Stroke treatment yakave nehuwandu hwekufambira mberi kwakakosha, uye inonyanya kukosha ndeye kushandiswa kwemishonga inonzi Tissue Plasminogen Activator (tPA) .
TPA inoshanda sei
Muma1990, vanachiremba vakatanga kushandisa tPA, ropa rine simba rakasimba, pakurapa ischemic stroke . Vanopfuura makumi mapfumbamwe nezana makumi mapfumbamwe nezana emapoka ose ari ischemic, izvo zvinoreva kuti dzinokonzerwa neropa rekuvhara ropa rinopesana neropa rinopinda munzvimbo yeuropi.
Kurapa neTPA kunodzivirira kushungurudza-zvichikonzera kuvhara ropa kubva pakukura. Izvi zvinonyanyisa kukurumidzirwa panguva yekurohwa nekuti ischemia, iyo kusakosha kweropa, inokurumidza kukonzera kukanganisa kwemaikisi emishonga inokonzera iyo inoita kuti uropi hukuvara . Uye kunyatsoshanda kurapa neTPA kunogona kurega ropa richiyerera kune nzvimbo yakakanganiswa yeuropi, nechinangwa chekudzivirira hupombwe husingaperi hunokonzerwa neIschemia.
Apo Iwe Unogona Kuwana TPA Treatment
Kubudirira kweTPA nokuda kwekurohwa kwechirwere kwakaratidzwa kuburikidza nematambudziko akawanda emakiriniki anotaridzika anoratidza mikana yakawanda yekupora pakati pevakashungurudzika vane chirwere chekare vakatariswa neTPA kana vachienzaniswa nevaya vasina kubatwa neTPA.
Iyi miedzo yakaratidzawo kuti kana tPA inopiwa mushure maawa matatu mushure mekunge munhu atanga kutanga kuona zviratidzo zvekurohwa, kurapwa kunogona kukonzera kubuda kwengozi muuropi, zvichikonzera chirwere chakanyanya.
Nokudaro, nepo tPA ihwo hupenyu hunoponesa kurapwa mune dzimwe mamiriro ezvinhu, inogona kukonzera zvinetso zvakakomba, zvichiita kuti chirwere icho chakanyanya kuipa kudarika chakanga chisina tPA. Nemhaka yeizvi, inongoratidzika yakachengeteka kugamuchira kurapwa neTPA mukati maawa matatu ekutanga kwechirwere chechirwere.
Ongororo ichangobva kuitika inotaura nezvekukwanisa kuwedzera hwindo remaawa matatu nekutsvaga humwe hutano hunoita kuti huve hwakachengeteka kune mumwe munhu ane chirwere chekurova tPA kunyange mushure mewindo reawa 3.
Kwete Munhu Wose Ane Stroke Anogona Kuwana tPA- Kunyange mu 3 Hour Window
Zvakakoshawo kuziva kuti kunyange kana ukazosvika pane imwe nguva yekukurumidzira mukati meawa matatu ekurohwa, unogona kusagamuchira kurapa neTPA. Kune mamiriro ezvinhu akasiyana-siyana uye mamiriro ezvinhu anoita kuti zvive zvisina ngozi kugamuchira kurapwa neTPA, kusanganisira kuva nechirwere chinopisa , brain aneurysm kana chirwere cheropa .
Chikonzero nei iwe unogona kushaya maawa matatu maawa Window
Zvinosuruvarisa, hwindo reawa 3 rinowanzosvibiswa nekuti zvinogona kuva zvakaoma kuti vanhu vasvike kuchipatara mukati maawa matatu kutanga kwekurohwa. Kune zvikonzero zvakasiyana-siyana zvinokonzera kusarudzwa kwekukurumidzira kurapwa.
- Kwete kuziva chirwere cheproke: Kana munhu kana avo vari pedyo naye vasingazivi zviratidzo zvekurohwa, saka vangasatsvaga rubatsiro.
- Kurasikirwa nehana: Kana zviratidzo zvekurohwa zvakanyanya zvokuti zvinokonzera kusakwanisa kukumbira rubatsiro, zvinogona kutora maawa anopfuura matatu kuti uwane kurapa chirwere.
- Kumirira shamwari / vomumhuri maonero: Kazhinji, vanhu vari kurwara nesitiroko vanomirira shamwari kana nhengo yemhuri kuti avabatsire kusarudza kana dambudziko racho rakakomba zvakakwana kuti vawane kurapwa.
- Unoda shamwari / yemhuri kuti aende kuchipatara: Vakawanda vanorwara nechirwere vanoda mudiwa kuti avatorere kuchipatara, panzvimbo yekudana 911 kuti vabatsirwe.
Nokuda kweizvi nezvimwe zvinhu, chikamu chiduku chevanhu vanoona chirwere chinosvika kuchipatara munguva yekuwana kurapwa neTPA.
Faster Stroke Treatment
Nzira itsva yekuenda kuchipatara nokukurumidza kweTPA kurapwa inonzi Mobile Stroke Unit . Yakatangira muGermany, Mobile Stroke Units yakagamuchirwa mumaguta mashomanana worlwide senzira yekuita kuti vanhu vane chirwere chechirwere vaongororwe vachiri munzira vachienda kuchipatara. Izvi zvinogona kuguma kubatsira vanhu vakawanda vanogamuchira tPA mukati mewindo reawa 3.
Shoko Rinobva
Zvichida chikonzero chinowanzokonzerwa nekunonoka pakuwana tPA ndiko kusakwanisa kuziva pamusoro pezviratidzo nezviratidzo .
Vanhu vakawanda vanomirira kusvikira pazuva mushure mekunge zvirwere zvaro zviratidzo zvinotangira vasati vatsvaga kurapwa-nokuti havangozivi kuti zviratidzo zvavo ndezvedzimwe chirwere.
Iwe unogona kudzidza maitiro ekuziva zviratidzo zvekurohwa kuitira kuti iwe ugone kugadzirira kana iwe pachako iwe pachako uchinge uchinzwa chirwere, kana iwe uripo uri pedyo nenguva iyo mumwe munhu ane chirwere.
> Kuwedzera Kuverenga:
> Endovascular thrombectomy kudarika maawa gumi nemaviri ekurohwa kwadzo: a stroke network inosvika pakupindira, Moter 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. doi: 10.1136 / neurintsurg-2017-013575. [Epub mberi kwekunyora]