Izigulana zasesibhedlele ezineempawu ze-stroke zifuna uphononongo olukhawulezileyo lweengcali kunye nonyango ukumisa ukonakala kwengqondo, okunokuthetha umahluko phakathi kobomi nokufa.Nangona kunjalo, izibhedlele ezininzi azinalo iqela lokukhathalela i-stroke imini yonke.Ukulungisa le ntsilelo, izibhedlele ezininzi zaseMelika zibonelela ngonxibelelwano lwe-telemedicine kwiingcali ze-stroke ezinokuthi zibekwe kumgama ongamakhulu eekhilomitha.
Abaphandi kunye nabalingane kwiSikolo saseBlavatnik saseHarvard Medical School.
Olu pho nonongo lupapashwe kwi-intanethi ngo-Matshi 1 kwi-"JAMA Neurology" kwaye imele uhlalutyo lokuqala lwesizwe lwe-prognosis yezigulane ze-stroke.Iziphumo zibonise ukuba xa kuthelekiswa nezigulane eziye kwizibhedlele ezifanayo ezingenazo iinkonzo ze-stroke, abantu abatyelela izibhedlele ezinikezela nge-telemedicine ukuvavanya i-stroke bafumana ukhathalelo olungcono kwaye banokusinda kwi-stroke.
Inkonzo ye-stroke ekude evandlakanywe kolu phononongo yenza izibhedlele ezingenazo iingcali zendawo ukuba zidibanise izigulane ezinee-neurologists ezikhethekileyo kunyango lwe-stroke.Ngokusebenzisa ividiyo, iingcali ezikude zinokuvavanya abantu abaneempawu zestroke, bajonge iimviwo zeradiyoloji, kwaye bacebise ngezona ndlela zonyango zingcono.
Ukusetyenziswa kovavanyo lwe-stroke ekude kuya kuxhaphaka ngakumbi.I-Telestroke ngoku isetyenziswa phantse kwisinye kwisithathu sezibhedlele zase-US, kodwa ukuvavanywa kwempembelelo yayo kwizibhedlele ezininzi kusenomda.
Umbhali ophezulu wokufunda, unjingalwazi onxulumene nomgaqo-nkqubo wokhathalelo lwempilo kunye neyeza kwi-HMS, kunye nomhlali waseBeth Israel Deaconess Medical Centre uthe: “Iziphumo zethu zibonelela ngobungqina obubalulekileyo bokuba ukubetha kunokuphucula ukhathalelo nokusindisa ubomi.”
Kulo pho nonongo, abaphandi bathelekisa iziphumo kunye namazinga okusinda kweentsuku ze-30 zezigulane ze-stroke ze-150,000 eziphathwe ngaphezu kwezibhedlele ze-1,200 e-United States.Isiqingatha sabo siye sanikela ingcebiso ngestroke, ngoxa esinye isiqingatha asizange sinikezele.
Esinye seziphumo zophononongo sesokuba ngaba isigulana silufumene unyango lokuphinda luphinde lwenziwe, olunokubuyisela ukuhamba kwegazi kwindawo yengqondo echatshazelwe sistrowuku phambi kokuba kwenzeke umonakalo ongenakulungiseka.
Xa kuthelekiswa nezigulane eziphathwe kwizibhedlele ezingezizo i-Bihua, umlinganiselo ohambelana nonyango lokubuyisela kwakhona kwizigulane eziphathwe kwizibhedlele zase-Bihua kwakuyi-13% ephezulu, kwaye izinga lokufa kweentsuku ze-30 laliphantsi kwe-4%.Abaphandi bafumanise ukuba izibhedlele ezinelona nani limbalwa labaguli nezibhedlele ezisemaphandleni zinezona ngenelo zintle.
Umbhali okhokelayo, u-Andrew Wilcock, unjingalwazi oncedisayo kwiYunivesithi yaseVermont's Lana School of Medicine, wathi: “Kwizibhedlele ezincinci zasemaphandleni, ukusetyenziswa kwe-stroke kubonakala kuyinzuzo enkulu-izibonelelo ezinqabileyo zikwazi ukubetha.“Umphandi woMgaqo-nkqubo we-HMS wezempilo."Ezi ziphumo zigxininisa imfuneko yokujongana nemiqobo yezemali ezi zibhedlele zincinci ezijongene nazo ekuqaliseni imivimbo."
Ababhali-bambisene nabo baquka uJessica Richard ovela kwi-HMS;u-Lee Schwamm no-Kori Zachrison be-HMS kunye ne-Massachusetts General Hospital;UJose Zubizarreta ovela kwi-HMS, kwiYunivesithi yaseHarvard kwiSikolo saseChenhe seMpilo yoLuntu kunye neYunivesithi yaseHarvard;kunye neLori-Uscher-Pines evela kwiRAND Corp.
Olu phando luxhaswe yiNational Institute of Neurological Diseases and Stroke (Isibonelelo esinguNombolo R01NS111952).I-DOI: 10.1001 / jamaneurol.2021.0023
Ixesha lokuposa: Mar-03-2021