Kuchiza kwapakati kunachitika zambiri, ndipo chofunikira kwambiri ndizo kugwiritsa ntchito mankhwala omwe amatchedwa Tissue Plasminogen Activator (tPA) .
TPA ikugwira ntchito bwanji
M'zaka za m'ma 1990, madokotala anayamba kugwiritsa ntchito tPA, magazi amphamvu kwambiri, ochizira matenda a ischemic . Sitiroko zopitirira 80% ndi ischemic, zomwe zikutanthauza kuti zimayambitsidwa ndi magazi omwe amachititsa kuti magazi asatulukire m'dera la ubongo.
Kuchiza ndi tPA kumathandiza kuti magazi asapitirire. Izi ndizofunika kwambiri panthawi yomwe sitiroko chifukwa ischemia, yomwe ilibe kusowa kwa magazi, imayambitsa mofulumira mankhwala osiyanasiyana omwe amachititsa kuti ubongo uwonongeke . Ndipo chithandizo chogwira ntchito ndi tPA chingalole kuti magazi alowe m'madera okhudza ubongo, ndi cholinga cholepheretsa kuwonongeka kwa ubongo chifukwa cha ischemia.
Pamene Mungathe Kulandira Chithandizo cha TPA
Kugwira ntchito kwa tPA chifukwa cha matenda ozunguza bongo kwatsimikiziridwa kudzera m'mayesero ambiri akuluakulu a zachipatala omwe amasonyeza mwayi waukulu wochira pakati pa opulumuka odwala omwe ali ndi tPA poyerekeza ndi omwe sanawathandize.
Mayeserowa awonetsanso kuti ngati tPA ikuperekedwa patatha maola atatu munthu atayamba kudwala zizindikiro, matendawa angayambitse magazi oopsa mu ubongo, zomwe zimayambitsa matenda oopsa.
Choncho, pamene tPA ndi mankhwala opulumutsa moyo muzochitika zina, zingayambitse mavuto aakulu, kupangitsa kupwetekedwa kwapakati kumakhala koipitsitsa kusiyana ndi kukanakhala popanda tPA. Chifukwa chake, amangoona kuti ndi otetezeka kulandila chithandizo ndi tPA mkati mwa maola atatu chiyambi cha zizindikiro za matenda a stroke.
Kafukufuku wam'tsogolo akugwiritsidwa ntchito powonjezera zenera la ora lachitatu pozindikira zifukwa zina zomwe zingapangitse kuti zikhale zotetezeka kwa munthu amene ali ndi matenda odwala matendawa kuti adzalandire tPA ngakhale pambuyo pawindo la ora lachitatu.
Osati Munthu Wonse Amene Ali ndi Stroke Angalandire TPA- Ngakhale mu Window ya 3 Ora
Ndikofunika kudziwa kuti ngakhale mutakhala m'chipinda chodzidzimutsa pasanathe maola atatu, simungalandire chithandizo ndi tPA. Pali zochitika zosiyanasiyana zomwe zimapangitsa kuti zikhale zosatetezeka kulandira chithandizo ndi tPA, kuphatikizapo kupwetekedwa kwa magazi , ubongo wamtima kapena matenda a magazi .
Chifukwa Chimene Mukhoza Kuphonya Maola atatu Owonetsera
Mwamwayi, mawindo 3 osowa nthawi zambiri amalephera chifukwa zingakhale zovuta kuti anthu apite kuchipatala mkati mwa maola atatu chiyambi cha stroke. Pali zifukwa zosiyanasiyana za kuchedwa kwa chithandizo chamwadzidzidzi.
- Osadziŵa kuti pali matenda otsekemera: Ngati munthu kapena iwo omwe ali pafupi naye sakudziwa zizindikiro za stroke, ndiye kuti sangapemphe thandizo.
- Kutaya chidziwitso: Ngati matenda a stroke ndi aakulu kwambiri moti amalepheretsa kupempha thandizo, zingatenge maola oposa atatu kuti apeze chithandizo cha mankhwala.
- Kudikira maganizo a mnzanu / wa m'banja: Kawirikawiri, anthu omwe akudwala matenda a stroke amadikirira bwenzi kapena achibale awo kuti awathandize kusankha ngati vuto liri lokwanira kuti apeze chithandizo chamankhwala.
- Afunseni bwenzi lanu kapena achibale anu kuti apite kuchipatala: Ambiri odwala matenda a stroke akufuna wokondedwa wawo kupita nawo kuchipatala, mmalo moitana 911 kuti awathandize.
Chifukwa cha izi ndi zina, ndi kachigawo kakang'ono kokha ka anthu omwe akudwala sitiroko amafika kuchipatala nthawi kuti alandire chithandizo ndi tPA.
Kuchiza kwachangu kwachangu
Njira yatsopano yobweretsera kuchipatala mwamsanga pa chithandizo cha tPA imatchedwa Mobile Stroke Unit . Kuyambira ku Germany, Unitsulo wa Stroke Unitengedwa m'midzi yambiri ngati njira yopezera anthu omwe ali ndi stroke poyang'ana kuchipatala. Njirayi ingathe kuthandiza anthu ambiri kulandira tPA mkati mwawindo la ora lachitatu.
Mawu Ochokera
Mwina chifukwa chodziwika kwambiri chochedwa kuchepetsa tPA ndi kusowa kuzindikira za zizindikiro za zizindikiro .
Anthu ambiri amadikirira mpaka tsiku lomwe amayamba kudwala matendawa chifukwa amayamba kuchipatala - chifukwa samangozindikira kuti zizindikiro zake ndi za stroke.
Mukhoza kuphunzira momwe mungadziwire zizindikiro za stroke kuti mutha kukhala okonzeka ngati mutakumana ndi stroke, kapena ngati muli pafupi nthawi yomwe wina akudwala stroke.
> Kuwerenga Kwambiri:
> Matenda opatsirana pogonana opitirira maola 12 oyambitsa matendawa: oyambitsa matenda a stroke omwe amatha kuchedwa, Motyer 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. onetsani: 10.1136 / neurintsurg-2017-013575. [Epub patsogolo pa kusindikiza]