I-NIH Stroke Scale and Assessment Stroke
I-NIH Stroke Scale (NIHSS) ithuluzi elilinganiselwe lokufaka amatshwayo asetshenziswa odokotela kanye nabanye ochwepheshe bezempilo ukuze balinganise futhi barekhode izinga lokukhubazeka okubangelwa isifo. Uma uke wezwa ithimba lakho lokushaywa ucansi likhuluma nge-NIHSS yakho noma i-NIHSS yomthandekayo wakho, ungase ube nemibuzo ethile mayelana nencazelo yesikolo sakho.
Kuyini i-Stroke?
Ukushaywa yisifo yisifo esithinta imishanguzo eholela ngaphakathi nangaphakathi kobuchopho.
Yimbangela yezokufa kanye nesizathu esiyinhloko sokukhubazeka e-United States. I-stroke kwenzeka uma isitsha segazi esithwala i-oksijeni nezakhi kumbono kungavinjelwa i-blood clot noma i-bursts (noma ihlukana). Uma lokho kwenzeka, isifunda esithintekile sobuchopho asikwazi ukuthola igazi (ne-oksijeni) liyadinga, ngakho-ke izicubu zobuchopho zikhubazekile, okuholela ekukhulekeleni ngokomzimba noma okungaqondakali, okuyinto isifo.
Imiphumela ye-Stroke
Ubuchopho yingxenye eyinkimbinkimbi kakhulu elawula imisebenzi ehlukahlukene yomzimba. Uma ukushaywa komzimba kwenzeka futhi ukugeleza kwegazi akukwazi ukufinyelela esifundeni esilawula umsebenzi othile womzimba, leyo ngxenye yomzimba kungenzeka ingasebenzi ngendlela efanele. Imiphumela yesifo singabandakanya ubuthakathaka emzimbeni, ukulahlekelwa ukulinganisela, ukuncipha kwenhlanhla, ukukhuluma ngezinkinga kanye nezinkinga eziningi.
Ngenxa yokuthi kunezindlela eziningi ezihlukene zesifo , ngokuya ngesifunda esithintekile sobuchopho, akuwona wonke ama-stroke anesisindo esifanayo.
I-NIHSS iyithuluzi lapho ukuqina kabuhlungu kungaqhathaniswa khona ngokuhamba kwesikhathi ukuthola ukuthi ukushaywa komzimba kunobumnene noma bunzima, nokuthi ngabe imiphumela iyathuthuka noma iyaqhubeka yini.
Yini i-NIHSS yokulinganisa?
I-NIH Stroke Scale yenza izinyathelo eziningana zomsebenzi wobuchopho, kuhlanganise nokuqwashisa, umbono, ukuzwa, ukunyakaza, inkulumo kanye nolwimi. Inombolo ethile yamaphoyinti anikezwa ngayinye yalezi zenzo zomzimba nezengqondo ngesikhathi sokuhlolwa kwegazi.
Isibalo esiphezulu se-42 simelela isifo esibucayi kunazo zonke.
Izinga lokuqina kwesifo njengoba kulinganiswa uhlelo lwe-NIH lokushaya isiteleka se-stroke scale:
- 0 = akukho isifo
- 1-4 = isifo esincane
- 5-15 = ukushaya okulinganayo
- 15-20 = isisindo esisheshayo / esinzima
- 21-42 = ukushaywa kanzima
I-NIH Stroke Scale Sebenzisa
Ukwenza Izinqumo Ngokwelashwa Kwe-Stroke
I-NIH Stroke Scale isebenzela izinhloso eziningana, kepha ukusetshenziswa kwayo okuyinhloko emithi yokwelapha kuphakathi kokuhlola ukuthi ngabe izinga lokukhubazeka elibangelwa isifo esinikeziwe kufanele yini ukwelashwa nge- TPA . Le mithi yindoda enamandla enamandla engakwazi ukuthuthukisa umphumela wesifo, kepha ingasetshenziswa kuphela ezimweni ezilinganiselwe. Ithimba lezokwelapha lisebenzisa i-NIHSS, kanye nokwenza izinqumo zokwelapha ngokucophelela, ukunquma ukuthi ngabe awunayo yini ukhetho lokuphulukiswa okuphuthumayo nge-TPA.
Ithuluzi lokucwaninga
Okunye ukusetshenziswa okubalulekile kwe-NIHSS kucwaningweni, lapho kuvumela ukuqhathaniswa kwenhloso yokuphumelela kuzo zonke izinhlobo zokwelashwa kwesisu nokulungiswa kokuvuselela. Lokhu kungasiza abacwaningi ukuba banqume, ngokulinganisa, uma ngabe ukwelashwa kuphumelela ekwelapheni kwesifo sohlangothi.
Ukuxhumana okuhambisanayo phakathi kwabahlinzeki bezempilo
Ngokuvamile, izazi ze-neurologists kanye nabanye abahlinzeki bezempilo abazinakekelayo ngesikhathi nangemva kokushaya kwakho basebenzisa amarekhodi asemtholampilo ukuze baxoxe ngesimo sakho.
I-NIHSS isisindo sokushaya isisindo esingabangela ukuqina kwesifo sakho, kodwa akuyona iphuzu eliyinhloko odokotela bakho ababheke ngalo lapho behlola isimo sakho futhi benza izinqumo zokwelashwa.
Kodwa-ke, ukulingana kwezinga kungasiza abahlinzeki bakho bokunakekelwa kwempilo ukuthi bathole isithombe sokuthi isifo sakho siphumelele kangakanani noma sibi kakhulu ngokuhamba kwesikhathi.
Izwi elivela
Ithimba lakho lezokunakekela impilo lingasebenzisa izindlela ezikhethekile zokuhlola nokurekhoda isimo sakho sezokwelapha ukuze wonke umuntu eqenjini aqonde ukuthi ukugula kwakho kuthuthuka noma kwande kangakanani ngokuhamba kwesikhathi. I-NIH isisindo sokushaya isisodwa samathuluzi okuthi ithimba lakho lokunakekelwa ngesifo socansi lisetshenziselwa ukuxhumana ngendlela engaguquguquki, ikakhulukazi ngoba kunabantu abaningi abahlukene eqenjini lakho lokunakekelwa kwezinhlangothi ezibandakanyekayo ekunakekeleni njengoba usuphulukile ekuguleni kwakho.
Isikali se-NIH siyisisindo kuphela esetshenziselwa ukuhlola nokurekhoda isimo sakho uma unesihlungu, kodwa ungalandela izinombolo abahlinzeki bakho bokunakekelwa kwempilo uma bebhapathiza ukuqina kwesifo sakho se-NIH ukuze uthole umqondo jikelele mayelana nentuthuko yakho yonke ngokuhamba kwesikhathi.
Ngaphandle kwe-NIHSS, kukhona futhi uhlu lokuhlola oluthi lungase lusetshenziselwe ukunqanda ukutakula kwakho ngemva kokushaywa.
> Izinkomba:
> Imihla ngemihla yokuhlolwa kwe-Stroke Stroke Stroke izikhungo zezifo: kungani ungenzi? Siegler JE, Martin-Schild S, Int J Stroke. 2015 Feb; 10 (2): 140-2.