Tangoganizani kuti wokondedwa wanu mwadzidzidzi akumva kupweteka kwambiri pachifuwa, sangathe kulankhula ... kapena mwadzidzidzi kutaya chikumbumtima mbali imodzi ya thupi ... Panthawi yotereyi, tonse timachita mantha ndipo timathamangira kuchipatala mwachangu momwe tingathere. Pankhondo yotereyi ya moyo ndi imfa, lero tikulankhula za mtundu wa mankhwala amphamvu kwambiri komanso ofunika omwe madokotala amagwiritsa ntchito kupulumutsa miyoyo. Mankhwalawa amatchedwa Thrombolytics, mwachidule, "mankhwala osungunula magazi".
Kodi mankhwala a Thrombolytic awa ndi ati? Tiyeni timvetse mosavuta.
Mwachidule, awa ndi 'mankhwala ochotsa magazi m'mitsempha', kapena mankhwala omwe amasungunula ndikuchotsa magazi owopsa omwe amapangika mkati mwa mitsempha yathu yamagazi ndikuletsa kuyenda kwa magazi. Awa ndi mtundu wa ma enzyme.
Tangoganizani kuti dothi likamamatirira mu chitoliro cha madzi, madzi amasiya kuyenda. Mofananamo, magazi akamatirira mu imodzi mwa mitsempha yathu yamagazi, magazi amasiya kuyenda. Ngati magazi apita ku chiwalo chofunikira kwambiri monga ubongo, mtima, kapena mapapo, kuwonongeka komwe kungachitike sikungatheke.
Apa ndi pomwe mankhwala otchedwa thrombolytics amalowa. Mankhwalawa amaswa puloteni yotchedwa fibrin yomwe imapanga magazi kuundana, kusungunula magazi kuundana, ndikubwezeretsa kuyenda kwa magazi . Izi zimathandiza kuti chiwalo chotsekedwacho chilandirenso mpweya, zomwe zimathandiza kuti chiwonongeke kwambiri.
Kodi mankhwalawa amagwiritsidwa ntchito pazochitika ziti?
Mankhwala awa si mtundu wa mankhwala omwe mungagule pa kauntala. Amagwiritsidwa ntchito m'zipatala zokha, makamaka m'zipinda zadzidzidzi (ETUs), pamene pali vuto lomwe lingawononge moyo. Nthawi ndi yofunika kwambiri apa . Ngati mankhwala awa angaperekedwe mkati mwa maola oyamba adzidzidzi, zotsatira zake zimakhala zabwino kwambiri.
Nthawi zina chithandizochi chimayamba ngakhale mu ambulansi. Dokotala angapereke mankhwalawa kudzera mu IV mu mtsempha womwe uli m'dzanja lanu kapena mwachindunji m'magazi oundana pogwiritsa ntchito catheter.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Stroke | Kuundana kwa magazi m'mitsempha komwe kumapereka magazi ku ubongo. Ndikofunikira kwambiri kupereka magazi mkati mwa maola 3-4.5 oyamba zizindikiro zitayamba . |
| Matenda amtima | Kuundana kwa magazi mu mitsempha ya mtima komwe kumapereka magazi kumtima. Ichi ndi chithandizo chachikulu m'zipatala zomwe zilibe malo oti zilowetse chubu (stent) mumtima ndikuchotsa kuundanako. |
| Kutsekeka kwa M'mapapo | Magazi oundana omwe amachitika kwina m'thupi (nthawi zambiri m'mwendo) amasweka ndipo amakhazikika mumtsempha m'mapapo. |
| Kutsekeka kwa Mitsempha Yakuya (DVT) | Magazi amaundana nthawi zambiri m'mitsempha yakuya ya miyendo. |
| Milandu ina | Kutsekeka kwa mtsempha wamagazi mwendo kapena kutsekeka kwa catheter yapakati ya mitsempha yamagazi kwa nthawi yayitali chifukwa cha magazi kuundana. |
Kusiyana pakati pa mankhwala ochepetsa magazi m'mitsempha ndi mankhwala ena ochepetsa magazi m'thupi
Apa ndi malo omwe anthu ambiri amasokonezeka. Mwina mwamvapo za 'mankhwala ochepetsa magazi' monga Warfarin, Aspirin, ndi Clopidogrel. Koma mankhwala a Thrombolytics ndi osiyana kwambiri.
Mankhwala Ochepetsa Kutupa Mtima: Awa ndi mankhwala omwe amagwiritsidwa ntchito pakagwa ngozi kuti aswe ndikusungunula magazi omwe apanga kale ndipo akutseka mtsempha wamagazi . Zili ngati kugwiritsa ntchito dynamite kuchotsa mwala waukulu womwe ukutseka msewu.
Mankhwala Oletsa Kuundana kwa Magazi/Ma Antiplatelets (monga Warfarin, Aspirin): Mankhwalawa amagwira ntchito poletsa kupanga magazi atsopano komanso oopsa . Awa ndi mankhwala a nthawi yayitali omwe amachepetsa chiopsezo cha magazi kuundana. Zili ngati kuyika ukonde wotetezera pamsewu kuti miyala isagwe.
Kodi ubwino ndi zoopsa za mankhwalawa ndi ziti?
Ubwino waukulu ndi wakuti mankhwalawa amatha kubwezeretsa magazi mwachangu kwambiri, kuchepetsa kuwonongeka kosatha kwa ubongo kapena mtima chifukwa cha kusowa kwa mpweya. Makamaka pazochitika monga sitiroko, mukalandira mankhwalawa mwachangu, mwayi wochira mokwanira umakhala waukulu.
Koma, monga mankhwala aliwonse amphamvu, pali zoopsa zina.
Choopsa chachikulu komanso chachikulu kwambiri ndi kutuluka magazi mosalamulirika. Chifukwa mankhwalawa amagwira ntchito pochotsa magazi oundana, kutuluka magazi kumatha kuchitika kulikonse m'thupi. MakamakaKutuluka magazi mkati mwa ubongo ndi koopsa kwambiri. Kungayambitse sitiroko ina.
Ndani ali pachiopsezo chachikulu cha kutuluka magazi?
- Kwa anthu okalamba
- Kwa iwo omwe ali ndi vuto la kutuluka magazi
- Anthu omwe achitidwa opaleshoni kapena kuvulala kwakukulu posachedwapa
- Kwa iwo omwe akumwa kale mankhwala ochepetsa magazi monga Warfarin
- Kwa iwo omwe ali ndi kuthamanga kwa magazi kosalamulirika
Choncho, dokotala angasankhe kupereka mankhwala amenewa pokhapokha ngati, ataganizira za momwe wodwalayo alili komanso zinthu zonse zomwe zingamuopseze, phindu lopereka mankhwalawo likuposa chiopsezocho . Ogwira ntchito zachipatala nthawi zonse aziyang'anira kuthamanga kwa magazi anu ndi zinthu zina panthawi ya chithandizo komanso pambuyo pake.
Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?
Ichi ndi chinthu chomwe muyenera kukumbukira. Ngati muli ndi kukayikira pang'ono kuti inuyo kapena munthu wina wapafupi nanu ali ndi zizindikiro za matenda a mtima kapena sitiroko, musataye nthawi.
Ngati mukumva zizindikiro za matenda a mtima kapena sitiroko (monga kupweteka pachifuwa mwadzidzidzi, kupuma movutikira, dzanzi mbali imodzi ya thupi, kuvutika kulankhula), imbani 1990 Ambulance Service nthawi yomweyo kapena dziperekeni ku chipatala chapafupi cha Emergency Department (ETU) mwachangu momwe mungathere .
Muzochitika ngati izi, sekondi iliyonse ndi yofunika. Kulandira chithandizo mwachangu kungapulumutse miyoyo ndikupewa kulumala kwa nthawi yayitali.
Uthenga Wopita Nawo Kunyumba
- Mankhwala otchedwa Thrombolytics ndi mankhwala amphamvu omwe amaperekedwa pakagwa mwadzidzidzi kuti asungunule magazi omwe adapangidwa kale.
- Izi zimagwiritsidwa ntchito pazochitika zomwe zingaike moyo pachiswe monga sitiroko ndi matenda a mtima.
- Kutenga nthawi ndikofunikira kwambiri kuti chithandizochi chipambane. Kugonekedwa m'chipatala zizindikiro zikayamba kungathandize kuti zotsatira zake zikhale zabwino.
- Popeza chiopsezo chachikulu cha mankhwala awa ndi kutuluka magazi, dokotala amawapatsa mankhwala pokhapokha ataganizira mosamala za ubwino ndi zoopsa zomwe zingachitike kwa wodwalayo.
- Dziwani zizindikiro za matenda a mtima kapena sitiroko, komanso abale anu. Kuchitapo kanthu mwachangu kungapulumutse moyo.
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