I-Visor ye-Prehospital Stroke Ukuchongwa

olona luvo lungcono kwi-india

Ukubetha kubhekisa kwimeko apho ilahleko ngequbuliso yokusebenza kwengqondo ngenxa yokufa kweseli ngenxa yokuhamba gazi okungalunganga okanye okuphazamisayo ngaphakathi kwengqondo. Iimpawu zestroke zibandakanya ubuthathaka ngequbuliso, ukungakwazi ukuhamba okanye ukuziva kwelinye icala lomzimba okt, ukukhubazeka, iingxaki zokuqonda okanye ukuthetha, isiyezi, ukungaboni kakuhle, intloko ebuhlungu, kunye nokulahleka kwengqondo. Imivumbo ihlelwa njenge: -

  • Nokuba yeyischemic, ngenxa yokunqongophala kokuhamba kwegazi
  • I-hemorrhagic, ebangelwa kukungalawuleki kokopha ebuchosheni okubangela malunga neepesenti ezingama-40 zokubulawa sisifo.

Ukuxilongwa kwe-stroke yonyango kungenziwa kusetyenziswa imbali yesigulana kunye novavanyo lomzimba, iimvavanyo zokuqonda isifo njenge-glucose yegazi, ukwanda kweoksijini, ixesha leprothrombin, kunye ne-electrocardiography, kunye neendlela ezahlukeneyo ze-neuroimaging ezinje ngeComputer Tomography (CT) okanye iMagnetic Resonance Imaging (MRI). 

Kodwa namhlanje, inani lezixhobo ezitsha zokuqhubela phambili zokuqonda isifo ezinje nge-visorhage scanning visor, ziye zaphuhliswa ngenjongo yokukhawulezisa ukuxilongwa kwesifo, nto leyo ebalulekileyo kuba ukuchongwa kwangethuba kunye nokunyangwa kwesibetho kubalulekile ekuphuculeni iziphumo zeklinikhi kunye nokuqinisekisa ukuba abaguli banikwa unyango olubalulekileyo. Kukho isidingo esibalulekileyo, esibonakalayo esingafakwanga esisebenzayo, esichanekileyo sangaphambi kwesibhedlele sokuhamba ngesibetho kwii-ambulensi kunye namagumbi kaxakeka, ukwahlula phakathi kweentlobo ezahlukeneyo zesifo.

Le Visor yeCerebrotech, ephuhliswe yiCerebrotech Medical Systems yasePleasanton, California, ethi oogqirha okanye abezonyango banokubabeka kwizigulana ekurhaneleka ukuba banestroke kubonise ukuchaneka kwe-92% xa kuthelekiswa neziphumo zokuqonda isifo kuvavanyo lomzimba oluqhelekileyo olwalungama-40-89% kuphela oluchanekileyo . Ichonga iimeko ezinzima zale meko kwaye yenza lula isigqibo sayo sokuba izise phi izigulana kuqala. Izigulana ezinee-occlusions ezinkulu-zeenqanawa zinokudluliselwa kwiziko elibanzi leStroke elinamandla e-endovascular. Ukutshintshwa phakathi kwezibhedlele kuthatha ixesha elininzi. Ukuba singanikezela ngolwazi kubasebenzi bexesha likaxakeka ebaleni ukuba le yinto enkulu yenqanawa, oku kuya kunceda ekuhloleni isibhedlele ekufuneka baye kuso.

 

I-Visor yeCerebrotech ekulindeleke ukuba ibe yinto entsha ye-2019, isebenza ngokuthumela amaza erediyo amandla aphantsi ngengqondo kunye nokufumanisa indalo yabo emva kokudlula kwi-lobes yasekhohlo nasekunene, ngaloo ndlela ibonelela ngoxilongo ngaphakathi kwemizuzwana. Amaza amaza ayatshintsha xa edlula kulwelo olusengqondweni. Ukubetha kakhulu kunokubangela utshintsho kolu lwelo lubonisa ukubetha okanye ukopha kwingqondo, okukhokelela kwi-asymmetry kumaza afunyenwe yi-visor. I-asymmetry enkulu, ngakumbi ukubetha. Obu buchwephesha bubizwa ngokuba ngumthamo wentshukumo yokutshintsha kwemithambo (VIPS).

Inkqubo nganye ithatha malunga nemizuzwana engama-30 kwisigulana ngasinye apho kuthathwe khona ufundo ezintathu emva koko lwenziwa umndilili. Isixhobo seVIPS sifuna uqeqesho oluncinci kakhulu ukuba lusebenze xa kuthelekiswa naleyo ifunwayo ukuze kufundwe izakhono zovavanyo olungxamisekileyo ezisemgangathweni kunye nokulula kwayo kunciphisa umngcipheko weempazamo zabantu kuvavanyo. 

Kumanyathelo abo alandelayo, abaphandi benza uvavanyo lwe-VITAL 2.0 ukumisela ukuba isixhobo seVIP singasebenzisa ubuchule bokufunda ngomatshini obunzima "ukufundisa" isixhobo ngokuzimela ngokwahlukileyo phakathi kokubetha okuncinci kunye nokuqatha, ngaphandle kwegalelo le-neurologist.

Isixhobo seVIPS sisetyenziselwa ukukhangela ukubetha okungaginyisi mathe ekusebenziseni i-electrocardiography (ECG) ukufumanisa ngokuqinisekileyo ukubola okungapheliyo. Ingasetyenziswa ngokubanzi ngabasebenzi bexesha likaxakeka njenge-defibrillator isetyenziselwa ukujonga ukuba ngaba isigulana sihlaselwa sisifo sentliziyo.