Ọgwụ thrombolytic maka nkụchi obi

Vesselsmụ irighiri akwara obara a na-akpọ akwara akwara na-ebute ikuku oxygen na-ebute akwara obi.

• Ọrịa obi nwere ike ịdapụta ma ọ bụrụ na mkpụkọ ọbara na-akwụsị nrugharị ọbara site na otu akwara ndị a.
• Angina na-ejighị n'aka na-ezo aka n'ihe mgbu obi na ihe ịrịba ama ịdọ aka ná ntị ndị ọzọ na nkụchi obi nwere ike ime n'oge na-adịghị anya. Ọ na-ebutekarị ya site na mkpụkọ ọbara na akwara.

Enwere ike inye ụfọdụ ndị mmadụ ọgwụ iji mebie ọgbụgba ma ọ bụrụ na akwara akpọchiela kpamkpam.

• A na-akpọ ọgwụ ndị a thrombolytics, ma ọ bụ ọgwụ na-egbu ọbara.
• A na-enye ha naanị maka ụdị nkụchi obi, ebe enwere mgbanwe ụfọdụ na ECG. Isdị nkụchi obi a ka ana-akpọ infarction myocardial ST (ST sevation elevation elevation).
• Ekwesịrị inye ọgwụ ndị a ngwa ngwa o kwere mee mgbe mgbu obi malitere izizi (oge kachasị ihe na-erughị awa 12).
• A na-enye ọgwụ ahụ site na akwara (IV).
• Enwere ike ịgwa mmadụ ihe ndị na-eme ka ọbara dị nro were were n’ọnụ were gbochie ya iji gbochie mkpụkọ mkpụkọ ọzọ.

Ihe egwu dị ukwuu mgbe ị na-enweta ọgwụ na-egbu ọbara bụ ọbara ọgbụgba, nke kachasị njọ bụ ọbara ọgbụgba na ụbụrụ.

Usoro ọgwụgwọ thrombolytic adịghị mma maka ndị nwere:

• Ọbara ọgbụgba n'ime isi ma ọ bụ ọrịa strok
• Ọrịa ụbụrụ, dị ka etuto ma ọ bụ akwara arịa anaghị arụ ọrụ
• Enwere mmerụ ahụ n'isi ọnwa 3 gara aga
• Akụkọ ihe mere eme banyere iji ihe ndị na-eme ka ọbara dị njọ ma ọ bụ nsogbu ọbara ọgbụgba
• Mee ịwa ahụ dị ukwuu, nnukwu mmerụ ahụ, ma ọ bụ ọbara ọgbụgba n'ime izu 3 na 4 gara aga
• Ọrịa ọnya peptic
• Nnukwu ọbara mgbali elu

Usoro ọgwụgwọ ndị ọzọ iji mepee ụgbọ mmiri egbochi ma ọ bụ nke dị warara nke enwere ike ịme n'ọnọdụ ma ọ bụ mgbe emesịrị ọgwụgwọ ọgwụgwọ thrombolytic gụnyere:

• Angioplasty
• Surgerywa ahụ nke obi

Myocardial infarction - thrombolytic; MI - thrombolytic; ST - mbido myocardial elu; CAD - thrombolytic; Ọrịa akwara ọbara - thrombolytic; STEMI - thrombolytic

Amsterdam EA, Wenger NK, Brindis RG, et al. Ntuziaka 2014 AHA / ACC maka njikwa nke ndị ọrịa nwere ọrịa nkwonkwo akwara na-abụghị nke ST: akụkọ nke American College of Cardiology / American Heart Association Task Force na ụkpụrụ nduzi. J Am Coll Cardiol. Ọrịa. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

Bohula EA, Morrow DA. ST-elu myocardial infarction: njikwa. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 59.

Ibanez B, James S, Agewall S, et al. Ntuziaka 2017 ESC maka njikwa nke nnukwu myocardial infarction na ndị ọrịa na-ebute ogo ST: Ngalaba Task maka njikwa nnukwu myocardial infarction na ndị ọrịa na-egosi ogo ST-nke European Society of Cardiology (ESC). Eur Obi J. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.