Thrombolytic txoj kev kho

Kev siv tshuaj tua kab mob ntsws (Thrombolytic therapy) yog kev siv tshuaj los txhawm rau txhawm rau txhawm rau txhaws ntshav tawm, uas yog qhov tseem ceeb ua rau mob plawv thiab mob ntshav qab zib.

Thrombolytic tshuaj tau txais kev pom zoo rau kev kho mob kub ntxhov thiab mob plawv nres. Cov tshuaj siv feem ntau rau kev kho thrombolytic yog cov plasminogen activator (tPA), tab sis lwm yam tshuaj muaj peev xwm ua tau tib yam.

Qhov tsim nyog, koj yuav tsum tau txais cov tshuaj thrombolytic hauv thawj 30 feeb tom qab tuaj txog hauv tsev kho mob rau kev kho mob.

LUB PLAWV ATTACKS

Ib feem ntshav txhaws tuaj yeem tiv thaiv cov hlab ntsha mus rau lub plawv. Qhov no tuaj yeem ua rau lub plawv nres, thaum ib feem ntawm cov leeg lub plawv tuag vim tias tsis muaj oxygen xa mus los ntawm cov ntshav.

Thrombolytics ua haujlwm los ntawm kev ua kom tsis muaj ib qho ntshav khov sai sai. Qhov no pab kom rov ua ntshav khiav mus rau lub plawv thiab pab tiv thaiv kev puas tsuaj rau cov leeg plawv. Thrombolytics tuaj yeem nres lub plawv nres uas yuav yog qhov loj dua lossis muaj peev xwm tuag taus. Cov txiaj ntsig tau zoo dua yog tias koj tau txais cov tshuaj thrombolytic hauv 12 teev tom qab lub plawv pib. Tab sis kev kho mob pib sai, qhov tshwm sim zoo dua.

Cov tshuaj thim cov ntshav ntws qee lub plawv rau hauv neeg feem coob. Txawm li cas los xij, cov ntshav ntws tsis tuaj yeem ua kom zoo li qub thiab tseem yuav muaj qee qhov me me ntawm cov leeg mob. Cov kev kho ntxiv, xws li mob catheterization nrog angioplasty thiab stenting, tej zaum yuav xav tau.

Koj tus kws kho mob yuav txiav txim siab hais txog seb puas yuav muab cov tshuaj thrombolytic rau koj lub plawv nres rau ntau yam. Tej yam no suav nrog koj li keeb kwm ntawm lub hauv siab thiab cov txiaj ntsig ntawm ECG qhov kev ntsuas.

Lwm yam siv los txiav txim siab yog tias koj yog tus neeg sib tw zoo rau thrombolytics muaj xws li:

• Hnub nyoog (cov neeg laus dua raug cov teeb meem pheej hmoo ntau ntxiv)
• Poj niam txiv neej
• Keeb kwm kev kho mob (suav nrog koj li keeb kwm yav dhau los ntawm lub plawv nres, ntshav qab zib, ntshav siab, lossis ntshav nce siab)

Feem ntau, cov tshuaj thrombolytics tsis tuaj yeem muab yog tias koj muaj:

• Ib qho kev mob taub hau tsis ntev los no
• Los ntshav teeb meem
• Los ntshav rwj
• Cev xeeb tub
• Kev phais niaj hnub no
• Noj ntshav cov ntshav nyias xws li Coumadin
• Kev poob plig
• Kev tswj tsis tau (mob hnyav) ntshav siab

SAWV DAWS

Cov mob stroke feem ntau yog tshwm sim thaum cov ntshav txhaws txav mus rau cov hlab ntshav hauv lub hlwb thiab thaiv cov ntshav txaus rau thaj chaw ntawd. Rau cov mob stroke (ischemic strokes), thrombolytics tuaj yeem siv los pab ua kom cov ntshav txhaws sai. Muab cov mob plab thrombolytics hauv 3 teev ntawm thawj cov tsos mob stroke tuaj yeem pab txo kev mob stroke thiab kev tsis taus.

Qhov kev txiav txim siab muab cov tshuaj yog ua raws li:

• Lub paj hlwb CT scan kom paub tseeb tias tsis muaj los ntshav
• Kev kuaj mob lub cev uas pom tias mob stroke loj
• Koj li keeb kwm kho mob

Raws li kev mob plawv, feem ntau tsis muaj cov tshuaj yaj-rau kom tuag yog tias koj muaj ib yam ntawm lwm cov teeb meem kev kho mob tau teev saud.

Thrombolytics tsis muab rau cov neeg uas muaj mob hlab ntsha tawg uas cuam tshuam nrog ntshav tawm hauv lub hlwb. Lawv tuaj yeem ua rau mob stroke los ntawm kev ua rau ntshav nce ntxiv.

PHEEJ HMOO

Kev los ntshav yog qhov pheej hmoo tshaj plaws. Nws tuaj yeem yog txoj sia.

Los ntshav me ntsis los ntawm cov pos hniav los yog qhov ntswg tuaj yeem tshwm sim kwv yees li 25% ntawm cov neeg uas tau txais cov tshuaj. Los ntshav rau hauv lub hlwb tshwm sim kwv yees li 1% ntawm lub sijhawm. Txoj kev pheej hmoo no yuav zoo ib yam rau cov neeg mob stroke thiab plawv nres.

Yog tias muaj tus mob thrombolytics zoo li txaus ntshai dhau lawm, lwm yam kev kho rau cov ntshav txhaws ua rau mob stroke lossis lub plawv nres muaj xws li:

• Kev tshem tawm ntawm cov ntshav (thrombectomy)
• Tus txheej txheem qhib cov roj ntsha me lossis thaiv cov hlab ntsha uas xa ntshav mus rau lub plawv lossis lub hlwb

TSHUAJ LAUS HAIS TXOG KEV NOJ QAB HAUS HU LOS YOG HU RAU 911

Kev mob plawv thiab mob nkees yog kev kho mob xwm txheej ceev. Qhov kev kho mob sai dua nrog thrombolytics pib, muaj txoj hauv kev zoo rau kev ua tiav.

Ntaub so ntswg plasminogen activator; TPA; Alteplase; Tsis muaj vaj; Kaum Ob Leeg; Nqis tus neeg sawv cev thrombolytic; Clot-dissolving agents; Rov qab kho dua; Mob stroke - thrombolytic; Plawv nres - thrombolytic; Mob ntsws embolism - thrombolytic; Thrombosis - thrombolytic; Lanoteplase; Staphylokinase; Streptokinase (SK); Urokinase; Mob stroke - thrombolytic txoj kev kho; Plawv nres - kev kho thrombolytic; Mob stroke - thrombolysis; Plawv nres - thrombolysis; Myocardial infarction - thrombolysis

• Mob stroke
• Thrombus
• Tshaj tawm myocardial infarction ECG nthwv dej ntxiab

Bohula EA, MAY DA. ST-tsa myocardial infarction: kev tswj hwm. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 59.

Crocco TJ, Meurer WJ. Mob stroke. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 91.

Jaffer IH, Weitz JI. Antithrombotic tshuaj. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 149.

O'Gara PT, Kushner FG, Ascheim DD, li al. 2013 ACCF / AHA cov lus qhia rau kev tswj hwm ntawm ST-nce myocardial infarction: ib daim ntawv tshaj tawm ntawm American College of Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Qhia. Kev ncigCov. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.