Wopanga mankhwala a plasminogen, omwe amadziwikanso kuti TPA, ndi magazi amphamvu omwe amawathandiza kuti azitha kupweteka mwamsanga. Zomwe zavomerezedwa zaka makumi awiri zapitazo pofuna kuchiza matendawa, poyamba zinkawoneka ngati zowonongeka komanso zoopsa. Tsopano, zaka makumi awiri pambuyo pake, mankhwala osokoneza bongo apitiliza kwambiri , koma TPA ndiyomwe ikukula bwino kwambiri yomwe ikuchitika poyang'anira odwala matenda a stroke.
Zotsatira za kupweteka zili bwino masiku ano kusiyana ndi momwe zinaliri poyamba kugwiritsa ntchito TPA kwa matenda. Ngati inu kapena wokondedwa wanu mwakhala mukudzidzimutsa TPA kuti muphedwe, mukhoza kuphunzira zambiri za izi.
Kodi TPA ndichifukwa ninji imagwiritsidwa ntchito pazitsulo?
Wopanga mankhwala a plasminogen ndi wothandizira kwambiri amene amalepheretsa kuti magazi akuphulika akule. Imayikidwa ndi intravenous administration (IV) ya matenda opatsirana mwamsanga.
Sitiroko imayamba chifukwa cha kusokonezeka kwa magazi m'magazi kapena chifukwa cha magazi ( ischemic stroke ) kapena magazi ( kupweteka kwa magazi ) mu ubongo. TPA imagwiritsidwira ntchito kokha kukwapula komwe kumayambitsidwa ndi magazi, zomwe zimagwidwa ndi ischemic.
Pamene TPA imayikidwa mu mitsempha, imayenda mofulumira kudzera mwazi kuti ikafike ku mitsuko yamagazi yotchinga, komwe imagwira ntchito popewera magazi okhudzidwa kuti asalepheretse kuthamanga magazi. Izi zimathandiza ubongo kuti ukhale wathanzi asanawonongeke.
Kodi Mungafunse TPA?
TPA iyenera kuperekedwa mkati mwa maola angapo oyamba chiyambireni kugunda. Kuyamba kwa stroke kumawerengedwa kuyambira nthawi yomwe munayamba mwawona zizindikiro za kupweteka . Pambuyo pawindo laling'ono kwambiri la maola angapo pambuyo poti matenda akuyamba, simungalandire TPA chifukwa zingabweretse mavuto ambiri kusiyana ndi zabwino pa nthawiyo.
Nthawi zambiri, odwala sapempha TPA. Koma ogwira ntchito zachipatala mwadzidzidzi amaphunzitsidwa kuti adziwe malo ogulitsira sitiroko ndi ofunikira omwe ali ndi antchito komanso zopereka kuti apange TPA pamene kuli kofunikira.
Kodi TPA Athandiza Sitiroko?
Pazaka makumi awiri zapitazi, odwala ambiri akhala ndi TPA. Zotsatira za nthawi yaitali ndi zochepa za TPA zatsimikiziridwa mosamala. Zonsezi, pazifukwa zabwino, TPA yatsimikiziridwa kukhala yopindulitsa.
Omwe akugwiritsidwa ntchito posachedwapa kwa odwala matenda a stroke omwe analandira TPA kuti adziphe odwala omwe sanalandire TPA anasonyeza kuti gulu la odwala omwe anagwiritsidwa ntchito ndi TPA linakhala ndi ntchito yabwino, thupi labwino, komanso kupulumuka kwabwino kusiyana ndi odwala omwe sanagwire ntchito chithandizo cha TPA.
Odwala omwe akudwala matendawa amatha kulandira TPA, amachira bwino. Pakati pa mphindi khumi ndi zisanu zokha zomwe zimagwidwa ndi odwala amalandira chithandizo cha TPA mwamsanga, opulumuka miyeso ali ndi zotsatira zabwino kwambiri. Ndipotu, njira yatsopano yowonjezera khalidwe la dziko pofuna kuchepetsa nthawi yolindira kuti TPA ikule bwino odwala komanso kuchepetsa mavuto a TPA.
Kodi mavuto a TPA ndi ati?
Chifukwa TPA ndi magazi amphamvu kwambiri, mbali yaikulu yamagazi imachotsa magazi.
Kutaya magazi ndi vuto lalikulu limene lingabweretse chifuwa chachikulu, zomwe nthawi zambiri zimakhala zovuta kwambiri kuposa kupweteka kwachisoni.
Kuonjezera apo, TPA ingayambitse magazi m'mimba, kutuluka mwa m'mimba, kutuluka mwa mkodzo kapena kutuluka kwa mabala a machiritso kapena kusakaniza opaleshoni. Pazifukwa izi, odwala ena sali ovomerezeka ku TPA.
TPA ikuchita mwamsanga ndipo zotsatira zake sizikhala motalika kwambiri. Ngati mwalandira TPA ndipo simunayambe kuvutika ndi zovuta m'masiku oyamba, simuyenera kudandaula za zotsatira za kuchedwa kapena za nthawi yaitali kuchokera ku TPA pamene mukuchira kapena mutapita kwanu.
TPA
TPA ndi mankhwala ofunika kwambiri omwe angapulumutse moyo wanu. Komabe, zikhoza kukhala zoopsa ndipo sikuti aliyense ali woyenera pa TPA. Komanso, ngati nthawi yaying'ono yatha pamene mukufika kuchipatala, simungalandire chithandizo cha TPA chifukwa ndi chopindulitsa ngati chimaperekedwa mkati mwa ola limodzi loyamba pambuyo poyambira.
Zotsatira:
Chitetezo cha thrombolysis chowopsa kwambiri cha pulojekiti m'maganizo ena, Tsivgoulis G, Safouris A, Alexandrov AV, Maganizo a Expert on Safety Drug, April 2015
Pulogalamu yofufuza za mphamvu zowononga opaleshoni ya plasminogen pa odwala 6 miyezi - zotsatira ndi zotsatira zothandizira zaumoyo, Lang CE, Bland MD, Cheng N, Corbetta M, Lee JM, Journal of Stroke ndi Cerebrovascular Disease: magazini ya National Stroke Association, November-December 2014
Nthawi yothandizidwa ndi mankhwala osokoneza thupi a plasminogen ndi zotsatira zake kuchokera pachimake chovuta kwambiri, Saver JL, Fonarow GC, Smith EE, Reeves MJ, Grau-Sepulveda MV, Pan W, Olson DM, Hernandez AF, Peterson ED, Schwamm LH, JAMA, June 2013
Nthawi zina zogwiritsira ntchito minofu zowonongeka ndi mankhwala omwe amachititsa kuti thupi likhale lopweteka kwambiri komanso luso lachilendo lachilendo. Peterson ED 2 , Schwamm LH, JAMA, April 2014