Magungunan thrombolytic don ciwon zuciya

Ananan jijiyoyin jini da ake kira jijiyoyin jijiyoyin jini suna ba da iskar oxygen da ke ɗaukar jini zuwa tsokar zuciya.

• Ciwon zuciya na iya faruwa idan gudan jini ya dakatar da gudan jini ta daya daga cikin wadannan jijiyoyin.
• Mutuwar angina tana nufin ciwon kirji da wasu alamomin gargaɗi cewa bugun zuciya na iya faruwa ba da daɗewa ba. Mafi yawancin lokuta ana haifar da shi ne sakamakon daskarewar jini a jijiyoyin jini.

Wasu mutane za a iya ba su kwayoyi don fasa daskaren idan jijiyar ta toshe gaba ɗaya.

• Wadannan kwayoyi ana kiransu thrombolytics, ko kwayoyi masu saurin yaduwar jini.
• Ana ba su kawai don nau'in bugun zuciya, inda aka lura da wasu canje-canje a kan ECG. Wannan nau'in bugun zuciya ana kiran sa ST kashi elevation myocardial infarction (STEMI).
• Wadannan kwayoyi ya kamata a basu da wuri-wuri bayan ciwon kirji ya fara faruwa (mafi yawanci a kasa da awanni 12).
• Ana bayar da maganin ta jijiya (IV).
• Za a iya ba da umarnin sanya abubuwan sikanin jini da aka sha ta baki daga baya don hana ƙarin yatsu na kafa.

Babban haɗarin yayin karɓar ƙwayoyin cuta masu daskarewa shi ne zub da jini, tare da mafi tsananin kasancewa zub da jini a cikin kwakwalwa.

Maganin thrombolytic baya da aminci ga mutanen da suke da:

• Zuban jini a cikin kai ko bugun jini
• Matsalolin kwakwalwa, kamar ciwace-ciwacen ƙwayoyi ko hanyoyin jini da ba su da kyau
• Yayi rauni a cikin watanni 3 da suka gabata
• Tarihin amfani da sikanin jini ko matsalar zubar jini
• Yi babban aikin tiyata, babban rauni, ko zubar jini cikin makonni 3 zuwa 4 da suka gabata
• Ciwon miki
• Hawan jini mai tsanani

Sauran jiyya don buɗe katange ko ƙuntataccen jirgi waɗanda za a iya yi a maimakon ko bayan jiyya tare da maganin thrombolytic sun haɗa da:

• Angioplasty
• Yin aikin tiyata na zuciya

Cutar infarction na zuciya - thrombolytic; MI - maganin ƙwaƙwalwa; ST - hauhawar cututtukan zuciya; CAD - maganin ƙwaƙwalwa; Ciwan jijiyoyin zuciya - thrombolytic; STEMI - maganin ƙwaƙwalwa

Amsterdam EA, Wenger NK, Brindis RG, et al. Jagoran 2014 AHA / ACC don kula da marasa lafiya tare da cututtukan cututtukan cututtukan zuciya marasa ƙarfi wanda ba a ɗauke da ST ba: rahoto na Collegeungiyar Kwalejin Ciwon Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan jagororin aiki. J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

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.

Ibanez B, James S, Agewall S, et al. Sharuɗɗan 2017 ESC don gudanar da ƙananan cututtukan ƙwayoyin cuta a cikin marasa lafiyar da ke gabatarwa tare da haɓakar ST-:ungiyar: Tasungiyar Task don kula da mummunan ƙwayar ƙwayar ƙwayar cuta a cikin marasa lafiyar da ke gabatar da haɓakar ST na STungiyar Turai ta Cardiology (ESC). Zuciyar Zuciya J. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.