Iziguli zasesibhedlela ezinezimpawu zohlangothi zidinga ukuhlolwa ngokushesha kochwepheshe kanye nokwelashwa ukuze kumiswe ukulimala kwengqondo, okungasho umehluko phakathi kokuphila nokufa.Kodwa-ke, izibhedlela eziningi azinalo ithimba lokunakekelwa kwe-stroke ubusuku nemini.Ukuze kulungiswe lokhu kushiyeka, izibhedlela eziningi zaseMelika zinikeza izingxoxo ze-telemedicine kochwepheshe be-stroke okungenzeka basendaweni eqhele ngamakhilomitha amaningi.
Abacwaningi nozakwabo eBlavatnik School of Harvard Medical School.
Lolu cwaningo lwanyatheliswa ku-intanethi ngo-March 1 ku-"JAMA Neurology" futhi lumelela ukuhlaziywa kokuqala kukazwelonke kwe-prognosis yeziguli ze-stroke.Imiphumela yabonisa ukuthi uma kuqhathaniswa neziguli ezaya ezibhedlela ezifanayo ezazingenazo izinsizakalo zokushaywa unhlangothi, abantu ababevakashela izibhedlela ezazinikeza i-telemedicine ukuze bahlole isifo sohlangothi bathola ukunakekelwa okungcono futhi maningi amathuba okuba basinde ekushayweni.
Isevisi ye-stroke ekude ehlolwe kulolu cwaningo yenza izibhedlela ezingenazo ubuchwepheshe bendawo zixhumane neziguli ezine-neurologists ezigxile ekwelapheni isifo sohlangothi.Besebenzisa ividiyo, ochwepheshe abakude bangahlola abantu abanezimpawu zokushaywa unhlangothi, bahlole ukuhlolwa kwe-radiological, futhi beluleke ngezinketho zokwelashwa ezingcono kakhulu.
Ukusetshenziswa kokuhlolwa kwe-stroke okukude kuya ngokuya kuvame kakhulu.I-Telestroke manje isisetshenziswa cishe engxenyeni eyodwa kwezintathu yezibhedlela zase-US, kodwa ukuhlolwa komthelela wayo ezibhedlela eziningi kusenomkhawulo.
Umlobi ophezulu wocwaningo, uprofesa ohlangene wenqubomgomo yokunakekelwa kwezempilo kanye nemithi e-HMS, kanye nomhlali e-Beth Israel Deaconess Medical Center uthe: "Ukuthola kwethu kunikeza ubufakazi obubalulekile bokuthi isifo sohlangothi singathuthukisa ukunakekelwa futhi sisindise izimpilo."
Kulolu cwaningo, abacwaningi baqhathanisa imiphumela kanye namazinga okusinda kwezinsuku ze-30 zeziguli ze-stroke ze-150,000 eziphathwa ezibhedlela ezingaphezu kwe-1,200 e-United States.Ingxenye yabo yanikeza iseluleko sohlangothi, kanti enye ayizange.
Omunye wemiphumela yocwaningo ukuthi isiguli sikutholile yini ukwelashwa kokufakelwa kabusha, okungabuyisela ukugeleza kwegazi endaweni yobuchopho ehlaselwe yi-stroke ngaphambi kokuba kwenzeke umonakalo ongalungiseki.
Uma kuqhathaniswa neziguli ezelashwa ezibhedlela okungezona ezase-Bihua, izinga elihlobene lokwelapha ngokuphindaphindiwe kweziguli ezelashwa ezibhedlela zase-Bihua laliphezulu ngo-13%, kanti izinga lokufa kwezinsuku ezingu-30 laliphansi ngo-4%.Abacwaningi bathole ukuthi izibhedlela ezinesibalo esincane kakhulu seziguli kanye nezibhedlela ezisezindaweni zasemakhaya zinemihlomulo emihle kakhulu.
Umbhali oholayo, u-Andrew Wilcock, umsizi kaprofesa e-University of Vermont's Lana School of Medicine, wathi: “Ezibhedlela ezincane zasemaphandleni, ukusetshenziswa kwe-stroke kubonakala kuyizici zenzuzo ezinkulu ezingavamile ukuba nesifo sohlangothi.“Umcwaningi Wenqubomgomo Yezempilo ye-HMS."Lokhu okutholakele kugcizelela isidingo sokubhekana nezithiyo zezimali lezi zibhedlela ezincane ezibhekana nazo lapho kwethulwa isifo sohlangothi."
Ababhali ababambisene nabo bahlanganisa uJessica Richard wakwa-HMS;u-Lee Schwamm no-Kori Zachrison abavela e-HMS nase-Massachusetts General Hospital;U-Jose Zubizarreta ovela ku-HMS, e-Chenhe School of Public Health yase-Harvard University kanye nase-Harvard University;kanye ne-Lori-Uscher-Pines evela ku-RAND Corp.
Lolu cwaningo lusekelwe yiNational Institute of Neurological Diseases and Stroke (Grant No. R01NS111952).I-DOI: 10.1001 / jamaneurol.2021.0023
Isikhathi sokuthumela: Mar-03-2021