Ubuvuzi bwa Fibrinolytic bushobora kurokora ubuzima

Tekereza urwaye ububabare bukomeye mu gituza, guhumeka bigoranye, cyangwa umunwa ukururwa ku ruhande ntushobore kuvuga. Ese buri segonda rimwe na rimwe ni ingenzi gute? Impamvu y'ibi ishobora kuba amaraso apfutse mu mitsi ijyana amaraso mu bwonko cyangwa mu mutima. Uyu munsi turimo kuvuga ku buryo bwihariye bwitwa "kuvura amaraso apfutse," bukuraho amaraso apfutse mu buryo bushobora guhitana ubuzima.

Ubu buryo bwo kuvura amaraso make ni ubuhe?

Muri make, ubu ni uburyo bukomeye bwo kuvura butuma amaraso acika cyangwa agashonga, bukanakuraho amaraso ashobora kwangiza ubuzima. Mu buvuzi, ubu buryo twita Fibrinolytic therapy cyangwa Thrombolytic therapy . Icyo iyi miti ikora ni ugusesa amaraso ashobora gutera indwara zikomeye nko kurwara indwara y'umutima cyangwa indwara yo gucika kw'imitsi, gufungura imiyoboro y'amaraso yazibye, no gusubiza amaraso mu buryo.

Ni mu bihe ibihe ubwo buvuzi bukenewe?

Ubu buryo bwo kuvura bukoreshwa cyane cyane mu bihe byihutirwa kandi bikomeye. Akenshi bukoreshwa mu kuvura indwara zikurikira:

Kuki igihe ari ingenzi cyane?

Igihe ni ingenzi cyane muri ubu buvuzi, cyane cyane iyo umuntu arwaye indwara yo mu bwonko. Gufata uyu muti mu masaha 3 kugeza kuri 4.5 uhereye igihe ibimenyetso byatangiriye bishobora kugabanya cyane ibyago byo kwangirika k'ubwonko burundu. Ibi bivuze ko ari ingenzi cyane gutangira ubu buvuzi mu minota 30 nyuma yuko umurwayi agejejwe mu cyumba cy’ubuvuzi bwihutirwa (ETU) cy’ibitaro. Uko ubuvuzi butangiye vuba, ni ko umusaruro uba mwiza.

Ese buri wese akwiriye ubu buvuzi?

Oya. Kubera ko uyu muti ukomeye cyane, ntushobora guhabwa abantu bafite ibintu bimwe na bimwe bishobora gutera ibyago. Iyo winjiye mu bitaro, itsinda ry’abaganga rizagukorera ibizamini bikenewe kugira ngo barebe niba ukwiriye ubu buvuzi.

Indwara zishobora kuba zitabereye ubu buvuzi

Ubu buvuzi ntabwo bukunze guhabwa umuntu ufite ibi bikurikira:

Uru rutonde ntirurimo ibintu byinshi. Hashobora kuba hari ibindi bintu bigira ingaruka ku buzima bwawe. Kubwibyo, icyemezo cya nyuma kigomba gufatwa na muganga wawe.

Uburyo ubuvuzi bukorwa

Mbere no mu gihe cyo kuvurwa

Kubera ko iki ari ikibazo cyihutirwa, uzajyanwa mu cyumba cy’indembe (ICU) . Itsinda ry’abaganga rizakurikirana umuvuduko w’umutima wawe n’umuvuduko w’amaraso yawe buri gihe. Umuti uzatangwa binyuze mu kantu ka IV mu kuboko kwawe cyangwa mu muyoboro muto cyane (catheter) kagezwa aho amaraso yapfundikiye. Mu gihe cyo kuvurwa, ibizamini nka CT scan cyangwa MRI scan bizakoreshwa kugira ngo harebwe niba amaraso yapfunditse.

Hari igihe, uretse ubu buryo bwo kuvura, ubundi buryo bwitwa Mechanical Thrombectomy bushobora gukoreshwa. Ibi bikubiyemo guca amaraso mu buryo bufatika ukoresheje catheter no kuyakura mu nkari .

Nyuma yo kuvurwa

Nyuma yo kuvurwa neza, abaganga bareba niba hari ibice by'amaraso asigaye. Hashobora kuba ngombwa ko habaho ubundi buvuzi. Urugero, gushyira stent mu mwanya wayo, angioplasty y'inyuma, cyangwa kubagwa mu buryo bwihuse bishobora kuba ngombwa. Imiti igabanya amaraso, nka Warfarin cyangwa Heparin , ikunze gutangwa kugira ngo hirindwe ko amaraso ashobora kugabanuka mu gihe kizaza.

Ni izihe nyungu n'ingaruka z'ubuvuzi?

Akamaro nyamukuru ni uko ubu buryo bwo kuvura bushobora gushonga amaraso agashonga kandi bugasubiza amaraso mu mutima, mu bwonko, cyangwa mu zindi ngingo z'ingenzi. Ibi bishobora gukumira kwangirika kwangiza ubuzima no kugabanya kwangirika kw'igihe kirekire.

Ingaruka nyamukuru ni ukuva amaraso . Ibi bishobora kubaho mu buryo butandukanye.

• Kuva amaraso aturutse aho kanula ishyirwa
• Kuva amaraso mu mazuru
• Amaraso mu nkari
• Amaraso mu ntebe
• Kuva amaraso menshi mu gitsina cy'abagore
• Ingaruka mbi cyane ariko zikomeye cyane ni ukuva amaraso mu bwonko .

Ubuvuzi ntabwo buri gihe bugira ingaruka nziza 100%. Mu manza zigera kuri 25%, amaraso ashobora kudashonga burundu. Muri ubwo buryo, hashobora gukoreshwa ubundi buryo bwo kuvura.

Bifata igihe kingana iki kugira ngo umuntu akire?

Igihe cyo gukira kiratandukanye bitewe n'umuntu ku giti cye. Ubusanzwe uzakenera kumara nibura umunsi umwe mu bitaro nyuma yo kuvurwa. Ariko, niba indwara yawe ikomeye, ushobora kumara igihe kirekire mu bitaro.

Niba ugize ibimenyetso nko kuva amaraso menshi, ububabare bukabije, cyangwa umuriro nyuma yo kuvurwa, hamagara muganga wawe ako kanya cyangwa umenyeshe ibitaro wavuriwemo.