Iziguli ezinesihlungu zingase zithole Ukwelashwa Kwezifo Eziphuthumayo Ngokushesha
Amayunithi okushaya iselula aqala ukuqala eJalimane futhi athola ukuthi uphumelele ekwelapheni iziguli eziphazamiseka ngaphakathi kwehora lokuqala lokuqala kokuphazamiseka kwesifo. I-unit yokuqala yokushaya isisindo e-United States yasungulwa eHouston, eTexas eNyuvesi yaseTexas Health Science Center ngoMeyi 2014 kanti esinye isistimu yesisindo sogesi sasungulwa edolobheni laseCleveland ngaseCleveland Clinic ngo-2015.
Kuze kube manje, imiphumela iqinisekisiwe.
Iyini iyunithi yesisindo eselula?
I-unit stroke unit i-ambulensi ehlome isithwebuli se-CT esitholakalayo ukuze uthole i-brain spot imaging iziguli ezingase zibe nesifo, kunokulinda ukuthola i-Brain CT scan lapho iziguli zifika esibhedlela. I-mobile stroke unit nayo inezinsiza ze-laboratory, ikhono le-telemedicine kanye nokudluliselwa kwe-wireless okusheshayo ngesivinini ukuze odokotela bangashesha ukucacisa ukuthi isiguli singumuntu ozokhethwa ukwelashwa okuphuthumayo. Amayunithi we-stroke ehambayo angase alungiselele nokuphatha i-Tissue Plasminogen Activator (tPA) ebhodini.
Ziyini izinzuzo zeyunithi yokushaya iselula?
Ukwelashwa kwesisu okuphumelelayo kunazo zonke, i- tPA, iyinhlangano enegazi elinamandla okumelwe linikezwe iziguli ngokushesha nje lapho izimpawu zokuqala zesifo ziqala. Eminyakeni yamuva, iminyango yezimo eziphuthumayo ezibhedlela ezweni lonke isetshenziswe izindlela zokubona nokuhlola iziguli eziphazamisayo ukuze zithole ukwelashwa okuphephile futhi okuphumelelayo nemiphumela engcono kakhulu yeziguli kunanesikhathi esidlule.
Kodwa-ke, iwindi lesikhathi sokwelashwa nge-tPA lincane kakhulu, ngoba uma isiguli sithola i-TPA ngemva kwesikhathi esifushane, sekuzolimaza ngaphezu kokuhle ngenxa yokucindezeleka kwegazi.
Lokhu kusho ukuthi iziguli eziningi azitholi ukwelapha okufanelekile ngoba ngokuvamile kuthatha isikhathi eside kakhulu ukuba iziguli zihlaselwe ukuya esibhedlela.
Futhi, kukhona ubufakazi bokuthi ngisho ngaphakathi kwefasitela elifushane lesikhathi esivumelekile se-TPA, iziguli ezisheshayo ngokushesha ziwutholile, imiphumela ephansi kakhulu yesigameko. Ngakho-ke ngamayunithi okulwa neselula, isikhathi esigugu silondolozwa ngokuthola ukwelashwa okungcono kakhulu ukushaya iziguli endleleni eya esibhedlela noma ngokushesha nje lapho befika esibhedlela. Lokhu kwandisa ukwelashwa kwesiguli futhi kuthuthukise umphumela wabasindile besifo.
IYunivesithi yaseTexas Health Science Center yenza isifundo ngemiphumela yesigungu sabo sokushaywa kweselula, Izinzuzo Zokwelashwa Kwe-Stroke Ukukhululwa Ukusebenzisa isifundo se-Stroke Unit (BEST-MSU). Imiphumela yabonisa ukuthi iziguli zikwazi ukuthola ukwelashwa okufanele zingakapheli amaminithi angu-60 ezibonakaliso zabo zokuqala zesifo futhi kwakungekho imibiko yokucindezeleka ukuphuma kwe-stroke.
Kusho ukuthini kuwe uma idolobha lakho linesivinini sokushaya kweselula?
I-Cleveland Clinic, ngokubambisana nezinhlelo zezokwelapha eziphuthumayo zaseCleveland (EMS) zisanda kusungula uhlelo lwe-stroke unit yesiguli kubantu abahlala edolobheni laseCleveland. Ngokwalungiselelo, iziguli ezidinga ukunakekelwa kwe-stroke unit zinikezwa ukwelashwa okufanayo kungakhathaliseki ukuthi bakwazi ukukhokha. Iziguli zinezinzwa ze-neurological kanye ne-Brain CT scan endleleni eya esibhedlela esiseduze esifanele ukuphatha iziguli eziphuthumayo, ngenkathi uhlelo lwezokwelapha luqala ngaphambi kokufika kwesiguli.
Lokhu kusho ukuthi uma uhlala edolobheni elinesivinini sokushaya iselula, kungenzeka ukuthi ube nokuhlolwa kokushaywa ngokushesha futhi isikhathi sokwelapha okusheshayo. Umqondo wonke we-unit stroke unit iyinto entsha kakhulu, futhi izindlela ezingokoqobo zokuhlola izinzuzo zangempela zegulane lokuphila kanye nokwenza kube lula kakhulu kuzoba enye yezinkomba ezintsha zokunakekelwa kokushaywa yizinhlungu eminyakeni ezayo.
> Imithombo:
> Izinzuzo zesifo se-Stroke Treatment Usebenzisa i-Mobile Stroke Unit Ukuqhathaniswa Nokuphathwa Okujwayelekile: I-BEST-MSU Study Run-In Phase, iBurry R., Parker S., Rajan SS, Yamal JM, Wu TC., Richardson L., Noser E, Persse D., Jackson K, Grotta JC, Stroke, Disemba 2015
> Ukulawulwa kwesisindo kanye nomthelela wezinyathelo zokuphathwa kwezifo zeselula, iRasmussen PA, iCleveland Clinic Journal of Medicine, Disemba 2015
> Ukusungula i-First Mobile Stroke Unit e-United States, e-Parker SA, e-Bowry R., e-Wu TC, e-Noser EA, e-Jackson K., e-Richardson L., e-Persse D, e-Grotta JC. Ukushaywa yisisu, Meyi 2015