He aha ka Urokinase: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau ikaika ka Urokinase e wāwahi ana i nā koko e hoʻohana ai nā kauka i nā kūlana pilikia e hoʻoheheʻe i nā koko koko weliweli. Hana kēia enzyme ma ka wāwahi ʻana i nā kaula fibrin e paʻa ai nā koko koko, e kōkua ana i ke kaʻina hana hoʻoheheʻe koko o kou kino e hana wikiwiki loa ma mua o ka mea maʻamau.

Hiki iā ʻoe ke loaʻa kēia lāʻau lapaʻau inā e ʻike ana ʻoe i kahi maʻi e hoʻoweliweli ana i ke ola e like me ka pulmonary embolism nui a i ʻole ka puʻuwai nui. ʻOiai he lāʻau lapaʻau ikaika ia, ʻo ka hoʻomaopopo ʻana i ke ʻano o kāna hana a me ka mea e manaʻo ai hiki ke kōkua i ka hōʻoluʻolu ʻana i kekahi o ka hopohopo e hele mai me ka pono o ia mālama olakino ikaika.

He aha ka Urokinase?

He enzyme kūlohelohe ka Urokinase e hana ai kou kino e kōkua i ka hoʻoheheʻe ʻana i nā koko koko. ʻO ka mana lāʻau lapaʻau he ʻano synthetic o kēia enzyme like, i hoʻolālā ʻia e hana ikaika loa ma mua o ka mea a kou kino e hana ai nona iho.

E noʻonoʻo e like me ka hāʻawi ʻana i ka ʻōnaehana clot-busting o kou kino i kahi hoʻoikaika nui ke pono e hana wikiwiki. No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo thrombolytics, ʻo ia hoʻi ka

• He maʻi pulmonary embolism nui e hoʻopilikia ana i ka hanu ʻana a i ʻole ka pilikia o ka naʻau
• He myocardial infarction (puʻuwai) i loko o nā hola mua ke ʻaʻole kūpono nā lāʻau lapaʻau ʻē aʻe
• He thrombosis vein hohonu nui e hoʻoweliweli ana i ke ola o ka lālā
• Ua ālai ʻia nā catheters dialysis a i ʻole nā mea lapaʻau ʻē aʻe
• He thrombosis arterial ma nā wahi koʻikoʻi e like me nā aʻa lolo

E noʻonoʻo wale kāu hui lapaʻau i ka urokinase ke ʻoi aku ka maikaʻi ma mua o nā pilikia. ʻO ka maʻamau, ʻo ia hoʻi, ke kū nei ʻoe i kahi kūlana kahi e hoʻoweliweli koke ai ke koko i kou ola a i ʻole ka lālā, a ʻaʻole e hana wikiwiki nā lāʻau lapaʻau mālie a i ʻole ʻaʻole kūpono i kāu hihia.

Pehea e hana ai ka Urokinase?

Hana ʻo Urokinase ma ka hoʻololi ʻana i ka plasminogen, he protein i loko o kou koko, i plasmin, ʻo ia ka enzyme hoʻoheheʻe koko maoli o kou kino. ʻO kēia hana e hoʻonui i ka hiki o kou kino ke wāwahi i ka ʻupena fibrin e paʻa ana i nā koko.

Ua manaʻo ʻia ka lāʻau lapaʻau he lāʻau lapaʻau ikaika a wikiwiki. I loko o nā hola o ka loaʻa ʻana, hiki iā ʻoe ke hoʻomaka e ʻike i nā hoʻomaikaʻi ʻana i ka wā e hoʻomaka ai ka hoʻoheheʻe ʻana o ke koko. ʻO kēia hana wikiwiki ka ikaika nui loa a no ke aha e pono ai ka nānā pono ʻana i ka haukapila.

ʻAʻole like me nā mea lahilahi koko e pale ai i ka hana ʻana o nā koko hou, hoʻouka ikaika ʻo urokinase i nā koko e kū nei. Hana ka enzyme i ka ʻōnaehana, e wāwahi ana i ke koko mai waho mai, e ʻae ana i ke kahe koko e hoʻihoʻi mālie i ka wahi i hoʻopilikia ʻia.

Pehea wau e lawe ai i ka Urokinase?

ʻAʻole ʻoe e lawe i ka urokinase ma ka home - hāʻawi ʻia kēia lāʻau lapaʻau i nā haukapila ma o ka laina intravenous pololei i loko o kou kahe koko. E mālama kāu hui mālama ola i nā mea a pau o ka lawelawe ʻana, akā hiki i ka hoʻomaopopo ʻana i ke kaʻina hana ke kōkua iā ʻoe e mākaukau.

Hele mai ka lāʻau lapaʻau ma ke ʻano he pauka e hui pū ai nā kahu hānai me ka wai maʻemaʻe ma mua pono o ka hāʻawi ʻana iā ʻoe. E hoʻokomo kāu hui lapaʻau i kahi laina IV, maʻamau i kou lima, a e kahe mālie ka lāʻau lapaʻau i loko o kou kahe koko i nā hola he nui.

I ka wā o ka mālama ʻana, e noho paha ʻoe i loko o kahi ʻāpana i mālama nui ʻia kahi e hiki ai i nā limahana ke nānā i nā loli i kou kūlana. ʻAʻole pono ʻoe e hopohopo e pili ana i ka manawa a i ʻole ka dosage – mālama kāu hui mālama ola i nā mea āpau ʻoiai ʻoe e kālele ana i ka hoʻomaha a me ka hoʻōla.

Pehea ka lōʻihi e lawe ai au i ka Urokinase?

ʻO ka mālama ʻana i ka Urokinase maʻamau mai 12 a 24 mau hola, ma muli o kou kūlana kikoʻī a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. E hoʻoholo kāu kauka i ka lōʻihi pololei e pili ana i nā mea e like me ka nui a me kahi o kāu clot, kou olakino holoʻokoʻa, a me ka wikiwiki o ka hoʻomaka ʻana o ka clot e hoʻoheheʻe.

E nānā pono ka hui lapaʻau i kou holomua i ka wā o ka mālama ʻana me ka hoʻohana ʻana i nā hoʻokolohua a me nā scans like ʻole. Inā hoʻoheheʻe maikaʻi ka clot a hoʻomaikaʻi kou mau hōʻailona, ​​hiki iā lākou ke hoʻōki i ka lāʻau lapaʻau ma mua. Inā pono ʻoe i ka manawa hou, hiki iā lākou ke hoʻolōʻihi i ka mālama ʻana, e kaupaona mau ana i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa.

Ma hope o ka pau ʻana o ka mālama ʻana i ka urokinase, e hoʻololi paha ʻoe i nā lāʻau lapaʻau ʻē aʻe e lahilahi i ke koko e pale ai i ka hana ʻana o nā clots hou. He mea nui kēia mālama ʻana no ka mālama ʻana i nā hoʻomaikaʻi i loaʻa me ka urokinase.

He aha nā hopena ʻaoʻao o ka Urokinase?

ʻO ka hopohopo nui loa me ka urokinase ʻo ke kahe ʻana, no ka mea, pili ka lāʻau lapaʻau i ka hiki o kou koko ke clot maʻamau. ʻOiai e nānā pono kāu hui lapaʻau iā ʻoe e hopu i nā pilikia i ka wā mua, he mea kōkua ke hoʻomaopopo i ka mea a lākou e nānā nei.

Eia nā hopena ʻaoʻao maʻamau e hiki ai iā ʻoe ke ʻike:

• Ke koko ʻana ma kahi o ka IV a i ʻole nā wahi hou ʻē aʻe
• He maʻalahi ka ʻeha ma mua o ka maʻamau
• Ka luaʻi ʻana a i ʻole ka ʻōpū ʻoluʻolu
• Ka wela haʻahaʻa
• Nā hopena maʻi maʻi maʻalahi e like me ka ʻili

Pono nā hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau i ka lāʻau lapaʻau koke. Ua aʻo ʻia kāu hui mālama ola e ʻike koke i kēia mau mea:

• Ke koko nui ma nā wahi a pau o ke kino
• Nā hōʻailona o ke koko ʻana i ka lolo (hānō nui koke, huikau, nā loli ʻike)
• Nā hopena maʻi maʻi koʻikoʻi me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana
• Ke koko ʻana ʻano ʻē mai nā ʻāʻī, ka ihu, a i ʻole nā wahi ʻē aʻe
• Ke koko i loko o ka mimi a i ʻole ka ʻōpala

E hoʻomanaʻo nei ʻoe e loaʻa ana kēia lāʻau lapaʻau i loko o kahi haukapila no ka mea hiki ke hana ʻia kēia mau hopena ʻaoʻao. Ua mākaukau kāu hui lapaʻau e mālama i nā pilikia e kū mai ana, a ʻoi aku ka maikaʻi o ka hoʻoheheʻe ʻana i kahi ʻōpala e hoʻoweliweli ana i ke ola ma mua o kēia mau pilikia.

ʻO wai ka mea pono ʻole e lawe iā Urokinase?

ʻO kekahi mau maʻi olakino e hoʻoweliweli loa ai ka hoʻohana ʻana iā urokinase. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka hoʻoholo ʻana inā kūpono kēia lapaʻau iā ʻoe.

ʻAʻole pono ʻoe e loaʻa iā urokinase inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Ke koko ʻana i loko a i ʻole ke ʻoki nui ʻana i nā lā he 10 i hala
• ʻO ka hahau ʻana a i ʻole ka hōʻeha lolo i nā mahina 3 i hala
• Ke koko kiʻekiʻe kiʻekiʻe ʻole
• Nā maʻi koko i ʻike ʻia a i ʻole ka helu platelet haʻahaʻa loa
• ʻO ka trauma nui a i ʻole ka hōʻeha i hala
• Hāpai a i ʻole ka hānau ʻana i hala
• Maʻi ʻeha peptic ikaika

E noʻonoʻo pū kāu hui mālama ola i nā mea ʻē aʻe e hoʻonui ai i kou pilikia o ke koko ʻana, e like me kou makahiki, ka hana o ka puʻupaʻa, a me nā lāʻau lapaʻau o kēia manawa. ʻOiai inā he mau mea pilikia kou, hiki i kāu kauka ke ʻōlelo aku iā urokinase inā he hoʻoweliweli koke ka ʻōpala i kou ola.

Nā inoa inoa Urokinase

Ma ʻAmelika Hui Pū ʻIa, loaʻa ka urokinase ma lalo o ka inoa inoa ʻo Kinlytic. ʻO kēia ka mea i hoʻohana nui ʻia i nā haukapila no ka mālama ʻana i nā koko koko.

Hiki nō ke loaʻa ka lāʻau lapaʻau ma lalo o nā inoa ʻē aʻe ma nā ʻāina like ʻole, akā ʻo Kinlytic ka inoa inoa nui e hālāwai ai ʻoe ma nā haukapila ʻAmelika. E hoʻohana kāu hui mālama ola i ka mea i loaʻa a kūpono no kou kūlana kikoʻī.

Me ka nānā ʻole i ka inoa inoa, hana nā lāʻau urokinase a pau ma ke ala like a loaʻa nā hopena a me nā hopena ʻaoʻao like. ʻO ka mea nui, ke loaʻa nei iā ʻoe ka mālama ʻana mai nā poʻe loea lapaʻau kūpono e hiki ke nānā pono iā ʻoe.

Nā Koho ʻē aʻe o Urokinase

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hana like me ka urokinase, a hiki i kāu kauka ke koho i kekahi o kēia mau koho ʻē aʻe e pili ana i kou kūlana kikoʻī. ʻO nā koho ʻē aʻe maʻamau e komo pū ana me alteplase (tPA), reteplase, a me tenecteplase.

ʻO Alteplase, i ʻike ʻia hoʻi ʻo tissue plasminogen activator a i ʻole tPA, ʻo ia paha ka mea i hoʻohana nui ʻia. Hana wikiwiki ia ma mua o ka urokinase akā loaʻa paha kahi pilikia liʻiliʻi o nā pilikia koko. Hiki i kāu kauka ke koho i kēia inā pono ʻoe i ka hoʻoheheʻe koko wikiwiki.

No kekahi mau maʻi, hiki i kāu hui lapaʻau ke noʻonoʻo i nā lāʻau lapaʻau liʻiliʻi mua, e like me nā mea hoʻoheheʻe koko e like me heparin a i ʻole nā lāʻau lapaʻau hou e like me rivaroxaban. ʻAʻole lākou e hoʻoheheʻe i nā koko koko e kū nei akā hiki ke pale iā lākou mai ka nui ʻana i ka wā e hana ana nā hana maoli o kou kino e wāwahi iā lākou.

ʻOi aku ka maikaʻi o Urokinase ma mua o Alteplase?

He mau lāʻau lapaʻau maikaʻi ʻo Urokinase a me alteplase, akā he mau ikaika a me nā nāwaliwali like ʻole. Hana maʻamau ʻo Alteplase i ka wikiwiki, hiki ke koʻikoʻi i nā kūlana e like me ka hahau ʻana a i ʻole ka puʻuwai i ka wā e helu ai kēlā me kēia minuke.

He haʻahaʻa iki paha ka pilikia o ka hoʻokahe koko ʻana o ka urokinase a hiki ke hana no nā ʻano koko koko like ʻole. E hana mālie ana nō hoʻi ia, a makemake kekahi mau kauka i kēia no kekahi mau kūlana kahi e palekana ai ke ala mālie.

E koho kāu kauka i ka lāʻau lapaʻau maikaʻi loa e pili ana i kou kūlana kikoʻī, ka mōʻaukala olakino, a me ka wikiwiki o kou kūlana. He mau mea hana waiwai nā lāʻau lapaʻau ʻelua i ka mālama ʻana i nā koko koko e hoʻoweliweli ana i ke ola, a ʻo ke koho pinepine ʻana e pili ana i nā mea kikoʻī i kāu hihia ma mua o ka maikaʻi o kekahi ma mua o kekahi.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Urokinase

He Palekana anei ka Urokinase no ka Maʻi Puʻuwai?

Hiki ke hoʻohana palekana ʻia ka Urokinase i ka poʻe me ka maʻi puʻuwai, akā pono ia i ka mālama nui a me ka nānā ʻana. Inā he pilikia kou puʻuwai, e ana pono kāu hui lapaʻau i nā pōmaikaʻi o ka hoʻoheheʻe ʻana i kahi koko koko weliweli e kūʻē i nā pilikia o ka hoʻokahe koko.

ʻAʻole kūpono paha ka poʻe me kekahi mau maʻi puʻuwai, e like me ke koko kiʻekiʻe nui ʻole a i ʻole ke ʻoki puʻuwai hou, no ka urokinase. Eia naʻe, inā e loaʻa ana iā ʻoe kahi puʻuwai i hoʻokumu ʻia e kahi koko koko, ʻo ka lāʻau lapaʻau paha ka mea āu e pono ai e hoʻihoʻi i ke kahe koko i kou ʻiʻo puʻuwai.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o ka Urokinase?

ʻAʻole hiki iā ʻoe ke lawe hewa i ka nui o ka urokinase no ka mea hāʻawi ʻia e nā poʻe lapaʻau i aʻo ʻia i loko o kahi haukapila. Hoʻohālikelike a nānā pono kāu hui mālama ola i kāu mahele i ka wā o ka mālama ʻana.

Inā hāʻawi ʻia ka nui o ka lāʻau lapaʻau, e kāpae koke kāu hui lapaʻau i ka hoʻokomo ʻana a hāʻawi paha iā ʻoe i nā lāʻau lapaʻau e kōkua i kou koko koko e hana maʻamau hou. E nānā pono lākou iā ʻoe no nā hōʻailona o ke kahe koko a hāʻawi i ka mālama kākoʻo e like me ka mea e pono ai.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o ka Urokinase?

Mai ka urokinase e hāʻawi mau ʻia ana ma o ka IV i loko o ka haukapila, ʻaʻole ʻoe e nalo i nā lāʻau i ke ʻano kuʻuna. Mālama kāu hui mālama ola i ke kaʻina hana lapaʻau a pau, e hōʻoia ana e loaʻa iā ʻoe ka lāʻau lapaʻau e like me ke kau ʻia.

Inā he mea e hoʻopau ai i kāu lapaʻau ma muli o nā pilikia olakino a i ʻole nā pilikia o nā lako, e hoʻoholo kāu hui lapaʻau i ke ala maikaʻi loa e hana ai. Hiki iā lākou ke hoʻomaka hou i ka lāʻau lapaʻau, hoʻololi i kahi lapaʻau ʻē aʻe, a i ʻole e hoʻoponopono i kāu hoʻolālā mālama e pili ana i kou kūlana i kēia manawa.

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

E hoʻoholo kāu kauka i ka manawa e hooki ai i ka urokinase ma muli o ka maikaʻi o kāna hana a inā paha e ʻike nei ʻoe i nā hopena ʻaoʻao e pili ana. ʻO ka maʻamau, e mau ana ka lapaʻau i 12 a 24 mau hola, akā hiki ke loli kēia ma muli o kou kūlana.

ʻO nā hōʻailona e hana ana ka lapaʻau e komo pū ana me ka hoʻomaikaʻi ʻana i nā hōʻailona, ​​ka maikaʻi o ke kahe koko ma nā hoʻokolohua kiʻi, a me nā hōʻailona koʻikoʻi paʻa. E hoʻohana kāu hui lapaʻau i nā hoʻokolohua like ʻole e nānā i kāu holomua a e hoʻoholo i ka manawa kūpono e hooki ai i ka lāʻau lapaʻau.

Hiki iaʻu ke kalaiwa ma hope o ka lapaʻau Urokinase?

ʻAʻole pono ʻoe e kalaiwa no ka liʻiliʻi o 24 a 48 mau hola ma hope o ka lapaʻau urokinase, a ʻoi aku paha ka lōʻihi ma muli o kou kūlana a me ka hoʻōla. Hiki i ka lāʻau lapaʻau ke hoʻoikaika iā ʻoe i ka nāwaliwali a i ʻole ka ʻūlū, a e hoʻomaka ana paha ʻoe i nā lāʻau lapaʻau hoʻoheheʻe koko hou e pili ana i kou makaʻala.

E aʻo aku kāu hui mālama ola iā ʻoe i ka manawa e palekana ai e hoʻomaka hou i nā hana maʻamau e like me ke kalaiwa. Aia kēia hoʻoholo i ka maikaʻi o kou hoʻōla ʻana, nā lāʻau lapaʻau e hahai ana āu e lawe nei, a inā paha ua ʻike ʻoe i nā pilikia mai ka lapaʻau.