NIH Stroke Scale uye Stroke Kuongorora
Iyo NIH Stroke Scale (NIHSS) ndiyo yakagadziriswa chikwata chekushandisa chakashandiswa navanachiremba nevamwe vadzidzisi vehutano kuti vaone uye vanyore huwandu hwenheyo hunokonzerwa neharo. Kana wakanzwa sangano rako rerostro rinokurukura NIHSS yako kana kuti NIHSS yewaunoda, iwe unogona kunge une mibvunzo pamusoro pezvinorehwa nemakero ako.
Chii chinonzi Stroke?
Sitiroko chirwere chinokanganisa arteri inotungamirira uye mukati meuropi.
Iko Nha. 5 chikonzero chekufa uye chinokonzera chikonzero chekuremara muUnited States. Kurwadza kunoitika kana ropa rinotakura oksijeni nemuviri kuuropi rinogona kudzivirirwa neropa rekuvhara kana kuputika (kana kuputsika). Kana izvozvo zvikaitika, nzvimbo yakakanganiswa yeuropi haigone kuwana ropa (uye oxygen) inoda, saka hutano hwehuropi hunoshaya simba, zvichiguma nehutano hwepanyama kana hwekufunga, iyo inonzi stroke.
Migumisiro yeStroke
Uropi inhengo inonyanya kuoma inodzora mabasa akasiyana siyana emuviri. Kana chirwere chiripo uye kubuda kweropa hakugoni kusvika munzvimbo iyo inodzora muviri unoshanda, chikamu ichocho chemuviri hachikwanisi kuita sezvinofanira. Kushungurudzwa kwepfungwa kunogona kusanganisira kushaya simba mumuviri, kurasikirwa kwehutano, kuderera kwekunzwa, kutambudzika kutaura uye zvimwe zvinetso zvakasiyana.
Nemhaka yokuti kune dzakawanda zvakasiyana-siyana zvinokonzerwa nemararamiro , zvichienderana nenharaunda yakakonzerwa neuropi, kwete dzose kurohwa kune zvakaenzana zvakaenzana.
I-NIHSS inoshandiswa iyo kushungurudzika kwepakati kunogona kuenzaniswa nekufamba kwekutsvaga kana chirwere chacho chiri chinyoro kana chakakomba, uye kana mamiriro acho ari kuwedzera kana kuwedzera.
NIHSS Inofananidzirei?
Iyo NIH Stroke Scale inobatanidza zvinhu zvakawanda zveuropi zvinoshanda, kusanganisira kuziva, kuona, kunzwa, kufamba, kutaura, uye mutauro. Chimwe chiverengero chepfungwa chinopiwa nokuda kweumwe wezvinhu izvi zvepanyama uye zvekuziva panguva yekuongorora kwehutano hwehutano.
Nhamba yepamusoro ye 42 inomiririra chirwere chakakomba uye chinoparadza.
Nhamba yekurohwa kweproke yakaenzana neNIH stroke scale scoring system:
- 0 = hapana chirwere
- 1-4 = chirwere chiduku
- 5-15 = sitiroko ine mwero
- 15-20 = kuenzanisa / kurwisa sitiroko
- 21-42 = chirwere chakanyanya
NIH Stroke Scale Uchishandisa
Chisarudzo Kuita muStroke Treatment
Iyo NIH Stroke Scale inoshandisa zvinangwa zvakawanda, asi kushandiswa kwayo kukuru mumishonga yepiriniki panguva yekuongororwa kwekuti kana kwete chirwere chekuremara chinokonzerwa nechirwere chakapiwa chinokodzera kurapwa neTPA . Iyi mishonga inopa simba rine simba rinogona kuvandudza sitiroko, asi inogona kushandiswa chete mumamiriro ezvinhu asina kukwana. Vashandi vezvehutano vanoshandisa iyo NIHSS, pamwe chete nekugadzirisa makiriniro ekugadzirisa chisarudzo, kuti uone kana iwe usati uri mumiriri wekurumidzirwa kurapwa neTPA.
Research Research
Imwe nzira inokosha yekushandiswa kweNIHSS iri mukutsvakurudza, iyo inobvumira kuenzanisa kwechinangwa chekubudirira kune dzimwe nzira dzakasiyana-siyana dzokurapa uye nzira dzekuvandudza. Izvi zvinogona kubatsira vatsvakurudzi kuti vaone, neyunyanzvi yekufananidza, kana chirwere chinoshanda mukurapa chirwere.
Kukurukurirana kwakagadzikana pakati pehutano hwevatano
Munowanzo, vana vezveuropi uye vamwe vanopa utano vanochengeta iwe panguva uye mushure mekurohwa kwako kushandisa sangano remakiriniki kuti ukurukure pamusoro pemamiriro ako.
Iyo NIHSS stroke scale ndiyo nhamba inogona kukonzera kuoma kwekurohwa kwako, asi haisi iyo pfungwa huru iyo vanachiremba vako vanotarisa pavanoongorora mamiriro ako uye kuita zvirongwa zvekurapa.
Zvisinei, kufanana kwechikwereti kunogona kubatsira vatsigiri vako vehutano kutora mufananidzo wehuwandu hwechirwere chako wakagadziridzwa kana kuti wakaipa kupfuura kwenguva.
Shoko Rinobva
Bato renyu rezveutano rinogona kushandisa nzira dzakakosha dzekuongorora nekunyora mamiriro ako ehutano kuitira kuti munhu wose ari muboka azonzwisisa kuti chirwere chako chinowedzera sei kana kuwedzera kudarika kwenguva. Iyo NIH stroke scale ndiyo imwe yemashandisirwo esangano rako rekuchengetwa kwechikwata rinoshandisa kutaura nenzira isingachinji, kunyanya nokuti pane vanhu vakasiyana-siyana vari muboka rako rekurohwa nesitiroko avo vari kubatanidzwa mukukuchengeta iwe sezvaunodzorera kubva pamarwadzo ako.
Iyo NIH stroke scale haisi iyo chete inoshandiswa kuongorora nekunyora mamiriro ako ezvinhu kana iwe uine chirwere, asi iwe unogona kutevera nhamba dzinoshandiswa nevatano vako vehutano pavanonyora kuora mwoyo kwako kweNIH kuitira kuti uwane pfungwa yakazara pamusoro pekufambira mberi kwako kwese kwenguva.
Kunze kubva kuNIHSS, panewo nzvimbo yekutsvaga mushure iyo inogona kushandiswa kugadzirisa kupora kwako mushure mekurohwa.
> References:
> Zuva reNational National Institutes of Health Stroke Scale kuongororwa pazvikwata zvepakati: sei urege kuzviita? Siegler JE, Martin-Schild S, Int J Stroke. 2015 Feb; 10 (2): 140-2.