I-NIH Stroke Scale and Assessment Stroke
I-NIH Stroke Scale (i-NIHSS) ithuluzi elilinganiselweyo lokubeka amanqaku asetyenziswa ngamagqirha kunye nabanye abaqeqeshi bezempilo ukuze balinganise kwaye barekhode izinga lokukhubazeka elibangelwa ukubetha. Ukuba uye wakuva iqela lakho lokushayisana ne-NIHSS okanye i-NIHSS yothandekayo wakho, unokuba nemibuzo ethile malunga nenjongo emanqaku akho.
Yintoni iStroke?
Isibetho sisifo esichaphazela imirhobho ekhokelela kunye nangaphakathi kwengqondo.
NguNombolo 5 ebangela ukufa nokubangela ukukhubazeka eUnited States. I-stroke iyenzeka xa isitya segazi esithwala i-oksijeni kunye nezondlo kwiingqondo zivaliwe yi-clot yegazi okanye i-bursts (okanye i-break). Xa oko kwenzeka, indawo echaphazelekayo yengqondo ayikwazi ukufumana igazi (kunye ne-oksijeni), ngoko i-brain tissue iyakhathazeka, nto leyo ibangela ukukhubazeka ngokomzimba okanye ukuqonda, okuyinto ephazamisayo.
Iimiphumo zesisu
Ingqondo ingumzimba onzima kakhulu olawula imisebenzi eyahlukeneyo yomzimba. Ukuba ukuqhuma kwenzeka kwaye ukuhamba kwegazi akukwazi ukufikelela kummandla olawula umsebenzi othile, loo nxalenye yomzimba ayikwazi ukusebenza ngendlela efanele. Imiphumo yesigxina ingabandakanya ubuthathaka, ukulahlekelwa kwemilinganiselo, ukuncipha, ukuthetha ingxaki kunye nezinye iingxaki.
Ngenxa yokuba kukho iziphumo ezininzi ezahlukeneyo zesifo , ngokuxhomekeka kwingingqi echaphazelekayo yengqondo, akusiyo yonke imivimbo efana nobunzima obufanayo.
I-NIHSS iyithuluzi apho ukunyamezeka kwesithintelo kunokuthelekiswa ngexesha lokuqinisekisa ukuba isifo esibuhlungu sinobukhulu okanye sibi, nokuba ingaba iziphumo ziphucula okanye ziyanda.
Yintoni i-NIHSS yokulinganisa?
I-NIH Stroke Scale yenza imiba emininzi yomsebenzi wengqondo, kuquka ukuqonda, umbono, inzwa, ukunyakaza, intetho kunye nolwimi. Inani elithile lamaphuzu anikwe nganye yezinto eziphathekayo kunye nokuqonda kwengqondo ngexesha lokuhlolwa kweengxaki zeengqondo.
Amanqaku aphezulu angama-42 amelela isifo esibi kakhulu nesonakalisayo.
Inqanaba lokuqina koluhlungu njengalinganiswe kwinkqubo ye-scroke ye-stroke scale scoring system:
- 0 = akukho isifo
- 1-4 = isifo esincinci
- 5-15 = i-stroke ephakathi
- 15-20 = i-stroke enesisindo
- 21-42 = i-stroke eyingozi
I-NIH Stroke Scale Use
Ukwenza isigqibo kwi-Stroke Treatment
I-NIH Stroke Scale isebenzela iinjongo eziliqela, kodwa ukusetyenziswa kwayo kakhulu kwiyeza zonyango ngethuba lokuvavanya ukuba ingaba isantya sokukhubazeka esibangelwa uhlangothi olufanelekileyo lufanelekile unyango nge- tPA . Eli nyanga ligalelo legazi elinamandla elinokuphucula isiphumo sesisu, kodwa singasetyenziselwa kuphela kwiimeko ezincinci. Iqela lezogqirha lisebenzisa i-NIHSS, kunye kunye nokwenza isigqibo sokwenziwa kwezonyango, ukuchonga ukuba ngaba awuyiyo umviwa wokunyango oluphuthumayo nge-TPA.
Isixhobo soPhando
Olunye usebenziso olubalulekileyo lwe-NIHSS luphando, apho luvumela ukuba kuthelekiswa kwenjongo yokuphumelela kwiindlela ezahlukeneyo zokunyangwa kwesifo kunye nokuncedisa ukulungiswa. Oku kunokunceda abaphandi baqikelele, ngeendlela ezifanayo, nokuba unyango lusebenza kakuhle kunyango lwe-stroke.
UNxibelelwano oluManyeneyo phakathi kwabanikezeli ngezeMpilo
Ngokuqhelekileyo, i-neurologists kunye nabanikezeli benkonzo bezempilo abanokunyamekela ngexesha kunye nangemva kokubetha kwakho usebenzise iirekhodi zekliniki ezixhamlayo ukuthetha malunga nemeko yakho.
Isisindo se-NIHSS sinombolo enokubangela ubunzima besifo sakho, kodwa akusiyo ingongoma ephambili ogqirha bakho abajonga ngayo xa uhlola imeko yakho kwaye wenza izigqibo zonyango.
Nangona kunjalo, ukulingana kwesilinganisi kunokunceda ababoneleli bakho bezempilo banokufumana umfanekiso wokuba ulwaphulo lwakho luye lwaphucula okanye lube lubi kangakanani ngexesha.
ILizwi
Iqela lakho lononophelo lwezempilo lingasebenzisa iindlela ezizodwa zokuvavanya nokurekhoda imeko yakho yezokwelapha ukuze wonke umntu kwiqela aya kuqonda ukuba ugulane lwakho luphucula njani okanye lube lubi kakhulu ngexesha. Isisindo se-NIH isisitye esinye sezixhobo ekuncedisa ngayo iqela lakho lokunakekelwa ngesifo soxinzelelo ukuthetha ngendlela engaguquguqukiyo, ingakumbi kuba kukho abantu abaninzi abahlukileyo kwiqela lakho lokunakekelwa kwesifo sokunyamezela abachaphazelekayo ekunakekeleni njengoko uhlaziya kwi-stroke yakho.
Isisindo se-NIH isiqhelo asiyena kuphela isisetyenzisi esetyenziswa ukuhlalutya nokurekhoda imeko yakho ukuba unayo isifo, kodwa unokulandela amanani ababonelela ngeenkonzo zakho zonyango xa babhala ubunzima bakho be-NIH ukuze ufumane ingcamango jikelele malunga nenkqubela yakho yonke ngexesha.
Ngaphandle kwe-NIHSS, kukho kwakhona uluhlu lokutshekisha kwesigxina olungasetyenziselwa ukumbamba ukubuyiswa kwakho emva kokuhlaselwa.
> Iingcaciso:
> Imihla ngemihla yeziZwe zeZiko lezeMpilo zeemvavanyo ze-Stroke Iimvavanyo kwiindawo eziphazamisayo: kutheni ungenzi? USiegler JE, uMartin-Schild S, Int J Stroke. 2015 Feb; 10 (2): 140-2.