Thrombolytic tshuaj rau lub plawv nres

Cov hlab ntsha me hu ua cov hlab ntshav hlab ntsha xa cov pa oxygen nqa cov ntshav mus rau cov leeg plawv.

• Ib qho kev mob plawv tuaj yeem tshwm sim yog tias ntshav txhaws nres ntawm cov ntshav hla hauv cov hlab ntsha no.
• Tsis khov tsis khov yog hais txog lub hauv siab thiab lwm yam cim ceeb toom tias koj lub plawv nres yuav sai sai. Feem ntau ua rau ntshav txhaws ntawm cov hlab ntsha.

Qee tus neeg tuaj yeem muab tshuaj kom txhawm rau txhaws txhaws ceg yog tias cov hlab ntshav txhaws tag.

• Cov tshuaj no hu ua thrombolytics, lossis tshuaj tiv thaiv tsis muaj zog.
• Lawv tsuas yog muab rau ib hom mob plawv nres, uas qee qhov kev hloov pauv tau sau tseg ntawm ECG. Hom mob plawv nres hu ua ST ntu ntu myocardial infarction (STEMI).
• Cov tshuaj no yuav tsum tau muab kom sai li sai tau tom qab mob hauv siab thawj zaug tshwm sim (feem ntau hauv tsawg dua 12 teev).
• Cov tshuaj yog muab los ntawm txoj hlab ntshav (IV).
• Cov ntshav ua ntshav tawm ntawm qhov ncauj yuav tau noj tom qab kom tiv thaiv cov ntshav txhaws ntau.

Txoj kev pheej hmoo loj thaum tau txais cov tshuaj muaj ntshav txhaws yog ntshav, nrog qhov feem ntau yuav los ntshav hauv lub hlwb.

Thrombolytic txoj kev kho yog tsis nyab xeeb rau cov neeg uas muaj:

• Los ntshav hauv lub taub hau lossis ntshav khiav
• Lub hlwb khiav tsis zoo, xws li qog los sis cov ntshav tsis tuaj yeem ua
• Tau mob taub hau rau 3 lub hlis dhau los
• Keeb kwm ntawm kev siv ntshav ua haujlwm lossis ntshav tsis zoo
• Tau raug phais mob loj, raug mob hnyav, lossis ntshav sab hauv dhau 3 txog 4 asthiv
• Peptic rwj kab mob
• Mob ntshav siab

Lwm txoj kev kho mob kom qhib lub nkoj kaw lossis lub nqaim nqaj uas yuav ua nyob rau hauv qhov chaw ntawm lossis tom qab kev kho mob nrog kev kho thrombolytic suav nrog:

• Angioplasty
• Kev phais plawv bypass

Myocardial infarction - thrombolytic; MI - thrombolytic; ST - kom siab myocardial infarction; CAD - thrombolytic; Kab mob rau cov hlab ntshav - thrombolytic; STEMI - thrombolytic

Amsterdam EA, Wenger NK, Brindis RG, li al. Xyoo 2014 AHA / ACC cov txheej txheem rau kev tswj hwm cov neeg mob uas tsis yog-qib mob siab mob siab rau cov leeg ntshav nce siab: cov lus tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm cov lus qhia xyaum. J Am Coll CardiolCov. Xyoo 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

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.

Ibanez B, James S, Agewall S, li al. 2017 ESC cov txheej txheem rau kev tswj hwm ntawm cov mob myocardial infarction nyob rau hauv cov neeg mob nthuav qhia nrog ST-ntu nce: Cov Pab Pawg Ua Haujlwm rau kev tswj hwm tus mob myocardial infarction hauv cov neeg mob nthuav qhia nrog ST-ntu nce ntawm European Society of Cardiology (ESC). Eur Lub Plawv JCov. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.