaheke toto (Anticoagulants)
- Mō te hunga he toto toto tiketike kāore i te whakahaeretia
Nā tēnei mōrearea, ka tirotirohia koe e ngā tākuta i te wā e rongoatia ana, ā, i muri hoki i te rongoā. Ka tirohia tonutia e rātou tō toto toto. I ētahi wā, ka pakaru pea tētahi wāhanga iti o te toto toto kua rewa, ka mau ki roto i tētahi atu uaua iti. Nō reira, i muri i te rongoā, ka mahia e rātou tētahi mea pēnei i te matawai CT hei tirotiro mēnā kei te toe ētahi toto toto.
Āhea ahau me toro atu ki te tākuta?
He mea tino nui tēnei. Mēnā kei te whakapae koe kei te pāngia koe, tetahi atu rānei e tata ana ki a koe, e pāngia ana e ngā tohu o te mate manawa, te whiu rānei, waea atu ki te 1990 tonu, ka tikina he waka tūroro.
Kaua rawa e ngana ki te taraiwa i a koe anō ki te hōhipera. Ko te painga nui o te haere mā te waka tūroro ko te taea e koe te tīmata i te maimoatanga i a koe e haere ana ki te hōhipera. Ka haria tika atu koe e rātou ki te Wāhanga Maimoatanga Ohotata (ETU) ki reira ka taea te hoatu i te maimoatanga tika. He mea nui ia hēkona hei whakaora i tō ora.
Nō reira, he mea nui kia mōhio koe me tō whānau ki ngā tohu o te mate manawa (mamae nui o te uma, uaua ki te manawa, mamae e horapa ana ki te ringa maui) me te whiu (uaua ki te kōrero, piko te taha kotahi o te mata, ngaro te mahi a te ringa).
Karere Tangohia ki te Kāinga
- He momo rongoā tino kaha, he whakaora ora ngā rongoā thrombolytic e whakamahia ana hei whakarewa i ngā toto totoka i roto i ngā oko toto i ngā wā ohorere pērā i ngā whakaeke ngakau me ngā whiu.
- He mea nui te wā kia angitu ai tēnei maimoatanga. He mea nui kia tae atu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera i te wā tonu ka puta mai ngā tohu.
- Ko te pānga taha matua me te tino kino o ēnei rongoā ko te toto, nō reira ka tino aroturukihia te tūroro e ngā tākuta i te wā e tukuna ana tēnei maimoatanga.
- Ehara ngā thrombolytics i te rongoā ārai toto. He rerekē rawa atu tā rātou mahi.
- Mā te mōhio ki ngā tohu o te mate manawa, te whiu rānei, ka āwhina i a koe me tō whānau ki te mahi tere i roto i te āhuatanga ohorere, me te whakaora i te ora.
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