Ngubani ozokunakekela uma une-stroke?
Ukushaywa yisifo yisifo esibi kakhulu sezempilo esivame ukuphumela ekuguqulweni kwesikhathi eside isikhathi eside somuntu osinda ngesifo sohlangothi.
Abantu ababhekana nesifo sokudakwa badinga ukunakekelwa kwezempilo okuphuthumayo. Ukunakekelwa kwezempilo ngokushesha ngemuva kokushaywa yisifo sohlangothi futhi kuyo yonke inqubo yokutakula kuvela ezihlukahlukene ezigulini zokunakekelwa kwezempilo abagulayo. Kunezinhlobo eziningi zokwelashwa namathuluzi asetshenziselwa ukusiza ukunakekelwa kwesifo.
Kodwa ngabantu abasebenza kanzima ababandakanyeka ekunakekeleni kwesiguli kwesiguli esinomthelela omkhulu kunayo yonke induduzo kanye nomphumela wakho.
Uma uke wabhekana nesifo sokushaya isifo, wena nomndeni wakho nizokwazi amalungu ahlukene weqembu kuzo zonke izinyanga zokuqala ngemva kokushaywa komzimba futhi mhlawumbe iminyaka ezayo.
Udokotela womndeni - Udokotela womndeni udokotela okufanele ubone ukuhlola njalo, ukugcinwa kwezempilo kanye nezinkinga zempilo. Ukulinganisela kubonisa ukuthi izigulane ezingafika ku-30% azikwazanga isiguli. Lezi ziphazamiso ezingabonakali zibizwa ngokuthi ama- stroke angasese . Ezinye iziguli ezingaboni isifo sokushaya isifo zingase zifike kudokotela ngesikhalazo esibonakala sengathi silula, njengokungathi ukhononda noma isizungu . Odokotela bomndeni bathola izinguquko ezibangelwa ukushaywa yisifo ngesikhathi sokuhlola okwenziwe njalo bese beqala izinhlelo zokwelashwa kanye nezinyathelo zokuvimbela ukugwema imivimbo eminye.
I-911 i-dispatcher / opharetha - Ezinye iziguli zinezimpawu eziphuthumayo, futhi zidinga usizo oluphuthumayo.
Abaphamtjhini abangu-911 baqeqeshwe ukuthumela usizo oluphuthumayo ngesifo esicatshangelwayo.
I-Paramedics - Uma usizo oluphuthumayo lubizwa, izimo eziphuthumayo zibizwa ukuze zihlolwe futhi zihambise isiguli. Ama-paramedics aqeqeshwe ukuhlola izimo zezempilo eziphuthumayo nokuqinisekisa ukuthi iziguli neziguli zithuthukisa iziguli ezikhungweni zibe nezinsiza ezinjengesibhedlela, isikhungo sokunakekelwa okuphuthumayo, noma igumbi lokuphuthumayo.
Ama-paramedics nawo abika isimo somtholampilo kubasebenzi abazoqhubeka nokunakekelwa kwezokwelapha.
Izidakamizwa zezintambo eziphuthumayo - Iziguli ezithile ezihlaselwa ziya ekamelweni eliphuthumayo yedwa noma ngomndeni. Iziguli zizosayina futhi zichaze izikhalazo zezokwelapha ochwepheshe kwideskitho yokuqasha. Abasebenzi bezintambo baqeqeshwe ukubuza imibuzo ebalulekile ukuze banqume ukuthi isimo siphuthumayo kanjani futhi sibeke phambili iziguli ezidinga ukunakekelwa ngokushesha.
Abahlengikazi - Abahlengikazi esibhedlela, ukunakekelwa okuphuthumayo noma igumbi lokuphuthumayo bahlola iziguli futhi baqaphelisise izinguquko. Abahlengikazi babela imithi, balandele ngokucophelela, babheke imiphumela yokuhlolwa, baqondise isikhathi sokuhlolwa okuningi, ukunakekelwa kweziguli, izidingo ezibalulekile nokugcina ukugeleza kwamalungu amaningi eqembu. Abahlengikazi nabo bangabokukhulumisana okuyinhloko lapho isiguli sidluliselwa endaweni eyodwa yokunakekelwa kwenye indawo-isibonelo ukusuka ekamelweni eliphuthumayo kuya ekamelweni lokunakekelwa okujulile, noma kusukela esigodini sesibhedlela esibhedlela kuze kube sezingeni lokuvuselela .
Usizo lwabahlengikazi - Usizo lwabahlengikazi luhlinzekela ngokucophelela ukunakekelwa kwesiguli, ngokuvamile ngokuqondisa nokuqondiswa komhlengikazi noma umxhumanisi wokuhlengikaza.
Abafundi bezokwelapha - Abafundi bezokwelapha ngokujikeleza banikezwa ukulandela iziguli futhi babike inqubekela phambili ukuze baqondise odokotela.
Abafundi bezokwelapha bavame ukuthatha umlando onokucophelela futhi benze ukuhlolwa okuningiliziwe ngokomzimba, okuzohlolwa ngazo ngokuqondile nokunemba. Abafundi bezokwelapha abenzi izinqumo noma banikele ukunakekelwa okuqondile kwesiguli. Umfundi wezokwelapha cishe uzokhumbula yonke imininingwane yendaba yakho eminyakeni engama-50 ezayo, ikakhulukazi uma engakaboni iziguli eziningi ezine-stroke.
Umhlali - Udokotela ohlalayo udokotela oqeqeshiwe oqedile isikole sezokwelapha. Izakhamizi zinomthwalo wemfanelo nangokwengeziwe kunezifundiswa zezokwelapha, kodwa ziqondiswa ngokuya odokotela, abaqedile ukuqeqeshwa nokulayisense.
Udokotela ophuthumayo - Udokotela ophuthumayo udokotela osebenza egumbini lokuphuthumayo. Ubuchwepheshe bodokotela bukhona ekuqiniseni iziguli, ukuphatha izindaba eziphuthumayo nokuhlela ukunakekelwa okhethekile ngesikhathi sokuhlala esibhedlela. Udokotela ophuthumayo uzoqaphela ukuthi unesihlungu futhi uzoqala ukunakekelwa okukhulu.
Uchwepheshe wezokwelapha - Uma udinga ukucwaninga ngomqondo webuchopho, njenge-Brain CT scan noma i-Brain MRI, uzohlangana nochwepheshe we-radiology. Uchwepheshe uyakuthola kahle, uchaza ukuthi yini okufanele uyilindele ngesikhathi sokucwaninga, unquma izilungiselelo zemishini, ugijima imishini, futhi angathatha izithombe ezengeziwe, noma izithombe ezivela ezingxenyeni ezahlukene ukuthuthukisa ukucaca kocwaningo.
I-Phlebotomist - I-phlebotomist ikhethekile ekudwebeni igazi. I-phlebotomist izokukwenza ukhululeke futhi uthole igazi usebenzisa inaliti efakwe emthanjeni omncane, futhi uyothatha esibhedlela ukuze uhlolwe. Ngokujwayelekile, le nqubo ishesha kakhulu.
Isazi sezinzwa - I-neurologist udokotela okhethekile ekunakekeleni isimiso sezinzwa. I-neurologist ingase iceliwe ukuthi ikuhlolisise ekamelweni eliphuthumayo, esibhedlela, noma ekuvakashelweni kwamahhovisi okulandela. I-neurologist izokwazi ukuchaza ukuthi yikuphi ukushaywa okwenzekile, yini eyabangela, ukuthi yini okufanele ulindele, indlela engcono kakhulu yokwelashwa, nokuthi yini ongayenza ukuze ukwandise ukutakula kwakho.
I-Neurosurgeon - I-neurosurgeon ingudokotela osebenza ebuchosheni. Uma une- stroke enesifo esibi , enendawo enkulu yokuphuma, igazi lingase lidingeke lisuswe. Uma ukushaywa komzimba kubangelwa isitsha esingavamile segazi, okuthiwa i-aneurysm, i-neurosurgeon noma i-neuroradiologist engenele, ingayilungisa. Ukwengeza, uma ukushaywa komzimba kudala ukuvuvukala nokucindezela okukhulu kwezakhiwo uma ubuchopho, i-neurosurgeon ingasusa ingxenye ye-skull okwesikhashana kuyilapho ukuvuvukala kuxazululwa.
Udokotela ohlinzayo we-Vascular - Ezinye iziguli zinciphisa kakhulu umthambo we-carotid , ohlinzeka ubuchopho ngegazi. Ukuncipha okuncane kwemithambo ye-carotid kungaba yingozi engozini yokushaya isifo kwabanye abantu futhi kungadingeka ukuthi kulungiswe.
I-Radiologist -I-radiologist ngudokotela owaziwa ngokukhethekile ekufundeni nasekuhumusheni ama-x-ray kanye nezinye izifundo ze-imaging. I-radiologist izohlola ngokucophelela izifundo zakho ze-imaging futhi inikeze umbiko ngeziphumo. Ucwaningo lwakho lokucabangela luzohlolwa futhi ngenye indlela odokotela abakukhathalelayo.
Uchwepheshe wezokwelapha - Ngesikhathi sokuphulukisa, udokotela wezifo uzothola amakhono akho futhi asebenze emisipha yokuqeqeshwa kabusha yokuhamba kwamanye amazwe.
Udokotela osebenza emsebenzini - Uchwepheshe wezokwelapha ufana nomuthi wezokwelapha, kanti ezinye zezivivinyo zingase zifane. Ngokuvamile, ukwelashwa kwemisebenzi kugxile ekuphepheni nasekusebenzeni imisebenzi, kanti ukwelashwa ngokomzimba kugxila kakhulu ekuqiniseni imisipha nokuthuthukisa ukusebenzisana.
Ukukhuluma nokugwinya ochwepheshe - Inkulumo nokugwinya kwengcweti izohlola inkulumo yakho nokugwinya. Lemisebenzi idinga imisipha eminingi ukusebenza ndawonye. Uhlelo lwezokwelapha lokuthuthukisa inkulumo nokugwinya okuphephile kuzokwenziwa ngemuva kokuhlolwa.
I-dietician - I-dietician izosebenza ekwenzeni uhlelo lokufaka i-calorie efanele yokudla kanye nesilinganiso esifanele sezakhi, okubandakanya amaprotheni, amafutha we-carbohydrates, amavithamini, amaminerali, nosawoti. Kungadingeka wenze izinguquko ezithile zokudla uma i-cholesterol yakho, ushukela wegazi noma izilinganiso zegazi zitholakala ukuthi ziphakeme kakhulu.
I-Scientist - Usosayensi ucwaninga ukuthi kuzokwenza ngcono ukunakekelwa kwe-stroke. Kungathatha iminyaka ukucwaninga ukuze kuvunyelwe. Ukunakekelwa kwakho manje kungumphumela wocwaningo olubucayi olwenziwe ososayensi abaningi abazinikezele.
Kunezinhlobo ezihlukahlukene zabantu abanakekela isiguli sesifo. Ngamunye wabo unendima yakhe siqu, nokho asebenza ndawonye. Wonke amalungu eqembu lakho kufanele avulekele ukuphendula imibuzo mayelana nokunakekelwa kwakho, nokuthi yini okufanele ulindele kulandelayo.
Imithombo:
Ukuhlaziywa kobuchopho obuphansi - ukubuyekezwa kokubukwa kwamuva, uKovács KR, uCzuriga D, uBereczki D, Bornm NM, uCsiba L, International Journal of Stroke, Julayi 2013