Mankhwala a Thrombolytic a matenda a mtima

Mitsempha ing'onoing'ono yamagazi yotchedwa coronary artery imapereka oxygen yomwe imanyamula magazi kupita kuminyewa yamtima.

• Matenda a mtima amatha kuchitika ngati magazi atseka magazi kutuluka m'modzi mwa mitsempha imeneyi.
• Angina wosakhazikika amatanthauza kupweteka pachifuwa ndi zidziwitso zina zakuti matenda amtima akhoza kuchitika posachedwa. Nthawi zambiri zimayamba chifukwa cha magazi m'mitsempha.

Anthu ena atha kupatsidwa mankhwala osokoneza bongo kuti athane ndi mtsempha ngati mtsempha wake watsekedwa kwathunthu.

• Mankhwalawa amatchedwa thrombolytics, kapena mankhwala osokoneza bongo.
• Amangopatsidwa mtundu wamatenda amtima, pomwe kusintha kwina kumadziwika pa ECG. Matenda amtunduwu amatchedwa ST segment election myocardial infarction (STEMI).
• Mankhwalawa ayenera kuperekedwa posachedwa kupweteka pachifuwa koyamba (nthawi zambiri osakwana maola 12).
• Mankhwalawa amaperekedwa kudzera mumitsempha (IV).
• Ochepetsa magazi omwe amatengedwa pakamwa atha kulembedwa pambuyo pake kuti ateteze kuundana kwina.

Chiwopsezo chachikulu mukalandira mankhwala osokoneza bongo ndikutuluka magazi, komwe kumataya magazi kwambiri muubongo.

Thandizo la Thrombolytic silabwino kwa anthu omwe ali ndi:

• Kutuluka magazi mkati mwa mutu kapena sitiroko
• Zovuta zaubongo, monga zotupa kapena mitsempha yamagazi yopanda mawonekedwe
• Adavulala pamutu m'miyezi itatu yapitayi
• Mbiri yogwiritsa ntchito oonda magazi kapena vuto lakukha magazi
• Anachitidwa opaleshoni yayikulu, kuvulala kwakukulu, kapena kutuluka magazi mkati mwa masabata atatu kapena anayi apitawa
• Matenda a zilonda zam'mimba
• Kuthamanga kwambiri kwa magazi

Mankhwala ena otsegulira zotengera zotsekedwa kapena zopapatiza zomwe zingachitike m'malo kapena mutalandira chithandizo cha mankhwala a thrombolytic ndi awa:

• Angioplasty
• Opaleshoni ya mtima

M'mnyewa wamtima infarction - thrombolytic; MI - thrombolytic; ST - kukwera kwa m'mnyewa wamtima; CAD - thrombolytic; Mitima matenda - thrombolytic; STEMI - thrombolytic

Amsterdam EA, Wenger NK, Brindis RG, ndi al. Chitsogozo cha AHA / ACC cha 2014 pakuwongolera odwala omwe alibe ST-elevation acute coronary syndromes: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe othandizira. J Ndine Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718. (Adasankhidwa)

Bohula EA, Morrow DA. ST-elevation myocardial infarction: kasamalidwe. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 59.

Ibanez B, James S, Agewall S, ndi al. Malangizo a 2017 ESC pakuwongolera kwa infarction yovuta yam'mimba mwa odwala omwe akukwera ndi gawo la ST: Gulu Loyang'anira kasamalidwe ka infarction ya myocardial mwa odwala omwe akukwera ndi ST-gawo la European Society of Cardiology (ESC). Eur Mtima J. 2018; 39 (2): 119-177. (Adasankhidwa) PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621. (Adasankhidwa)