Trombolytic togafitiga

O le togafitiga o le thrombolytic o le faʻaaogaina o vailaʻau e malepe ai pe faʻateʻia ai le toto masaa, o mafuaʻaga autu ia o le faʻafitauli o le fatu ma le papala.

O vailaʻau o le thrombolytic ua faʻamaonia mo togafitiga faʻafuaseʻi o le stroke ma le fatu faʻafuaseʻi. O le vailaʻau e masani ona faʻaaoga mo le togafitiga o le thrombolytic o le mea e faʻagaoioia ai le tino plasminogen (tPA), ae mafai e isi vailaʻau ona faia le mea lava e tasi.

Lelei, oe tatau ona mauaina thrombolytic vailaʻau i totonu o le muamua 30 minute ina ua maeʻa taunuu i le falemaʻi mo togafitiga.

ATU LELEI

E mafai ona poloka le alatoto i le fatu. O lenei mea e mafai ona mafua ai se osofaʻiga fatu, pe a maliu se vaega o maso maso ona o le leai o le okesene na tilivaina e le toto.

E galue le Thrombolytic e ala ile vave faʻamamaina ole vaega tele. E fesoasoani lea e toe amata le tafe o le toto i le fatu ma fesoasoani e puipuia le faʻaleagaina o maso o le fatu. Thrombolytic mafai ona taofi se fatu fatu e faʻapea e sili atu pe ono ono oti. O taunuʻuga e sili atu pe a fai e te mauaina se vailaʻau o le thrombolytic i totonu o le 12 itula talu ona amata le faʻamaʻi fatu. Ae o le vave amataina o togafitiga, o le sili atu o faʻaiuga.

O le vailaʻau toe faʻaleleia nisi toto tafe i le fatu i le tele o tagata. Peitai, o le tafe toto atonu e le atoatoa atoatoa ma ono i ai pea sina vaega o maso maso. O isi togafitiga, pei o le fatu fatu faʻatasi ma angioplasty ma stenting, ono manaʻomia.

O lau fomaʻi tausi soifua o le a faʻavaeina au filifiliga e tusa pe avatu ia te oe se vailaʻau o le thrombolytic mo se fatu oso i le tele o mea taua. Nei mea aofia ai lou talaʻaga o le fatafata tiga ma iʻuga o le ECG suʻega.

Isi mea na faʻaaogaina e iloa ai pe o oe o se tagata tauva lelei mo thrombolytic aofia ai:

• Tausaga (matutua tagata i le faateleina lamatiaga o faigata)
• Feusuaiga
• Talaʻaga faʻafomaʻi (aofia ai ma lou talaʻaga o se fatu oso, fatu suka, maualalo le toto, poʻo le faʻateleina o le fatu fatu)

E masani lava, e le mafai ona avatua le thrombolytic peʻa iai sau:

• O se manuʻa talu ai nei o le ulu
• Faʻafitauli toto
• Papala toto
• Maitaga
• Talu ai nei taotoga
• Aveina le toto manifinifi vailaʻau pei o Coumadin
• Faʻalavelave
• Tulaga maualuga le pulea (ogaoga) toto maualuga

FUA

Ole tele o faʻateʻa e mafua pe a oʻo le toto ile toto ile faiʻai ma poloka le tafe ole toto ile itu lena. Mo ia fasi (stroke ischemic), e mafai ona faʻaaogaina le thrombolytic e fesoasoani ai e faʻateʻa vave le ofu. Ole tuʻuina ole thrombolytic i totonu ole 3 itula ole faʻamaʻi muamua ole stroke e mafai ona fesoasoani ile faʻatapulaʻa ole faʻaleagaina male le atoatoa.

O le filifiliga e ave le vailaʻau e faʻavae i luga:

• O le faiʻai CT scan e faʻamautinoa ai e leʻi i ai se toto
• O se suʻega faʻaletino e faʻaalia ai le afaina tele
• Lou talaʻaga faʻafomaʻi

Pei o faʻamaʻi fatu, e le masani ona tuʻuina mai se vailaʻau ole faʻamomuina pe a iai sau faʻafitauli faʻafomaʻi ua lisi atu i luga.

E le tuʻuina atu le Thrombolytic i se tasi o loʻo maua i se faʻamaʻi e aofia ai le tafetotoi o le faiʻai. Na mafai ona faʻateteleina le papala e ala i le faʻateleina o le puna toto.

FAAFITAULI

Ole toto e tele se faʻalavelave e tupu ai. E mafai ona lamatia ai le ola.

Laititi le tafe mai o tainamu poʻo isu e mafai ona tupu i le lata i le 25% o tagata oe mauaina le vailaʻau. Toto i le faiʻai tupu tusa ma le 1% o le taimi. O lenei lamatiaga e tutusa mo uma stroke ma fatu osofaia tagata mamaʻi.

A faʻapea e faʻapea e sili atu le mataʻutia le thrombolytic, o isi togafitiga talafeagai mo le papala e mafua ai le papala poʻo le fatu faʻamaʻi e aofia ai:

• Aveʻesea o le mea afu (thrombectomy)
• O se taualumaga e tatala vaʻaia pe poloka poloka toto e maua ai le toto i le fatu poʻo le faiʻai

Faʻafesoʻotaʻi SE FUAFUAʻAGA FAʻAFAIGALUEGA SAʻO LE PAIA 911

E oso faʻafuaseʻi le oso o le fatu ma afaina. O le vave togafitia ma thrombolytic amata, o le sili atu le avanoa mo se lelei iuga.

Faʻamaluluina plasminogen; TPA; Alteplase; Toe fai le isi tusi; Tenecteplase; Activase sooupu thrombolytic; Lavalava-faʻateʻa agavaʻa; Toʻotoʻo togafitiga; Pa - thrombolytic; Fatu fatu - thrombolytic; Matuia osovalega - thrombolytic; Thrombosis - thrombolytic; Lanoteplase; Staphylokinase; Streptokinase (SK); Urokinase; Pa - thrombolytic togafitiga; Fatu fatu - thrombolytic togafitiga; Pa - thrombolysis; Fatu fatu - thrombolysis; Myocardial infarction - thrombolysis

• Pa
• Thrombus
• Faʻasalalau myocardial infarction ECG galu faʻailoga

Bohula EA, a taeao DA. ST-maualuga myocardial infarction: pulega. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 59.

Crocco TJ, Meurer WJ. Pa. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: chap 91.

Jaffer IH, Weitz JI. Vailaau Antithrombotic I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Faavae Autu ma Faʻataʻitaʻiga. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 149

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA taʻiala mo le puleaina o le ST-maualuga myocardial infarction: o se lipoti a le American College of Cardiology Foundation / American Heart Association Task Force i luga o le Practice Guide. Faasalalauina. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.