Video: Dab tsi yog tPA rau mob stroke?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov ntaub so ntswg plasminogen activator, los yog tPA , tsuas yog FDA pom zoo kev kho mob ischemic lossis thrombotic mob stroke , yog mob stroke tshwm sim los ntawm cov ntshav khov cuam tshuam cov ntshav ntws mus rau thaj tsam ntawm lub hlwb. TPA yog cov ntshav thinner, thiab yog li ntawd nws tsis yog siv rau hemorrhagic strokes los yog lub taub hau raug mob.
Ua li no, tPA yog dab tsi thiab thaum twg nws siv?
Kev siv tshuaj kho mob. tPA yog siv rau qee kis ntawm cov kab mob uas muaj cov yam ntxwv ntshav txhaws , xws li pulmonary embolism, myocardial infarction, thiab mob stroke , hauv kev kho mob hu ua thrombolysis. Kev siv ntau tshaj yog rau ischemic mob stroke.
Tsis tas li ntawd, ntev npaum li cas tom qab mob stroke tuaj yeem muab tPA? 4.5 teev
Ib yam nkaus, tib neeg nug, tPA puas tuaj yeem ua rau mob stroke?
TPA kev kho mob muaj kev pheej hmoo. Muaj kwv yees li 3% feem ntawm cov tsos mob los ntshav (cov tsos mob hauv lub cev) rau hauv lub hlwb (vim TPA thins cov ntshav) piv rau 0.2% yog TPA tsis muab Yog los ntshav rau hauv lub hlwb tshwm sim tom qab TPA yog muab, nws yuav ua koj mob stroke cov tsos mob yuav mob zuj zus tuaj thiab yuav ua rau tuag taus.
Yuav ua li cas yog tias tPA raug muab tom qab 3 teev?
Feem ntau ntawm lawv tsis tsim nyog vim lawv tuaj rau hauv tsev kho mob tom qab cov peb - teev lub sij hawm qhov rais. Lub sij hawm ntawm kev kho mob tseem ceeb, vim hais tias muab muaj zog ntshav thinner zoo li tPA thaum lub sijhawm mob hlab ntsha tawg tuaj yeem ua ntshav hauv lub hlwb.
Pom zoo:
Dab tsi yog qhov txawv ntawm mob stroke thiab mob stroke loj?
Mob hlab ntsha tawg yog qhov ua rau cov ntshav tsis txaus rau lub hlwb, feem ntau los ntawm cov ntshav khov lossis ntshav hauv lub hlwb. Ib qho loj tuaj yeem ua rau tuag taus, zoo li hauv qhov xwm txheej tsis zoo ntawm tus neeg ua yeeb yam koj hais. Tsis yog txhua qhov mob hlab ntsha tawg cuam tshuam rau lub paj hlwb sib npaug, thiab cov tsos mob stroke thiab cov cim qhia nyob ntawm ib feem ntawm lub paj hlwb cuam tshuam
Hom mob stroke twg yog mob stroke cardioembolic?
Kev mob hlab ntsha tawg tshwm sim thaum cov ntshav khov uas ua rau lwm qhov hauv lub cev tawg xoob thiab taug kev mus rau lub hlwb los ntawm cov ntshav. Thaum cov ntshav khov nyob hauv cov hlab ntsha thiab thaiv cov ntshav ntws, qhov no ua rau mob hlab ntsha tawg. Qhov no yog ib hom mob ischemic stroke
Dab tsi yog lub qhov rais rau tPA hauv mob stroke?
IV tPA yuav tsum tau ua rau txhua tus neeg mob stroke uas tsim nyog tsis pub dhau 3 teev ntawm kev paub dhau los ib txwm thiab rau ntau pawg xaiv ntawm cov neeg muaj mob stroke uas tsim nyog (raws li ECASS III qhov tsis suav nrog)
Kev kho mob rau mob stroke yog dab tsi?
Kev txhaj tshuaj IV ntawm recombinant cov ntaub so ntswg plasminogen activator (tPA) - tseem hu ua alteplase (Activase) - yog tus qauv kub kho rau ischemic stroke. Kev txhaj tshuaj tPA feem ntau yog muab los ntawm cov leeg leeg ntawm caj npab nrog thawj peb teev. Qee zaum, tPA tuaj yeem muab tau ntev txog 4.5 teev tom qab cov tsos mob stroke pib
Lub hom phiaj ntawm kev saib xyuas neeg mob rau tus neeg mob uas mob pancreatitis mob hnyav yog dab tsi?
Tswj lub txaj thaum lub sij hawm raug mob hnyav. Muab qhov chaw nyob ntsiag to, so. Txo cov metabolic tus nqi thiab GI stimulation thiab secretions, yog li txo cov kev ua ntawm pancreatic. Txhawb txoj haujlwm ntawm kev nplij siab ntawm ib sab nrog lub hauv caug yoog, zaum thiab sawv ntsug rau pem hauv ntej