Lithethefatsi tsa thrombolytic bakeng sa lefu la pelo

Methapo e menyenyane ea mali e bitsoang methapo ea mali e fana ka oksijene e tsamaisang mali ho ea mosifa oa pelo.

• Lefu la pelo le ka hlaha haeba leqhubu la mali le emisa phallo ea mali ka e 'ngoe ea methapo ena.
• Angina e sa tsitsang e bua ka bohloko ba sefuba le matšoao a mang a lemosang hore lefu la pelo le ka hlaha haufinyane. Hangata e bakoa ke ho koaloa ha mali methapong.

Batho ba bang ba ka fuoa litlhare ho qhaqha lethopo haeba mothapo o koetsoe ka botlalo.

• Lithethefatsi tsena li bitsoa thrombolytics, kapa lithethefatsi tse thethefatsang.
• Li fuoa feela bakeng sa mofuta oa lefu la pelo, moo liphetoho tse ling li hlokomeloang ho ECG. Mofuta ona oa lefu la pelo o bitsoa ST segment elevation myocardial infarction (STEMI).
• Lithethefatsi tsena li lokela ho fuoa kapele kamoo ho ka khonehang kamora hore bohloko ba sefuba bo hlahe (hangata hangata ka tlase ho lihora tse 12).
• Moriana o fanoa ka mothapo (IV).
• Li-thinner tsa mali tse nkiloeng ka molomo li ka beoa hamorao ho thibela maqeba a mangata ho theha.

Kotsi e kholo ha o fumana lithethefatsi tse thibelang mali ho tsoa mali ke ho tsoa mali, ka ho fetisisa ho tsoa mali bokong.

Phekolo ea Thrombolytic ha e bolokehe bakeng sa batho ba nang le:

• Ho tsoa mali ka hare ho hlooho kapa seterouku
• Bokooa bo sa tloaelehang, joalo ka lihlahala kapa methapo ea mali e sa sebetsoang hantle
• O bile le kotsi ea hlooho likhoeling tse 3 tse fetileng
• Nalane ea ho sebelisa tšesaane ea mali kapa lefu la ho tsoa mali
• O bile le opereishene e kholo, kotsi e kholo, kapa ho tsoa mali ka hare nakong ea libeke tse 3 ho isa ho tse 4 tse fetileng
• Lefu la peptic ulcer
• Khatello e phahameng ea mali

Mefuta e meng ea kalafo ea ho bula likepe tse koetsoeng kapa tse patisaneng tse ka etsoang sebakeng sa kapa kamora kalafo ka kalafo ea thrombolytic e kenyelletsa:

• Angioplasty
• Ho buuoa ke pelo

Lefu la pelo - thrombolytic; MI - thrombolytic; ST - ho phahama ha infarction ea myocardial; CAD - thrombolytic; Coronary artery disease - thrombolytic; STEMI - thrombolytic

Amsterdam EA, Wenger NK, Brindis RG, le al. Tataiso ea AHA / ACC ea 2014 bakeng sa taolo ea bakuli ba nang le li-syndromes tse se nang ST-elevation tse matla tsa lefu la pelo: tlaleho ea American College of Cardiology / American Heart Association Task Force mabapi le litataiso tsa boits'oaro. J Ke Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

Bohula EA, Morrow DA. ST-elevation myocardial infarction: taolo. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 59.

Ibanez B, James S, Agewall S, le al. Tataiso ea 2017 ESC bakeng sa taolo ea infarction e matla ea `` myocardial '' ho bakuli ba hlahisang karolo e phahameng ea ST: Task Force bakeng sa taolo ea infarction e matla ea `` myocardial '' ho bakuli ba hlahisang karolo e phahameng ea ST ea European Society of Cardiology (ESC). Pelo ea Eur J. 2018; 39 (2): 119-177. PMID: 28886621 www.ncbi.nlm.nih.gov/pubmed/28886621.