Khawucinge nje, intlungu ebuhlungu esifubeni ngequbuliso... ukubila, kunye nobunzima bokuphefumla. Uziva ungoyiki kangakanani xa ufumanisa ukuba unesifo sentliziyo? Namhlanje sithetha ngenaliti ekhethekileyo enokusindisa ubomi besigulana ngexesha elinjalo elingxamisekileyo nelibalulekileyo ebomini. Eli liyeza elibizwa ngokuba yiTenecteplase.
Ngamafutshane, yintoni iTenecteplase?
I-Tenecteplase, okanye i-TNK-tPA, liyeza elinamandla kakhulu elinyibilikisa amahlwili egazi. Oogqirha bakwalibiza ngokuba yi-"clot-buster".
Ngoku, makhe sibone ukuba kwenzeka njani ukuhlaselwa yintliziyo. Xa igazi liqhekeka ngequbuliso emthanjeni wegazi (i-coronary artery) ohambisa igazi entliziyweni yethu, igazi eliya kwimisipha yentliziyo liyayeka kwaye loo nxalenye iqala ukufa. Kulapho ke eli yeza lisetyenziswa khona. Inaliti ye-tenecteplase isebenza ngokunyibilikisa ngokukhawuleza igazi eliqhekekileyo kwaye ibuyisele ukuhamba kwegazi entliziyweni. Oku kufana nokususa i-blockage enkulu endleleni kwaye ivumele iimoto ukuba zidlule.
Izinto ekufuneka uzazise ugqirha ngaphambi kokuba umnike eli yeza
Ekubeni eli liyeza elinamandla kakhulu, kunokuba yingozi ukulisebenzisa kwiimeko ezithile emzimbeni wakho. Ngoko ke, ngaphambi kokuba ulisebenzise eli yeza, kufuneka wazise ugqirha wakho ukuba unenye yezi meko zilandelayo:
| Imeko okanye ithuba onokuba nalo | Kutheni sifanele sixelele ngayo? |
|---|---|
| I-Aneurysm (ukuba buthathaka kodonga lomthambo wegazi engqondweni okanye kwenye indawo) | Umngcipheko wokopha uphezulu kakhulu. |
| Iingxaki zokopha, iingxaki zokugalela igazi | Eli yeza linokubangela ukopha okungalawulekiyo. |
| I-Diabetic Retinopathy (ukopha emehlweni ngenxa yesifo seswekile) | Ukopha emehlweni kunokwanda. |
| Usulelo lweevalvu zentliziyo (i-Endocarditis) | Kukho umngcipheko wokopha kwiindawo ezinesi sifo. |
| Ukulimala entloko kutshanje, isifo sobuchopho, okanye ithumba | Umngcipheko wokopha engqondweni uphezulu kakhulu. |
| Uxinzelelo lwegazi oluphezulu olungalawulekiyo | Uxinzelelo lwegazi lunokubangela ukuba imithambo iqhume kwaye yophe igazi. |
| Utyando lwakutshanje, ukuzala, i-biopsy, okanye ukwenzakala okukhulu | Ukopha kungaphinda kuqalise kwiindawo zotyando. |
| Istroke samva nje | Kusenokubakho enye into yokopha ebuchotsheni. |
| Izilonda zesisu okanye izilonda eziphuma igazi | Ukopha okuphuma esiswini okanye emathunjini kunokwanda. |
| Ukukhulelwa, ukuzama ukukhulelwa, okanye ukuncancisa | Ugqirha kufuneka azi ngeengozi ezinokubakho kumama nakumntwana. |
| Ukunganyamezelani nakweyiphi na enye imithi okanye ukutya | Ukuthintela ukusabela kwe-allergy. |
Ulisebenzisa njani eli yeza?
Eli asiloyeza onokulithatha kwikhemesti uze ulithathe uye nalo ekhaya. I-Tenecteplase ifumaneka kuphela esibhedlele okanye eklinikhi., isitofu sokugonya esinikwa ngugqirha okanye yingcali yezempilo eqeqeshiweyo. Oko kuthetha ukuba sisetyenziswa kuphela xa kukho imeko engxamisekileyo, kwisigulana esilaliswe esibhedlele.
Olu luhlaselo olungena emthanjeni, ngoko ke iziphumo zikhawuleza kakhulu.
Ukuba unomntwana omncinci kwaye kufuneka umnike eli yeza, kufuneka unyamekeleke ngokukodwa. Kufuneka uthethe nogqirha wakho ngale nto uze ufumane ingcebiso.
Ekubeni eli yeza linikwa ngomlinganiselo ochanekileyo esibhedlele, akukho ngxaki 'yokusebenzisa i-overdose'. Nangona kunjalo, ukuba ukrokrela ukuba kukho ityhefu enxulumene namayeza, qhagamshelana ngokukhawuleza neZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo , okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Amanye amayeza asebenzisana nale mithi (Ukusebenzisana kwamayeza)
Amanye amayeza owasebenzisayo asenokudibana nalo mayeza, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
- Musa ukulisebenzisa eli yeza kunye: Amayeza afana ne-Aminocaproic acid, i-Aprotinin, i-Tranexamic acid akufuneki asetyenziswe kunye neli yeza.
- Lumka ngakumbi ukuba usebenzisa eli yeza:
- Amayeza okulwa neeplatelet - umzekelo `clopidogrel`, `ticlopidine`
- I-Aspirin kunye namayeza afanayo
- Izinto zokunciphisa igazi - umzekelo `warfarin`, `heparin`, `enoxaparin`
- Iipilisi zokunciphisa iintlungu kunye namayeza okulwa nokuvuvukala (ii-NSAID) - umzekelo i-`ibuprofen` okanye i-`naproxen`
Olu luhlu aluphelelanga. Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka iivithamini, amayeza esintu, kunye nezongezo. Kwakhona, xelela ugqirha wakho ukuba utshaya okanye usela utywala.
Izinto ekufuneka uzilumkele emva kokuthatha iyeza
Emva kokuba unikwe eli yeza, abasebenzi bezonyango baza kukujonga ngononophelo.
Isiphumo esiphambili sale mithi kukwanda komngcipheko wokopha . Esi siphumo sinokuhlala iintsuku ezininzi.
Ngoko ke, kufuneka ulumke kakhulu ngeli xesha.
- Xa uhlamba ibhrashi kwaye ufaka i-floss, yenza oko kancinci ukuze ungonakalisi iintsini zakho.
- Zama konke okusemandleni akho ukuba ungazilimazi naphi na emzimbeni wakho.
- Ukuba ugqirha wakho ukuxelela ukuba ulale ebhedini, yilandele kakuhle loo nto. Oku kunokunceda ukuthintela ukopha okunokwenzeka ngenxa yokunyakaza okungeyomfuneko.
- Musa ukuthatha amayeza okudambisa iintlungu afana ne-aspirin kunye ne-ibuprofen kule mihla ngaphandle kwengcebiso kagqirha.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi. Eminye yayo iyingozi kwaye kufuneka ixelwe ngoko nangoko.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Yazisa ugqirha wakho okanye abasebenzi bomongikazi ngokukhawuleza. | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi, ubunzima bokuphefumla. |
| Iimpawu Zokopha | Indle emnyama okanye enegazi; umchamo obomvu okanye omdaka-mdaka; ukuhlanza izinto ezibonakala ngathi zicoliwe ngekofu; amabala abomvu eluswini; ukopha okungaqhelekanga emehlweni, kwiintsini, okanye empumlweni. |
| Iimpawu zeStroke | Ukutshintsha kombono; ukudideka; ubunzima bokuthetha okanye ukuqonda; intloko ebuhlungu kakhulu; ukudinwa okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni; ubunzima bokuhamba, isiyezi. |
| Utshintsho kwisantya sentliziyo | Intliziyo ebetha kancinci okanye ibetha ngokukhawuleza ngendlela engaqhelekanga. |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Isiyezi | Ndiziva ndikhululekile. |
| Ifiva | Ubushushu bomzimba. |
| Isicaphucaphu, Ukugabha | Ukuphazamiseka kwesisu kunye nokuhlanza. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba unemibuzo malunga noku, ungoyiki ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Tenecteplase liyeza elinamandla nelisindisa ubomi elinikwa ukunyibilikisa amahlwili egazi abangelwa kukuhlaselwa yintliziyo. Linikwa esibhedlele kuphela.
- Eyona ngozi inkulu neyona inzima yale mithi kukuphuma kwegazi. Ngoko ke, lumka kakhulu ungonzakali iintsuku ezimbalwa emva kokusela amayeza.
- Qiniseka ukuba uxelela ugqirha wakho ngezinye iimeko zakho zempilo (ingakumbi ukopha, utyando lwakutshanje, uxinzelelo lwegazi oluphezulu) kunye nawo onke amayeza owasebenzisayo.
- Ukuba ubona ukopha okungaqhelekanga, iimpawu ze-allergy (ezifana nokudumba kobuso), okanye iimpawu zestroke (ezifana nokungaziva mnandi ngequbuliso), yazisa abasebenzi bezonyango ngoko nangoko.
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