Odwala Matenda Omwe Amatha Kuthamanga Kachilombo kawopsa
Mapulogalamu oyendetsa sitima amtundu wina adayamba ku Germany ndipo anapeza bwino kuti athe kuchiritsa odwala pa ola loyamba la zizindikiro zoyamba kudwala. Chipangizo choyamba cholumikizira mafoni ku United States chinayambika ku Houston, Texas ku yunivesite ya Texas Health Science Center mu Meyi 2014 ndipo pulogalamu ina yothandizira magetsi inakhazikitsidwa mumzinda wa Cleveland ndi Cleveland Clinic mu 2015.
Pakalipano, zotsatira zakhala zikulonjeza.
Kodi pulogalamu ya stroke ya m'manja ndi chiyani?
Sitiroko ya mafoni ndi ambulansi yokhala ndi telefoni ya CT yowonongeka kuti ipeze ubongo wapamwamba woganizira odwala omwe angakhale ndi stroke, mmalo modikirira kuti apeze kanema ya ubongo pamene odwala abwera kuchipatala. Sitiroko ya m'manja imathandizanso ma laboratory, telemedicine ndi mauthenga apamwamba kwambiri a ma data kuti madokotala azitha kudziwa mwamsanga ngati wodwalayo ndi woyenera kulandira chithandizo. Mapulogalamu oyendetsa mafoni angakhale okonzekera kuti apange Tissue Plasminogen Activator (tPA).
Kodi phindu la foni yamagetsi ya m'manja ndi chiyani?
Mankhwala othandizira kwambiri, tPA, ndi owopsa kwambiri magazi omwe ayenera kuperekedwa kwa odwala kanthawi kochepa chiyambi cha zizindikiro za stroke ziyamba. Zaka zaposachedwapa, ma dipatimenti odzidzimutsa m'mabungwe a zipatala m'dziko lonse lapansi adayendetsa njira zozindikiritsira odwala matenda a stroke kuti apeze mankhwala abwino komanso ochiritsira ndi zotsatira zabwino za odwala kuposa kale.
Komabe, nthawi yowona mankhwala ndi tPA ndi yochepa kwambiri, chifukwa ngati wodwala atalandira tPA patatha nthawi yochepa, izi zingapweteke kwambiri kuposa zabwino chifukwa chokhala ndi vuto la magazi.
Izi zikutanthauza kuti odwala ambiri samalandira mankhwala oyenera chifukwa chakuti nthawi zambiri amatenga odwala kuti afike kuchipatala.
Ndipo, pali umboni wakuti ngakhale mkati mwawindo laling'ono la nthawi yovomerezeka ya tPA, odwala omwe akudwala msanga amawulandira, zotsatira zake zowonongeka. Choncho pogwiritsa ntchito magalimoto oyambitsa sitiroko, nthawi yamtengo wapatali imasungidwa mwa kupeza chithandizo chamankhwala chotheka kwambiri chotheka kuchiza odwala panjira yopita kuchipatala kapena atangofika kuchipatala. Izi zimapangitsa kuti munthu akhale ndi moyo wodwala komanso amathandizira zotsatira za opulumuka.
Yunivesite ya Texas Health Science Center inaphunzira za zotsatira za magulu awo a sitiroko, Kupindula kwa Chithandizo cha Stroke Kuperekedwa Pogwiritsa Ntchito Sukulu ya Stroke Unit (BEST-MSU) yophunzira. Zotsatira zinasonyeza kuti odwala amatha kulandira chithandizo choyenera m'kati mwa mphindi 60 za zizindikiro zawo zoyamba kudwala ndipo panalibe malipoti okhudzidwa ndi magazi odwala matenda a stroke.
Kodi zikutanthauzanji kwa inu ngati mzinda wanu uli ndi kachilombo ka m'manja?
Cleveland Clinic, pogwirizana ndi makampani azachipatala a Cleveland (EMS) yakhazikitsidwa posachedwapa kuti iwonongeke kwa anthu okhala mumzinda wa Cleveland. Malinga ndi dongosololi, odwala omwe amafunika kugwiritsidwa ntchito pafupipafupi pafupipafupi amapatsidwa mankhwala omwewo ngakhale kuti sangathe kulipira. Odwala ali ndi matenda a ubongo ndi ubongo wa CT pogwiritsa ntchito njira yopita kuchipatala chapafupi chokonzekera kuchipatala, pamene dongosolo la chithandizo likuyambika asanalandire wodwalayo.
Izi zikutanthauza kuti ngati mumakhala mumzinda wokhala ndi foni yamagetsi, mumakhala ndi nthawi yowonongeka komanso nthawi yothandizira. Lingaliro lonse la pulogalamu ya stroke ya m'manja ndi yatsopano, ndipo njira zowunika zowunika zowonjezera phindu la wodwalayo komanso kuzipangitsa kuti zikhalepo zambiri zidzakhala chimodzi mwa njira zatsopano zowonongeka pazaka zomwe zikubwerazi.
> Zotsatira:
> Mapindu a Kachilombo ka Stroke Pogwiritsa Ntchito Sitima ya Sitiroko Yoyamba Kuyerekeza ndi Otsogolera Otsogolera: Phunziro la BEST-MSU Loyamba-Phase, Bowry R., Parker S., Rajan SS, Yamal JM, Wu TC., Richardson L., Noser E, Persse D., Jackson K, Grotta JC, Stroke, December 2015
> Kugonana kwa Stroke ndi Mphuno ya Mapulogalamu Achipatala a Mobile Stroke, Rasmussen PA, Cleveland Clinic Journal of Medicine, December 2015
> Kukhazikitsa First Mobile Stroke Unit ku United States, Parker SA, Bowry R., Wu TC, Noser EA, Jackson K., Richardson L., Persse D, Grotta JC. Sitiroko, May 2015