Tiyeni tiphunzire bwino za chithandizo chopulumutsa moyo chomwe chimasungunula magazi oundana mwadzidzidzi (Fibrinolytic / Thrombolytic Therapy)!

Tangoganizani kuti munthu amene ali pafupi nanu mwadzidzidzi akuvutika ndi kupweteka pachifuwa, akutuluka thukuta movutikira kupuma. Kapena mwadzidzidzi pakamwa pake patupa, dzanja lake lachita dzanzi, ndipo satha kulankhula. Kodi ndi zamtengo wapatali bwanji sekondi iliyonse mu nthawi ngati iyi? Lero tikulankhula za chithandizo chapadera komanso champhamvu chomwe chingapulumutse moyo mwa kusungunula magazi owuma omwe amayambitsa ngozi zoopsa ngati izi.

Mwachidule, kodi chithandizochi n’chiyani?

Izi zimatchedwa chithandizo cha fibrinolytic kapena thrombolytic. Ngakhale mayinawo ndi ovuta pang'ono, njira yake ndi yosavuta kwambiri. Ali ngati madzi omwe timagwiritsa ntchito kuyeretsa ngalande yotsekeka m'nyumba mwathu.

Pamene magazi owundana amachitika mkati mwa mtsempha wamagazi m'thupi lathu, amaletsa kuyenda kwa magazi kudzera mmenemo. Zotsatira zake, ziwalo zofunika kwambiri monga ubongo ndi mtima zomwe zimaperekedwa ndi magazi kuchokera m'mtsemphawo zimayamba kufa popanda kulandira mpweya. Ichi ndi chomwe chimayambitsa matenda ambiri a mtima ndi sitiroko.

Choncho chomwe chithandizochi chimachita ndi kubaya mankhwala amphamvu kwambiri m'thupi, omwe amasungunula ndikuchotsa magazi owopsa. Izi zimatsegulanso mitsempha, ndikubwezeretsa kuyenda kwa magazi. Izi zikutanthauza kuti zitha kupulumutsa moyo.

Ndi nthawi ziti pamene chithandizochi chimafunika?

Uwu si chithandizo chachizolowezi. Umaperekedwa pa nthawi yadzidzidzi komanso ngati pali chiopsezo ku moyo. Madokotala amaganizira njira iyi yochizira makamaka pazochitika izi:

Kodi mankhwalawa amaperekedwa bwanji m'thupi?

Pali njira ziwiri zoperekera izi.

1. Kudzera mu mzere wa IV: Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri. Mankhwalawa amaperekedwa mwachindunji m'magazi mwanu kudzera mu cannula (mzere wa IV) womwe umayikidwa mumtsempha womwe uli m'dzanja lanu.

2. Kudzera mu catheter: Nthawi zina, makamaka pamene mankhwala akufunika kuperekedwa mwachindunji pamalo pomwe magazi amaundana, madokotala amaika chubu chopyapyala (catheter) kudzera mu mtsempha wamagazi ndikulowetsa mankhwalawo mwachindunji pamalo pomwe magazi amaundana.

Kodi nthawi ndi yofunika bwanji? - Sekondi iliyonse ndi yagolide!

Nthawi ndi yofunika kwambiri pa chithandizochi. Sekondi iliyonse imene magazi amaundana, maselo a muubongo kapena minofu ya mtima amafa. Chifukwa chake, ndikofunikira kuyamba chithandizo mwamsanga .

Choncho, ngati mukuona zizindikiro za matenda a mtima kapena sitiroko, musayese kuzichiza kunyumba kapena kudikira. Pitani ndi wodwalayo ku chipatala cha Emergency Treatment Unit (ETU) mwachangu momwe mungathere.

Kodi pali zochitika zina zomwe chithandizochi sichingaperekedwe?

Inde. Uwu ndi mankhwala amphamvu kwambiri, kotero sungaperekedwe kwa aliyense. Chifukwa umasungunula magazi oundana ndipo umawonjezera chiopsezo cha kutuluka magazi m'thupi. Chifukwa chake, kupereka chithandizo ichi kwa anthu ena kungakhale koopsa.

Gulu la azachipatala lidzasankha ngati ndinu woyenera kulandira chithandizochi mutayesedwa mwachangu. Chithandizochi nthawi zambiri sichiperekedwa kwa anthu omwe ali ndi matenda awa:

• Ngati muli ndi zaka zoposa 75.
• Ngati munayamba mwatuluka magazi muubongo.
• Ngati panopa mukugwiritsa ntchito mankhwala ochepetsa magazi.
• Ngati mwakhala ndi sitiroko m'miyezi itatu yapitayi.
• Ngati mukutuluka magazi kuchokera kulikonse m'thupi kapena mwachitidwa opaleshoni/kuvulala kwakukulu posachedwapa.
• Ngati mukudziwa kuti muli ndi chotupa cha muubongo.
• Ngati muli ndi pakati.
• Ngati muli ndi kuthamanga kwa magazi komwe sikungatheke kulamuliridwa.
• Ngati muli ndi matenda a maso chifukwa cha matenda a shuga.
• Ngati kuchuluka kwa ma platelet kuli kochepa kwambiri.

Mndandandawu si wokwanira. Dokotala wanu adzasankha chosankha chomaliza kutengera vuto lanu.

Momwe chithandizochi chimachitikira pang'onopang'ono

Musanalandire chithandizo

Popeza izi ndi zadzidzidzi, mudzaloledwa mwachindunji ku Intensive Care Unit (ICU) , komwe magulu azachipatala ndi anamwino adzayang'anira mosamala chilichonse kuyambira kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kuchuluka kwa mpweya.

Pa nthawi ya chithandizo

Monga tanenera kale, mankhwalawa adzaperekedwa m'thupi kudzera mu IV line kapena catheter. Pa nthawi ya chithandizo, mayeso monga CT scans kapena MRI scans adzagwiritsidwa ntchito kuti awone ngati magazi oundana akusungunuka.

Nthawi zina, kuwonjezera pa kapena m'malo mwa mankhwalawa, opaleshoni ya makina yochotsa magazi m'thupi (mechanical thrombectomy) ikhoza kuchitidwa. Izi zimaphatikizapo kugwiritsa ntchito catheter kuti ifike pamalo pomwe magazi amaundana, kuidula m'zidutswa tating'onoting'ono, ndikuichotsa kudzera mu mkodzo .

Pambuyo pa chithandizo

Pambuyo pa chithandizo, madokotala amafufuza ngati pali zidutswa za magazi zomwe zatsala. Chithandizo china chingafunike. Mwachitsanzo, kupukutira mtsempha , kupukutira m'mimba , kapena opaleshoni yotsegula mtsempha kuti mitsempha yamagazi ikhale yotseguka kwa nthawi yayitali.

Komanso, madokotala adzakulangizani kuti mupitirize kumwa mankhwala ochepetsa magazi (anticoagulants) , monga Warfarin kapena Heparin, kuti magazi asaundane mtsogolo.

Kodi zoopsa ndi zotsatira zake ndi ziti?

Chiwopsezo chachikulu komanso chofala kwambiri cha chithandizochi ndi kutuluka magazi . Izi ndi zachilendo.

• Kutuluka magazi kungachitike kuchokera pamalo pomwe pali kanula.
• Kuvulala kwaposachedwa kungatulutsenso magazi.
• Kutuluka magazi m'mphuno kungachitike.
• Pakhoza kukhala magazi mu mkodzo.
• Pakhoza kukhala magazi mu ndowe.
• Azimayi akhoza kutuluka magazi ambiri m'mimba.
• Choopsa chosowa kwambiri, koma choopsa kwambiri, ndi kutuluka magazi muubongo .

Ngakhale kuti pali zoopsa zimenezi, kwa anthu ambiri ubwino wa chithandizochi, chomwe chimatanthauza kupulumutsa miyoyo, ndi woposa zoopsa zimenezi. Ndicho chifukwa chake madokotala amaganizira zonse asanapange chisankho ichi.

Ndiyenera kukaonananso ndi dokotala liti?

Mukapita kunyumba mutalandira chithandizo, ngati pali mavuto aliwonse, muyenera kudziwitsa dokotala nthawi yomweyo.

• Ngati pali kutuluka magazi ambiri .
• Ngati mukumva ululu wosapiririka .
• Ngati mukuyamba kutentha thupi .

Ngati chinthu chonga ichi chichitika, imbani dokotala nthawi yomweyo. Iye ndiye adzadziwa chomwe chikuyambitsa vutoli ndikukupatsani chithandizo chofunikira.