Cabanga nje ukuthi othandekayo wakho uzwa ubuhlungu obukhulu esifubeni ngokuzumayo, akakwazi ukukhuluma... noma ulahlekelwa ingqondo ngokuzumayo ohlangothini olulodwa lomzimba... Ngaleso sikhathi, sonke siyasaba futhi siphuthume esibhedlela ngokushesha okukhulu. Empini enjalo yokufa nokuphila, namuhla sikhuluma ngohlobo lomuthi olunamandla kakhulu noluyigugu olusetshenziswa odokotela ukusindisa izimpilo. Lokhu kubizwa ngokuthi i-Thrombolytics, kafushane nje, "imithi yokuncibilikisa amahlule egazi".
Ziyini lezi zindlela zokuvimbela i-thrombolytics? Ake sikuqonde kalula.
Kalula nje, lezi 'izidakamizwa eziqeda amahlule', noma izidakamizwa ezincibilikisa futhi zisuse amahlule egazi ayingozi akheka ngaphakathi kwemithambo yegazi yethu futhi avimbele ukugeleza kwegazi. Lezi uhlobo lwama-enzyme.
Cabanga ukuthi lapho ucezu lodaka lubhajwa epayipini lamanzi, amanzi ayayeka ukugeleza. Ngokufanayo, lapho ihlule legazi libhajwa komunye wemithambo yethu yegazi, ukugeleza kwegazi kuyayeka. Uma ukugeleza kwegazi kuya esithweni esibaluleke kakhulu njengobuchopho, inhliziyo, noma amaphaphu kuyayeka, umonakalo ongenzeka awunakucatshangwa.
Yilapho izidakamizwa ezibizwa ngokuthi i-thrombolytics zingena khona. Lezi zidakamizwa ziphula iphrotheni ebizwa ngokuthi i-fibrin eyakha ihlule legazi, incibilikise ihlule, futhi ibuyisele ukugeleza kwegazi . Lokhu kuvumela isitho esivinjiwe ukuthi siphinde sithole umoya-mpilo, kuvimbele umonakalo owengeziwe.
Kuziphi izimo lapho lo muthi usetshenziswa khona?
Lezi akuzona izinhlobo zemithi ongazithenga ngaphandle kwekhawunta. Zisetshenziswa kuphela ezibhedlela, ikakhulukazi emakamelweni ezimo eziphuthumayo (ama-ETU), lapho kukhona isimo esisongela ukuphila. Isikhathi sibaluleke kakhulu lapha . Uma le mithi inganikezwa emahoreni ambalwa okuqala esimo esiphuthumayo, imiphumela iba mihle kakhulu.
Ngezinye izikhathi lokhu kwelashwa kungaqalwa ngisho nase-ambulensini. Udokotela angase akunike lo muthi nge-IV emthanjeni ongalweni yakho noma ngqo eqhweni legazi nge-catheter.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo sohlangothi | Ihlule legazi emthanjeni elihambisa igazi ebuchosheni. Kubaluleke kakhulu ukulinikeza zingakapheli amahora angu-3-4.5 okuqala kusukela ekuqaleni kwezimpawu . |
| Isifo senhliziyo | Ukugoba kwegazi emthanjeni wenhliziyo ohlinzeka ngegazi enhliziyweni. Lokhu kuyindlela yokwelapha enkulu ezibhedlela ezingenazo izinsiza zokufaka ipayipi (i-stent) enhliziyweni nokususa i-clot. |
| I-Pulmonary Embolism | Ihlule legazi elakheke kwenye indawo emzimbeni (ngokuvamile emlenzeni) liyaqhekeka bese lihlala emthanjeni emaphashini. |
| I-Deep Vein Thrombosis (DVT) | Amahlule egazi avame ukwakheka emithanjeni ejulile yemilenze. |
| Amanye amacala | Ukuvaleka komthambo emlenzeni noma ukuvaleka kwe-catheter yemithambo ephakathi yesikhathi eside ngenxa yokuqhekeka kwegazi. |
Umehluko phakathi kwe-thrombolytics kanye nezinye 'izinto ezinciphisa igazi'
Lena indawo lapho abantu abaningi bedideka khona. Cishe uke wezwa 'ngemithi yokunciphisa igazi' efana neWarfarin, i-Aspirin, ne-Clopidogrel. Kodwa imithi ye-Thrombolytics ihlukile ngokuphelele.
I-Thrombolytics: Lena imithi esetshenziswa esimweni esiphuthumayo ukuphula nokuncibilikisa ihlule legazi eselivele lakhekile futhi elivimba umthambo wegazi . Kufana nokusebenzisa i-dynamite ukususa itshe elikhulu elivimba umgwaqo.
Ama-Anticoagulant/Ama-Antiplatelet (njenge-Warfarin, i-Aspirin): Le mithi isebenza ngokuvimbela ukwakheka kwamahlule egazi amasha, ayingozi . Lona umuthi wesikhathi eside, onciphisa ingozi yamahlule egazi. Kufana nokubeka inetha lokuphepha emgwaqweni ukuvimba amatshe ukuthi angawi phansi.
Yiziphi izinzuzo nezingozi zale mithi?
Inzuzo enkulu ukuthi le mithi ingabuyisa ukugeleza kwegazi ngokushesha okukhulu, inciphise umonakalo ohlala njalo ebuchosheni noma enhliziyweni ngenxa yokuntuleka komoya-mpilo. Ikakhulukazi esimweni esifana nesifo sohlangothi, lapho uthola lo muthi ngokushesha, kulapho amathuba okululama ngokugcwele eba makhulu khona.
Kodwa, njenganoma yimuphi umuthi onamandla, kunezingozi ezithile.
Ingozi enkulu neyimbi kakhulu ukopha okungalawuleki. Ngenxa yokuthi lo muthi usebenza ngokuncibilikisa amahlule egazi, ukopha kungenzeka noma kuphi emzimbeni. IkakhulukaziUma kukhona ukopha ngaphakathi ebuchosheni, kuyingozi kakhulu. Kungabangela esinye isifo sohlangothi.
Ubani osengozini enkulu yokopha?
- Kwabantu asebekhulile
- Kulabo abanesifo sokopha
- Labo abasanda kuhlinzwa noma ukulimala okukhulu
- Kulabo asebevele bethatha imithi yokunciphisa igazi njengeWarfarin
- Kulabo abanomfutho wegazi ophakeme ongalawuleki
Ngakho-ke, udokotela uzonquma ukunikeza lo muthi kuphela uma, ngemva kokucabangela isimo sesiguli nazo zonke izici eziyingozi, inzuzo yokunikeza umuthi idlula kakhulu ingozi . Abasebenzi bezokwelapha bazohlala beqapha umfutho wegazi lakho nezinye izinto ngesikhathi nangemva kokwelashwa.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Lokhu kuyinto okufanele uyikhumbule nakanjani. Uma unezinsolo ezincane kakhulu zokuthi wena noma umuntu oseduze nawe unezimpawu zokuhlaselwa yinhliziyo noma isifo sohlangothi, ungachithi isikhathi.
Uma uzwa izimpawu zokuhlaselwa yinhliziyo noma isifo sohlangothi (isib. ubuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, ukungazweli kolunye uhlangothi lomzimba, ubunzima bokukhuluma), shayela i-1990 Ambulance Service ngokushesha noma uziyise esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) ngokushesha okukhulu .
Ezimweni ezinjengalezi, umzuzwana ngamunye ubalulekile. Ukwelashwa okusheshayo kungasindisa izimpilo futhi kuvimbele ukukhubazeka kwesikhathi eside.
Umlayezo Wokuya Nawe Ekhaya
- I-Thrombolytics uhlobo olunamandla lomuthi olunikezwa esimweni esiphuthumayo ukuze kuncibilikiswe ihlule legazi eselivele lakhekile.
- Lezi zisetshenziswa ezimweni ezisongela ukuphila njengokuhlaselwa yisifo sohlangothi kanye nokuhlaselwa yinhliziyo.
- Isikhathi sibaluleke kakhulu empumelelweni yalolu hlobo lokwelashwa. Ukulaliswa esibhedlela ngokushesha nje lapho izimpawu ziqala kungathuthukisa imiphumela.
- Njengoba ingozi enkulu yale mithi iwukuphuma kwegazi, udokotela uzoyinika imithi kuphela ngemva kokucabangisisa ngezinzuzo nezingozi esigulini.
- Qaphela izimpawu zokuhlaselwa yinhliziyo noma isifo sohlangothi, kanye namalungu omndeni wakho. Ukuthatha isinyathelo ngokushesha kungasindisa impilo.
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