Thrombolytic kurapa

Thrombolytic therapy ndiko kushandiswa kwemishonga kuputsa kana kupukuta kuwanda kweropa, zvinova izvo zvikonzero zvikuru zvekurwisa kwemoyo nekurohwa.

Mishonga yeThrombolytic inogamuchirwa yekurapwa nechimbichimbi sitiroko nekurwadziwa nemoyo. Mushonga unonyanyo shandiswa we thrombolytic therapy ndeye tishu plasminogen activator (tPA), asi mimwe mishonga inogona kuita zvakafanana.

Sezvineiwo, iwe unofanirwa kupihwa mishonga yetrombolytic mukati memaminitsi makumi matatu ekutanga wasvika kuchipatara kuzorapwa.

KURWADZWA MWOYO

Ropa rakavhara rinogona kuvhara tsinga kumoyo. Izvi zvinogona kukonzera chirwere chemwoyo, kana chikamu chetsandanyama yemoyo chikafa nekuda kwekushayikwa kwe okisijeni kuri kuunzwa neropa.

Thrombolytics inoshanda nekuparadza hombe huru nekukurumidza. Izvi zvinobatsira kutangazve kuyerera kweropa kuenda mumoyo uye zvinobatsira kudzivirira kukuvara kune mhasuru yemoyo. Thrombolytics inogona kumisa chirwere chemwoyo icho chingadai chakakura kana chinogona kuuraya. Mhedzisiro iri nani kana iwe ukatambira thrombolytic mushonga mukati maawa gumi nemaviri mushure mekurwadziwa kwemoyo. Asi iyo inokurumidza kurapwa inotanga, zvirinani mhedzisiro.

Mushonga unodzorera kumwe kuyerera kweropa kuenda mumoyo muvanhu vazhinji. Zvisinei, kuyerera kweropa kunogona kunge kusingaite zvachose uye panogona kunge paine hushoma tsandanyama yakakuvara. Kuwedzera kurapwa, senge moyo catheterization ne angioplasty uye kunhuwa, kunogona kudikanwa.

Wako wekuchengeta hutano anozoisa sarudzo nezvekuti akupe mushonga wekurwadzisa uye wekurwadziwa nemoyo pazvinhu zvakawanda. Izvi zvinhu zvinosanganisira nhoroondo yako yekurwadziwa kwepfupa uye mhedzisiro yeEECG bvunzo.

Zvimwe zvinhu zvinoshandiswa kuona kana iwe uri mukwikwidzi akanaka we thrombolytics anosanganisira:

• Zera (vanhu vakuru vane njodzi yakawedzera yezvinetso)
• Zvepabonde
• Nhoroondo yezvechiremba (kusanganisira nhoroondo yako yekurwara kwepfungwa kwakapfuura, chirwere cheshuga, kukwira kweropa, kana kuwanda kwemoyo)

Kazhinji, thrombolytics inogona kusapihwa kana iwe uine:

• Kukuvara musoro kuchangobva kuitika
• Zvinetso zvekubuda ropa
• Kubuda ropa maronda
• Kubata pamuviri
• Kuvhiya kwazvino
• Yakatorwa mishonga yekucheresa ropa senge Coumadin
• Kushungurudzika
• Kusadzora (kwakanyanya) kukwirira kweropa

KUSVIRA

Kurohwa kwakawanda kunokonzerwa kana kuwanda kweropa kuchinge kwaenda muropa reropa muuropi uye kuchidzivirira kuyerera kweropa kunzvimbo iyoyo. Kune kurohwa kwakadai (ischemic strokes), thrombolytics inogona kushandiswa kubatsira kunyunguditsa iyo clot nekukurumidza. Kupa thrombolytics mukati maawa matatu ekutanga sitiroko zviratidzo zvinogona kubatsira kudzora sitiroko kukuvara uye kuremara.

Sarudzo yekupa mushonga inoenderana ne:

• Uropi CT scan kuti uve nechokwadi chekuti hapana kumbobuda ropa
• Kuongorora kwepanyama kunoratidza sitiroko yakakosha
• Nhoroondo yako yekurapa

Sezvo pakurwiswa kwemoyo, mushonga unoparadza chirau hauwanzopihwa kana uine rimwe remamwe matambudziko ekurapa akanyorwa pamusoro.

Thrombolytics haina kupihwa kune mumwe munhu ane sitiroko iyo inosanganisira kubuda ropa muuropi. Vanogona kukuvadza sitiroko nekukonzera kuwedzera kubuda ropa.

Njodzi

Kubuda ropa ndiyo njodzi yakanyanya kuwanda. Zvinogona kutyisidzira hupenyu.

Kubuda ropa kudiki kubva pamatadza kana mumhino kunogona kuitika mune ingangoita 25% yevanhu vanogashira mushonga. Kubuda ropa muuropi kunoitika inenge 1% yenguva. Iyi njodzi yakafanana kune vese vane sitiroko uye varwere vemoyo.

Kana thrombolytics ikanzwika kuva ine njodzi zvakanyanya, kumwe kurapa kunogoneka kwemachira kunokonzera sitiroko kana kurwiswa nemoyo kunosanganisira:

• Kubviswa kweiyo clot (thrombectomy)
• Maitiro ekuvhura yakamanikana kana yakavharika tsinga dzeropa dzinopa ropa kumoyo kana kuhuropi

BATAI MUITI WEKUCHENGETEDZA WENYAYA KANA KUFONA 911

Kurwadziwa kwemoyo uye kurohwa ndezvekukurumidza kurapwa. Iyo inokurumidza kurapwa ne thrombolytics inotanga, zvirinani mukana wemhedzisiro yakanaka.

Tissue plasminogen activator; TPA; Alteplase; Kudzokorora; Tenecteplase; Activase thrombolytic mumiririri; Clot-kuputsa vamiririri; Kudzokorora kurapa; Kurohwa - thrombolytic; Kurwadziwa kwemoyo - thrombolytic; Embolism yakasimba - thrombolytic; Thrombosis - thrombolytic; Lanoteplase; Staphylokinase; Streptokinase (SK); Urokinase; Kurohwa - thrombolytic kurapa; Kurwisa kwemoyo - thrombolytic therapy; Kurohwa - thrombolysis; Kurwadziwa kwemoyo - thrombolysis; Myocardial infarction - thrombolysis

• Kurohwa
• Thrombus
• Tumira myocardial infarction ECG wave tracings

Bohula EA, Mangwana DA. ST-kukwirira myocardial infarction: manejimendi. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 59.

Crocco TJ, Meurer WJ. Kurohwa. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 91.

Jaffer IH, Weitz JI. Antithrombotic zvinodhaka. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 149.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yevatungamiriri ve ST-elevation myocardial infarction: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira. Kutenderera. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.