Yintoni i-TPA?
Umculi we-plasminogen weTissue, okanye i-TPA, yodwa yonyango evunyiweyo ye-FDA ye-ischemic okanye i- throtic stroke , eyinto ephazamisayo eyenziwa yi-blood clot ephazamisa ukuhamba kwegazi ukuya kwingingqi yengqondo. Isetyenziselwe unyango lwe- pulmonary embolism kunye ne- myocardial infarction . I-TPA yigazi elincinci, kwaye ngoko ayisetyenziselwa ukubethelwa kwegazi okanye intlungu.
I-TPA isebenza njani?
I-TPA yiprotheni eyenziwa ngokwemvelo efunyenwe kwiiseli zokuphela, iiseli ezihambisa imitha yegazi. Iququzelela ukuguqulwa kwe-plasminogen kwi-plasmin, i-enzyme ejongene nokuchithwa kwee-clots. I-TPA isebenza ngokuthintela ukwandiswa kwamacandelo egazi okuvimbela ukuhamba kwegazi kwingqondo. Liyonyango elinamandla elimele lilawulwe liqela lezonyango elinobuchule.
Ngaphambi kokuba Ufumane iTPA unyango
Ngaphambi kokwamkela unyango nge-TPA, kufuneka ulindele ukuba ube nengqondo yeC CT. Kungenxa yokuba kukho imeko ezininzi zezokwelapha ezenza kube yingozi kuwe ukuba ufumane i-TPA. Ukuba unayo le miqathango, kungekhona nje kuphela ukuba i-TPA ingakunceda, ingabangela ingozi enkulu kwimpilo yakho.
Imiqathango enokukwenza ukuba ungafaneleki ukufumana unyango nge-TPA ibandakanya:
- Ukuphazamiseka kwesifo (ukuphaphaza engqondweni)
- Aneurysm yeBongo okanye i-AVM
- Inkqubo yokuhlinzwa yakutsha nje
- Ukulimala kwentloko
- Ukuhlamba okanye ukuphazamiseka kwegazi
- Izilonda zomzimba
- Ukukhulelwa
- Igalelo legazi elincinci
- I ngxaki
- Uxinzelelo oluphezulu lwegazi
Ulawulo lweTPA
Ukwelashwa nge-tissue plasminogen activator (tPA) iye yaphumelela kubantu abane-stroke ye-ischemic nje kuphela xa ifunyenwe kwangaphakathi ngaphakathi kweeyure ezintathu zokuqala kweempawu.
Ukunyangwa kwe-Endovascular ukuhambisa i-tPA kwisiza se-clot okanye ukubuyiselwa kwe-clot kuthathwa njengeeyure ezingama-9 emva kwesifo.
Iiprotoksi zisekwe ukuba zichonge ngokukhawuleza ukuba ngaba unokuba ne-stroke, ukwenzela ukuba uvavanyo lwakho kunye nonyango lunokukhawuleza kwaye luphumelele, kukuvumela ukuba ufumane unyango lokugcina ubomi ngexesha elifanelekileyo. Enyanisweni, amanye amaziko enza ukuqhubela phambili ekufumaneni ukubetha kamsinya kunakuqala ngaphambili, ngeeyunithi zomtya zeselula .
Imiphumo emibi yeTPA
Nangona i-tPA iboniswe inenzuzo ekhatyweni koluhlungu, kukho umngcipheko ochaphazelekayo kunyango lwe-TPA, nangenxa yabantu abaye bahlanjululwa ngokusesikweni kwi-tPA. Igazi elinamandla lincinci, kwaye nemiphumo emibi ingenzeka, kubandakanywa oku kulandelayo:
- Ukuphazamiseka kwentsholongwane (ukuphuma kwegazi) okuchaphazela ingqondo-kubangela intloko, ubuthathaka, ukudideka, ukulahlekelwa yintliziyo, ukuxhatshazwa
- Ukuphazamiseka kwenkqubo yokutya-kubangela igazi kwi-stolom okanye esiswini
- Ukulahleka kwegazi ngokukhulu-kubangela ukukhanya okulula, uxinzelelo lwegazi oluphantsi, ukulahlekelwa yintliziyo
- Igalelo elincinci lokuphuma kwintsholongwane okanye impumlo
- Igazi kumchamo
Ukuba unayo nayiphi na imiphumo emibi, kufuneka uxelele iqela lakho lezonyango.
Qaphela iziganeko zeStroke
Indlela engcono kakhulu yokwandisa amathuba akho okufumana unyango osebenzayo ngokugqithiseleyo kukuba ufike kwigumbi lexakeka ngokukhawuleza.
Umntu onesifo sokushaya isifo angaboni xa befumana iimpawu. Unokufunda indlela yokubona isifo soxinzelelo ukuze ufumane uncedo olukhawulezileyo xa ubona iimpawu okanye iimpawu zesifo .
Musa ukulinda ukuba iimpawu ziphele. Ngokukhawuleza ulwaphulo luya kunyangwa, igalelo lexesha elide.
Iimpawu zesibalo ziquka:
- Ingxaki yokuqonda okanye ukuthetha
- Ubungqina bengalo, ubuso okanye umlenze
- Umbono ogqityiweyo okanye omnyama ngenye okanye zombini amehlo
- Umbono ombini
- Ngokukhawuleza, inwele embi
- Ukuvutha
- Utywala
- Unzima ukuhamba
- Ukulahleka kokulinganisela okanye ukulungelelaniswa
- Ubuthathaka buso, ingalo okanye umlenze
- Ubuso beDoopy okanye ijwabu leso
- Ukudideka
- Ukulahleka kwengqondo
ILizwi
Uthintelo lwe-stroke yinxalenye ebalulekileyo yokuphila ngendlela enempilo. Nangona unyango luya kusebenza ngakumbi ekunciphiseni imiphumo emibi yecroke, ukukhusela yindlela efanelekileyo kakhulu yokuphepha imiphumo yesifo.
Izindlela zokulawula umngcipheko we-stroke ziquka:
- Ukuyeka ukutshaya
- Ukulahlekelwa isisindo
- Ukwandisa imisebenzi yomzimba
- Ukunciphisa ukungena kotywala
- Ukuphelisa ukusebenzisa iziyobisi ezingekho mthethweni
- Ukunciphisa i-cholesterol kunye namafutha amanqanaba
- Ukulawula isifo sikashukela ukuba unayo
- Gcina uxinzelelo lwegazi olusempilweni
Ukuba wena okanye umntu obathandayo unomdlavuza okanye ufumene i-TPA ukuze unyango lwe-stroke, lindela ukubuyisela okungathatha ixesha. Uluhlu lokuhlola uluhlu lungasetyenziswa ukukunceda wena kunye nosapho lwakho ngokubuyiselwa kwakho.
> Imithombo:
> Iimbono zangoku kunye nekamva kwonyango lwe-cerebral ischemia, uChristoph BR, i-Mehta SH, i-Garton AL, i-Sisti J, i-Connolly ES Jr, i-Expert Opin. 2017 kuMatshi; 18 (6): 573-580