Iziyobisi zeThrombolytic zentliziyo

Imithambo yegazi encinci ebizwa ngokuba yimithambo yegazi ibonelela ngeoksijini ephethe igazi ukuya kwimisipha yentliziyo.

• Ukuhlaselwa kwentliziyo kunokwenzeka ukuba iqabunga legazi liyeke ukuhamba kwegazi ngenye yezi umthambo.
• I-angina engazinzanga ibhekisa kwintlungu yesifuba kunye neminye imiqondiso yokulumkisa ukuba isifo sentliziyo singenzeka kungekudala. Idla ngokubangelwa ligazi kwimithambo.

Abanye abantu banokunikwa iziyobisi ukuba ziqhekeze iqokobhe ukuba umthambo uvaleke ngokupheleleyo.

• La machiza abizwa ngokuba yi-thrombolytics, okanye iziyobisi ezigqubayo.
• Banikwa kuphela uhlobo lwesifo sentliziyo, apho utshintsho oluthile luphawulwa khona kwi-ECG. Olu hlobo lwesifo sentliziyo lubizwa ngokuba yi-ST segment election myocardial infarction (STEMI).
• La machiza kufuneka anikwe ngokukhawuleza emva kokuba iintlungu zesifuba ziqale ukwenzeka (amaxesha amaninzi ngaphantsi kweeyure ezili-12).
• Iyeza linikwa ngomthambo (IV).
• Abacoci begazi abathathwe ngomlomo banokumiselwa kamva ukunqanda amahlwili ngakumbi ekwenzeni.

Owona mngcipheko uphambili xa ufumana iziyobisi kukugcwala kwegazi, eyona nto ibalulekileyo kukuba ligazi kwingqondo.

Unyango lwe-Thrombolytic alukhuselekanga kubantu abane:

• Ukopha ngaphakathi kwentloko okanye ukubetha
• Ukungaqheleki kobuchopho, ezinje ngamathumba okanye imithambo yegazi eyenziwe kakubi
• Ngaba wayenokwenzakala entloko kwiinyanga ezi-3 ezidlulileyo
• Imbali yokusebenzisa abancinci begazi okanye ukuphazamiseka kwegazi
• Kwakukho utyando olukhulu, ukonzakala okukhulu, okanye ukopha ngaphakathi ngaphakathi kwiiveki ezi-3 ukuya kwezi-4 ezidlulileyo
• Isifo sesilonda Peptic
• Uxinzelelo lwegazi olunamandla

Olunye unyango lokuvula iinqanawa ezivaliweyo okanye ezincinci ezinokuthi zenziwe endaweni okanye emva kokunyanga ngonyango lwe-thrombolytic zibandakanya:

• I-Angioplasty
• Utyando lwentliziyo ngokudlula

Iposi engabalulekanga - thrombolytic; MI - thrombolytic; I-ST - ukuphakama kwe-myocardial infarction; CAD - thrombolytic; Imithambo yegazi Coronary - thrombolytic; STEMI - thrombolytic

IAmsterdam EA, uWenger NK, uBrindis RG, et al. Isikhokelo se-AHA / ACC se-2014 solawulo lwezigulana ezingekho kwi-ST-elevation acon coronary syndromes: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza. J NdinguColl Cardiol. Ngo-2014; 64 (24): e139-e228. IINKCUKACHA: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

I-Bohula EA, iMorrow DA. I-ST-election infyoction ye-myocardial infarction: ulawulo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 59.

U-Ibanez B, uJames S, uAwallwall S, et al. Izikhokelo ze-2017 ESC kulawulo lwe-infyoction ye-myocardial ebukhali kwizigulana ezibonisa ukuphakama kwecandelo le-ST: IQela loMsebenzi kulawulo lwe-infyoction ye-myocardial ebukhali kwizigulana ezibonisa ukuphakama kwecandelo le-ST yoMbutho waseYurophu weCardiology (ESC). Intliziyo ye-Eur J. 2018; 39 (2): 119-177. IINKCUKACHA: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.