Mankhwala Osokoneza Bongo
Zamkati
- Momwe mankhwala osokoneza bongo amagwirira ntchito
- Maantibayotiki
- Mankhwala osokoneza bongo
- Matenda a plasminogen activator (tPA)
- Zolemba
- Mankhwala osokoneza bongo
- Tengera kwina
Kumvetsetsa kupwetekedwa
Sitiroko ndi kusokonezeka kwa magwiridwe antchito aubongo omwe amayamba chifukwa chosowa magazi kubongo.
Sitiroko yaying'ono imatchedwa ministerroke, kapena tricent ischemic attack (TIA). Zimachitika pamene magazi amatseka kanthawi kochepa kutulutsa magazi kupita kuubongo.
Momwe mankhwala osokoneza bongo amagwirira ntchito
Mankhwala omwe amagwiritsidwa ntchito pochiza sitiroko amagwira ntchito m'njira zosiyanasiyana.
Mankhwala ena opha ziwalo amathetsa magazi omwe alipo kale. Zina zimathandiza kuteteza magazi kuundana m'mitsempha mwanu. Ena amayesetsa kusintha kuthamanga kwa magazi komanso mafuta m'thupi kuti athandize kupewa magazi.
Mankhwala omwe dokotala akukupatsani amatengera mtundu wa sitiroko yomwe munali nayo komanso chifukwa chake. Mankhwala osokoneza bongo angagwiritsidwenso ntchito kuthandizira kupewa kupwetekedwa kwachiwiri kwa anthu omwe adakhalapo kale.
Maantibayotiki
Maanticoagulants ndi mankhwala omwe amathandiza kuti magazi anu asamaundane mosavuta. Amachita izi posokoneza njira yotseka magazi. Maanticoagulants amagwiritsidwa ntchito popewa sitiroko ischemic (mtundu wofala kwambiri wama stroke) ndi ministerroke.
Anticoagulant warfarin (Coumadin, Jantoven) amagwiritsidwa ntchito poletsa magazi kuundana kuti asapangike kapena kupewa kuundana komwe kulipo. Nthawi zambiri amaperekedwa kwa anthu omwe ali ndi mavavu amtima opangira kapena kugunda kwamtima kosafunikira kapena anthu omwe adadwalapo mtima kapena kupwetekedwa mtima.
NKHONDO YA NKHONDO NDI MAGAZIWarfarin yakhalanso yolumikizidwa ndikuwopseza moyo, kutaya magazi kwambiri. Uzani dokotala wanu ngati muli ndi matenda otuluka magazi kapena mwakhala mukutuluka magazi kwambiri. Dokotala wanu akhoza kuganizira mankhwala ena.
Mankhwala osokoneza bongo
Ma antiplatelet monga clopidogrel (Plavix) atha kugwiritsidwa ntchito pothandiza kupewa magazi. Amagwira ntchito popangitsa kuti kuzikhala kovuta kuti ma platelet m'magazi anu agwirizane, chomwe ndi gawo loyamba pakupanga magazi.
Nthawi zina amapatsidwa kwa anthu omwe adachitapo sitiroko kapena matenda amtima. Dokotala wanu mwina adzawapititsa pafupipafupi kwa nthawi yayitali ngati njira yoletsera kupwetekedwa kwachiwiri kapena matenda amtima.
Antiplatelet aspirin imalumikizidwa ndi chiopsezo chachikulu chotaya magazi. Chifukwa cha ichi, mankhwala a aspirin sakhala njira yabwino kwambiri nthawi zonse kwa anthu omwe alibe mbiri yakale yamatenda a mtima (mwachitsanzo, sitiroko ndi matenda amtima).
Aspirin ayenera kugwiritsidwa ntchito popewa matenda a atherosclerotic a mtima mwa anthu omwe:
- ali pachiwopsezo chachikulu cha matenda a sitiroko, matenda amtima, kapena mitundu ina ya matenda atherosclerotic a mtima
- alinso pachiwopsezo chotsika magazi
Matenda a plasminogen activator (tPA)
Matenda a plasminogen activator (tPA) ndi mankhwala okhawo omwe amapweteketsa magazi. Amagwiritsidwa ntchito ngati chithandizo chadzidzidzi panthawi yovulala.
Pachifukwa ichi, tPA imalowetsedwa mumtsinje kuti ifike msanga magazi.
tPA siigwiritsidwe ntchito kwa aliyense. Anthu omwe ali pachiwopsezo chachikulu chotaya magazi m'maganizo awo sapatsidwa tPA.
Zolemba
Statins imathandizira kutsika kwama cholesterol ambiri. Mafuta anu a cholesterol akakhala ochuluka kwambiri, cholesterol imatha kuyamba kukula m'makoma amitsempha yanu. Ntchito yomangayi imatchedwa chipika.
Mankhwalawa amaletsa HMG-CoA reductase, enzyme yomwe thupi lanu liyenera kupanga cholesterol. Zotsatira zake, thupi lanu limachepetsa. Izi zimathandiza kuchepetsa chiopsezo cha zolembera ndikupewa mautumiki ndi matenda amtima omwe amadza chifukwa cha mitsempha yotseka.
Statins yogulitsidwa ku United States ndi monga:
- atorvastatin (Lipitor)
- fluvastatin (Lescol)
- lovastatin (Altoprev)
- pitavastatin (Livalo)
- pravastatin (Pravachol)
- rosuvastatin (Crestor)
- simvastatin (Zocor)
Mankhwala osokoneza bongo
Dokotala wanu amathanso kukupatsani mankhwala kuti muchepetse kuthamanga kwa magazi. Kuthamanga kwa magazi kumatha kutenga gawo lalikulu pakukwapulidwa. Zitha kupangitsa kuti zipika zitheke, zomwe zingayambitse magazi.
Mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pamtundu uwu ndi awa:
- angiotensin-converting enzyme (ACE) zoletsa
- otchinga beta
- zotseka za calcium
Tengera kwina
Mitundu ingapo yamankhwala ingathandize kuchiza kapena kupewa kupwetekedwa. Ena amathandiza kuteteza magazi kuundana posokoneza mwachindunji momwe magazi amaundana amapangira. Ena amachita zinthu zina zomwe zingayambitse matendawa. tPA imathandizira kupukutira magazi atakhazikika kale m'mitsempha yanu.
Ngati muli pachiwopsezo cha sitiroko, lankhulani ndi dokotala wanu. Zikuwoneka kuti imodzi mwa mankhwalawa atha kukhala mwayi wokuthandizani kuthana ndi vutoli.