Izigulane ze-Stroke ziyakwazi ukukhawuleza unyango lwe-Stroke
Iiyunithi ze-mobile stroke zaqala ukuziswa eJamani kwaye zifumene impumelelo ekuphatheni izigulane zesikrakra ngaphakathi kweyure yokuqala yeempawu zokuqala zesifo. Iyunithi yokuqala yokushaywa kweselula e-United States yasungulwa e-Houston, eTexas kwiYunivesithi yase-Texas Health Science Centre ngoMeyi 2014 kwaye esinye isistim se-unit stroke unit sisungulwe kwisixeko saseCleveland ngeCliniveland Clinic ngo-2015.
Kuze kube ngoku, iziphumo zithembisile.
Iyiphi i-unit stroke unit?
I-unit stroke unit i-ambulensi exhotywe nge-CT scanner ukuze ifumane ubuchopho becala kwizonyango ezinokuthi zibe nesifo, kunokulinda ukufumana i-Brain CT scan xa izigulane zifika esibhedlele. I-unit stroke unit nayo inezixhobo zelabhoratri, izakhono ze-telemedicine kunye nokuhanjiswa kwe-wireless ngokukhawuleza kwe-wire ukuze oogqirha bakwazi ukukhawuleza ukuba ngaba isigulane singumviwa wokunyangwa kwesifo esiphuthumayo. Iinqununu zemihlaba yeselula zingalungiselelwa ukulawula i-Tissue Plasminogen Activator (tPA) ebhodini.
Ziziphi iingenelo zeyunithi yeselula?
Inkqubo ephezulu kakhulu yokunyangwa kwe-stroke, i- TPA , iyinkunzi enegazi elinamandla elimele linikezwe izigulane kungekudala emva kokuba iimpawu zokuqala zesifo siqala. Kwiminyaka yakutshanje, amasebe angxamisekileyo kwizibhedlele kulo lonke ilizwe sele asetyenzise iindlela zokwazisa nokuvavanya izigulane eziphazamisayo ukuba zikhuseleke kwaye zisebenzise unyango ngokubhekiselele kwiziphumo zesigulane esiphezulu kunexesha elidlulileyo.
Nangona kunjalo, i-window yexesha yokwelashwa nge-TPA imfutshane kakhulu, kuba ukuba isigulane sithola i-TPA emva kwexesha elifutshane lide, liza kubangela ingozi ngaphezu kokulungileyo ngenxa yeengxaki zokuphuma kwegazi.
Oko kuthetha ukuba izigulane ezininzi azifumani unyango olufanelekileyo ngenxa yokuba kudla ixesha elide ukuba izigulane zihlaselwe esibhedlele.
Kwaye, kukho ubungqina bokuba kwanefestile emfutshane yexesha elivumelekileyo le-TPA, izigulane ezikhawulezayo zifumana oko, ingxaki engaphantsi kwayo yonke imiphumo yesifo. Ngoko ngeeyunithi zesisindo sokuhamba, ixesha elixabisekileyo ligcinwa ngokufumana unyango olungcono ukwenzeka ukuba ugulise izigulane endleleni eya kwisibhedlele okanye ngokukhawuleza ukuba zifike esibhedlele. Oku kwandisa ukunyamezela kwesigulane kunye nokuphucula isiphumo sabasindileyo.
IYunivesithi yase-Texas Health Science Centre yenza isifundo malunga neziphumo zeyunithi yesifo esithintekayo, iiNzuzo zeStroke Treatment Ikhutshwe ngokusebenzisa i-Mobile Stroke Unit (BEST-MSU). Iziphumo zabonisa ukuba izigulane zakwazi ukufumana unyango olufanelekileyo zingakapheli imizuzu engama-60 yempawu zabo zokuqala zokuqhwalaza kwaye kwakungekho ingxelo malunga neengxaki zokuphaphaza ngokunyangwa kwe-stroke.
Kuthetha ukuthini kuwe ukuba isixeko sakho sineyunithi yeselula?
I-Clinic yaseCleveland, ngokusebenzisana neCleveland (i-EMS) i-system yezokwelapha eziphuthumayo (i-EMS) isanda kuqulunqa isicwangciso se-stroke yesigqeba esinqununu kubantu abahlala kwisixeko saseCleveland. Ngokusekelwe kwilungiselelo, izigulane ezifuna ukunakekelwa kweyunithi yeselula ziya kunikwa unyango ofanayo kungakhathaliseki ukuba zikwazi ukuhlawula. Izigulane zinokuhlolwa kobuchopho kunye ne-Brain CT ukukhangela kwisibhedlele esikufuphi esilungele ukunyanga izigulane zentsholongxamiseko, ngelixa isicwangciso sonyango siqaliswa ngaphambi kokufika kwesigulane.
Oku kuthetha ukuba ukuba uhlala kwisixeko esinesixhobo sokuhlaselwa kweselula, unokufumana ukuhlaziywa kwesantya ngokukhawuleza kunye nexesha lokunyanga ngokukhawuleza. Iyonke ingcamango ye-stroke unit iyinto entsha, kwaye iindlela ezisebenzayo zokuvavanya iingenelo zonyango zonyango kunye nokwenza ukuba zifumaneke ngokubanzi ziya kuba enye yeendlela ezintsha zokunyamezela ngonyawo kwiminyaka ezayo.
> Imithombo:
> IiNzuzo zeStroke Treatment Ukusebenzisa iSunithi yeStroke yeTrafti yeFree Compared with Management Management: I-BEST-MSU Study-In Phase Phase, uBurry R., Parker S., uRajan SS, uJamal JM, iWu TC., URichardson L., uNoser E, Persse D., Jackson K, Grotta JC, Stroke, Disemba 2015
> Ulawulo lweSroke kunye nempembelelo yeeNyunithi zonyango lweStroke Stroke, uRasmussen PA, iCleveland Clinic Journal of Medicine, Disemba 2015.
> Ukusungula iNyunithi yokuqala yeStrost Stroke eUnited States, i-Parker SA, i-Bowry R., i-Wu TC, i-Noser EA, i-Jackson K., i-Richardson L., i-Persse D, i-Grotta JC. Stroke, Meyi 2015