NIH Stroke Scale and Stroke Assessment
NIH Stroke Scale (NIHSS) ndi chida chokhazikika chogwiritsiridwa ntchito ndi madokotala ndi ena othandizira zaumoyo kuti azindikire ndi kulemba kukula kwa vutoli. Ngati mwawamva gulu lanu la stroke likukambirana za NIHSS kapena NIHSS za wokondedwa wanu, mungakhale ndi mafunso ena ponena za tanthauzo la mphambu yanu.
Stroke ndi chiyani?
Kachilombo ndi matenda omwe amakhudza mitsempha yopita ku ubongo.
Ndicho chifukwa cha imfa ndi chifukwa chachikulu cholemala ku United States. Mliriwu umachitika pamene chotengera cha magazi chomwe chimanyamula oksijeni ndi zakudya ku ubongo chikhoza kutsekedwa ndi magazi kapena ziphuphu (kapena kupasuka). Izi zikachitika, dera lopweteka la ubongo silingapeze magazi (ndi oxygen), kotero kuti minofu ya ubongo imakhala yofooka, zomwe zimapangitsa kuti thupi likhale lopweteka, lomwe ndilopweteka.
Zotsatira za sitiroko
Ubongo ndi chiwalo chovuta kwambiri chomwe chimayang'anira ntchito zosiyanasiyana za thupi. Ngati sitiroko imapezeka ndipo kuthamanga kwa magazi sikungathe kufika ku dera lomwe limayang'anira thupi lapadera, gawolo la thupi silingagwire ntchito moyenera. Zotsatira za kupweteka kumaphatikizapo kufooka kwa thupi, kutayika bwino, kuchepa kwa maganizo, kukambirana zovuta ndi mavuto ena angapo.
Popeza pali zotsatira zambiri za kupweteka , malinga ndi dera lomwe lakhudza ubongo, sikuti zikwapulo zonse zili zofanana.
NIHSS ndi chida chomwe chimapweteka kwambiri poyerekeza ndi nthawi kuti aone ngati stroke ndi yofatsa kapena yovuta, komanso ngati zotsatira zake zikukula kapena kuwonjezeka.
Kodi NIHSS imayeza chiyani?
NIH Stroke Scale imachita mbali zosiyanasiyana za ubongo, kuphatikizapo kuzindikira, masomphenya, kumva, kuyenda, kulankhula, ndi chinenero. Zina mwa mfundo zimaperekedwa pa ntchito iliyonse yokhudzana ndi kugwiritsidwa ntchito kwa ubongo.
Mapiritsi 42 ali ndi vuto lopweteka kwambiri komanso lovulaza kwambiri.
Mlingo wa kupweteka kwa stroke monga momwe unayesedwera ndi NIH stroke scale scoring system:
- 0 = palibe sitiroko
- 1-4 = kupweteka pang'ono
- 5-15 = kupweteka kosavuta
- 15-20 = sitiroko yolimbitsa thupi / yoopsa
- 21-42 = kupweteka kwakukulu
NIH Stroke Scale Ntchito
Kusankha Kupanga Chithandizo cha Kugonana
NIH Stroke Scale imagwira ntchito zingapo, koma ntchito yake yayikulu mu mankhwala azachipatala ndiyomwe akuyesa ngati kukula kwa ubongo chifukwa cha kupweteka kwapadera ndiko koyenera kuchipatala ndi tPA . Mankhwalawa ndi magazi amphamvu kwambiri omwe angapangitse zotsatira zowonongeka, koma angagwiritsidwe ntchito pokhapokha. Gulu la zachipatala limagwiritsa ntchito NIHSS, pamodzi ndi chisankho choganizira zachipatala, kuti mudziwe ngati mulibe mwayi wothandizidwa mwamsanga ndi tPA.
Chida Chofufuzira
Ntchito ina yofunika kwambiri ya NIHSS ndiyo kufufuza, komwe kumapangitsa kuti kulingalira kwachangu kugwiritsidwe ntchito pazitsulo zosiyana siyana komanso njira zowonongolera. Izi zingathandize ochita kafukufuku kudziwa, ndi njira zoyenera kufanana, ngati mankhwala akuthandiza pochiza matenda.
Kulankhulana kovomerezeka pakati pa Odwala Care Careers
Kawirikawiri, akatswiri a zachipatala ndi ena othandizira zaumoyo omwe amakusamalirani panthawi yomwe mumagwiritsidwa ntchito pafupipafupi amagwiritsira ntchito mauthenga okhudzana ndi matenda anu.
NIHSS stroke scale ndi nambala yomwe ingapangitse kukula kwa matenda ako, koma si mfundo yaikulu yomwe madokotala anu amawunika pamene akuyesa matenda anu ndi kupanga chisankho.
Komabe, kufanana kwa msinkhu kungathandize othandizira anu zaumoyo kupeza chithunzi cha momwe chifuwa chanu chakhala bwino kapena choipira patapita nthawi.
Mawu Ochokera
Gulu lanu la thanzi labwino lingagwiritse ntchito njira zodziŵika kuti muwone ndi kulemba chikhalidwe chanu chachipatala kuti aliyense mu gulu adziwe momwe matenda anu akukulirakulira kapena kuwonjezereka pakapita nthawi. NIH stroke scale ndi imodzi mwa zipangizo zomwe gulu lanu lachilendo limagwiritsa ntchito kuti liyankhulane mofanana, makamaka chifukwa pali anthu osiyanasiyana pa gulu lanu losamalira matenda a stroke omwe akukhudzidwa ndi kukusamalirani pamene mukuchira.
NIH stroke scale sizomwe zimagwiritsidwa ntchito kufufuza ndi kulembera matenda anu ngati mwadwala, koma mukhoza kutsatira nambala zomwe odwala anu amagwiritsa ntchito polemba zovuta zanu za NIH kuti mupeze lingaliro lalikulu za kukula kwanu kwa nthawi.
Kupatula ku NIHSS, palinso mndandanda wa masewero omwe angagwiritsidwe ntchito pofuna kubwezeretsa kuchipatala.
> Mafotokozedwe:
> Malamulo a Daily National Institutes of Health Stroke Scale pa malo osokoneza bongo: bwanji osatero? Siegler JE, Martin-Schild S, Int J Kulimbana. 2015 Feb; 10 (2): 140-2.