Visor ya Prehospital Stroke Kuzindikira

India wamankhwala abwino kwambiri amitsempha

Sitiroko imatanthawuza momwe kuwonongeka kwadzidzidzi kwa ubongo kumagwira ntchito chifukwa cha kufa kwa cell chifukwa chakutuluka kapena kusokonekera kwa magazi mkati mwa ubongo. Zizindikiro za sitiroko zimaphatikizapo kufooka mwadzidzidzi, kulephera kuyenda kapena kumva mbali imodzi ya thupi mwachitsanzo, kufooka, mavuto akumvetsetsa kapena kuyankhula, chizungulire, kusawona bwino, kupweteka mutu, komanso kutaya chidziwitso. Sitiroko amadziwika kuti: -

  • Mwina ischemic, chifukwa chosowa magazi
  • Kutaya magazi, komwe kumachitika chifukwa chamagazi osalamulira muubongo omwe amayambitsa pafupifupi 40% ya anthu omwe amafa ndi sitiroko.

Matenda a stroke angapangidwe pogwiritsa ntchito mbiri ya wodwala komanso kuyezetsa thupi, kuyezetsa magazi monga magazi a glucose, machulukitsidwe a okosijeni, nthawi ya prothrombin, ndi ma electrocardiography, ndi njira zingapo zamaganizidwe monga Computed Tomography (CT) kapena Magnetic Resonance Imaging (MRI). 

Koma lero, zida zatsopano komanso zopitilira muyeso zowononga sitiroko monga visorhage scanning visor, zapangidwa kuti zithandizire kupezedwa ndi sitiroko, zomwe ndizofunikira chifukwa kuzindikira koyambirira ndi chithandizo cha sitiroko ndikofunikira pakukwaniritsa zotsatira zamankhwala ndikuwonetsetsa kuti odwala amapatsidwa chithandizo chofunikira chamankhwala. Pali chosowa chowoneka bwino, chosawoneka bwino chofunikira, chokwanira chisanachitike kuchipatala pama ambulansi ndi zipinda zadzidzidzi, kusiyanitsa mitundu ya sitiroko.

Visor iyi ya Cerebrotech, yopangidwa ndi Cerebrotech Medical Systems ya Pleasanton, California, yomwe madokotala kapena othandizira azachipatala atha kuyika kwa odwala omwe akuwakayikira kuti ali ndi sitiroko awonetsa kulondola kwa 92% poyerekeza ndi zotsatira zakuwunika zochokera pakuwunika kwakanthawi komwe kunali 40-89% yokha yolondola . Imafufuza zovuta za matendawa ndikupeputsa lingaliro lawo loti atengere odwala kaye. Odwala omwe ali ndi zotengera zazikulu amatha kutumizidwa ku Comprehensive Stroke Center yokhala ndi kuthekera kwa endovascular. Kusamutsa pakati pa zipatala kumatenga nthawi yambiri. Ngati tingathe kupereka zidziwitso kwa ogwira ntchito zadzidzidzi kutchire kuti ichi ndi chotengera chachikulu, izi zithandizira kuwunikira kuchipatala chomwe akuyenera kupita.

 

Cerebrotech Visor yomwe ikuyembekezeka kukhala luso lapamwamba kwambiri la 2019, imagwira ntchito potumiza mawayilesi amagetsi ochepa kudzera muubongo ndikuzindikira mtundu wawo atadutsa lobes wakumanzere ndi kumanja, motero amapeza matenda mkati mwa masekondi. Pafupipafupi mafunde amasintha akamadutsa mumadzimadzi muubongo. Sitiroko yayikulu imatha kusintha kusintha kwamadzimadzi awa omwe amawonetsa kupwetekedwa kapena kutuluka magazi muubongo, zomwe zimapangitsa kuti asymmetry mu mafunde omwe a visor awone. Kukula kwa asymmetry, kumakhala kovuta kwambiri. Njirayi imatchedwa volumetric impedance phase shift spectroscopy (VIPS).

Njira iliyonse imatenga pafupifupi masekondi 30 pa wodwala pomwe kuwerengedwa katatu kumayesedwa. Chipangizo cha VIPS chimafunikira maphunziro ochepa kuti agwiritse ntchito poyerekeza ndi zomwe zimafunika kuphunzira maluso oyeserera mwadzidzidzi ndipo kuphweka kwake kumachepetsa chiopsezo cha zolakwika pakuwunika. 

M'magawo awo otsatira, ofufuzawa akuchita kafukufuku wa VITAL 2.0 kuti adziwe ngati chida cha VIPS chitha kugwiritsa ntchito makina ophunzirira makina "kuphunzitsa" chipangizocho kuti chidziwitse pakati pa stroko yaying'ono ndi yayikulu, popanda kuthandizira kwa katswiri wazamankhwala.

Chipangizo cha VIPS chimagwiritsidwa ntchito pozindikira kupwetekedwa koopsa kugwiritsa ntchito electrocardiography (ECG) kuti izindikire motsimikizika infarction ya myocardial infarction. Ikhoza kugwiritsidwa ntchito kwambiri ndi ogwira ntchito zadzidzidzi monga defibrillator imagwiritsidwa ntchito kuwunika ngati wodwala ali ndi vuto la mtima.