Visor ye Prehospital Stroke Kuziva

akanakisa neurologist india

Sitiroko inoreva mamiriro ezvinhu apo kurasikirwa kamwe kamwe kwehuropi kunoshanda nekuda kwesero kufa nekuda kwekushomeka kana kukanganisa kweropa kuyerera mukati mehuropi. Zviratidzo zvekurohwa zvinosanganisira kushaya simba nekukasira, kusakwanisa kufamba kana kunzwa kune rimwe divi remuviri kureva, kuora mitezo, matambudziko ekunzwisisa kana kutaura, dzungu, kurasikirwa kwemaonero, kutemwa nemusoro zvakanyanya, uye kurasikirwa kwekuziva. Sitiroko dzinoiswa se: -

  • Chero ischemic, nekuda kwekushayikwa kweropa kuyerera
  • Hemorrhagic, iyo inokonzereswa nekubuda ropa kusingadzoreke muuropi zvichikonzera zvikamu makumi mana kubva muzana zvekufa kwesitiroko.

Kliniki yekuongororwa kwesitiroko inogona kuitwa uchishandisa nhoroondo yemurwere uye kuongorora kwemuviri, kuongororwa kweropa senge glucose yeropa, kuzadza kweoksijeni, nguva yeprothrombin, uye electrocardiography, uye matekinoroji akasiyana siyana akadai seComputer Tomography (CT) kana Magnetic Resonance Imaging (MRI). 

Asi nhasi, huwandu hutsva uye hwepamberi sitiroko yekuongorora michina yakadai seye hemorrhage scanning visor, yakagadziriswa kuitira kuti ikurumidze chirwere chekurohwa, izvo zvakakosha nekuti kuzivikanwa kwekutanga uye kurapwa kwesitiroko kwakakosha pakuvandudza makiriniki mhedzisiro uye kuona kuti varwere vanopihwa kurapwa kwakakosha. Iko kune yakakosha, yakanyanya-kuoneka isina kukwana kudikanwa kweanoshanda, akarongeka pre-chipatara sitiroko triage muma ambulensi uye dzimba dzekukurumidzira, kusiyanisa pakati pemhando dzakasiyana dze stroke.

Iyi Cerebrotech Visor, yakagadzirwa neCerebrotech Medical Systems yePleasanton, California, iyo vanachiremba kana varapi vepachipatara vanogona kuisa kune varwere vanofungidzirwa kuti vane sitiroko yakaratidza 92% kunyatso kuenzaniswa kana ichienzaniswa nemhedzisiro yekuongororwa kubva pakuongorora kwepanyama kwakajairika izvo zvaingova 40-89% chaiyo . Inoongorora zviitiko zvakakomba zvemamiriro acho uye kurerutsa sarudzo yavo yekuti vatore varwere kupi. Varwere vane hombe-yemahara occlusions vanogona kuendeswa kuComprehensive Stroke Center ine endovascular kugona. Kutamisirwa pakati pezvipatara kunotora nguva yakawanda. Kana isu tichigona kupa ruzivo kune vanoshanda zvechimbichimbi vari mumunda kuti ichi chihombe-chikuru kuvharirwa, izvi zvinobatsira mukutamba kuti kuchipatara kupi kwavanofanira kuenda.

 

Iyo Cerebrotech Visor iyo inotarisirwa kuve inyowani yekuvandudza ye2019, inoshanda nekutumira yakaderera-simba redhiyo masaisai kuburikidza nehuropi uye ichiona hunhu hwavo mushure mekupfuura nepakati kuruboshwe uye kurudyi lobes, nokudaro ichipa kuongororwa mukati memasekondi. Kuwanda kwemasaisai kunochinja pavanopfuura nemumvura muuropi. Kurohwa kwakanyanya kunogona kukonzera shanduko mune ino fluid inoratidza sitiroko kana kubuda ropa muuropi, zvichikonzera asymmetry mumafungu anoonekwa neiyo visor. Iyo yakakura asymmetry, iyo yakanyanya kukomba sitiroko. Iyo hunyanzvi inonzi volumetric impedance phase shift spectroscopy (VIPS).

Maitiro ega ega anotora angangoita makumi matatu masekondi pamurwere panoverengwa maverengero matatu zvobva zvayerwa. Chigadzirwa cheVIP chinoda kudzidziswa kushoma kuti chienzaniswe neicho chinodiwa kudzidza hunyanzvi hwekuongorora zvechimbichimbi uye kupfava kwayo kunodzora njodzi yekukanganisa kwevanhu mukuyedza. 

Mumatanho avo anotevera, vaongorori vari kuita VITAL 2.0 kudzidza kuti vaone kana iyo VIP chishandiso ingashandise yakaoma michina yekudzidza algorithms "kudzidzisa" chishandiso kuzvimiririra kusiyanisa pakati pesimba uye rakakomba sitiroko, pasina kuiswa kweanourologist.

Chigadzirwa cheVIP chinoshandiswa kuona sitiroko yakanyanya kusvika pakushandisa electrocardiography (ECG) kunyatsoona zvakanyanya myocardial infarction. Inogona kushandiswa zvakanyanya nevashandi vekukurumidzira senge defibrillator inoshandiswa kutarisa kana murwere aine chirwere chemwoyo.