Chii chinonzi tPA?
Tissue plasminogen activator, kana tPA, ndiyo chete inobvumirwa neDAA-inogamuchirika yehuschemic or stroke , iyo inokonzerwa neropa rekuvhara ropa kunopinda kune imwe nzvimbo yeuropi. Yakashandiswa mukurapa kwepermmary embolism uye myocardial infarction . TPA iine ropa rakaonda, uye naizvozvo harisashandisi kurwara kwemhepo kana kuora mwoyo.
TPA inoshanda sei?
TPA inowanzoita mapuroteni anowanikwa pamagumo endothelial, masero anotevera mitsipa yeropa. Inobatsira kutendeuka kwe plasminogen kumaplasmin, enzyme inokonzera kuparadzwa kwemakumbo. TPA inoshanda kuburikidza nekudzivirira kuwedzerwa kweropa revhapiti rinodzivisa kubuda kweropa muuropi. Iyo mishonga ine simba inofanirwa kutarisirwa neboka rezvechiremba vane ruzivo.
Usati Wawana TPA Mushonga
Usati wagamuchira kurapwa neTPA, unofanira kutarisira kuva nehupi CT scan. Ichi ndechokuti kune huwandu hwehutano hunoita kuti huve hukukuvadza iwe kuti ugamuchire tPA. Kana uine imwe yemamiriro aya, kwete chete kuti TPA isakubatsira iwe, inogona kukuvadza zvakanyanya kuhutano hwako.
Mamiriro ezvinhu angaita kuti iwe isligible kugamuchira kurapwa neTPA inosanganisira:
- Hemorrhagic stroke (kubuda ropa muuropi)
- Bongo aneurysm kana AVM
- Recent chirurgical procedure
- Kukuvara kwemukoko
- Kushambadzira kana kusangana kwekuvhara ropa
- Bleeding ulcers
- Kuberekwa
- Ropa kuderedza mishonga
- Trauma
- Kusadzora kutenderera kweropa
Kutungamirirwa kweTPA
Kurapa nemucheka plasminogen activator (tPA) yakashanda kune vanhu vane chirwere cheschemic chero bedzi chichigamuchirwa mukati meawa maawa matatu ekutanga kwezviratidzo.
Endovascular kurapa kutumira tPA panzvimbo yekuvhara kana kuwanikwa kwechigadziro inotorwa kusvika kwemaawa mapfumbamwe mushure mekurohwa.
Mitemo yakagadziriswa kuti ikurumidze kuziva kana iwe unogona kuva nechirwere, kuitira kuti kuedza kwako uye kurapwa kwako kuve kwakakurumidza uye kwakanaka, zvichikubvumira kuwana mararamiro ekuchengetedza hupenyu panguva yakakodzera. Mune dzimwe nzvimbo, dzimwe nzvimbo dziri kugadzira matanho ekutsvaga chirwere munguva pfupi kupfuura kare, nemasipiramu esitiroko .
Migumisiro yechiratidzo yeTPA
Kunyange zvazvo tPA yakaratidza kuti inobatsira mukurapa chirwere, kune ngozi inobatanidzwa neTPA kurapwa, kunyange kune vanhu vakagadziriswa kuti vashandise tPA. Iyo iropa ine simba ine simba, uye migumisiro yakakomba inogona kuitika, kusanganisira zvinotevera:
- Hemorrhage (kubuda ropa) kunokanganisa uropi-kunokonzera misoro, kushaya simba, kuvhiringidzika, kurasikirwa kwekuziva, kugumburwa
- Hemorrhage yemagetsi yekuita-inokonzera ropa muchitsiga kana kurwadziwa kwepamu
- Kurasikirwa kweropa kwakanyanya-kunokonzera kuchena kwepfungwa, kuderera kweropa, kurasikirwa kwekuziva
- Kubuda kwechidiki mujamu kana mhino
- Ropa mumuguta
Kana iwe uchinge uchinge uwane chero yemigumisiro yechirwere, iwe unofanirwa kuudza boka rako rezvehutano
Ziva Zviratidzo zveStroke
Nzira yakanakisisa yekuwedzera mikana yako yekuwana kurapwa kwakanakisisa kwekurohwa ndeyokuenda kuchivanze chekukurumidzira nekukurumidza.
Munhu ane chirwere chekurohwa angasaona pavanenge vaine zviratidzo. Iwe unogona kudzidza nzira yekuziva sitiroko kuitira kuti ugone kuwana rubatsiro rwekukurumidza kana ukacherechedza zviratidzo kana zviratidzo zvekurohwa .
Usamirira kuti zviratidzo zvinyangarika. Nokukurumidza sitiroko inobatwa, zvishomanana nguva yakareba.
Zviratidzo zvekurohwa zvinosanganisira:
- Dambudziko kunzwisisa kana kutaura
- Unhu hwemaoko, chiso kana gumbo
- Kuvhiringidzika kana kuonekwa kwakasviba mune rimwe kana maziso maviri
- Chiono chechipiri
- Nenguva isipi, misoro yakanyanya
- Kudzora
- Chizutu
- Zvakaoma kufamba
- Kurasikirwa kwekuenzanisa kana kubatana
- Kushaya simba kwechiso, ruoko kana gumbo
- Droopy chiso kana eyelid
- Kusanganiswa
- Kurasikirwa kwekuziva
Shoko Rinobva
Kurwiswa kwepurokeki chikamu chinokosha chehupenyu hwakanaka. Nepo marapirwo ari kuve akabudirira pakugadzirisa migumisiro yakakomba yekurohwa, kudzivirira ndiyo nzira yakanakisisa yekudzivisa migumisiro yekurohwa.
Nzira dzekudzivirira njodzi dzinokonzera chirwere zvinosanganisira:
- Kusiya kusvuta
- Kurasikirwa uremu
- Kuwedzera basa remuviri
- Kuderedza kunwa doro
- Kubvisa kushandiswa kwezvinodhaka zvisina kukodzera
- Kuderedza cholesterol nemafuta
- Kutarisira chirwere cheshuga kana uine
- Ramba uine utano hwehutano hwakanaka
Kana iwe kana munhu waunoda ane chirwere kana kuti akagamuchira tPA kuti awane kurapa, tarisira kugadzirisa kunogona kutora nguva. Iko kunyoreswa kwekurohwa kunogona kushandiswa kukubatsira kutungamirira iwe nemhuri yako kuburikidza nekudzoka kwako.
> Sources:
> Mazuva ano uye mune ramangwana maitiro ekurapwa kwechirwere ischemia, Christophe BR, Mehta SH, Garton AL, Sisti J, Connolly ES Jr, Expert Opin Pharmacother. 2017 Apr; 18 (6): 573-580