Thrombolytic zvinodhaka zvekurwadziwa kwemoyo

Midziyo midiki yeropa inonzi coronary arteries inopa okisijeni inotakura ropa kumutsipa wemwoyo.

• Kurwadziwa kwemoyo kunogona kuitika kana kuvhara kweropa kukamisa kuyerera kweropa kuburikidza neimwe yeaya arteri.
• Angina isina kugadzikana inoreva kurwadziwa kwepfupa uye zvimwe zviratidzo zvekuyambira kuti chirwere chemwoyo chinogona kuitika munguva pfupi. Inonyanya kukonzerwa neropa rakagwamba mutsinga.

Vamwe vanhu vanogona kupihwa mishonga yekutyora gwamba kana tsinga yakavharika zvachose.

• Iyi mishonga inodaidzwa kuti thrombolytics, kana clot-busting zvinodhaka.
• Ivo vanongopihwa chete yerudzi rwekurwara kwemoyo, uko kumwe shanduko dzinoonekwa paECG. Rudzi urwu rwekurwadziwa kwemoyo runonzi ST chidimbu elevation myocardial infarction (STEMI).
• Iyi mishonga inofanirwa kupihwa nekukurumidza sezvinobvira mushure mekurwadziwa kwepfupa kutanga (kazhinji kazhinji mumaawa asingasviki gumi nemaviri).
• Mushonga unopihwa kuburikidza netsinga (IV).
• Ropa rakapfava rinotorwa nemuromo rinogona kunyorerwa gare gare kudzivirira kuwanda kwemaumbwe.

Njodzi huru kana uchinge wagamuchira zvinodhaka zvinodzivirira kubuda ropa, nechakanyanya kuve kubuda ropa muuropi.

Thrombolytic therapy haina kuchengetedzeka kune vanhu vane:

• Kubuda ropa mukati memusoro kana sitiroko
• Uropi husina kujairika, senge mamota kana asina kusimba-akaumbwa midziyo yeropa
• Ndakanga ndakuvara musoro mukati memwedzi mitatu yapfuura
• Nhoroondo yekushandisa vanocheka ropa kana chirwere chekubuda ropa
• Aive nekuvhiyiwa kukuru, kukuvara kukuru, kana kubuda ropa mukati mukati memasvondo matatu kusvika mana apfuura
• Peptic ulcer chirwere
• Yakakwira yakakwira BP

Mimwe mishonga yekuvhura yakavharika kana yakadzikira midziyo inogona kuitwa panzvimbo kana mushure mekurapwa netrombolytic therapy inosanganisira:

• Angioplasty
• Moyo unopfuura kuvhiya

Myocardial infarction - thrombolytic; MI - thrombolytic; ST - kukwirira myocardial infarction; CAD - thrombolytic; Coronary tsinga chirwere - thrombolytic; STEMI - thrombolytic

Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane isiri-ST-kukwirira kwakanyanya coronary syndromes: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane maitiro enzira. J Ndiri Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

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.

Ibanez B, James S, Agewall S, et al. 2017 ESC nhungamiro yekutungamira kweacute myocardial infarction muvarwere vanopa ne ST-segment kukwirira: The Task Force ye manejimendi yeacute myocardial infarction muvarwere vanopa ne ST-chikamu kukwira kweEuropean Society yeCardiology (ESC). Eur Mwoyo J. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.