Khawuthelekelele ukuba umntu omthandayo ngequbuliso uva iintlungu eziqatha esifubeni, akakwazi ukuthetha... okanye ngequbuliso ulahlekelwa zingqondo kwelinye icala lomzimba... Ngeli xesha, sonke siyaphakuzela size sikhawuleze siye esibhedlele ngokukhawuleza. Kwidabi elinjalo lokufa nokuphila, namhlanje sithetha ngohlobo lwamayeza anamandla kakhulu naxabisekileyo asetyenziswa ngoogqirha ukusindisa ubomi. La abizwa ngokuba yiThrombolytics, ngokutsho nje, "amayeza okuphelisa amahlwili egazi".
Zithini ezi Thrombolytics? Masiqonde ngokulula.
Ngamafutshane, la 'zii-drugs-busting clot-busts', okanye iziyobisi ezinyibilikisa kwaye zisuse amahlwili egazi ayingozi ayenzeka ngaphakathi kwemithambo yegazi yethu kwaye athintele ukuhamba kwegazi. Ezi luhlobo lwee-enzymes.
Khawuthelekelele ukuba xa iqhekeza lothuli libhajwe kumbhobho wamanzi, amanzi ayayeka ukuhamba. Ngokufanayo, xa ihlwili legazi libhajwe komnye wemithambo yethu yegazi, ukuhamba kwegazi kuyayeka. Ukuba ukuhamba kwegazi ukuya kwilungu elibalulekileyo njengengqondo, intliziyo, okanye imiphunga kuyayeka, umonakalo onokwenzeka awunakucingelwa.
Kulapho ke amayeza abizwa ngokuba yi-thrombolytics angena khona. La mayeza aqhekeza iproteni ebizwa ngokuba yi-fibrin eyenza ihlwili legazi, anyibilikise ihlwili, aze abuyisele ukuhamba kwegazi . Oku kuvumela ilungu elivalekileyo ukuba lifumane ioksijini kwakhona, nto leyo ethintela umonakalo ongakumbi.
Kuxa kutheni apho eli yeza lisetyenziswa khona?
Ezi aziloluhlobo lwamayeza onokuwathenga ngaphandle kwekhawuntara. Asetyenziswa kuphela kwizibhedlele, ingakumbi kumagumbi ongxamiseko (ii-ETU), xa kukho imeko esongela ubomi. Ixesha libaluleke kakhulu apha . Ukuba la mayeza anokunikwa kwiiyure zokuqala emva kwengxamiseko, iziphumo zilungile kakhulu.
Ngamanye amaxesha olu nyango lunokuqaliswa nakwi-ambulensi. Ugqirha angakunika eli yeza nge-IV emthanjeni osengalweni yakho okanye ngqo kwihlwili legazi nge-catheter.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Istroke | Ihlwili legazi emthanjeni elihambisa igazi engqondweni. Kubaluleke kakhulu ukulinika kwiiyure zokuqala ezi-3-4.5 emva kokuqala kweempawu . |
| Ukuhlaselwa yintliziyo | Ihlwili legazi kwimithambo yentliziyo ehambisa igazi entliziyweni. Olu lolona nyango luphambili kwizibhedlele ezingenazo izixhobo zokufaka ityhubhu (stent) entliziyweni nokususa ihlwili. |
| Ukubethelwa kweMiphunga | Ihlwili legazi elenzeka kwenye indawo emzimbeni (ngokuqhelekileyo emlenzeni) liyaqhekeka lize lihlale emthanjeni osemaphashini. |
| I-Deep Vein Thrombosis (DVT) | Amahlwili egazi adla ngokwenzeka kwimithambo enzulu yemilenze. |
| Amanye amatyala | Ukuvaleka komthambo emlenzeni okanye ukuvaleka kwe-catheter yemithambo ephakathi yexesha elide yi-blood clot. |
Umahluko phakathi kwe-thrombolytics kunye nezinye 'izinto ezinciphisa igazi'
Le yindawo apho abantu abaninzi badideka khona. Mhlawumbi ukhe weva 'ngezinto ezinciphisa igazi' ezifana neWarfarin, iAspirin, kunye neClopidogrel. Kodwa iiThrombolytics zahlukile ngokupheleleyo.
I-Thrombolytics: La ngamayeza asetyenziswa xa kukho imeko engxamisekileyo ukuqhekeza nokunyibilikisa ihlwili legazi esele lenziwe kwaye livala umthambo wegazi . Kufana nokusebenzisa i-dynamite ukususa ilitye elikhulu elivale indlela.
Ii-Anticoagulants/Antiplatelets (ezifana neWarfarin, iAspirin): La mayeza asebenza ngokuthintela ukwakheka kwamahlwili egazi amatsha nayingozi . Eli liyeza elihlala ixesha elide, elinciphisa umngcipheko wamahlwili egazi. Kufana nokubeka umnatha wokhuseleko endleleni ukuthintela amatye ukuba angaqengqeleki.
Zithini iingenelo kunye neengozi zala mayeza?
Eyona nzuzo inkulu kukuba la mayeza anokubuyisela ukuhamba kwegazi ngokukhawuleza, anciphise umonakalo osisigxina kwingqondo okanye entliziyweni ngenxa yokunqongophala komoya-mpilo. Ingakumbi kwimeko efana nestroke, okukhona ufumana eli yeza ngokukhawuleza, kokukhona amathuba okuchacha ngokupheleleyo esanda.
Kodwa, njengalo naliphi na iyeza elinamandla, kukho iingozi ezithile.
Eyona ngozi inkulu neyona inzima kukopha okungalawulekiyo. Ngenxa yokuba eli yeza lisebenza ngokunyibilikisa amahlwili egazi, ukopha kunokwenzeka naphi na emzimbeni.Ukopha ngaphakathi engqondweni kuyingozi kakhulu. Kunokubangela esinye isifo sohlangothi.
Ngubani osengozini enkulu yokopha?
- Kwabantu abadala
- Kwabo banesifo sokopha
- Abo basandula utyando okanye ukwenzakala okukhulu
- Kwabo sele bethatha amayeza okunciphisa igazi afana neWarfarin
- Kwabo banoxinzelelo lwegazi oluphezulu olungalawulekiyo
Ngoko ke, ugqirha uya kugqiba ekubeni anike eli yeza kuphela ukuba, emva kokuqwalasela imeko yesigulana kunye nazo zonke izinto ezinobungozi, inzuzo yokunika eli yeza ingaphezulu kakhulu kunomngcipheko . Abasebenzi bezonyango baya kuhlala bejonga uxinzelelo lwegazi lwakho kunye nezinye izinto ngexesha nasemva konyango.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Le yinto ekufuneka uyikhumbule ngokuqinisekileyo. Ukuba unesikrokro sokuba wena okanye umntu osondeleyo kuwe uneempawu zesifo sentliziyo okanye istroke, musa ukuchitha ixesha.
Ukuba ufumana iimpawu zokuhlaselwa yintliziyo okanye isifo sohlangothi (umz. iintlungu zesifuba ngequbuliso, ubunzima bokuphefumla, ukungaziva kwelinye icala lomzimba, ubunzima bokuthetha), fowunela i-1990 Ambulance Service ngoko nangoko okanye uziyise kwisibhedlele esikufutshane neSebe leNgxamiseko (ETU) ngokukhawuleza .
Kwiimeko ezinje, umzuzwana ngamnye ubalulekile. Unyango olukhawulezileyo lunokusindisa ubomi kwaye luthintele ukukhubazeka kwexesha elide.
Umyalezo Wokuya Ekhaya
- I-Thrombolytics luhlobo olunamandla lwamayeza olunikwa ngexesha likaxakeka ukuze kunyibilikiswe ihlwili legazi esele lenziwe.
- Ezi zisetyenziswa kwiimeko ezisongela ubomi ezifana nesifo sohlangothi kunye nokuhlaselwa yintliziyo.
- Ixesha libaluleke kakhulu kwimpumelelo yolu nyango. Ukulaliswa esibhedlele kwangoko nje xa iimpawu ziqala kunokunceda ukuphucula iziphumo.
- Ekubeni ingozi enkulu yala mayeza kukuphuma kwegazi, ugqirha uya kuwanika amayeza kuphela emva kokuba eqwalasele ngononophelo iingenelo kunye neengozi ezinokubakho kwisigulana.
- Qaphela iimpawu zokuhlaselwa yintliziyo okanye isifo sohlangothi, kunye namalungu osapho lwakho. Ukuthatha amanyathelo ngoko nangoko kunokusindisa ubomi.
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