Umenzi we-plasminogen weTissue, eyaziwa ngokuba yi-TPA, ngumntu onamandla ongciniweyo osetyenziselwa unyango lwe-stroke. Ivunyiwe iminyaka engama-20 edlulileyo ukwenzela unyango lwe-stroke, ekuqaleni yayijongwa njengombini wenguqulelo kwaye ingozi. Ngoku, kwiminyaka engamashumi amabini emva koko, unyango lwe-stroke luye lwaluhamba phambili , kodwa i-TPA isengcono kakhulu ukuphucula izigulane.
Iziphumo zesisindo zilunge ngakumbi namhlanje kunokuba zisetyenziswe ngaphambi kokusetyenziswa kwe-TPA ngenxa yesifo. Ukuba wena okanye othandekayo uye waba nexakeka kwi-TPA ngenxeba, unokufunda okungakumbi malunga nalo apha.
Iyintoni i-TPA kwaye Kutheni isetyenziselwa ukubetha?
I-activinogen ye-tissue i-activinogen yintsebenziswano enamandla enokuthintela i-clot yokuphucula igazi ekukhuleni. Ijojowe ngokulawulwa kwe-intravenous (IV) yonyango loxinzelelo oluphuthumayo.
Ukuphazamiseka kubangelwa ukuphazamiseka kokuhamba kwegazi kungenxa ye-clot yegazi (i- ischemic stroke ) okanye i-bleed (i- stroke eyingozi ) kwingqondo. I-TPA isetyenziselwa kuphela ukubetha okubangelwa ngamacengezi egazi, eziyi-strokes.
Xa i-TPA ijojowe kwi-vein, ihamba ngokukhawuleza ngegazi ukuze ifinyelele kwisikhumba segazi esikhuselekileyo, apho isebenza ngokuthintela i-clot yegazi ekhulayo ekukhuseleni ukuhamba kwegazi kwingqondo. Oku kuvumela ingqondo ukuba ihlale isempilweni ngaphambi kokuba umonakalo ophazamisayo unokwenzeka.
Ngaba Unokucela I-TPA?
I-TPA kufuneka ilawulwe kwiiyure ezimbalwa zokuqala emva kokuqala kwesifo. Isiqalo sokubetha sibalwa ukusuka kwixesha oqale uqaphela izimpawu zesifo . Emva kweli festile elifutshane kakhulu emva kweeyure ezimbalwa emva kokuqala kwesibalo, awukwazi ukufumana i-TPA kuba kunokubangela ingozi ngaphezu kokulungileyo kweso sikhundla.
Uninzi lwexesha, izigulane aziceli i-TPA. Kodwa abasebenzi bezonyango baxakeka kuqeqesho baqeshwe ukuba baqaphele ukuba izigulane kunye neendawo eziphuthumayo zixhotywe ngabasebenzi kunye namalungiselelo okulawula i-TPA xa kuyimfuneko.
Ngaba i-TPA Inceda Ukubetha?
Kule minyaka engamashumi amabini edlulileyo, izigulane ezininzi ziye zazisebenzisa i-TPA. Imiphumo yexesha elide kunye nexesha elifutshane le-TPA ihlolwe ngokucokisekileyo. Ngokubanzi, kwiimeko ezifanelekileyo, i-TPA iboniswe ukuba inenzuzo.
Ukuqhathaniswa kweentsholongwane zentsholongwane ezithe zafumana i-TPA ukubetha izigulane ezingazange zithole i-TPA zibonise ukuba iqela lezigulana eziphathwe nge-TPA lijongene nemisebenzi engcono yomzimba, izakhono ezingcono zokuqonda, kunye nezigulane zokusinda ezingcono kunezigulane ezithintekayo. ye-TPA.
Izigulane ezikhawulezayo zifumana i-TPA, ngcono ukubuyiswa. Ngexesha elilodwa lemizuzu elingu-15 elithintekayo izigulane zifumana unyango lwe-TPA ngokukhawuleza, abasindileyo bezilwanyana baneziphumo ezingcono. Enyanisweni, iqhinga lokuphucula umgangatho welizwe lwakutshanje elijolise ekunciphiseni ixesha lokulinda ulawulo lwe-TPA luphuculise ukongiwa kwezigulane kunye nokunciphisa iingxaki zonyango lwe-TPA.
Ziziphi iingxaki ze-TPA?
Ngenxa yokuba i-TPA yindoda enegalelo elincinci, umphumo ophezulu wecala uphala.
Ukuhlambalaza kuyinkxalabo enokuthi ingabangela isifo esiqhekezayo, esisoloko sinzulu kunesiqhwala esicacile.
Ukongezelela, i-TPA ingabangela ukuphuma kweesisu, ukuphuma kwamathumbu emathunjini, ukuphuma kumchamo okanye ukuphuma kwamanxeba okuphilisa okanye ukucutshungulwa kokuhlinzwa. Ngenxa yezi zizathu, ezinye izigulane azibaviwa kwi-TPA.
I-TPA iyasebenza ngokukhawuleza kwaye umphumo wayo awuhlali ixesha elide. Ukuba ufumene i-TPA kwaye awuzange ufumane nayiphi na imiphumo okanye iingxaki ezinsukwini ezimbalwa zokuqala, awudingi ukukhathazeka malunga nokubambezeleka okanye ukuphela kwexesha elide kwi-TPA ngexesha lokuphucula okanye emva kokuya ekhaya.
TPA
I-TPA yonyango olubalulekileyo olunokulondoloza ubomi bakho. Nangona kunjalo, kunokuba yingozi kwaye akusiyo wonke umntu umviwa okhuselekileyo we-TPA. Kwakhona, ukuba ixesha elincinane lexesha liye laphela ngexesha lokufikelela kwisibhedlele, awukwazi ukufumana unyango lwe-TPA kuba luncedo kuphela xa linikwe kwiiyure ezimbalwa zokuqala emva kokuqhaqeka kwesifo.
Imithombo:
Ukhuseleko lwe-thrombolysis ye-intravenous ye-stroke enzima kwiimeko ezithile, uTsivgoulis G, Saforis A, i-AV Alexandrov, i-Opinion yoViwo kwi-Safety Safety, ngo-Ephreli 2015
Uhlolo lokulawulwa kwetyala lokusebenza kwe-activminicen activator kwiinyanga ezi-6 ezigulane - iziphumo kunye nokusetyenziswa kwezempilo, i-Lang CE, iBland MD, i-Cheng N, i-Corbetta M, i-Lee JM, i-Journal of Stroke ne-Cerebrovascular Disease: igosa Umbhalo weNational Stroke Association, ngoNovemba-Disemba 2014
Ixesha lokunyanga ne-activminogen isistimic activator kunye nesiphumo esivela kwi-acrochemical stroke, i-Saver JL, i-Fonarow GC, i-Smith EE, iReeves MJ, i-Grau-Sepulveda MV, i-Pan W, i-Olson DM, i-Hernandez AF, i-Peterson ED, i-Schwamm LH, i-JAMA, ngo-Juni 2013
Izihlandlo zokungena kwindlu yeenaliti zokulawula i-plasminogen i-activator activist kunye neziphumo zeklinikhi kwi-stroke ephawulekayo ngaphambili nangemva kwephulo lokuphucula umgangatho, i-Fonarow GC, i-Zhao X, i-Smith EE, i-Saver JL, iReeves MJ, iBhatt DL, i-Xian Y, i-Hernandez AF, i- I-Peterson ED 2 , iSmwamm LH, i-JAMA, ngo-Ephreli 2014