Nā lāʻau thrombolytic no ka hōʻeha puʻuwai

ʻO nā kīʻaha koko liʻiliʻi i kapa ʻia nā aʻa coronary e hāʻawi i ka oxygen e lawe ana i ke koko i ka puʻuwai puʻuwai.

• Hiki i kahi puʻuwai puʻuwai ke hana inā kū ke koko i ka kahe o ke koko ma o kekahi o kēia mau aʻa.
• ʻO ka angina kūpaʻa e pili ana i ka ʻeha o ka umauma a me nā hōʻailona hōʻailona e hiki koke i kahi puʻuwai puʻuwai. Hoʻokumu pinepine ʻia ia e nā kahe koko i nā aʻa.

Hāʻawi ʻia kekahi mau kānaka i nā lāʻau e wāwahi i ka hāpau inā paʻa loa ke aʻa.

• Kapa ʻia kēia mau lāʻau i ka thrombolytic, a i ʻole nā ​​lāʻau ʻūpō
• Hāʻawi wale ʻia lākou no kahi ʻano puʻuwai puʻuwai, kahi i ʻike ʻia ai kekahi mau hoʻololi ma ka ECG. Kapa ʻia kēia ʻano puʻuwai puʻuwai he ST mahele kiʻekiʻe myocardial infarction (STEMI).
• Pono e hāʻawi ʻia kēia mau lāʻau i ka wā e hiki ai ma hope o ka ʻeha ʻana o ka umauma (ʻo ka pinepine ma lalo o 12 mau hola).
• Hāʻawi ʻia ka lāʻau ma o ke aa (IV).
• Kuhi ʻia nā mea ʻokiʻoki koko e ka waha ma hope e pale aku i nā ʻōpala hou aʻe mai ka hana ʻana.

ʻO ka makaʻu nui ke loaʻa nā lāʻau lapaʻau clot-busting ke kahe ʻana o ke kahe, me ke kahe nui ke kahe ʻana i ka lolo.

ʻAʻole palekana ʻo Thrombolytic therapy no ka poʻe i loaʻa:

• Kahe i loko o ke poʻo a i ʻole kahi hahau
• ʻO nā kino kīnā ʻole o ka lolo, e like me nā tumors a i ʻole nā ​​kīʻaha koko maikaʻi ʻole i hana ʻia
• Ua ʻeha ke poʻo i loko o 3 mau mahina i hala
• ʻO kahi moʻaukala o ka hoʻohana ʻana i nā mea lahilahi o ke koko a i ʻole kahi maʻi koko
• Loaʻa i kahi ʻoki nui, kahi ʻeha nui, a i ʻole ke kahe ʻana o loko o 3 a 4 mau pule i hala
• Maʻi maʻi peptic
• Kaumaha kiʻekiʻe loa

ʻO nā ʻano lapaʻau ʻē aʻe e wehe i nā moku i kāohi ʻia a i hoʻopili ʻia paha e hiki ke hana ʻia ma kahi o a ma hope paha o ka mālama ʻana me ka thrombolytic therapy me:

• Angioplasty
• ʻOki kino bypass

Infarction Myocardial - thrombolytic; MI - thrombolytic; ST - hoʻokiʻekiʻe myocardial infarction; CAD - thrombolytic; Maʻi Coronary artery - thrombolytic; STEMI - thrombolytic

Amsterdam EA, Wenger NK, Brindis RG, a me al. ʻO 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka ʻole ST-kiʻekiʻe kiʻekiʻe syndromes coronary: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. ʻO J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

Bohula EA, ʻApōpō DA. Infarction myocardial ST-kiʻekiʻe: hoʻokele. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 59.

Ibanez B, James S, Agewall S, et al. Nā alakaʻi 2017 ESC no ka mālama ʻana i ka infarction myocardial koʻikoʻi i nā mea maʻi e hōʻike ana me ka ST-ʻāpana kiʻekiʻe: ʻO ka Task Force no ka mālama ʻana i ka infoccial myocardial koʻikoʻi i nā mea maʻi e hōʻike ana me ka ST-ʻāpana kiʻekiʻe o ka European Society of Cardiology (ESC). ʻO Eur Heart J. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.