Nokuti tPA kurapwa kunogona kukonzera kushanduka kwekutorwa kwechirwere cheschemic, zvinokosha kunzwisisa zvinenge zvichiitika mukati meuropi panguva yechirwere chepfungwa . Asi kutanga, ngatitaurirane nezvekurohwa kwepakati.
Overview
Stroke chirwere chinokanganisa arteri inotungamirira uye mukati meuropi. Iko Nha. 5 chikonzero chekufa uye chinokonzera chikonzero chekuremara muUnited States.
Kurwadza kunoitika apo ropa rinotakura oksijeni nemuviri kuuropi rinogona kudzivirirwa nejira kana kuputika (kana kuputsika). Kana izvozvo zvichiitika, chikamu cheuropi hachikwanise kuwana ropa (uye oxygen) inoda, saka iyo uye masero europi anofa.
Migumisiro
Uropi inhengo inonyanya kuoma inodzora mabasa akasiyana siyana emuviri. Kana chirwere chikaitika uye kubuda kweropa hakugoni kusvika kunharaunda iyo inodzora muviri unoshanda, chikamu ichocho chemuviri hachizoshanda sezvinofanira.
Risk Factors
- Zera - Mukana wekushaya chirwere chakakanganwa kaviri kune imwe neimwe yemakore ehupenyu mushure memakore makumi mashanu nemashanu. Kunyange zvazvo chirwere chiripo kazhinji kune vakwegura, vanhu vazhinji vanopfuura pasi 65 vanewo zvirwere.
- Heredity (mhuri yezvakaitika) - Dambudziko rako rekurohwa rinogona kuva guru kana mubereki, vanasekuru, hanzvadzi kana munun'una ave ane chirwere.
- Race - VaAfrica -America vane ngozi yakawanda kwazvo yekufa kubva kune chirwere chakanyanya kupfuura Caucasians. Izvi zvinokonzerwa nokuti vanhu vemazuva vane mungozi yakakwirira yekuwedzerwa kweropa, chirwere cheshuga, nekuwedzerwa.
- Zvepabonde (zvepabonde) - Gore roga rega, vakadzi vane zvirwere zvakawanda kupfuura varume, uye kurohwa kunouraya vamwe vakadzi kupfuura varume. Kushandiswa kwekuberekwa kwemishonga mapiritsi, pamuviri, nhoroondo ye preeclampsia / eclampsia kana gestational chirwere cheshuga, kunyora kunyoreswa kwepabonde, uye kusvuta, uye post-menopausal hormone therapy inogona kuisa njodzi dzinokonzerwa nekurohwa kwevakadzi.
- Pamberi pekurohwa, TIA kana chirwere chemwoyo - Mukana wekurohwa kune munhu anenge atova ane imwe nguva dzakawanda iyo yomunhu asina. Kurwiswa kwechikafu chinonzi "isrocrokes" chinokonzera kushungurudza-sezvinoita zviratidzo asi kwete kuora kwekusingaperi. TIAs inopedzisira yakasimba yekurohwa. Munhu anenge ane imwe kana kupfuura TIAs inenge ka10 inowanzoita kuti ave nechirwere kupfuura munhu wezera rimwechete uye zvepabonde asina. Kuziva nekubata maTIA kunogona kuderedza dambudziko rako rekurohwa kukuru. TIA inofanira kuonekwa sechirwere chekukurumidzira uye yakatevedzerwa pakarepo neyanzvi hwehutano. Kana iwe wakanga uine chirwere chemwoyo, iwe uri pangozi yepamusoro yekutora chirwere, zvakare.
Chii chinonzi Hemorrhagic Conversion?
Kurwadza kunokonzerwa nokuvhara ropa kwechikamu kune uropi, izvo zvinokonzera nzvimbo yakawanda yezviviri kuti ive nzara-ine nzara, uye masero anoita iyo nzvimbo anotanga kufa. Nokufamba kwenguva, masero mashoma uye mashoma anosara kuti aponeswe nemaitiro ekurapa, uye mushure mekunge mamwe masero afa, kurapa chirwere chacho hachibatsiri uye kunogona kuchinja sitiroko yechemechenic inopisa . Ichi chiitiko chinozivikanwa sechinhu chinotyisa chekutendeuka.
Izvi zvinogoneka sei? Kazhinji kurapa kwechirwere chinonzi ischemic chirongwa chinangwa chekudzorera ropa kuderera kunzvimbo ischemic kuburikidza nekupedza chirwere-chinokonzera ropa.
Asi kwemaawa mashomanana mushure mokunge imwe nzvimbo yehutachi hwuyafa, inotadza kukwanisa kwayo kuchengetedza ropa mukati memishonga, inowedzera dambudziko rekuti kupisa kwemvura kuchaitika kana ropa richidzorerwa. Iko rudzi rwekubuda ropa muhutano hwakafa hunonzi hupenyu hunotendeuka. Inenge 6 kubva muzana yemakumbo ose akarohwa anobatwa ne-intravenous tPA, mishonga ine simba ye-blood clot-busting, inotarisa kushanduka kwemhepo.
Iyi tarisiro yehumorrhagic kutendeuka ndeimwe yezvikonzero zvikonzero nei intravenous tPA nemamwe marapirwo ezvimwewo zvinogona kushandiswa chete mune imwe nguva yewindo mushure mokutanga kwezviratidzo .
Sources:
American Stroke Association. http://www.strokeassociation.org/STROKEORG/AboutStroke
Gatz Thomalla, MD; Jan Sobesky, MD; Martin Kharmann, MD; Jochen B. Fiebach, MD; Jens Fiehler, MD; Olivier Zaro Weber, MD; Anna Kruetzelmann, MD; Thomas Kucinski, MD; Michael Rosenkranz, MD; Joachim Pane, MD Peter D. Schellinger, MD, PhD Misoro miviri: Hemorrhagic Kuchinja asi kwete kuora mwoyo kweHemorrhage Mushure meThrombolysis Inobatanidza nekuoma uye nguva yeIschemia MRI Chidzidzo cheAradio Stroke Varwere Vanotarisana Nemuchivara Chine Mucheka Plasminogen Activator Mumaawa matanhatu Mhirizhonga 2007; : 313.