He aha te Reteplase: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

He rongoā kaha te Reteplase e whakakore ana i ngā pūtau toto, ā, ka taea e ia te whakaora i tō ora i te wā o te whakaeke ngākau. He pūmua i hangaia mā te ira e mahi ana mā te whakakore i ngā pūtau toto mōrearea i roto i ō uaua ngākau, e āwhina ana ki te whakahoki i te rere o te toto ki ō uaua ngākau i te wā e tata ana te meneti.

No tētahi rōpū rongoā tēnei rongoā e kīia ana ko te thrombolytics, ko te tikanga "whakakore pūtau toto." Whakaarohia te reteplase hei taputapu motuhake e whakamahia ana e ngā tākuta ohorere ki te whakatuwhera tere i ngā uaua kua aukatia me te ārai i te kino tūturu o te ngākau.

He aha te Reteplase?

Ko te Reteplase he kaiwhakahohe plasminogen kiko recombinant, ko te tikanga he putanga i hangaia i te taiwhanga o tētahi pūmua e whakaputaina ana e tō tinana ki te whakakore i ngā pūtau. Ko te wāhanga "recombinant" te tikanga i hangaia e ngā kaipūtaiao mā te whakamahi i te hangarau ira kia whai hua ake ai, kia roa ake ai te noho i ngā pūmua whakakore pūtau o tō tinana.

I hangaia tēnei rongoā mō te whakamahi ohorere i ngā hōhipera i te wā o ngā whakaeke ngākau koi. Ehara i te mea ka tangohia e koe i te kāinga, ka whakamahia rānei mō te ārai. Engari, he rongoā whakaora e whakamahia ana e ngā rōpū hauora i te wā e tino aukatia ana te tuku toto o tō ngākau.

He aha te Reteplase e whakamahia ana?

Ko te Reteplase te mea nui e whakamahia ana ki te rongoā i te myocardial infarction koi, koinei te kupu rongoā mō te whakaeke ngākau i puta mai i te pūtau toto. I te wā e aukati ana te pūtau i tētahi o ngā uaua e whāngai ana i ō uaua ngākau, ka tīmata taua wāhanga o tō ngākau ki te mate i te kore o te hāora me ngā matūkai.

He tino whai hua te rongoā i te wā e hoatu ana i roto i ngā haora tuatahi i muri i te tīmatanga o ngā tohu whakaeke ngākau. Ka whakamahia e ngā tākuta ohorere hei wāhanga o te mea e kīia ana ko "te rongoā reperfusion" - te tere ki te whakahoki i te rere o te toto i mua i te puta o te kino tūturu.

I ētahi wā, ka whakamahi pea ngā tākuta i te reteplase hei rongoā i ngā pūkahukahu nui, he pūkahukahu toto e mōrearea ana ki te ora i roto i ngā pūkahukahu. Heoi anō, he iti noa iho tēnei, ā, me tino āta tātari i ngā tūponotanga me ngā painga.

Me pēhea te mahi a te Reteplase?

Ka mahi te Reteplase mā te whakahohe i tētahi pūmua i roto i tō toto e kīia ana ko te plasminogen, ka huri ki te plasmin. Ko te Plasmin te mea pērā i ō kutikuti tūturu o te tinana mō te tapahi i te fibrin, te pūmua e hanga ana i te hanganga rite-mātiti o ngā pūkahukahu toto.

E kiia ana he rongoā tino kaha tēnei nā te mea ka tere te mahi me te kaha puta noa i tō pūnaha tohanga toto katoa. Kāore i rite ki ētahi rongoā whakaheke toto ngawari, kāore te reteplase e ārai noa i te hanga o ngā pūkahukahu hou - ka whakakore kaha i ngā mea e noho ana.

Ka tīmata te mahi a te rongoā i roto i ngā meneti i muri i te whakahaerenga, ā, ka taea te roa o ōna pānga mō ētahi haora. He mea nui tēnei mahi tere i ngā wā o te whakaeke i te ngākau, i te wā e kīia ana ko te

Ka oti te rongoā Reteplase i roto i te 30 meneti ki te haora. Kāore i rite ki ngā rongoā ka tango pea koe i ia rā i te kāinga, he rongoā wā-poto tēnei, he rongoā kaha ka hoatu anake i te wā o te whakaeke ngākau.

Whai muri i te whiwhinga i te reteplase, ka āta tirotirohia koe i te hōhipera mō te 24 ki te 48 hāora. I tēnei wā, ka mātakitaki ngā kaimahi hauora mō ngā tohu i mahi te rongoā me te aroturuki mō ngā raruraru toto.

Whai muri i tō rongoā reteplase, ka tohutohu pea tō tākuta i ētahi atu rongoā mō te tiaki ngākau wā-roa, pērā i te aspirin, beta-blockers, rānei ACE inhibitors. Ka āwhina ēnei rongoā tonu i te aukati i ngā whakaeke ngākau ā muri ake nei me te tautoko i tō whakaora.

He aha ngā pānga taha o Reteplase?

Ko te mōrearea nui rawa atu ki te reteplase ko te toto, nā te mea ka pā te rongoā ki te kaha o tō toto ki te whakakotahi i tō tinana katoa. Ka taea tēnei te whānui mai i te toto iti i ngā wāhi werohanga ki te toto nui ake i roto.

Koinei ngā pānga taha noa ka pā pea ki a koe i te wā, i muri rānei i te rongoā:

• Te toto i te wāhi whakauru IV, i ētahi atu wāhi werohanga rānei
• Te ngāwari ake o te pānga
• Te whakapairuaki, te ruaki rānei
• Te toto toto iti
• Te manawataki kōaro
• Te kirika, te wiri rānei

He mea whakahaere ēnei pānga, ā, e tika ana hei wāhanga o te tukanga rongoā. Ka āta aroturukihia koe e tō rōpū hauora mō ngā tohu o ngā raruraru.

Ko ngā pānga taha nui ake engari he onge ka uru:

• Te toto nui i roto i te roro (te whakaheke toto intracranial)
• Te toto nui i roto i te puku, i ngā whekau rānei
• Ngā tauhohenga pāwera, ahakoa he onge ēnei
• Te heke nui o te toto toto e hiahia ana ki te wawaotanga hauora
• Te wharanga reperfusion, i te wā e puta ai te mumura i te rerenga toto i te tuatahi

Ahakoa he mea whakahihiri ēnei raruraru nui, kia mahara ko te reteplase ka whakamahia anake i te wā e nui ake ana te tūponotanga o te kore e rongoa i tō whakaeke ngākau i ngā tūponotanga ka puta. He nui te wheako o tō rōpū hauora ki te whakahaere i ēnei āhuatanga.

Ko wai kāore e tika kia tango Reteplase?

Kāore te Reteplase e tika mō te katoa, ahakoa i te wā o te whakaeke ngākau. Ka arotake tere tō tākuta mō te tika o tō tūnga i runga i tō hītori hauora me tō āhuatanga o nāianei.

Kāore koe e whiwhi reteplase mēnā he āhuatanga ōna:

• Te toto i roto i te tinana, he mate toto rānei
• He pokanga nui i ngā rā 10 kua pahure
• He hītori o te whiu, te whara rānei o te roro i ngā marama 3 kua pahure
• Te toto tiketike nui kāore i te whakahaere (nui ake i te 180/110)
• He puku roro, he oko toto rānei i roto i te roro kāore i te pai
• He whara nui ki te upoko i ngā wā tata

Ka whakamahi anō tō tākuta i te tūpato nui mēnā he āhuatanga ōna e whakanui ana i te tūponotanga o te toto, ahakoa kāore rātou i te tino aukati.

E hiahia ana ēnei āhuatanga kia tino whakaarohia:

• Neke atu i te 75 tau te pakeke
• He pokanga iti, he tikanga rānei i ngā wā tata
• Te hapū, te whānautanga rānei i ngā wā tata
• He mate whewhe puku
• He mate ate, he mate tākihi rānei
• Te whakamahi i ngā rongoā whakaheke toto i ngā wā tata

I ēnei wā, ka whakatau tō tākuta i ngā tūponotanga me ngā painga, i ētahi wā ka whiriwhiri i ngā rongoā kē pērā i te whakaurunga ngākau ohorere.

Ngā Ingoa Waitohu Reteplase

Ko te Reteplase te nuinga e mōhiotia ana e tōna ingoa waitohu Retavase i te United States. Koinei te āhua arumoni tuatahi o te rongoā e rongoa ana ngā hōhipera, e whakamahi ana mō te rongoā ohorere mō te whakaeke ngākau.

Kāore i rite ki ētahi rongoā he maha ngā ingoa waitohu, he rite tonu te waitohu o te reteplase. Ka whakamahi pea ētahi whenua i ngā ingoa waitohu rerekē, engari ko te whakauru kaha me te hanganga e rite tonu ana.

Inā whiwhi koe i tēnei rongoā, ka puta pea i runga i ngā rekoata hōhipera, i ngā pire rānei hei "reteplase", "Retavase" rānei, i runga i te āhua o te tuhinga a tō whare hauora i ngā rongoā.

Ngā Kōwhiringa Reteplase

He maha atu ngā rongoā whakakore toto ka taea te whakamahi hei whakakapi mō te reteplase, i runga i tō āhuatanga motuhake me te mea e wātea ana i tō hōhipera. Ko ngā kōwhiringa tino noa ko te alteplase (tPA), te tenecteplase, me te streptokinase.

Ko te Alteplase, e mōhiotia ana ko tPA, tērā pea te kōwhiringa e whakamahia whānuitia ana. He rite te mahi ki te reteplase engari e hiahia ana kia roa ake te wā whakauru me te horopeta uaua ake. E ai ki ētahi rangahau, he māmā ake pea te whakahaere i te reteplase i ngā wā ohorere.

He mea hou te Tenecteplase, ā, ka taea te hoatu hei werohanga kotahi, kaua ki ngā horopeta e rua. Heoi, kāore i te wātea whānuitia pēnei i te reteplase, i te alteplase rānei i roto i te maha o ngā hōhipera.

I ētahi wā, ka tūtohu pea tō tākuta i te wawaotanga miihini hei whakakapi mō te rongoā. Ka uru pea tēnei ki te whakaurunga ngākau ohorere me te angioplasty pōtae, e whakatuwhera ai ngā tākuta i te uaua kua aukatia mā te whakamahi i tētahi pōtae iti, ā, he maha ngā wā ka whakatakoto i tētahi stent hei pupuri kia tuwhera.

He Pai Anei te Reteplase i te Alteplase?

He tino whai hua te reteplase me te alteplase hei rongoā whakakore toto, ā, e whakaatu ana ngā rangahau he rite tonu te pai o te mahi mō te rongoā i ngā whakaeke ngākau. Ko te whiriwhiri i waenga i a rāua ka heke iho ki ngā whakaaro whaihua, kaua ki te mea kotahi e tino "pai" ana i tētahi atu.

He painga ano a Reteplase i roto i nga ahuatanga ohorere na te mea e rua nga werohanga tere ka tukuna, kaua ki te whakauru tonu mo te 90 meneti penei i te alteplase. He maamaa ake tenei mo nga kaimahi hauora ki te whakahaere, a tera pea ka whakaiti i te tupono o nga hapa inenga i nga ahuatanga ohorere.

Heoi, kua roa ke te alteplase e noho ana, a kua nui ake te rangahau. E pai ana etahi taakuta ki te whakamahi na te mea he nui ake o ratou wheako ki te whakamahi. Kua whakaaetia hoki te Alteplase mo te rongoa i nga whiu, engari ko te reteplase te mea nui e whakamahia ana mo nga whakaeke ngakau.

Ko te mea nui ehara i te rongoa motuhake ka whiwhi koe, engari te tere o to haerenga ki te hōhipera me te whiwhi rongoa. He pai nga rongoa e rua ina whakamahia tika ana e nga roopu hauora mohio.

Nga Pātai e Pātai pinepine ana mō Reteplase

He Haumaru te Reteplase mō te hunga mate huka?

Ae, ka taea te whakamahi i te reteplase i roto i te hunga mate huka i te wa o te whakaeke ngakau. Ko te mate huka kare e aukati i a koe ki te whiwhi i tenei rongoa whakaora-ora, ahakoa ka nui ake te tupono ki a koe mo nga whakaeke ngakau i te tuatahi.

Heoi, ki te whai koe i te retinopathy diabetic (te kino o te kanohi mai i te mate huka), me tino tupato to taakuta na te mea ka nui ake te tupono o te toto i roto i nga kanohi. Ka paunatia e ratou tenei tupono ki te raru tonu o to whakaeke ngakau.

Ka tino tirotirohia o taumata huka toto i te wa me muri i te rongoa, na te mea ka pa te ahotea o te whakaeke ngakau me te hōhiperatanga ki to whakahaere mate huka.

Me aha ahau ki te whakamahi pohehe ahau i te nui rawa o te Reteplase?

E kore koe e kaha ki te nui rawa o te reteplase na te mea ka tukuna anake e nga tohunga hauora i roto i nga waahi hōhipera kua whakahaerehia. Ka tae mai te rongoa i roto i nga horopeta kua inea i mua, a ka whakahaere nga kaimahi whakangungu i nga whakaritenga me te whakahaere.

Mēnā ka tūpono te hē o ngā kaimahi hauora ki te hoatu i te nui rawa o te reteplase, he tikanga ā rātou hei whakahaere i tēnei āhuatanga. Ko te āwangawanga nui ko te piki ake o te tūponotanga o te toto, ka taea e rātou te aroturuki me te rongoā mēnā e tika ana.

Koinei tētahi o ngā painga o te whiwhi i te reteplase i roto i te hōhipera - he uru tonu koe ki te manaaki hauora mēnā ka puta mai ētahi raruraru mai i te rongoā.

Me Pēhea Taku Mahi Mēnā Kua Ngaro i Ahau tētahi Inenga o te Reteplase?

Kāore tēnei pātai e pā ana ki te reteplase nā te mea he rongoā ohorere kotahi te wā e hoatu ana i roto i te hōhipera. E kore koe e tango i ngā inenga kua whakaritea i te kāinga ka ngaro pea i a koe.

Ko te rongoā reteplase paerewa e hāngai ana ki ngā werohanga e rua ka hoatu i te 30 meneti te wā i waenga. Mēnā he take i whakaroa ai te werohanga tuarua, ka whakatau tō tōmua hauora i te huarahi pai rawa atu i runga i tō urupare ki te inenga tuatahi me tō āhua whānui.

Whai muri i te otinga o tō rongoā reteplase, ka tīmata pea koe ki ētahi atu rongoā mō te whakamarumaru ngākau tonu. Ka whai rātou rongoā i ā rātou ake hōtaka inenga ka whakamāramahia e tō tākuta ki a koe.

Āhea Āhau e Kati ai te Tango i te Reteplase?

Ka oti aunoa te rongoā reteplase i roto i te haora kotahi i te tīmatanga. Ehara tēnei i te rongoā ka haere tonu koe ki te tango, me whakatau rānei koe āhea e mutu ai - he wawaotanga ohorere wā-poto.

Whai muri i te whiwhinga i te reteplase, ka huri tō arotahi ki te whakaora me te whakamarumaru ngākau wā-roa. Ka tohutohu tō tākuta i ētahi atu rongoā me tango pea e koe mō ngā marama, tau rānei hei aukati i ngā whakaeke ngākau ā muri ake nei.

Ka ngaro ngā pānga o te reteplase i roto i ngā hāora, engari ka taea e ngā painga o te whakahoki mai i te rere toto ki tō uaua ngākau te roa i te roanga o te ora mēnā ka whai koe i ngā tohutohu a tō tākuta mō te manaaki tonu.

Ka Pēhea Āhau te Taraiwa Whai muri i te Whiwhinga i te Reteplase?

Kāore, e kore e taea e koe te taraiwa mō ētahi rā i muri i te whiwhinga i te reteplase. Ka hōhiuhia koe mō te aroturuki i muri i te rongoā, ā, ahakoa i muri i te tukunga, ka hiahia koe i te wā ki te ora mai i tō whakaeke ngākau.

Mā tō tākuta koe e whakamōhio mō te wā e pai ana te taraiwa, e pā ana tēnei ki tō oranga whānui, ngā tikanga i mahia e koe, me te pai o te mahi a tō ngākau. Ko te tikanga ka whakatauhia tēnei whakatau i te wā whakarite i te wiki, e rua rānei i muri i tō hōhiutanga.

I te wā o tō oranga, ka hiahia koe ki te whakarite mō ngā mema o te whānau, ngā hoa rānei, ki te āwhina i te kawe i a koe ki ngā whakaritenga rongoā me ētahi atu mahi e tika ana.