Phantse ama-50 ekhulwini aseMelika ahlupheke kwiimeko ezingapheliyo. Okubaluleke ngakumbi kukuba i-86 ekhulwini yeendleko zonyango zonke zichithelwa kwezi zifo. Ukongezelela, izifo ezingapheliyo ziyakhula - ngowama-2020, i-157 yezigidi zabantu baseMerika kulindeleke ukuba baphile ngesimo esingapheliyo-kwaye abanye baya kuba nezikhalazo ezingapheliyo, ukunyamekela kwabo kunzima kwaye kunzima.
Izifo eziqhubekayo kunye ezingenakuphulukana ziba nomthwalo omkhulu kwiinkqubo zempilo. Ulawulo lwabo lidla ixesha, kwaye ngenxa yoko, oogqirha bokunakekelwa ngokusisiseko bafumana imithwalo enkulu yomsebenzi. Ukuze uqhubeke kunye nezidingo, oogqirha banomdla wokunciphisa ixesha kunye nezigulane, ngokuphindaphindiweyo ukushiya izigulane zivakalelwa ngathi azizange zinyamekele.
Iteknoloji entsha yempilo iba yinto ebalulekileyo yokulawulwa kwezifo ezingapheliyo. Kukuvumela izigulane ukuba zibe nokulawula okungakumbi kwimpilo yazo, kwaye xa izifo zikhoyo zithatha uxanduva olongezelelweyo lwabo ngokwabo. Ngexesha elifanayo, ngokuthotyelwa ngokubanzi kwetheknoloji yezobuchwepheshe, ukutyelela rhoqo kwiofisi yegqirha kulindeleke ukuba iyancipha.
Izigulane zifuna ukuba yiNxalenye yoLondolozo lwazo
Itheknoloji entsha yezobugcisa ithetha iindlela zokufunda kunye nokuvuselela izigulane. Ukuxhobisa abantu ukwenzela ukuba bakwazi ukulawula imo yabo yinyathelo ebalulekileyo ekuthintela ukutshabalaliswa kwempilo.
I-Network for Excellence kwi-Health Innovation (i-NEHI), isiko solawulo lwempilo kazwelonke, ithi xa izigulane zibe yingxenye ebalulekileyo kwinkqubo yokunakekelwa kwezempilo, izinga labo lobomi landa kwaye iindleko zonyango ziyancitshiswa. Ngxelo yayo ka-2012, i-NEHI ifumene izixhobo ezili-11 zobuchwepheshe ezinokukunceda ukuphatha nokuphatha izimo ezinzima ezingapheliyo, kubandakanywa isifo, isifo sikashukela, isifo senhliziyo kunye nesifo se-asthma.
Ezi zixhobo zibandakanya iindlela zempilo yezobugcisa ezifana nenkxaso yesigqibo sekliniki, i-telehealth yasekhaya, izixhobo zokulawula isifo sikashukela, izixhobo zokunamathela kweyeza, kunye nokutyelela okuthe tye. Kwakhona kukho ukunyuka kwezicelo zesofthiwe ezidibeneyo nezixhobo ezinokutsha okanye ezingenakusiza ezivumela izigulane ukuba ziphathe kakuhle impilo yazo. I-NEHI ifumene izithintelo eziliqela ezithintela ukwamkelwa kwezi teknoloji. Ezi zinto zivela kwiinkcukacha ezincinci ekubuyiselweni kotyalo-mali (ROI) kwimingeni yokuhlanganiswa kwedatha kunye nokuxhatshazwa kwaboneleli.
Esinye sezixhobo ezili-11 ezichazwe kwingxelo ye-NEHI yi -Care-Stroke Care . I-Tele-stroke, eyingxenye yeteknoloji ye-telemedicine, iye yavanywa njengethuluzi elixabisekileyo kwizibhedlele ezingenazo i-stroke centre. Ezi zibhedlele ziyakwazi ukusebenzisa i-Tele-stroke njengento yokubonisana. Iingcali ze-neurologist zingasebenzisa ikhonkco yevidiyo ukuthetha kwizibhedlele ezincinci kunye / okanye zasemaphandleni. Baya kukhangela izikrini kunye neemvavanyo ngokusebenzisa isiqhagamshelo sokwabelana nge-elektroniki. Uphando lwamazwe ngamazwe lubonisa ukuba ukusuka kwi-Tele-stroke isetyenzisiwe, inani lezigulane ezithintekayo zifumana unyango lwe-TPA (isichengululo esilumkileyo esilungele ukulawulwa ngokukhawuleza kangangoko kunokwenzeka) sanda malunga nama-10.
Izindlela zokunxibelelana ngekhompyutha ziye zanceda ngokukhethekileyo kubantu abahlala kwiindawo ezingapheliyo kwaye kufuneka bahambe kude bahlangabezane nomboneleli wabo wezempilo. Baye banceda utshintshiselwano olungcono lwempilo yezempilo phakathi kwezigulane kunye nabaqeqeshi bezempilo, kunye nezibhedlele. Abanonophelo, nabo, bazuza kwiindlela ze-e-zempilo. Ngokomzekelo, abaphandi baseNetherlands bavavanya indlela yokuncedisa ngakumbi abantu abanomdla wokugula ngengqondo ngokusebenzisa izixhobo zedijithali ezithuthukisa ukuphathwa kwabo.
Iindwendwe ezintle zivumela izigulane ukuba zithathe ulawulo
Ukutyelela okulungileyo kunye elinye isebe le-telemedicine elinceda ukuhlangabezana neemfuno zezigulane kude.
Ukukwazi ukubona nokuthetha nodokotela ngexesha langempela usebenzisa i-teknoloji kunokukhawulezisa uvavanyo kunye nenkqubo yokonyango. Isigulana sinokuchaza iimpawu zakhe (kunye nezikhalazo ezilula), kunokwenzeka ukuba ufumane ukuxilongwa okanye ufumane imimiselo kude. Ukutyelela okubonakalayo kuphunyezwa kwiindawo ezahlukeneyo zononophelo lwempilo. Olu hlobo lwenkonzo lunokukhusela ukuqhubeka kokunyamekelwa ngeemeko ezifana nesifo sikashukela kunye nomfutho wegazi ophezulu. Ubunzima, uxinzelelo lwegazi kunye neemilinganiselo zegazi ze-glucose ngoku ziyakwazi ukuhanjiswa kubaboneleli bezempilo ezivela kumadivayisi angenantambo. Ngokomzekelo, kucetyiswa ukuba abafazi abanesifo sikashukela besifo sikashukela bangakwazi ukuhamba phakathi kokutyelela okuthe tye kunye nohambo olusekelwe kwiofisi ukuqinisekisa ukuhlola rhoqo kunye nokukhusela ngexesha lokukhulelwa.
Ukutyelela ngokubakho ngoku kufakwe kwakhona kwezinye iinjongo ze-inshorensi yezempilo. Ekubeni iimbambano zokubuyiselwa kwemali sele zichongiwe njengenye yemingcipheko yokwamukelwa ngokubanzi kwempilo ebonakalayo, ezi phuhliso zinokukuncedisa ekwenzeni ukutyelela okubonakalayo kwixesha elizayo.
Ukutyelela okulungileyo kubonelela ngeenzuzo ezininzi xa kuthelekiswa nemodeli yonyango yemveli exhomekeke ekuhloleni ngokomzimba. Njengoko izigulane zifumana ukufikelela okungcono kubanikezeli bezempilo kwaye zinikezelwa ngamalungiselelo angcono, amava abo ahlala ephakanyiswa. Abahlengikazi beTele bafumaneka ngeenxa zonke, kwaye ukubeka esweni isigulane kunye nemfundo kungenziwa ngokuqhubekayo. Ukongezelela, ngoku kukho ukhetho lwe-e-ICU kunye neenkonzo ze-e-emergency, ezinika izigulane ukufikelela ngokukhawuleza kwiinkonzo ezizodwa.
In-car yeTherhealth idinga uPhando olongezelelweyo kunye nophuhliso
Ezinye zezobuchwepheshe zedijithali kunye noonxibelelwano ezixhasa ukuphathwa kwezigulane kunye nokuzinyamekela sele sele zisekelwe ngokuqinisekileyo kwaye kusekelwe ubungqina, ngelixa abanye badinga ixesha elingakumbi lokuphuhlisa ngokupheleleyo. Omnye ummandla oye wabonisa okunye, kodwa akakagqityiwanga kodwa kusetyenziswa i-telehealth ye-car, ekhuthazwa njenge "imoto ekhathalelayo." I-Ford neToyota basebenze kule teknoloji yamanqaku ebenokunika abantu ithuba lokujonga impilo yabo ngelixa behamba . Izihlalo zeemoto eziza kubona ukuhlaselwa kwintliziyo, zilethe imoto ukuba imise kwaye ikhwezele uncedo lwacetywayo. Nangona kunjalo, ngo-2015, iFord, ngelishwa, bhengeze ukuba bayishiya uphando kwaye batshintshela kwezinye iiprojekthi. Siyakukubona oku kuphinda kuthathe kwakhona kwakhona kwixesha elizayo. Ngokomzekelo, uJaguar usebenze ekongezeni iimpawu ezithile ze-telehealth kwiimoto zabo. Inkampani iphuhlisa ubuchwepheshe bokubukela ingqondo. Inkqubo iya kubandakanya iinzwa ezifakelwe kwisondo lokuhamba esingazibona iqondo lakho kwaye liphendule ngokufanelekileyo, ukwandisa ukhuseleko lwethu njengoko siqhuba.
> Imithombo
> Audebert H, Kukla C, Haberl R, et al. Ukuthelekiswa kwamathambo e-plasminogen yokulawulwa kwe-activator phakathi kwezibhedlele zeTelestroke Network kunye namaziko okuhlaselwa kwezikolo: Iprojekthi ye-Pilot ye-Pilot ye-Integration Stroke Care eBavaria / eJamani. Stroke, 2006; 37 (7): 1822-1827.
> Iibhothi L, de Vugt M, Kempen G, Verhey F. Ukuphumelela kwenkqubo yoxanduva lokulawulwa kwezinto zokuziphathambela "Intsebenziswano kwi-Balance" kubaxhasi bentsholongwane yengqondo yokuqala: isifundo somgaqo-nkqubo wokuhlolwa kwetyala elingalindelekanga. Izilingo , 2016; 17 (1): 231.
> Amacandelo okuLawula nokuLawula izifo. Kwi-Glance 2015. Isiko leSizwe seZifo esingapheliyo Ukukhusela nokuKhuthazwa kwezeMpilo. https://www.cdc.gov/chronicdisease/resources/publications/aag/pdf/2015/nccdphp-aag.pdf .
> Harrison T, Iingxowa D, uParry C, iMacias M, uLing Grant D, uLawrence J. Ukwamkeleka kweeNdwendwe zangasemva kokubeleka kwabasetyhini abaneSifo soSwesibhedlele. Iingxaki zezeMpilo zeNtombi , 2017: 1-5.
> I-Editorial L.: Ukujongana nomthwalo wezifo ezingapheliyo e-USA. I-Lancet , 2009; 373: 185.