Amagumbi okuqhawula izikolo eziphambili zezibhedlele eziye zaqinisekiswa yiKhomishini edibeneyo, eyintlangano evume iinkqubo zonyango zempilo e-United States. Ikhomishoni Edibeneyo yaqalisa ukuqinisekiswa kwamaziko okunakekelwa kweprojeke ngo-Disemba 2003.
IziCwangciso zeSiseko seStroke
Amagumbi okuqhawula izikolo eziphambili kufuneka afezekise imigaqo ethile ukuze aqinisekiswe ngokusemthethweni kwaye aqinisekiswe ngulo tyelelo.
Ezinye zezi mfuno ziquka:
- Ukuba neyunithi yokuqhawulwa kwesigxina sokubeka esweni isigulane.
- Ukubonisa ukuthotyelwa kwezikhokelo zesikliniki ezisisiseko zokubetha.
- Ukuqinisekiswa kolwazi olufanelekileyo lweSebe lezithuba eziphuthumayo.
- Ukusungula inkqubo yokufumana nokudlulisa izigulane zesifo.
- Ukuqokelela kunye nokunika ingxelo ngemeko echanekileyo malunga neziphumo zesigxina.
Iziko zeStroke zibonelela ngononophelo lweMetrodical and Organized Stroke Care
Injongo efanayo yeziko ngalinye liza kuthutha, ukuvavanya, ukuxilonga, kunye nokunyanga ngokunyanga isigulane ngasinye kwisifo emva kweeyure ezintathu ukuqala kwezibonakaliso zabo. Ulawulo lwe- stroke efanelekileyo lonyango lufuna iqela lezonyango elinesakhono.
Utyando lwe-stroke lubandakanya ukulawulwa kwegazi ezinamandla ezinjenge- IV TPA kunye ne- intra-arterial thrombolysis. La mayeza kufuneka alawulwe ngaphakathi kwifestile elincinane yexesha emva kokuba iimpawu zesifo soqalo ziqala, okanye mhlawumbi zibangela iingxaki ezinzima, kwaye mhlawumbi zibulala.
Eminye yemisebenzi ephambili i-stroke centre kufuneka ikwazi ukufezekisa ngeli thuba lexesha leeyure ezintathu libandakanya:
- Ukuthutha isiguli kwisibhedlele
- Yenza uvavanyo olupheleleyo ngugqirha-ngokuqhelekileyo ube neurologist
- Fumana kwaye ufunde, i- CT scan yengqondo
- Dweba igazi, uhlalutye, kwaye ubike iingxelo
- Ukuhambisa unyango olufanelekileyo
Ulawulo lweStrokes ngeStroke Specialists
Amanqanaba amaninzi ekhwabanisa kunye neyunithi ye-stroke echaphazelekayo eneentsholongwane ze-neurologist (i-neurologists ezenzelwe ingqungquthela kwi-stroke) kubasebenzi, kwaye kaninzi zifumaneka ngaphakathi kwindlu, malunga neeholide. La magqirha asebenza phantsi kwesiqubulo esithi "ixesha lobuchopho." Ngoko ke, zihamba ngokukhawuleza, kodwa zichanileyo, ekuqapheliseni imivimbo engozi ngokungaqhelekanga. Xa oku kwenzeka, aba ogqirha baqeqeshelwa ukulungelelanisa ukuhlinzwa okwenziwa ngokukhawuleza, kunye nokulungiselela ukuhanjiswa ngokukhawuleza kwinqununu yokunyamekela, okanye kwisibhedlele esithile.
UkuQaphela kunye nokuPhathwa kweeNkathazo zeStroke
Oogqirha kunye nabahlengikazi abayingxenye yesikhungo sokuhlaselwa baqeqeshwe ukuba baqonde iingxaki zonyango ezinokuvela kumntu oye wahlushwa isigulo. Oku kubaluleke kakhulu, njengokuba izigulane zibetha ngokukhawuleza ngokukhawuleza emva kweeyure ezimbalwa zokuqala okanye iintsuku emva kokuphazamiseka. Enyanisweni, nokuba neyona mibala kakhulu imivimbo iqhuba umngcipheko we-10% wokuguqula kwiindawo ezinkulu kwiiyure ezingama-48 zokuqala.
Ezinye zeengxaki eziqhelekileyo emva kokuphazamiseka zibandakanya:
- Utsha olutsha, okanye ukwanda kwesondo
- Ukuhlamba, ngakumbi xa uphathwa nge-t-PA
- Ukuxhamla
- Ukuvuvukala kwengqondo
- Iingxaki zonyango ezifana ne- pneumonia nezinye izifo
Abasebenzi abaqhelekileyo abasebenzi abaqhelekileyo ngeemfuno zezilonda zesisu
Inzuzo ebalulekileyo yamagumbi okuhlaselwa yi-stroke maziko kunye nokuxhamla kwabo nabasebenzi bezentlalo kunye nabanye abasebenzi abasebenzelayo abaqhelana neemfuno ezifutshane kunye nexesha elide lezigulane. Abaqeqeshi abaqeqeshiwe bahlala bencedisa uncedo olukhulu ekuxazululeni iingxaki ezinxulumene ne- inshorensi yempilo , ekufumaneni abaqeshwa abangaphantsi kwezigulane kunye noogqirha bezilonda, oogqirha bezengqondo, okanye abachwephesha bezemisebenzi, kunye nokukhetha iiprogram zokuvuselela i-stroke ekuphuculeni ukuphucula nokulula emva kokuphazamiseka.
IziPhumo zeZikolo eziPhambili zeStroke
Ngokutsho kohlalutyo lwedatha olupapashwe yiNcwadi ye-American Heart Association, izigulane ezifumana unyango lwe-stroke kwiziko lokuqala zokuhlaselwa kwezigulane ziyakwazi ukufumana unyango nge-T-PA kunezigulane ezingakhange ziphathwe kwiziko leStroke Stroke.
Esinye isampuli yesigulane esaphonononge izigulane ezingama-120,000 eziye zavunyelwa kwaye zanyangwa ngenxa yesifo saza sapapashwa kwi-Journal of Stroke neCerebrovascular Disease. Izigulane zazibandakanya izigulane ezibethelwa zizigulane eziye zavunyelwa kwiziko lokuqala kunye nezigulane ezazingeniswa kwizibhedlele ezingakhange zikhethwe njengeziko eliphambili.
Ababhali beengxelo bathi izigulane eziphazamisekayo ezaphathwa kwiziko lokuqala ze-stroke zazingenakunokwenzeka ukuba zibe nezibhedlele kwizibhedlele kwaye zikwazi ukuba neziphumo ezingcono zokukhutshwa esibhedlele.
Ulwaphulo lweStroke kwi-Horizon
Indlela esandulayo yokufumana izigulane eziphazamisayo ziphethe ubuxoki ngokukhawuleza kwisiko lonyango olubizwa ngokuba yi-Mobile Stroke Unit. Ngabantu abambalwa kwihlabathi kunye ezimbini e-United States, ii-Unity Stroke Units zisebenza njengokuba igama lichaza, ukuqala ukuhlolwa kwe-stroke, ngamanye amaxesha unyango, endleleni eya esibhedlele, ukugcina ixesha elixabisekileyo.
> Imithombo:
> I-Joint Commission ye-Stroke Centers Usetyenziso olungaphezulu kwe-rt-PA kwiSampula sonke sokuPhalaliswa kweMpilo, uMunlen MT, uKasner SE, uKallan MJ, uKleindorfer DO, uAlright KC, uCarr BG, iNcwadi ye-American Heart Association , ngo-2013 uMatshi 26; 2 (2) : e000071
> Imirhumo yeZenzo eziMbi kunye neziPhumo phakathi kwezigulane zeStroke ezivunyelwe kwiziko leStroke Primary. Chaudhry SA, Afzal MR, Chaudhry BZ, Zafar TT, Safdar A, Kassab MY, Hussain SI, Qureshi A, Journal of Stroke and Cerebrovascular Disease, 2016 Aug; 25 (8): 1960-5
Ulungiswe nguHeidi Moawad MD