Stroke Patients Anogona Kukurumidzira Emergency Stroke Treatment
Nhamba dzemajeri dzemaoko dzakatanga kubudiswa muGermany uye dzakawanikwa dzibudirira mukurapa varwere varwere mukati meawa yokutanga yekutanga kurwara zviratidzo. Yokutanga shanduro yekusimudzira shanduro muUnited States yakatangwa muHouston, Texas kuYunivhesiti yeTexas Health Science Center munaMeyi 2014 uye imwe shanduro yekurovedzwa kwechikwata chechikoro yakasimbiswa muguta reCleveland neCleveland Clinic muna 2015.
Kusvika ikozvino, zvabuda zvave zvichivimbisa.
Chii chinonzi mobile stroke unit?
Shanduro yefree unit is ambulensi yakagadzirwa nefoni CT scanner kuti iwane pa-inzvimbo-iyo-imaging nzvimbo yekurapa kune varwere vanogona kunge vane stroke, pane kungomirira kuwana Brain CT scan apo varwere vanosvika kuchipatara. Imwe tsuro inoshandiswa nefoni inobatsirawo ma laboratori, telemedicine simba uye kutengesa kusingabatsiri kushandiswa kwemashoko kuitira kuti vanachiremba vanogona kukurumidze kuona kana murwere wacho akakodzera kurapwa chirwere. Mobile shamroke units dzinogonawo kugadzirirwa kutungamirira Tissue Plasminogen Activator (tPA) pari.
Ndezvipi zvinobatsiro zvefoni inosangana nechikwata?
Kunyanya kushandiswa kwechirwere chechirwere, tPA, iine simba rine simba rakasimba rinofanira kupiwa kune varwere nguva pfupi mushure mekutanga kwezviratidzo zvekurohwa. Mumakore achangobva kupfuura, dhipatimendi rekukurumidzira mune zvipatara munyika yose yakashandisa nzira dzekucherechedza uye kuongorora varwere vane chirwere chekuchengetedza uye kunyatsoshanda kurapwa nehuwandu hwehutano hwehutano kupfuura yekare.
Zvisinei, nguva yehutachira hwehutano neTPA ifupika, nokuti kana murwere achiwana tPA mushure menguva shomanana yadarika, zvinogona kuita zvinokuvadza kupfuura zvakanaka nekuda kwekunetseka kweropa.
Izvozvo zvinoreva kuti varwere vazhinji havawani chirwere chakakodzera chekurohwa nekuti inowanzotora nguva yakareba kuti varwere varwere kusvika kuchipatara.
Uye, kune humwe uchapupu hwokuti kunyange mukati mehwindo shoma rekubvumira nguva yeTPA, vanokurumidza kugadzirisa varwere vanozviwana, zvishoma zvakanyanya zvinokonzerwa nekurohwa. Nokudaro nemakumbo ekurohwa zvikwata, nguva inokosha inoponeswa nekuwana kurapa kwakanakisisa kunogona kuitika kuti varohwe varwere munzira yekuenda kuchipatara kana pakarepo pavanosvika kuchipatara. Izvi zvinowedzera kuponeswa kwevarwere uye kunovandudza chigumisiro kune vanopona murwere.
Yunivhesiti yeTexas Health Science Centre yakadzidza pamusoro pemigumisiro yechikwata chechirwere chepasitori, Zvigaro zveStroke Treatment Zvakagadziriswa Shandisa Mobile Stroke Unit (BEST-MSU) kudzidza. Zviitiko zvakaratidza kuti varwere vaikwanisa kugamuchira kurapa kwakakodzera mumaminitsi makumi matanhatu ekutanga kwavo zviratidzo zvekurohwa uye pakange pasina mitsara yezvinetso zvekubuda ropa zvekurohwa chirwere.
Zvinorevei kwauri kana guta rako rine sitiroko yemafoni?
The Cleveland Clinic, pamwe nekushanda pamwe neCleveland hurongwa hwehutano hwekurapa (EMS) ichangobva kuisa urongwa hwehupenyu hwekurohwa kwechikwata kune vagari veguta reCleveland. Kubva pane urongwa, varwere vanoda chikwangwani chechifambiso chekuchengetedzwa kwekuchengetedzwa vanopiwa mabiko mamwechete pasinei nekukwanisa kwavo kubhadhara. Varwere vane unyanzvi hwekuongorora uye Brain CT scan pakuenda kuchipatara chiri pedyo chakagadzirirwa kurapa varwere vane chirwere chekukurumidzira, asi chirongwa chekurapa chinotanga vasati vasvika.
Izvi zvinoreva kuti kana iwe uchigara muguta rine mobile stroke unit, iwe unowanzova nekukurumidzira kushungurudzwa uye nenguva yekurapa kwenguva refu. Mhedziso yose yepurogiramu yepurogiramu yepamusoro ndiyo itsva, uye nzira dzinoshanda dzekuongorora hupenyu hwehutano hwehupenyu uye hunoita kuti huve huzhinji huripo huchava humwe hutsva hutsva hwekushaya chirwere mumakore anotevera.
> Sources:
> Kubatsira kweStroke Treatment Kushandisa Mobile Stroke Unit Kuenzaniswa ne Standard Management: BEST-MSU Study Run-In Phase, Bowry R., Parker S., Rajan SS, Yamal JM, Wu TC., Richardson L., Noser E, Persse D., Jackson K, Grotta JC, Stroke, December 2015
> Stroke Management uye Impact ye Mobile Mobile Stroke Treatment Units, Rasmussen PA, Cleveland Clinic Journal of Medicine, December 2015
> Kugadzira yekutanga Mobile Stroke Unit muUnited States, Parker SA, Bowry R., Wu TC, Noser EA, Jackson K., Richardson L., Persse D, Grotta JC. Stroke, May 2015