Ukwelashwa kwesifo sokushaya isisu kunezinyathelo eziningi ezibalulekile, futhi okubaluleke kakhulu kulawa ukusebenzisa umuthi okuthiwa i- Tissue Plasminogen Activator (tPA) .
Indlela i-TPA isebenza ngayo
Ngawo-1990, odokotela baqala ukusebenzisa i-tPA, i-blood enamandla kakhulu, yokwelapha isifo sochungechunge . Amaphesenti angaphezulu kuka-80% yi-ischemic, okusho ukuthi kubangelwa ama-blood clots okuphazamisa ukugeleza kwegazi endaweni yengqondo.
Ukwelapha nge-tPA kuvimbela ama-blood clots okuphazamiseka okubangelwa ukushaywa yisifo. Lokhu kuphuthumayo ngokukhethekile ngenkathi i-stroke ngoba i-ischemia, okungukuntuleka kwegazi, idala ngokushesha uchungechunge lwezenzo zamakhemikhali ezinobuthi obulimaza ubuchopho . Futhi ukwelashwa okuphumelelayo nge-tPA kungavumela igazi ukuba ligijime endaweni ethintekile yengqondo, ngenhloso yokuvimbela ukulimala okungapheli kobuchopho obangelwa yi-ischemia.
Uma Ungayithola I-TPA Treatment
Ukuphumelela kwe-tPA yokuphathwa ngonyawo kuboniswe ngezivivinyo eziningana zemitholampilo ezikhombisa ukuthi kunomthelela omkhulu wokuphulukisa phakathi kwalabo abasinde ngesifo socansi abaye baphathwa nge-TPA uma kuqhathaniswa nalabo abangazange baphathwe nge-tPA.
Lezi zivivinyo ziye zabonisa nokuthi uma i-TPA inikezwa ngemuva kwamahora amathathu emva kokuba umuntu eqale ukuzwa izimpawu zokuphazamiseka, ukwelashwa kungabangela ukuphuma kwegazi okuyingozi ebuchosheni, okwenza kube nesifo esibuhlungu.
Ngakho-ke, ngenkathi i-TPA ingelashwa ngokusindisa impilo kwezinye izimo, ingabangela izinkinga ezinkulu, okwenza isifo sibi nakakhulu kunokuba singenakho i-tPA. Ngenxa yalokho, kubhekwa nje kuphephile ukuthola ukwelashwa nge-TPA zingakapheli amahora amathathu ekuqaleni kwezimpawu zesifo sohlangothi.
Ucwaningo lwakamuva lugxile ekutheni ukwandisa iwindi lehora le-3 ngokukhomba izindlela ezithile ezingenza kube ephephile kumuntu oshaya isifo sokuthola i-tPA ngisho nangemva kwewindi le-3.
Akuwona wonke umuntu onesifo sokushaya isifo angathola i-tPA- Ngisho eWindows Window
Kubalulekile ukwazi ukuthi ngisho noma ufika ekamelweni eliphuthumayo kungakapheli amahora amathathu okushaya, ungase ungatholi ukwelashwa nge-TPA. Kunezimo ezihlukahlukene nezimo ezenza kungaphephile ukuthola ukwelashwa nge-TPA, kufaka phakathi nesifo esibuhlungu , i- aneurysm yobuchopho noma i- blood disorder .
Isizathu Sokuba Ungase Ulahle Miss Window Eyesithathu
Ngeshwa, iwindi lehora lama-3 livame ukulahlekelwa ngoba kungaba nzima ukuthi abantu bafike esibhedlela zingakapheli amahora amathathu ekuqaleni kokushaywa komzimba. Kunezimbangela ezihlukahlukene zokubambezeleka kokunakekelwa okuphuthumayo.
- Ukungaqapheli ukushaywa komzimba: Uma umuntu noma labo abakuzungezile bengaboni izimpawu zesifo, bangase bangafune usizo.
- Ukulahlekelwa yinkinga: Uma izimpawu zesifo sohlangothi zikhulu kakhulu kangangokuthi zenza kube nzima ukubiza usizo, kungathatha amahora angaphezu kuka-3 ukuthola usizo lwezokwelapha ngesifo.
- Ukulindela umbono womlingani / womndeni: Ngokuvamile, abantu ababhekana nesifo sohlangothi balindele umngane noma ilungu lomndeni ukubasiza ukuba banqume ukuthi inkinga ingathà sina ngokwanele ukuze ifune ukunakekelwa kwezempilo.
- Ufuna ilungu lomngani / umndeni ukuba lihambisane nesibhedlela: Abaningi abanesifo sokushaya isifo bafuna othandekayo ukuba abathuthe esibhedlela, esikhundleni sokubiza 911 usizo oluseduze.
Ngenxa yalezi nezinye izici, ingxenyana encane yabantu ababhekana nesifo sokushaya isifo sifika esibhedlela ngesikhathi sokuthola ukwelashwa nge-TPA.
Ukwelashwa okusheshayo okusheshayo
Indlela entsha yokufika esibhedlela ngokushesha ngenxa yokwelashwa kwe-TPA ibizwa ngokuthi i- Mobile Stroke Unit . Kwaqala eJalimane, ama-Units Stroke Units asemukelwe emadolobheni ambalwa kakhulu njengendlela yokuthola abantu abahlaselwa isifo ngesikhathi beya esibhedlela. Le nqubo ingase ekugcineni isize abantu abaningi bathole i-TPA ngaphakathi kwewindi le-3.
Izwi elivela
Mhlawumbe imbangela evame kakhulu yokubambezeleka kokuthola i-tPA ukungabi nokuqwashisa ngezibonakaliso nezimpawu zesifo .
Iningi labantu lilinde usuku olulodwa emva kokugula kwabo kuqala ngaphambi kokufuna usizo lwezokwelashwa - ngoba abamane bengazi ukuthi izimpawu zabo ziyi-stroke.
Ungafunda ukuthi ubona kanjani izimpawu zesifo sohlangothi ukuze ukwazi ukulungela uma uke wabhekana nesifo, noma ngabe ususeduze ngesikhathi omunye umuntu abhekana nesifo sohlangothi.
> Ukufunda okuqhubekayo:
> I-thrombectomy ye-endovascular engaphezu kwamahora angu-12 wokushaywa yisifo: isisindo senethiwekhi yesisindo sokungenelela kwesikhathi, uMoteller 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. i-doi: 10.1136 / neurintsurg-2017-013575. [I-Epub ngaphambi kokuphrinta]