Chii chinonzi Streptokinase: Zvayinoshandiswa, Madosi, Mativi eMuviri, nezvimwe zvakawanda

Streptokinase mushonga une simba unogadzirisa ropa rakaumbana, unogona kuponesa hupenyu panguva yekurwisa kwemoyo uye sitiroko. Iyi enzyme inoshanda nekunyungudutsa ropa rakaumbana rinotyisa rinovhara tsinga dzako, richidzosa kuyerera kweropa kumitezo inokosha semoyo wako neuropi. Vanachiremba vanowanzo pa mushonga uyu kuburikidza neIV mumamiriro ezvinhu ekukurumidzira apo miniti imwe neimwe inoverengwa.

Chii chinonzi Streptokinase?

Streptokinase mushonga we thrombolytic, zvinoreva kuti inoputsa ropa rakaumbana. Iyo enzyme yakabva kumabhakitiriya mamwechete ayo muviri wako unogona kushandisa kunyungudutsa ropa rakaumbana risina kukodzera kuvapo. Funga nezvayo sechishandiso chakakosha chinobatsira kuchenesa mapaipi akavharika mumuviri wako wekutenderera.

Mushonga uyu ndewechikamu chemishonga inonzi fibrinolytics kana "clot busters." Kusiyana nemishonga inotetesa ropa inodzivirira ropa idzva kuti risaumbane, streptokinase inonyungudutsa ropa rakaumbana riripo. Yave ichishandiswa mumishonga kwemakumi emakore uye yakabatsira vanhu vasingaverengeke kupora kubva kumamiriro ezvinhu anotyisa hupenyu.

Mushonga uyu unouya seupfu hunosanganiswa nemvura yakachena isati yapiwa kwauri. Vapi vehutano vanoishandisa munzvimbo dzekurapwa dzakanyatso kutarisirwa kwavanogona kukutarisa zvakanyanya panguva yekurapa.

Streptokinase Inoshandiswa Kuti Chii?

Streptokinase inorapa mamiriro akakomba anokonzerwa neropa rakaumbana rinovhara tsinga dzeropa dzakakosha. Chiremba wako angakurudzira mushonga uyu paunenge uchisangana nekukurumidzira kwekurapa uko kudzoreredza kuyerera kweropa nekukurumidza kunogona kudzivirira kukuvara kusingaperi kumitezo yako.

Kushandiswa kwakajairika ndiko kurapa kurwisa kwemoyo, kunyanya rudzi runonzi ST-elevation myocardial infarction (STEMI). Kana ropa rakaumbana ravhara tsinga inopa tsandanyama dzemoyo wako, streptokinase inogona kunyungudutsa ropa iro rakaumbana uye kudzosa kuyerera kweropa isati yaitika kukuvara kwemoyo kusingaperi.

Vanachiremba vanoshandisawo streptokinase kune mamwe marudzi estiroko anokonzerwa nemaropa mumitsipa yehuropi. Zvisinei, mushonga uyu unofanirwa kupiwa mukati memahwindo chaiwo kuti uve wakachengeteka uye unobatsira.

Zvimwe zvirwere zvinogona kuda streptokinase zvinosanganisira maropa akakomba mumapapu ako (pulmonary embolism) uye midziyo yakavharika mumakumbo ako kana maoko. Vamwe vanachiremba vanoishandisawo kubvisa macatheter akavharika kana shunts anoshandiswa kune dialysis.

Streptokinase Inoshanda Sei?

Streptokinase inoshanda nekumutsa sisitimu yako yechisikigo yekunyungudutsa maropa. Inoshandura protein muropa rako inonzi plasminogen kuita plasmin, iyo enzyme yako pachako inonyungudutsa maropa. Maitiro aya anobatsira kuparadza tambo dze fibrin dzinobata maropa pamwechete.

Mushonga uyu unoonekwa semushonga wakasimba, unokurumidza kushanda unogona kunyungudutsa maropa mukati meawa. Kusiyana nemamwe madhiragi matsva ekunyungudutsa maropa, streptokinase inokanganisa sisitimu yako yese yekutenderera, kwete chete nzvimbo ine ropa.

Enzyme inoshanda nguva dzese painenge iri muropa rako, kazhinji kwemaawa akati wandei mushure mekutarisirwa. Muviri wako unonyungudutsa zvishoma nezvishoma uye unobvisa mushonga, uye kugona kwako kwakajairika kweropa kunodzoka mukati me12 kusvika kumaawa makumi maviri nemana.

Ndinofanira Kutora Sei Streptokinase?

Hauzotori streptokinase kumba - mushonga uyu unongopihwa muzvipatara nevashandi vehutano vakadzidziswa. Kurapa kunosanganisira kugamuchira mushonga kuburikidza nemutsara we intravenous (IV), kazhinji muruoko rwako, kana dzimwe nguva zvakananga mumutsipa wakavharika kuburikidza netube diki rinonzi catheter.

Kurapa kusati kwatanga, timu yako yezvokurapa ichaisa mutsara weIV uye inogona kukupa mamwe mishonga yekubatsira kudzivirira maitiro ekuita allergic. Unozofanira kurara wakanyarara panguva yekuiswa, iyo inowanzo tora maminitsi makumi matatu kusvika awa, zvichienderana nemamiriro ako chaiwo.

Panguva yekurapwa, vanamukoti vachatarisa zviratidzo zvako zvakakosha zvakanyanya uye vachatarisa chero zviratidzo zvekubuda ropa kana maitiro ekurwara. Hauchazofaniri kudya kana kunwa chero chinhu chakakosha usati waita maitiro acho, asi dumbu rako rinofanira kunge risina chinhu kana zvichibvira kuderedza njodzi yezvinetso.

Madosi chaiwo uye nguva zvinoenderana nehuremu hwako, rudzi rweropa riri kurapwa, uye mamiriro ako ehutano hwese. Chiremba wako achaverenga huwandu chaihwo hwaunoda zvichienderana nezvinhu izvi.

Ndingatora Streptokinase Kwenguva Yakareba Sei?

Streptokinase inowanzo kupiwa sesesheni imwe chete yekurapa, kwete semushonga unopfuurira. Vanhu vazhinji vanogamuchira dose yakazara kwemaminitsi makumi matatu kusvika makumi matanhatu, zvichienderana nekuti chii chiri kurapwa uye muviri wako unopindura sei.

Pakuoma kwemoyo, kurapwa kunowanzoita maminitsi makumi matanhatu. Kune mamwe mamiriro akaita se pulmonary embolism, zvinogona kutora nguva yakareba - dzimwe nguva kusvika maawa makumi maviri nemana ematambudziko akakomba. Chikwata chako chekurapa chichasarudza nguva chaiyo zvichienderana nemamiriro ako chaiwo.

Mushure mekurapwa kwekutanga, hauzopfuuriri kutora streptokinase. Zvisinei, iwe unogona kutanga mamwe mishonga kudzivirira ropa idzva kubva pakuumbwa, senge aspirin kana mamwe ma blood thinners. Aya ma follow-up mishonga anobatsira kuchengetedza mabhenefiti ekurapa kunobvisa ropa.

Ndezvipi Zvakaipa zveStreptokinase?

Semishonga yese ine simba, streptokinase inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese achaiwana. Kunetseka kwakanyanya ndiko kubuda ropa, sezvo mushonga unokanganisa kugona kweropa rako kuita clot zvakajairika.

Heano mhedzisiro yakajairika yaungasangana nayo panguva kana mushure mekurapwa:

• Kubuda ropa kubva panzvimbo dzekudzivirira, kucheka, kana maronda ekuvhiya
• Kukuvadzwa nyore nyore kupfuura zvakajairika
• Nausea kana dumbu diki
• Fivha yakaderera
• Musoro
• Mhasuru kana marwadzo emajoini

Zvizhinji zvezvinhu izvi zvinogara kwenguva pfupi uye zvinopera mukati mezuva rimwe kana maviri mushonga wacho paunenge wabuda mumuviri mako.

Zvimwe zvinokonzera matambudziko akakomba zvinoda kuti utsvage rubatsiro rwekurapa nekukasira, kunyangwe zvichiwanzowanikwa:

• Kubuda ropa kwakanyanya kusingamire
• Ropa mumweti kana muduru
• Kurwadziwa kwemusoro kwakanyanya kana kuvhiringidzika
• Kutadza kufema kana kurwadziwa muchipfuva
• Zviratidzo zvekuita allergic reaction zvakaita semavanga, kuzvimba, kana kutadza kumedza
• Kurwadziwa mudumbu kwakanyanya kamwe kamwe

Vashandi vezvokurapa vanokutarisa zvakanyanya panguva yekurapwa uye mushure mekurapwa kuti vawane matambudziko ekutanga. Vakagadzirira kubata nemigumisiro iyi kana ikaitika.

Zvimwe zvinhu zvisingawanzoitiki asi zvakakomba zvinosanganisira kubuda ropa muuropi (intracranial hemorrhage), izvo zvinoitika kune vanenge 0.5% yevarwere. Allergic reactions dzakanyanyawo hadziwanzowanikwi asi dzinogona kuitika, kunyanya kana wakambotambira streptokinase kare.

Ndiani Asingafaniri Kutora Streptokinase?

Streptokinase haina kuchengeteka kune vese, uye chiremba wako achanyatsoongorora nhoroondo yako yezvokurapa asati akurudzira kurapwa uku. Zvimwe zvirwere zvinoita kuti njodzi yekubuda ropa ive yakanyanya zvichienzaniswa nemabhenefiti anogona kuwanikwa.

Haufaniri kutambira streptokinase kana uine chero chimwe chezvinhu izvi:

• Kubuda ropa kuri kuitika chero kupi zvako mumuviri mako
• Kuvhiyiwa kwemazuva achangopfuura (mukati me2-4 mavhiki)
• Kukuvara kwemusoro kwemazuva achangopfuura kana sitiroko
• Zvirwere zvekubuda ropa zvinozivikanwa
• High blood pressure yakanyanya isingadzorwe
• Nhoroondo ye brain aneurysm kana arteriovenous malformation

Zvirwere izvi zvinowedzera zvakanyanya njodzi yako yematambudziko ekubuda ropa anogona kuva anotyisa upenyu.

Chiremba wako achavawo akangwarira zvikuru pakushandisa streptokinase kana uine:

• Kurapwa kare ne streptokinase (zvinowedzera njodzi ye allergy)
• Strep throat kana hutachiona hwemazuva ano
• Kuzvitakura
• Chirwere chakakomba chechiropa kana itsvo
• Mabasa emazino emunguva pfupi yapfuura kana kubviswa zino
• Diabetic retinopathy ine kubuda ropa

Mumamiriro ezvinhu aya, chiremba wako angasarudza mushonga wakasiyana wekubvisa ropa kana nzira yekurapa yakachengeteka kune mamiriro ako chaiwo.

Mazita eStreptokinase Brand

Streptokinase inowanikwa pasi pemazita akati wandei emhando, kunyangwe vhezheni ye generic ichinyanya kushandiswa muzvipatara. Zita rinonyanya kuzivikanwa remhando ndeye Streptase, iyo yaive imwe yemhando dzekutanga dzinowanikwa dze mushonga uyu.

Mamwe mazita emhando anosanganisira Kabikinase uye Streptokinase-INN, kunyangwe kuwanikwa kuchisiyana nenyika uye hutano hwehutano. Muzvipatara zvakawanda, iwe uchagamuchira vhezheni ye generic, iyo inoshanda zvakanyanya sezvigadzirwa zve zita remhando.

Mushonga uyu wakafanana zvisinei nezita remhando - zvese zvine enzyme inoshanda inonyungudutsa ropa. Chikwata chako chehutano chichashandisa chero vhezheni iripo muchipatara chako.

Zvimwe zvinotsiva Streptokinase

Mishonga yakati wandei yekubvisa ropa inogona kushanda seimwe nzira ye streptokinase, imwe neimwe iine zvainobatsira uye zvainofunga. Chiremba wako angasarudza imwe sarudzo zvichienderana nemamiriro ako chaiwo uye nhoroondo yekurapa.

Alteplase (tPA) mushonga mutsva uyo unowanzo kufarirwa ne stroke nekuti unogona kupihwa mukati me window yakareba yenguva uye unogona kukonzera kushoma kwe allergic reactions. Zvisinei, inodhura kupfuura streptokinase.

Reteplase uye tenecteplase zvakafanana ne alteplase asi zvinogona kupihwa nekukurumidza sejojo re bolus panzvimbo pekuenderera mberi. Izvi zvinogona kusarudzwa mumamiriro ezvinhu apo kumhanya kwakakosha.

Pazvimwe zvirwere, vanachiremba vangashandisa kubviswa kwejeko remuchina panzvimbo yemishonga. Izvi zvinosanganisira kupinza mudziyo mudiki kuburikidza nemidziyo yako yeropa kuti ubvise jeko, izvo zvinogona kubatsira kana mishonga isina kukodzera.

Streptokinase Zviri Nani Pane Alteplase Here?

Zvese streptokinase ne alteplase mishonga inobvisa majeko, asi imwe neimwe ine simba rakasiyana zvichienderana nemamiriro ako ezvinhu. Sarudzo yakanaka inoenderana nezvinhu zvakaita sekuti nguva yakadii, mari, nhoroondo yako yekurapa, uye rudzi rwejeko riri kurapwa.

Streptokinase yakashandiswa kwenguva refu uye inodhura zvakanyanya kudarika alteplase. Inobatsira zvikuru pakurwisa moyo kana ikapiwa mukati memaawa mashoma ekutanga, uye zvidzidzo zvakawanda zvinoratidza mhedzisiro yakafanana nemishonga mitsva kana ichishandiswa zvakakodzera.

Alteplase inogona kufarirwa pakurwisa sitiroko nekuti inogona kupiwa mukati menguva yakareba (kusvika maawa 4.5 versus maawa matatu e streptokinase) uye kazhinji inokonzera kushungurudzika kushoma. Inonyanyawo kuita jeko, zvinoreva kuti inonyanya kutarisa pajeko rinetso panzvimbo yekukanganisa hurongwa hwako hwese hwekuita majeko.

Chiremba wako achafunga nezve mamiriro ako chaiwo, kusanganisira kuti yakawanda sei nguva yapfuura kubva pakutanga kwezviratidzo zvako, njodzi yako yekubuda ropa, uye chero kurapwa kwaunogamuchira kare. Mishonga yese miviri inogona kuponesa hupenyu kana ichishandiswa mumamiriro ezvinhu akakodzera.

Mibvunzo Inowanzo Bvunzwa Nezve Streptokinase

Streptokinase Yakachengeteka Kune Vanhu vane Chirwere cheShuga Here?

Streptokinase inogona kushandiswa zvakachengeteka muvanhu vane chirwere cheshuga, asi chiremba wako achatora matanho ekuwedzera. Chirwere cheshuga chinogona kuwedzera njodzi yako yekubuda ropa, kunyanya kana uine diabetic retinopathy (matambudziko emaziso) kana kutadza kudzora shuga yeropa.

Vashandi venyu vezvekurapa vachanyatsoongorora maziso enyu uye hutano hwese musati mapihwa mushonga. Vachatarisawo mazinga eshuga yeropa renyu zvakanyanya panguva uye mushure mekuvhiyiwa, sezvo kushushikana kwemushonga kungakanganisa mazinga eglucose enyu.

Kana muine chirwere cheshuga chinodzorwa zvakanaka pasina matambudziko, streptokinase inowanzova yakachengeteka kwamuri sezvairi kune chero munhu. Zvakanakira zvinoponesa hupenyu zvinowanzo pfuura njodzi mumamiriro ezvinhu ekukurumidzira.

Ndingaita Sei Kana Ndikawana Streptokinase Yakawandisa Netsaona?

Hamugone kuwana streptokinase yakawandisa netsaona nekuti inongopihwa nevashandi vezvekurapa vakadzidziswa munzvimbo dzekurapa dzakadzorwa. Vashandi venyu vezvekurapa vanoverenga chiyero chaicho zvichienderana nehuremu hwenyu uye mamiriro, uye vanotarisa infusion zvakanyatso.

Kana overdose ikaitika, vashandi venyu vezvekurapa vachamisa infusion nekukasira uye vachatanga kurapa kudzora kubuda ropa. Vangakupa mishonga yekubatsira ropa renyu kuita clot zvakajairika zvakare kana kupa zvigadzirwa zveropa kana zvichidikanwa.

Chipatara chine mitemo uye antidotes iripo yekugadzirisa chero matambudziko kubva kumishonga yakawandisa. Ichi ndicho chikonzero nei streptokinase ichingopihwa munzvimbo dziripo kupindira kwekurapa nekukasira.

Ndingaita Sei Kana Dose yeStreptokinase Ikasiiwa?

Kusiiwa kwe dose ye streptokinase kazhinji hakusi kunetsekana nekuti inowanzo kupihwa seimwe chete yekurapa pane madosi akawanda. Mushonga unopihwa nguva dzose kwenguva yakatarwa, kazhinji maminitsi makumi matatu kusvika makumi matanhatu.

Kana infusion ikavhiringidzwa netsaona, vashandi venyu vezvekurapa vachaongorora kana vachizotangazve zvichienderana nekuti yakawanda sei nguva yapfuura uye kuti muri kupindura sei kumushonga. Vangaita kuti infusion irambe ichienderera mberi, vachinje kune mumwe mushonga, kana kushandisa mamwe marapirwo.

Nguva yekurapa clot-busting yakakosha, saka vanopa hutano venyu vachaita zvisarudzo nekukurumidza kuti vave nechokwadi chekuti munowana mushonga unoshanda zvakanyanya mumamiriro enyu ezvinhu.

Ndingamira Rini Kutora Streptokinase?

Hauwanzo "kumira" kutora streptokinase nenzira yechinyakare nekuti inopiwa seimwe chete kurapwa. Kana infusion yapera, mushonga unobva muviri wako zvishoma nezvishoma mumaawa 12 kusvika ku24 anotevera.

Chiremba wako achakutarisa kwemaawa akati wandei mushure mekurapwa kuti ave nechokwadi chekuti ropa rapera uye hausi kusangana nematambudziko. Vachakutangisawo pamishonga yakasiyana yekudzivirira kugadzirwa kweropa idzva.

Mishonga yekutevera, senge aspirin kana mamwe mapiritsi ekurerutsa ropa, ndiyo yaunozofanira kuramba uchitora sezvakanyorwa. Chiremba wako achakupa mirairo chaiyo pamusoro pekurapa uku kunoenderera mberi usati wabva kuchipatara.

Ndingagamuchira Streptokinase Kanopfuura Kamwe Chete Here?

Kugamuchira streptokinase kanopfuura kamwe chete kunogona kuva nenjodzi nekuti muviri wako unogona kugadzira maantibodies pairi mushure mekurapwa kwekutanga. Maantibodies aya anogona kuita kuti mushonga usashande zvakanaka uye uwedzere njodzi yako yekusangana nemaitiro ekurwara.

Kana iwe uchida kurapwa kwekuputsa ropa zvakare, chiremba wako anogona kusarudza mushonga wakasiyana senge alteplase panzvimbo ye streptokinase. Izvi zvinovimbisa kuti iwe unowana kurapwa kunoshanda pasina njodzi dzakawedzerwa.

Nguva iri pakati pekurapwa inokoshawo - kana iwe wakagamuchira streptokinase nguva pfupi yadarika (mukati memwedzi mitanhatu kusvika pagore), chiremba wako achashandisa mushonga wakasiyana. Nguva dzose udza vanachiremba vako kana wakambogamuchira streptokinase kare.