Wakambozvibvunza here kuti vanachiremba vanoshandisa rudzii rwezvinhu kuponesa hupenyu hwedu kana pakaitika emergency yakakura senge chirwere chemwoyo kana sitiroko? Dzimwe nguva hupenyu hwedu hunoenderana nekurapwa kunopiwa mukati memaminitsi mashoma. Panguva dzakadaro, kune mhando yemishonga inoponesa hupenyu inoshanda semashiripiti. Nhasi tichataura nezvemishonga iyoyo inonzi Thrombolytics.
Zvichitaurwa zviri nyore, chii chinonzi Thrombolytics idzi?
Fungidzira kuti mitsipa yeropa iri mumuviri wedu yakafanana nemigwagwa yakawanda. Ndimo mumigwagwa iyi munofamba ropa, richitakura okisijeni nezvinovaka muviri kuenda kumwoyo wedu, kuuropi, kumapapu, uye muchidimbu, mumuviri wedu wese. Zvino fungidzira, chii chingaitika kana dombo guru rikangoerekana ravhurika mumugwagwa uyu ndokuvhara mugwagwa? Mota dzaizotadza kufamba, uye mota dzaizomira zvachose.
Izvi zvinoitikawo kana ropa rakagwamba mukati meimwe yetsinga dzedu dzeropa rovharika. Kuendeswa kweropa kunhengo iri kupihwa netsinga iyoyo (semuenzaniso, mwoyo, uropi) kunomira, uye nhengo iyoyo inotanga kukuvara. Mishonga yeThrombolytics "Mishonga Inobvisa Makwande" inonyungudutsa ropa rakagwamba riri kuvhara nzira, kuripwanya, uye kuribvisa, zvichidzosa kuyerera kweropa.
Mishonga iyi chaizvoizvo ma enzymes. Basa rayo guru nderekuputsa network yemapuroteni inonzi fibrin iyo inosunga ropa pamwe chete. Zvakafanana nekuputsa dandemutande redandemutande.
Chinhu chinonyanya kukosha kupa mishonga iyi nekukurumidza sezvinobvira. Nguva inokosha pano, nekuti sekondi yega yega ropa parinomira kufamba, nhengo dzedu dzinokuvadzwa.
Kazhinji, kana ukapinzwa muchipatara neEmergency Department (ETU) uine chirwere chemwoyo, sitiroko, kana pulmonary embolism, vanachiremba vanogona kusarudza kukupa mushonga uyu mukati mehafu yeawa. Dzimwe nguva, kurapwa uku kunogona kutotanga muamburenzi paunenge uchiendeswa kuchipatara.
Mishonga iyi chii uye inoshandiswa pakurapa zvirwere zvipi?
Kune mhando dzakasiyana dzemishonga yekubvisa thrombosis. Chiremba wako achasarudza mushonga wakakodzera zvichienderana nemamiriro ako ezvinhu, zvipatara, nezvimwe zvinhu. Ngatitarisei dzimwe dzemhando huru.
| Zita remushonga uyu | Hunyanzvi uye kushandiswa |
|---|---|
| Alteplase (t-PA) | Mushonga une njodzi shoma yekurwara nepfungwa, unoshandiswa zvakanyanya pakurapa sitiroko, pulmonary embolism, uye chirwere chemwoyo. |
| Streptokinase | Rudzi rwemishonga runoshandiswa zvakanyanya pasi rose uye rwunodhura zvishoma pane mamwe. Zvisinei, runogona kukonzera allergy kune vamwe vanhu. |
| Tenecteplase | Inoshandiswa zvakanyanya nekuti inoshanda zvikuru uye ine njodzi shoma yekubuda ropa. |
| Dzokororazve | Ine mukana wekushanda nekukurumidza kupfuura mamwe ma thrombolytics. |
| Urokinase | Inowanzo shandiswa pakugwamba kweropa kunoumbwa mutsinga dzemakumbo (peripheral vascular clots) uye catheters. |
Mushonga uyu unodiwa mumamiriro api ezvinhu?
Vanachiremba vanoshandisa mishonga iyi chete kana ropa rakagwamba richikonzera chirwere chakakomba, chinoisa upenyu panjodzi. Mamiriro ezvinhu akadaro anosanganisira:
- Kurwara nemoyo: Kugwamba kweropa kunovhara tsinga dzinoendesa ropa kumoyo.
- Kurohwa: Kugwamba kweropa kunovhara tsinga yeropa inoendesa ropa kuuropi.
- Kuvharika kweropa mumapapu: Kugwamba kweropa kwakaumbwa kune imwe nzvimbo mumuviri (kazhinji mugumbo) kunobuda uye kunozogara mutsinga mumapapu.
- Kuvharika kwetsinga dzeropa (DVT): Kugwamba kweropa mutsinga dzeropa dzakadzika, kunyanya mumakumbo.
- Kuvharika kwetsinga huru yeropa: Kuvharika kwetsinga huru yeropa inoendesa ropa kugumbo.
- Kuvharika kwe catheter yepakati petsinga.
Ndeupi musiyano uripo pakati pemishonga inorwisa ropa (thrombolytics) nemishonga inorwisa ropa (anticoagulants)?
Apa ndipo panovhiringidzika vanhu vazhinji. Maitiro ekushanda kwemhando mbiri idzi dzemishonga akasiyana zvachose.
Ingozvifunga seizvi:
Mishonga yeThrombolytics inopwanya nekunyungudutsa ropa guru rakatoumbwa uye riri kuvhara tsinga yeropa.Se "chikwata che emergency sabotage." Izvi zvinoshandiswa chete kana paine emergency, muchipatara. Haugone kutenga mishonga iyi pa pharmacy.
Mishonga inodzivisa ropa kuungana (inodzikisa ropa) , yakaita sewarfarin, yakafanana ne "bodyguard" inodzivirira kuumbwa kweropa idzva kana kuti inononotsa kuumbwa kweropa. Chiremba wako anogona kukukurudzira kuti urambe uchitora mishonga iyi. Kana mishonga iyi ichishanda zvakanaka, inogona kukubatsira kudzivirira kuti usave nedambudziko rinoda thrombolytics.
Pane zvakanakira pamwe nenjodzi here?
Ehe, hongu. Kufanana nemushonga upi zvawo une simba, mishonga inoderedza marwadzo ine mabhenefiti makuru pamwe nenjodzi dzatinofanira kuziva.
Zvakanakira zvikuru
Chinhu chikuru cheizvi ndechekuti zvinokurumidza . Mishonga iyi inogona kuvhurazve tsinga yeropa yakavharika nekukurumidza uye kudzoreredza kufamba kweropa. Izvi zvinogona kuderedza kukuvara kusingaperi kuuropi kana moyo nekuda kwekushaikwa kweokisijeni. Tsvagiridzo yakawana kuti varwere vanorapwa nethrombolytic mukati memaawa mashoma ekutanga ekurohwa nesitiroko vane mukana wekupora zvakakwana kupfuura avo vasingarapwe.
Njodzi huru
Mhedzisiro yakaipa uye inotyiwa zvikuru yemishonga iyi kubuda ropa kusingadzoreki .
Njodzi iyi inomuka nekuti mushonga unogona kunyungudutsa ropa rinogona kukanganisawo maitiro emuviri ekugwamba kweropa.
- Vamwe vanhu vanogona kubuda ropa zvishoma kubva munzvimbo dzakadai semazino nemhino.
- Kashoma, asi zvakakomba, kubuda ropa mumuviri, kunyanya mukati meuropi (Intracranial Hemorrhage) , kunogona kuitika. Ichi chirwere chine njodzi zvikuru.
Ndiani angangove ari panjodzi yakakura yekubuda ropa?
- Kune vanhu vakuru
- Kune avo vane nhoroondo yezvirwere zvekubuda ropa
- Kune avo vachangobva kuvhiyiwa kana tsaona yakakomba
- Kune avo vatotanga kutora mishonga inobvisa ropa (Anticoagulants)
- Kune avo vane BP yakakwira isingadzoreki
Nekuda kwengozi iyi, vanachiremba vachakutarisa zvakanyanya panguva yekurapwa uye mushure mekurapwa. Vachagara vachiongorora BP yako. Zvakare, dzimwe nguva chidimbu chidiki cheropa rakanyungudika chinogona kutyoka chonamira mune imwe tsinga diki. Saka mushure mekurapwa, vanozoita chimwe chinhu chakaita seCT scan kuti vaone kana paine ropa rakagwamba rasara.
Ndinofanira kuona chiremba rini?
Izvi zvakakosha zvikuru. Kana uine fungidziro diki yekuti iwe kana mumwe munhu ari pedyo newe ari kuona zviratidzo zvechirwere chemwoyo kana sitiroko, fonera 1990 nekukasika wobva watora amburenzi.
Usamboedza kuzvityaira wega kuenda kuchipatara. Chinhu chikuru chakanakira kuenda neamburenzi ndechekuti unogona kutanga kurapwa uri munzira kuenda kuchipatara. Vanozokutorawo zvakananga kuEmergency Treatment Unit (ETU) uko kurapwa kwakakodzera kunogona kupihwa. Sekondi yega yega inokosha kuponesa hupenyu hwako.
Saka, zvakakosha kuti iwe nemhuri yako muzive zviratidzo zvechirwere chemwoyo (kurwadziwa kwechipfuva kwakanyanya, kunetseka kufema, kurwadziwa kunobva paruoko rweruboshwe) uye sitiroko (kunetseka kutaura, kurereka kurutivi rumwe rwechiso, kurasikirwa nekushanda kweruoko).
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeThrombolytics imhando yemushonga une simba guru, unoponesa hupenyu unoshandiswa kunyungudutsa mavharo eropa mutsinga dzeropa munguva dzenjodzi dzakadai sekurwadziwa kwemoyo nekurohwa nesitiroko.
- Nguva ndiyo inokosha pakubudirira kwekurapwa uku. Zvakakosha kusvika kuEmergency Treatment Unit (ETU) yechipatara kana zviratidzo zvangoonekwa.
- Mhedzisiro huru uye yakakomba yemishonga iyi kubuda ropa, saka vanachiremba vanonyatsotarisa murwere pavanenge vachimupa mushonga uyu.
- Mishonga yeThrombolytics haisi mishonga inorwisa ropa kupwanya ropa. Inoshanda nenzira yakasiyana zvachose.
- Kuziva zviratidzo zvechirwere chemwoyo kana sitiroko kunogona kukubatsira iwe nemhuri yako kutora matanho nekukurumidza kana paine emergency uye kuponesa hupenyu.
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