He aha ka Streptokinase: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ikaika ʻo Streptokinase e hiki ke hoʻopakele i nā ola i ka wā o ka puʻuwai a me nā hahau. Hana kēia enzyme ma ka hoʻoheheʻe ʻana i nā koko koko weliweli e ālai ana i kou mau aʻa, e hoʻihoʻi ana i ke kahe koko i nā ʻōkana koʻikoʻi e like me kou puʻuwai a me ka lolo. Hāʻawi nā kauka i kēia lāʻau lapaʻau ma o ka IV i nā kūlana pilikia i ka wā e helu ai kēlā me kēia minuke.

He aha ka Streptokinase?

ʻO Streptokinase kahi lāʻau thrombolytic, ʻo ia hoʻi, e wāwahi ana i nā koko koko. He enzyme ia i loaʻa mua mai kekahi mau bacteria e hiki ai i kou kino ke hoʻohana e hoʻoheheʻe i nā koko koko ʻaʻole pono ma laila. E noʻonoʻo iā ia he mea hana kūikawā e kōkua ana i ka hoʻomaʻemaʻe ʻana i nā paipu i ālai ʻia i loko o kāu ʻōnaehana circulatory.

No kēia lāʻau lapaʻau i kahi papa o nā lāʻau i kapa ʻia ʻo fibrinolytics a i ʻole

Hoʻohana nā kauka i ka streptokinase no kekahi ʻano hahau i hana ʻia e nā koko koko i loko o nā aʻa lolo. Akā naʻe, pono e hāʻawi ʻia kēia lapaʻau i loko o kahi manawa kikoʻī loa e palekana a maikaʻi.

ʻO nā maʻi ʻē aʻe e koi ai i ka streptokinase e komo pū ana me nā koko koko nui i loko o kou mau māmā (pulmonary embolism) a me nā aʻa i ālaina ʻia i kou mau wāwae a i ʻole nā lima. Hoʻohana kekahi mau kauka iā ia e hoʻomaʻemaʻe i nā catheters a i ʻole nā shunts i ālaina ʻia i hoʻohana ʻia no ka dialysis.

Pehea e Hana ai ka Streptokinase?

Hana ka Streptokinase ma ka hoʻāla ʻana i ka ʻōnaehana hoʻoheheʻe koko maoli o kou kino. Hoʻololi ia i kahi protein i loko o kou koko i kapa ʻia ʻo plasminogen i plasmin, ʻo ia ka enzyme hoʻoheheʻe koko ponoʻī o kou kino. Kōkua kēia hana i ka wāwahi ʻana i nā kaula fibrin e paʻa ai nā koko koko.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lapaʻau ikaika a wikiwiki e hiki ke hoʻoheheʻe i nā koko i loko o nā hola. ʻAʻole like me kekahi mau lāʻau lapaʻau hoʻoheheʻe koko hou, pili ka streptokinase i kāu ʻōnaehana holoʻokoʻa, ʻaʻole wale i ka wahi kahi i loaʻa ai ke koko.

Hana mau ka enzyme i ka wā e noho ana i loko o kou kahe koko, maʻamau no kekahi mau hola ma hope o ka lawelawe ʻana. Hoʻoheheʻe mālie kou kino a hoʻopau i ka lāʻau lapaʻau, a hoʻi mai kou hiki ke hoʻopaʻa koko maʻamau i loko o 12 a 24 mau hola.

Pehea wau e Lawe ai i ka Streptokinase?

ʻAʻole ʻoe e lawe i ka streptokinase ma ka home - hāʻawi ʻia kēia lāʻau lapaʻau i nā halemai e nā poʻe lapaʻau i hoʻomaʻamaʻa ʻia. Pono ka lapaʻau i ka loaʻa ʻana o ka lāʻau lapaʻau ma o ka laina intravenous (IV), maʻamau i kou lima, a i kekahi manawa pololei i loko o ka aʻa i ālaina ʻia ma o kahi paipu lahilahi i kapa ʻia he catheter.

Ma mua o ka hoʻomaka ʻana o ka lapaʻau, e hoʻokomo kāu hui lapaʻau i kahi laina IV a hāʻawi paha iā ʻoe i nā lāʻau lapaʻau ʻē aʻe e kōkua i ka pale ʻana i nā hopena maʻi. Pono ʻoe e moe mālie i ka wā o ka infusion, e lawe ana i 30 mau minuke a i hoʻokahi hola, ma muli o kou maʻi.

I ka wā o ka mālama ʻana, e nānā pono nā kahu hānai i kāu mau hōʻailona ola a e nānā i nā hōʻailona o ke kahe ʻana a i ʻole nā hopena maʻi. ʻAʻole pono ʻoe e ʻai a inu paha i kekahi mea kūikawā ma mua o ke kaʻina hana, akā pono e hakahaka kou ʻōpū inā hiki ke hōʻemi i ka pilikia o nā pilikia.

Aia ka nui a me ka lōʻihi i kou kaumaha, ke ʻano o ka ʻōpū i mālama ʻia, a me kou olakino holoʻokoʻa. E helu kāu kauka i ka nui pololei āu e pono ai ma muli o kēia mau mea.

Pehea ka lōʻihi e lawe ai au i ka Streptokinase?

Hāʻawi ʻia ka Streptokinase ma ke ʻano he kau hoʻokahi, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. Loaʻa ka hapa nui o nā kānaka i ka nui piha ma luna o 30 a 60 mau minuke, ma muli o ke ʻano e mālama ʻia nei a me ka pane ʻana o kou kino.

No ka puʻuwai, maʻamau ka lōʻihi o ka mālama ʻana ma kahi o 60 mau minuke. No nā maʻi ʻē aʻe e like me ka pulmonary embolism, hiki ke lōʻihi - i kekahi manawa a hiki i 24 mau hola no nā hihia koʻikoʻi. E hoʻoholo kāu hui lapaʻau i ka lōʻihi pololei e pili ana i kāu kūlana.

Ma hope o ka mālama mua ʻana, ʻaʻole ʻoe e hoʻomau i ka lawe ʻana i ka streptokinase. Eia nō naʻe, e hoʻomaka paha ʻoe i nā lāʻau lapaʻau ʻē aʻe e pale ai i ka hana ʻana o nā ʻōpū hou, e like me ka aspirin a i ʻole nā mea lahilahi koko ʻē aʻe. Kōkua kēia mau lāʻau lapaʻau i ka mālama ʻana i nā pōmaikaʻi o ka mālama ʻana i ka ʻōpū.

He aha nā hopena ʻaoʻao o ka Streptokinase?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka streptokinase ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā mea a pau. ʻO ka hopohopo nui loa ka kahe ʻana, no ka mea, pili ka lāʻau lapaʻau i ka hiki o kou koko ke hoʻopaʻa maʻamau.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike i ka wā a i ʻole ma hope o ka mālama ʻana:

• Ke kahe ʻana mai nā wahi injection, nā ʻoki, a i ʻole nā ʻeha ʻoki
• ʻO ka ʻehaʻeha maʻalahi ma mua o ka maʻamau
• Nausea a i ʻole ka ʻōpū māmā
• Haʻahaʻa haʻahaʻa
• Poʻo
• ʻEha ʻiʻo a i ʻole nā hui

ʻO ka hapa nui o kēia mau hopena he mea manawa wale nō a e pau ana i loko o hoʻokahi a ʻelua paha lā i ka wā e haʻalele ai ka lāʻau i kou kino.

Pono nā hopena ʻaoʻao koʻikoʻi i ka mālama olakino koke, ʻoiai ʻaʻole lākou i maʻamau:

• Ke kahe nui ʻana o ke koko ʻaʻole e pau
• Ke koko i loko o ka mimi a i ʻole ka waihona
• He poʻo nui a i ʻole ka huikau
• He paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma
• Nā hōʻailona o ka hopena maʻi e like me ka ʻōpala, ka pehu ʻana, a i ʻole ka paʻakikī o ka ʻai ʻana
• He ʻeha nui o ka ʻōpū

E nānā pono kāu hui olakino iā ʻoe i ka wā a ma hope o ka mālama ʻana e hopu i nā pilikia i ka wā mua. Ua mākaukau lākou e mālama i kēia mau hopena ʻaoʻao inā loaʻa lākou.

ʻO kekahi mau pilikia kakaʻikahi akā koʻikoʻi e pili ana i ke kahe ʻana o ke koko i loko o ka lolo (hemorrhage intracranial), e loaʻa ana i kahi 0.5% o nā maʻi. ʻAʻole maʻamau nā hopena maʻi koʻikoʻi akā hiki ke hana, ʻoiai inā ua loaʻa iā ʻoe ka streptokinase ma mua.

ʻO wai ka mea pono ʻole e lawe i ka Streptokinase?

ʻAʻole palekana ka Streptokinase no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka ʻōlelo ʻana i kēia lapaʻau. ʻO kekahi mau maʻi e hoʻonui i nā pilikia o ke kahe ʻana o ke koko i ka hoʻohālikelike ʻana i nā pōmaikaʻi.

ʻAʻole pono ʻoe e loaʻa i ka streptokinase inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Ke kahe ʻana o ke koko ma nā wahi a pau o kou kino
• He ʻoki hou (i loko o 2-4 pule)
• He ʻeha poʻo hou a i ʻole ka hahau
• Nā maʻi kahe koko i ʻike ʻia
• Ke koko kiʻekiʻe koʻikoʻi ʻaʻole i mālama ʻia
• Moʻolelo o ka aneurysm lolo a i ʻole ka malformation arteriovenous

Hoʻonui nui kēia mau maʻi i kou pilikia o nā pilikia kahe koko weliweli e hiki ke hoʻoweliweli i ke ola.

E akahele loa kāu kauka i ka hoʻohana ʻana i ka streptokinase inā loaʻa iā ʻoe:

• Ka mālama mua ʻana me ka streptokinase (hoʻonui i ka pilikia o ka maʻi maʻi)
• ʻO ka ʻāʻī strep a i ʻole ka maʻi i kēia manawa
• Hāpai
• Maʻi ate a i ʻole maʻi kīkī koʻikoʻi
• Hana niho hou a i ʻole ka unuhi ʻana i ka niho
• Diabetic retinopathy me ke kahe ʻana o ke koko

I loko o kēia mau kūlana, hiki i kāu kauka ke koho i kahi lāʻau lapaʻau ʻokoʻa e wāwahi ana i ke koko a i ʻole ke ala lapaʻau i ʻoi aku ka palekana no kāu mau kūlana.

Nā inoa inoa o Streptokinase

Loaʻa ka Streptokinase ma lalo o nā inoa inoa like ʻole, ʻoiai ʻo ka mana generic ka mea i hoʻohana nui ʻia i nā haukapila. ʻO ka inoa inoa i ʻike nui ʻia ʻo Streptase, ʻo ia kekahi o nā ʻano mua i loaʻa i ke kālepa o kēia lāʻau.

ʻO nā inoa inoa ʻē aʻe e pili ana iā Kabikinase a me Streptokinase-INN, ʻoiai ʻokoʻa ka loaʻa ʻana ma ka ʻāina a me ka ʻōnaehana mālama ola. I nā haukapila he nui, e loaʻa iā ʻoe ka mana generic, ʻo ia ka mea e like me ka maikaʻi me nā huahana inoa inoa.

He like ka lāʻau lapaʻau me ka nānā ʻole i ka inoa inoa - aia nā mea a pau i ka enzyme hana like e hoʻoheheʻe i nā koko koko. E hoʻohana kāu hui mālama ola i ka mana i loaʻa ma kāu haukapila.

Nā koho ʻē aʻe o Streptokinase

Nui nā lāʻau lapaʻau ʻē aʻe e wāwahi ana i ke koko e hiki ke hana ma ke ʻano he koho ʻē aʻe i ka streptokinase, me nā mea maikaʻi a me nā mea e noʻonoʻo ai. Hiki i kāu kauka ke koho i kahi koho ʻokoʻa e pili ana i kāu kūlana a me ka mōʻaukala olakino.

ʻO Alteplase (tPA) kahi lāʻau lapaʻau hou i makemake pinepine ʻia no nā hahau no ka mea hiki ke hāʻawi ʻia i loko o kahi puka aniani lōʻihi a hiki ke hana i nā hopena maʻi liʻiliʻi. Eia naʻe, ʻoi aku ke kumukūʻai ma mua o ka streptokinase.

Ua like ʻo Reteplase a me tenecteplase me alteplase akā hiki ke hāʻawi ʻia me ka wikiwiki ma ke ʻano he injection bolus ma mua o ka infusion mau. Hiki ke koho ʻia kēia mau mea i nā kūlana kahi e pono ai ka wikiwiki.

No nā maʻi kekahi, hiki i nā kauka ke hoʻohana i ka wehe ʻana i nā ʻōpala mīkini ma kahi o nā lāʻau lapaʻau. Hoʻopili kēia i ka hoʻokomo ʻana i kahi mea liʻiliʻi ma o kou mau kīʻaha koko e wehe kino i ka ʻōpala, hiki ke maikaʻi ke ʻaʻole kūpono nā lāʻau lapaʻau.

Ua ʻoi aku ka maikaʻi o Streptokinase ma mua o Alteplase?

He maikaʻi nā lāʻau lapaʻau streptokinase a me alteplase no ka wāwahi ʻana i nā ʻōpala, akā he mau ikaika like ʻole ko lākou e pili ana i kou kūlana. ʻO ke koho

E nānā pono kāu hui lapaʻau i kou mau maka a me kou olakino holoʻokoʻa ma mua o ka mālama ʻana. E nānā pū lākou i kou pae kōpaʻa koko i ka wā a ma hope o ke kaʻina hana, no ka mea, hiki i ke koʻikoʻi o ka mālama ʻana ke hoʻopilikia i kou pae glucose.

Inā he maʻi maʻi maikaʻi kāu me ka ʻole o nā pilikia, palekana ka streptokinase iā ʻoe e like me nā mea ʻē aʻe. ʻO nā pōmaikaʻi e ola ai ke ola e ʻoi aku ka nui ma mua o nā pilikia i nā kūlana pilikia.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Streptokinase?

ʻAʻole hiki iā ʻoe ke loaʻa nui ka streptokinase no ka mea, hāʻawi ʻia e nā poʻe loea lapaʻau i aʻo ʻia i nā wahi haukapila i mālama ʻia. Hoʻohālikelike kāu hui mālama ola i ke ana pololei e pili ana i kou kaumaha a me ke kūlana, a nānā pono i ka hoʻokomo ʻana.

Inā loaʻa ka overdose, e hoʻōki koke kāu hui lapaʻau i ka hoʻokomo ʻana a hoʻomaka i nā lāʻau lapaʻau e kāohi i ke kahe ʻana. Hiki iā lākou ke hāʻawi iā ʻoe i nā lāʻau lapaʻau e kōkua i kou koko e hoʻopaʻa maʻamau a i ʻole e hāʻawi i nā huahana koko inā pono.

Loaʻa i ka haukapila nā protocols a me nā antidotes e mālama i nā pilikia mai ka lāʻau lapaʻau nui. ʻO ia ke kumu e hāʻawi ʻia ai ka streptokinase i nā wahi i loaʻa ai ka hana lapaʻau koke.

He aha kaʻu e hana ai inā e hala kahi mahele o Streptokinase?

ʻAʻole ia he mea e hopohopo ai ka hala ʻana i kahi mahele o ka streptokinase no ka mea, hāʻawi ʻia ma ke ʻano he kau hoʻokahi ma mua o nā mahele he nui. Hāʻawi ʻia ka lāʻau lapaʻau i ka manawa mau no ka manawa i hoʻonohonoho ʻia, maʻamau 30 a 60 mau minuke.

Inā ua hoʻopau ʻia ka hoʻokomo ʻana, e loiloi kāu hui lapaʻau inā e hoʻomaka hou ia e pili ana i ka nui o ka manawa i hala a me ke ʻano o kou pane ʻana i ka mālama ʻana. Hiki iā lākou ke hoʻomau i ka hoʻokomo ʻana, hoʻololi i kahi lāʻau lapaʻau ʻē aʻe, a i ʻole e hoʻohana i nā lāʻau lapaʻau ʻē aʻe.

He mea koʻikoʻi ka manawa o ka therapy clot-busting, no laila e hana wikiwiki nā mea mālama ola i nā hoʻoholo e hōʻoia i ka loaʻa ʻana o ka lāʻau lapaʻau maikaʻi loa no kou kūlana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Streptokinase?

ʻAʻole ʻoe e "hooki" i ka lawe ʻana i ka streptokinase ma ke ʻano kuʻuna no ka mea, hāʻawi ʻia ia ma ke ʻano he kau hoʻokahi. Ke pau ka hoʻokomo ʻana, haʻalele mālie ka lāʻau i kou kino i nā hola 12 a 24 e hiki mai ana.

E nānā kāu kauka iā ʻoe no kekahi mau hola ma hope o ka mālama ʻana e hōʻoia i ka pau ʻana o ka ʻōpala a ʻaʻole ʻoe e ʻike i nā pilikia. E hoʻomaka nō hoʻi lākou iā ʻoe i nā lāʻau lapaʻau ʻē aʻe e pale ai i ka hana ʻana o nā ʻōpala hou.

ʻO nā lāʻau lapaʻau e hahai ana, e like me ka aspirin a i ʻole nā mea lahilahi koko ʻē aʻe, ʻo ia ka mea e pono ai ʻoe e hoʻomau i ka lawe ʻana e like me ke kauoha. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kēia mau lāʻau lapaʻau e hoʻomau nei ma mua o kou haʻalele ʻana i ka haukapila.

Hiki iaʻu ke loaʻa i ka Streptokinase ma mua o hoʻokahi manawa?

ʻO ka loaʻa ʻana o ka streptokinase ma mua o hoʻokahi manawa hiki ke pilikia no ka mea, hiki i kou kino ke hana i nā antibodies e kūʻē iā ia ma hope o ka mālama mua ʻana. Hiki i kēia mau antibodies ke hoʻemi i ka pono o ka lāʻau a hoʻonui i kou pilikia o nā hopena maʻi.

Inā pono ʻoe i ka lāʻau lapaʻau e wāwahi i ka ʻōpala, e koho paha kāu kauka i kahi lāʻau lapaʻau ʻē aʻe e like me ka alteplase ma kahi o ka streptokinase. E hōʻoia kēia e loaʻa iā ʻoe ka lāʻau lapaʻau kūpono me ka ʻole o nā pilikia i hoʻonui ʻia.

He mea nui nō hoʻi ka manawa ma waena o nā lāʻau lapaʻau - inā ua loaʻa iā ʻoe ka streptokinase i kēia manawa (i loko o 6 mahina a i hoʻokahi makahiki), e hoʻohana maoli kāu kauka i kahi lāʻau lapaʻau ʻē aʻe. E haʻi mau i kāu poʻe lawelawe mālama ola inā ua loaʻa iā ʻoe ka streptokinase ma mua.