Tangoganizirani mwadzidzidzi kupweteka kwambiri pachifuwa, kuvutika kupuma, kapena pakamwa kukokedwa mbali imodzi osatha kulankhula. Kodi sekondi iliyonse nthawi ngati imeneyi ndi yamtengo wapatali bwanji? Chifukwa cha izi chikhoza kukhala magazi oundana mumtsempha wamagazi womwe umanyamula magazi kupita ku ubongo kapena mtima. Lero tikulankhula za chithandizo chapadera chotchedwa "kudula magazi," chomwe chimasungunula magazi oundana omwe amapha moyo.
Kodi chithandizo chochepetsa magazi ichi n'chiyani?
Mwachidule, iyi ndi mankhwala amphamvu omwe "amaswa" kapena kusungunula ndikuchotsa magazi omwe angawononge magazi. M'mawu azachipatala, timatcha kuti Fibrinolytic therapy kapena Thrombolytic therapy . Chomwe mankhwalawa amachita ndikusungunula mwachindunji magazi omwe angayambitse matenda oopsa monga matenda a mtima kapena sitiroko, kutsegulanso mitsempha yamagazi yotsekedwa, ndikubwezeretsa kuyenda kwa magazi.
Ndi nthawi ziti pamene chithandizochi chimafunika?
Chithandizochi chimagwiritsidwa ntchito makamaka pazochitika zadzidzidzi komanso zazikulu. Nthawi zambiri chimagwiritsidwa ntchito pochiza matenda otsatirawa:
| Matenda | Kufotokozera kosavuta |
|---|---|
| Matenda amtima | Kutsekeka kwa mtsempha wamagazi (coronary artery) womwe umatumiza magazi kumtima pogwiritsa ntchito magazi kuundana. |
| Stroke | Mtsempha wamagazi womwe umatumiza magazi ku ubongo umatsekedwa ndi magazi kuundana. |
| Kutsekeka kwa M'mapapo | Mtsempha wamagazi womwe umapita ku mapapo umatsekedwa ndi magazi kuundana. |
| Kutsekeka kwa Mitsempha Yakuya (DVT) | Kuundana kwa magazi, nthawi zambiri m'mitsempha yakuya mwendo. |
| Milandu ina | Kutsekeka kwa mitsempha ina m'thupi, kutsekeka kwa machubu omwe amagwiritsidwa ntchito pochotsa magazi m'thupi, kapena kutsekeka kwa njira yodutsa magazi yomwe yachitidwa opaleshoni. |
N’chifukwa chiyani nthawi ndi yofunika kwambiri?
Nthawi ndi yofunika kwambiri pa chithandizochi, makamaka pankhani ya sitiroko. Kumwa mankhwalawa mkati mwa maola 3 mpaka 4.5 kuchokera pamene zizindikiro zayamba kuonekera kungachepetse kwambiri chiopsezo cha kuwonongeka kwa ubongo kosatha. Izi zikutanthauza kuti ndikofunikira kwambiri kuyamba chithandizochi mkati mwa mphindi 30 kuchokera pamene wodwalayo wabweretsedwa ku chipinda chothandizira odwala mwadzidzidzi (ETU). Chithandizo chikayamba msanga, zotsatira zake zimakhala zabwino kwambiri.
Kodi aliyense ali woyenera kulandira chithandizochi?
Ayi. Popeza mankhwalawa ndi amphamvu kwambiri, sangapatsidwe kwa anthu omwe ali ndi zinthu zina zoopsa. Mukalowa kuchipatala, gulu lachipatala lidzakuyesani mayeso ofunikira kuti adziwe ngati ndinu woyenera kulandira chithandizochi.
Milandu yomwe ingakhale yosayenera chithandizochi
Chithandizochi nthawi zambiri sichiperekedwa kwa munthu amene ali ndi matenda awa:
| Zifukwa zomwe zingachititse kuti munthu asayenerere kulandira chithandizo |
|---|
| Ngati muli ndi zaka zoposa 75 |
| Ngati mudayamba mwatuluka magazi muubongo |
| Ngati mukumwa mankhwala ochepetsa magazi |
| Ngati mwakhala ndi sitiroko m'miyezi itatu yapitayi |
| Ngati muli ndi magazi ambiri m'thupi lanu kapena mwachita opaleshoni/ngozi yaikulu posachedwapa |
| Ngati mwapezeka ndi chotupa cha muubongo |
| Ngati muli ndi pakati |
| Ngati muli ndi kuthamanga kwa magazi kosalamulirika |
| Kukhala ndi chiwerengero chochepa kwambiri cha ma platelet |
Mndandandawu si wokwanira. Pakhoza kukhala zinthu zina zomwe zimakhudza vuto lanu. Chifukwa chake, chisankho chomaliza chiyenera kupangidwa ndi dokotala wanu.
Momwe chithandizochi chimachitikira
Musanayambe komanso panthawi ya chithandizo
Popeza izi ndi zadzidzidzi, mudzalowetsedwa mwachindunji ku chipinda chosamalira odwala kwambiri (ICU) . Gulu lachipatala lidzayang'anira kugunda kwa mtima wanu ndi kuthamanga kwa magazi nthawi zonse. Mankhwalawa adzaperekedwa kudzera mu mzere wa IV m'dzanja lanu kapena chubu choonda kwambiri (catheter) chomwe chimatsogozedwa kumalo komwe magazi amaundana. Pa chithandizo, mayeso monga CT scan kapena MRI scan adzagwiritsidwa ntchito kuti awone ngati magazi amaundana akusungunuka.
Nthawi zina, kuwonjezera pa chithandizochi, njira ina yotchedwa Mechanical Thrombectomy ingagwiritsidwe ntchito. Izi zimaphatikizapo kuswa magazi pogwiritsa ntchito catheter ndikuchotsa kudzera mu mkodzo .
Pambuyo pa chithandizo
Pambuyo poti chithandizo chapambana, madokotala amafufuza ngati pali ziwalo zina za magazi omwe atsala. Chithandizo china chingafunike. Mwachitsanzo, kuika stent, balloon angioplasty, kapena opaleshoni yotseguka kungakhale kofunikira. Mankhwala oletsa magazi kuundana, monga Warfarin kapena Heparin , nthawi zambiri amaperekedwa kuti apewe magazi kuundana mtsogolo.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Ubwino waukulu ndi wakuti chithandizochi chingasungunule magazi oundana ndikubwezeretsa kuyenda kwa magazi kumtima, muubongo, kapena ziwalo zina zofunika kwambiri. Izi zingalepheretse kuwonongeka komwe kungawononge moyo ndikuchepetsa kuwonongeka komwe kungachitike kwa nthawi yayitali.
Chiwopsezo chachikulu ndi kutuluka magazi . Izi zitha kuchitika m'njira zosiyanasiyana.
- Kutuluka magazi kuchokera pamalo olowetsera kannula
- Kutuluka magazi m'mphuno
- Magazi mu mkodzo
- Magazi mu chopondapo
- Kutuluka magazi ambiri m'mimba mwa akazi
- Chiwopsezo chosowa kwambiri koma chachikulu kwambiri ndi kutuluka magazi muubongo .
Koma kumbukirani kuti, kwa anthu ambiri, ubwino wa chithandizochi ndi woposa zoopsa zake. Dokotala wanu ndiye adzasankha ngati ichi ndi choyenera kwa inu.
Chithandizo sichimapambana nthawi zonse 100%. Pa milandu pafupifupi 25%, magazi oundana sangasungunuke kwathunthu. Pa milandu yotereyi, njira zina zochiritsira zingafunike kugwiritsidwa ntchito.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi yochira imasiyana malinga ndi munthu. Nthawi zambiri mumayenera kukhala m'chipatala kwa tsiku limodzi mutatha kulandira chithandizo. Komabe, ngati vuto lanu ndi lalikulu, mungafunike kukhala m'chipatala kwa nthawi yayitali.
Ngati mukumva zizindikiro monga kutuluka magazi kwambiri, kupweteka kosapiririka, kapena kutentha thupi mutalandira chithandizo, imbani dokotala wanu nthawi yomweyo kapena dziwitsani chipatala chomwe mudalandira chithandizo.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha fibrinolytic ndi chithandizo chadzidzidzi chomwe chimaperekedwa kuti chithetse magazi omwe amaika moyo pachiswe, monga omwe amayamba chifukwa cha matenda a mtima kapena sitiroko.
- Nthawi ndi yofunika kwambiri pa chithandizochi. Ngati zizindikiro za sitiroko zikuwonekera, kupita ku chipatala mwamsanga ku Emergency Treatment Unit (ETU) kungapulumutse moyo.
- Mankhwalawa si oyenera aliyense. Madokotala adzasankha ngati ndi oyenera kapena ayi kutengera vuto lanu.
- Ngakhale kuti chiopsezo chachikulu ndi kutuluka magazi, ubwino wa chithandizo nthawi zambiri umaposa zoopsa zake.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala ngakhale mutalandira chithandizo ndikuonana ndi dokotala nthawi yomweyo ngati pakhala mavuto.
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