Ulwaphulo lwe-stroke luye lwafumana uninzi lweentuthuko ezibalulekileyo, kwaye eyona nto ibaluleke kakhulu kukusetyenziswa kweyeza elithi iTissue Plasminogen Activator (tPA) .
I-TPA isebenza njani
Ngama-1990, oogqirha baqala ukusebenzisa i-TPA, igazi elinamandla elincinci, ukwenzela unyango lwe- ischemic stroke . Ngaphezu kwe-80% yazo zonke izibetho ziyi-ischemic, oku kuthetha ukuba zibangelwa ngamacenge egazi eziphazamisa ukuhamba kwegazi kwingingqi yengqondo.
Ukwelashwa nge-tPA kuvimbela i-blood clots-causing causing clots. Oku kubaluleke ngokukhawuleza ngexesha lokubetha ngenxa yokuba ischemia, ukungabikho kokunikezelwa kwegazi, ngokukhawuleza kubangele uchungechunge lwezenzo zeekhemikhali ezonakalisa ukonakalisa ingqondo . Kwaye unyango olusebenzayo kunye ne-TPA lungavumela igazi ukuba luqhubekele kwindawo echaphazelekayo yengqondo, ngenjongo yokuthintela umonakalo wengqondo onomphela obangelwa yi-ischemia.
Xa Unako Ukufumana I-TPA Treatment
Ukuphumelela kwe-TPA ngenxa yokunyangwa kwe-stroke kuye kwangqina ngezilingo ezininzi ezinkulu zeklinikhi ezibonisa ithuba elikhulu lokuphulukana phakathi kwabasindileyo besifo abaye baphathwa nge-TPA xa kuthelekiswa nalabo abangazange baphathwe nge-TPA.
Ezi zilingo zibonise ukuba ukuba i-TPA inikezelwa emva kweeyure ezintathu emva kokuba umntu eqala ukufumana iimpawu eziphazamisayo, unyango lunokubangelwa ukuphaphaka kwingozi engqondweni, kubangele ukushaya kwesifo esibi.
Ngoko ke, ngelixa i-TPA yinkqubo yokulondoloza impilo kwezinye iimeko, kunokubangela iingxaki ezinzulu, okwenza uhlangothi olubi lube lubi kunokuba lube lukho ngaphandle kwe-TPA. Ngenxa yoko, kugcinwa nje ekhuselekileyo ukufumana unyango nge-TPA kwisithuba seeyure ezingama-3 zokuqala kweempawu zesifo.
Uphando olutsha lujoliswe kwindlela yokwandisa iwindi yeeyure eziyi-3 ngokuchonga imigaqo ethile enokuyenza ikhuseleke kumntu onomdla wokufumana i-TPA nangemva kweyure leyure le-3.
Akunjalo Wonke umntu onesiqhwithi angakwazi ukufumana i-tPA- Kwenye kwi-3 ye-Window Window
Kwakhona kubalulekile ukwazi ukuba nangona ufika kwigumbi elingxamisekileyo kwiiyure ezingama-3 zokuba uhlaselwa, ungafumana unyango nge-tPA. Kukho iintlobo ngeemeko kunye neemeko ezenza zingakhuselekanga ukuba zithole unyango nge-TPA, kubandakanywa nesifo esibuhlungu , i- brain aneurysm okanye ingxaki yegazi .
Kutheni Unokuthi Ulahleke Iifowuni Zeeyure Eli-3
Ngelishwa, iwindi yeyure le-3 ilahlekile ngenxa yokuba kunokuba nzima ukuba abantu bafike esibhedlele zingakapheli iiyure ezingama-3 ukuqala kwesibalo. Kukho iintlobo ezahlukeneyo zokubambezeleka kwonyango oluphuthumayo.
- Ukungaqapheli ukubetha: Ukuba umntu okanye abo bahlala naye abaqapheli iimpawu zesifo, abanako ukufuna uncedo.
- Ukulahlekelwa yintliziyo: Ukuba iimpawu zesifo esibuhlungu zinzima kakhulu kangangokuthi zenza ukuba kube nzima ukucela uncedo, kungathatha iiyure ezingama-3 ukufumana unyango ngenxa yesifo.
- Ukulindela uluvo lomhlobo / losapho: Ngokuqhelekileyo, abantu abajongene nesisu bajonge umhlobo okanye ilungu lentsapho ukuba bancede ukuba bathethe ukuba ingxaki iyinto enzulu ngokwaneleyo ukuba ifune unyango.
- Ufuna ilungu lomhlobo / losapho ukuba lihambe esibhedlele: Abaninzi abagulayo bafuna umntu othandekayo ukuba abathathe esibhedlele, endaweni yokubiza 911 ukuba ancede ngokukhawuleza.
Ngenxa yezi zinto kunye nezinye izinto, icaza encinci kuphela labantu abafumana isifo siza esibhedlele ngexesha lokufumana unyango nge-TPA.
Unyango lweStroke Treatment
Indlela entsha yokufikelela esibhedlele ngokukhawuleza kwonyango lwe-TPA ibizwa ngokuba yi- Mobile Stroke Unit . Eqaliswe eJamani, iiNyunithi zeStroke zeStransfown ziye zamkelwa kwiidolophu ezimbalwa ezigqithiseleyo njengeendlela zokufumana abantu abanesifo sokuhlaselwa esichengeni xa besesendleleni eya esibhedlele. Le nkqubo ingakunceda ekugqibeleni abantu abaninzi bafumane i-TPA ngaphakathi kwewindi ye-3.
ILizwi
Mhlawumbi isizathu esiqhelekileyo sokulibaziseka ekufumaneni i-TPA kukungabi nolwazi malunga nezibonakaliso neempawu .
Uninzi lwabantu lulinde emva komhla emva kokuba iimpawu zabo ziza kuqala ngaphambi kokufuna unyango - kuba abaqapheli ukuba iimpawu zabo ziyi-stroke.
Unokufunda indlela yokubona iimpawu zesifo sokubethwa ukuze ulungele ukuba uziva uhlaselwa, okanye ukuba uhlala usondele ngelo xesha omnye umntu ufumana isifo.
> Ukufunda okuqhubekayo:
> I-endovascular thrombectomy engaphaya kweeyure ezili-12 zokushaywa kwesifo: uncedo lwe-network of stroke lokungenelela kwangethuba, uMoteller R, Thornton J, Power S, Brennan P, O'Hare A, Looby S, Williams DJ, Moynihan B, Murphy S, J Neurointerv Surg . 2018 Feb 19. pii: neurintsurg-2017-013575. I-doi: 10.1136 / neurintsurg-2017-013575. [Epub ngaphambi kokuprinta]