Masifunde ngqo ngonyango olusindisa ubomi olunyibilikisa ihlwili legazi elingxamisekileyo (iFibrinolytic / Thrombolytic Therapy)!

Khawuthelekelele ukuba umntu osondeleyo kuwe ngequbuliso uneentlungu esifubeni, ubila nzima ukuphefumla. Okanye ngequbuliso umlomo wakhe uvuvukile, ingalo yakhe ingasebenzi kakuhle, kwaye akakwazi ukuthetha. Zixabiseke kangakanani imizuzwana embalwa kwixesha elinje? Namhlanje sithetha ngonyango olukhethekileyo nolunamandla olunokusindisa ubomi ngokunyibilikisa amahlwili egazi ayingozi abangela iingxaki ezingxamisekileyo ezifana nezi.

Ngamafutshane, yintoni le ndlela yonyango?

Oku kubizwa ngokuba yi-fibrinolytic okanye i-thrombolytic therapy. Nangona la magama eyinkimbinkimbi kancinci, inkqubo ilula kakhulu. Ifana nolwelo esilusebenzisayo ukucoca umsele ovalekileyo ekhayeni lethu.

Xa ihlwili legazi eliyingozi lenzeka ngaphakathi komthambo wegazi emzimbeni wethu, liyayimisa indlela igazi elihamba ngayo. Ngenxa yoko, amalungu abalulekileyo anje ngengqondo nentliziyo anikwa igazi ngulo mthambo aqala ukufa ngaphandle kokufumana ioksijini. Le yimbangela yezifo ezininzi zentliziyo kunye nokubetha.

Ngoko ke olu nyango lusebenzisa iyeza elinamandla kakhulu emzimbeni, elinyibilikisa lize lisuse loo gazi liyingozi. Oku kuvula kwakhona umthambo, kubuyisele ukuhamba kwegazi. Oko kuthetha ukuba kunokusindisa ubomi.

Kukweziphi iimeko apho olu nyango lufunekayo?

Olu asilonyango oluqhelekileyo. Lunikwa kwiimeko ezingxamisekileyo naxa kukho umngcipheko ebomini. Oogqirha bajonga olu hlobo lonyango ngakumbi kwezi meko zilandelayo:

Eli yeza linikwa njani emzimbeni?

Kukho iindlela ezimbini zokubonelela oku.

1. Ngokusebenzisa umgca we-IV: Le yindlela esetyenziswa kakhulu. Eli yeza lifakwa ngqo egazini lakho nge-cannula (umgca we-IV) ebekwe emthanjeni engalweni yakho.

2. Nge-catheter: Ngamanye amaxesha, ingakumbi xa iyeza kufuneka lifike ngqo kwindawo apho igazi liqhekeke khona, oogqirha bafaka ityhubhu encinci (i-catheter) ngemithambo yegazi baze bafake iyeza ngqo kwindawo apho igazi liqhekeke khona.

Ixesha libaluleke kangakanani? - Yonke imizuzwana igolide!

Ixesha libaluleke kakhulu kolu nyango. Umzuzwana ngamnye xa igazi linamathela, iiseli zobuchopho okanye iiseli zemisipha yentliziyo ziyafa. Ke ngoko, kubalulekile ukuqala unyango ngokukhawuleza .

Ngoko ke, ukuba ubona iimpawu zokuhlaselwa yintliziyo okanye isifo sohlangothi, musa ukuzama ukuzinyanga ekhaya okanye ulinde. Yisa isigulana kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngokukhawuleza.

Ngaba kukho naziphi na iimeko apho olu nyango lungenakunikwa?

Ewe. Eli liyeza elinamandla kakhulu, ngoko ke alinakunikwa wonke umntu. Kuba linyibilikisa amahlwili egazi kwaye landisa umngcipheko wokopha emzimbeni. Ke ngoko, ukunika abanye abantu olu nyango kunokuba yingozi.

Iqela lezonyango liza kugqiba ukuba ufanelekile na kolu nyango emva kovavanyo olukhawulezileyo. Olu nyango alusoloko lunikwa abantu abanezi meko zilandelayo:

• Ukuba uneminyaka engaphezu kwama-75 ubudala.
• Ukuba ukhe wopha ingqondo ngaphambili.
• Ukuba okwangoku usebenzisa amayeza okunciphisa igazi.
• Ukuba ukhe waba nestroke kwiinyanga ezi-3 ezidlulileyo.
• Ukuba uphuma igazi naphi na emzimbeni okanye kutshanje utyando/wenzakele kakhulu.
• Ukuba uyazi ukuba unesifo somhlaza ebuchosheni.
• Ukuba ukhulelwe.
• Ukuba une-high blood pressure oko akunakulawulwa.
• Ukuba unesifo samehlo esibangelwa sisifo seswekile.
• Ukuba inani leeplatelet liphantsi kakhulu.

Olu luhlu aluphelelanga. Isigqibo sokugqibela siya kwenziwa ngugqirha wakho onyangayo ngokusekelwe kwimeko yakho ethile.

Indlela unyango oluqhutywa ngayo inyathelo ngenyathelo

Ngaphambi konyango

Ngenxa yokuba le yingxamiseko, uza kungeniswa ngqo kwiYunithi yoKhathalelo oluNzulu (ICU) , apho amaqela ezonyango nawongikazi aza kujonga ngokusondeleyo yonke into ukususela kwisantya sentliziyo yakho, uxinzelelo lwegazi, kunye namanqanaba eoksijini.

Ngexesha lonyango

Njengoko bekutshiwo ngaphambili, amayeza aza kunikwa emzimbeni nge-IV line okanye i-catheter. Ngexesha lonyango, iimvavanyo ezifana ne -CT scans okanye i-MRI scans ziya kusetyenziswa ukubona ukuba ihlwili legazi liyanyibilika na.

Kwezinye iimeko, ukongeza okanye endaweni yalo mayeza, i-mechanical thrombectomy inokwenziwa. Oku kuquka ukusebenzisa i-catheter ukufikelela kwindawo yehlwili, ukuliqhekeza libe ziingceba ezincinci, nokulisusa ngomchamo .

Emva konyango

Emva konyango, oogqirha bajonga ukuba kukho na amaqhekeza egazi aseleyo. Kusenokufuneka unyango olungakumbi. Umzekelo, ukutshiza nge-stenting , i-balloon angioplasty , okanye utyando oluvulekileyo kunokufuneka ukuze kugcinwe umthambo uvulekile ixesha elide.

Kwakhona, oogqirha baya kukucebisa ukuba uqhubeke nokuthatha amayeza okunciphisa igazi (i-anticoagulants) , njengeWarfarin okanye iHeparin, ukuthintela ukwakheka kwamahlwili egazi angakumbi kwixesha elizayo.

Zithini iingozi kunye neziphumo ebezingalindelekanga zoku?

Eyona ngozi iphambili neqhelekileyo yolu nyango kukuphuma kwegazi . Oku kuqhelekile.

• Ukopha kungenzeka kwindawo ye-cannula.
• Ukwenzakala okusandul’ ukwenzeka kunokopha kwakhona.
• Ukopha empumlweni kunokwenzeka.
• Kusenokuba kukho igazi kumchamo.
• Kusenokuba kukho igazi esitulweni.
• Abafazi banokufumana ukopha okugqithisileyo kwilungu lobufazi.
• Eyona ngozi inqabileyo, kodwa iyingozi kakhulu, kukopha kwegazi ebuchotsheni .

Nangona kukho ezi ngozi, kubantu abaninzi inzuzo yolu nyango, nto leyo ethetha ukusindisa ubomi, ingaphezulu kakhulu kunezi ngozi. Yiyo loo nto oogqirha becinga yonke into ngaphambi kokuba benze esi sigqibo.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Emva kokuba ubuyele ekhaya emva konyango, ukuba kukho naziphi na iingxaki ezinokubakho, kufuneka wazise ugqirha ngoko nangoko.

• Ukuba kukho ukopha okugqithisileyo .
• Ukuba uva intlungu enganyamezelekiyo .
• Ukuba unesifo somkhuhlane .

Ukuba kwenzeka into efana nale, fowunela ugqirha wakho ngoko nangoko. Nguye oza kufumanisa unobangela aze akunike unyango olufunekayo.