Maganin Thrombolytic

Maganin Thrombolytic shine amfani da magunguna don fasa ko narkar da daskararren jini, waɗanda sune babban dalilin duka bugun zuciya da bugun jini.

An yarda da magungunan Thrombolytic don maganin gaggawa na bugun jini da bugun zuciya. Magungunan da aka fi amfani da su don maganin thrombolytic shine nama na plasminogen activator (tPA), amma sauran kwayoyi na iya yin abu iri ɗaya.

Da kyau, yakamata ku karɓi magungunan thrombolytic tsakanin mintuna 30 na farko bayan isa asibiti don magani.

RUFE ZUCIYA

Jigon jini na iya toshe jijiyoyin zuwa zuciya. Wannan na iya haifar da bugun zuciya, lokacin da wani sashi na tsokar zuciya ya mutu saboda ƙarancin iskar oxygen da jini ke isarwa.

Thrombolytics yana aiki ta hanyar narkar da babban jini. Wannan yana taimakawa sake farawa jini zuwa zuciya kuma yana taimakawa hana lalacewar jijiyar zuciya. Thrombolytics na iya dakatar da bugun zuciya wanda in ba haka ba zai fi girma ko yuwuwar mutuwa. Sakamakon ya fi kyau idan ka karɓi maganin thrombolytic cikin awanni 12 bayan bugun zuciya ya fara. Amma da sauri magani zai fara, mafi kyau sakamakon.

Miyagun ƙwayoyi suna dawo da wasu zub da jini zuwa zuciya a cikin yawancin mutane. Koyaya, zub da jini bazai zama cikakke na al'ada ba kuma har yanzu ƙila za a sami ƙaramin ƙwayar tsoka da ta lalace. Ana iya buƙatar ƙarin ci gaba, kamar ƙwanƙwasa ƙwayar zuciya tare da angioplasty da stenting.

Mai ba da lafiyar ku zai yanke shawara game da ko zai ba ku maganin thrombolytic don bugun zuciya a kan dalilai da yawa. Wadannan abubuwan sun hada da tarihinka na ciwon kirji da sakamakon gwajin ECG.

Sauran abubuwan da aka yi amfani dasu don ƙayyade idan kai ɗan ƙwararren ɗan takara ne na thrombolytics sun haɗa da:

• Shekaru (tsofaffi suna cikin haɗarin rikitarwa)
• Jima'i
• Tarihin likita (gami da tarihinka na bugun zuciya na baya, ciwon suga, hauhawar jini, ko ƙaruwar zuciya)

Gabaɗaya, ƙila ba za a ba ku idan kuna da:

• Raunin kai na kwanan nan
• Matsalar zub da jini
• Raunin marurai
• Ciki
• Tiyata kwanan nan
• Medicinesauki magungunan rage jini kamar su Coumadin
• Rauni
• Rashin hawan jini (mai tsanani)

YAUDARA

Yawancin shanyewar jiki ana haifar da su yayin da jini ya shiga cikin jijiyar jini a cikin kwakwalwa kuma yana toshe jini zuwa wannan yankin. Don irin wannan shanyewar jiki (ischemic stroke), ana iya amfani da thrombolytics don taimakawa narkewar jini da sauri. Bayar da maganin ƙwaƙwalwa a cikin awanni 3 na farkon alamun alamun bugun jini na iya taimakawa iyakance lalacewar bugun jini da nakasa.

Shawarar ba da magani ta dogara ne akan:

• Binciken CT na kwakwalwa don tabbatar da cewa ba a sami zubar jini ba
• Nazarin jiki wanda ke nuna mahimmin bugun jini
• Tarihin lafiyar ku

Kamar yadda yake a cikin ciwon zuciya, ba a ba da magani mai narkewar jini in kana da ɗayan sauran matsalolin kiwon lafiyar da aka lissafa a sama.

Ba a ba thrombolytics ga wanda ke fama da bugun jini wanda ya shafi zub da jini a cikin kwakwalwa. Suna iya tsananta bugun jini ta hanyar haifar da ƙarin jini.

HADARI

Zubar da jini shine hadari mafi yawan gaske. Zai iya zama barazanar rai.

Bleedingananan zubar jini daga gumis ko hanci na iya faruwa a kusan 25% na mutanen da suka karɓi magani. Zuban jini cikin kwakwalwa yana faruwa kusan 1% na lokacin. Wannan haɗarin iri ɗaya ne ga duka marasa lafiya da masu fama da ciwon zuciya.

Idan thrombolytics yana jin yana da haɗari sosai, sauran hanyoyin magance ciwan jini wanda ke haifar da bugun jini ko bugun zuciya sun haɗa da:

• Cire gudan jini (thrombectomy)
• Hanya don buɗe kunkuntar ko toshe hanyoyin jini waɗanda ke ba da jini ga zuciya ko kwakwalwa

Tuntuɓi mai ba da larurar lafiya ko kira 911

Ciwon zuciya da shanyewar jiki gaggwa ce ta likita. Gaggawar jiyya tare da thrombolytics zai fara, shine mafi kyawun damar don kyakkyawan sakamako.

Tissue plasminogen activator; TPA; Alteplase; Maimaitawa; Tantcteplase; Kunna wakili na thrombolytic; Clot-dissolving jamiái; Magungunan haifuwa; Buguwa - thrombolytic; Ciwon zuciya - thrombolytic; Emananan embolism - thrombolytic; Thrombosis - maganin ƙwaƙwalwa; Lanoteplase; Staphylokinase; Streptokinase (SK); Urokinase; Bugun jini - thrombolytic far; Ciwon zuciya - thrombolytic far; Buguwa - thrombolysis; Ciwon zuciya - thrombolysis; Cutar infarction na kwayar cuta - thrombolysis

• Buguwa
• Thrombus
• Sanya tasirin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ECG

Bohula EA, Morrow DA. -Addamarwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ta ST: gudanarwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 59.

Crocco TJ, Meurer WJ. Buguwa A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 91.

Jaffer IH, Weitz JI. Magungunan Antithrombotic. A cikin: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Ka'idoji da Aiki. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 149.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA jagora don gudanar da cutar infarction na ST-elevation: rahoto na Kwalejin Kwalejin Kwakwar Kwalejin Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Ka'idodin Aiwatarwa. Kewaya. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.