Litsi tsa motheo tsa stroke ke lipetlele tse 'nileng tsa tiisoa ke Komiti ea Kopaneng, e leng mokhatlo o amohelang mananeo a tlhokomelo ea bophelo United States. Komiti e Kopaneng e ile ea qala ho netefatsa litsi tsa tlhokomelo ea likoloto tsa pele ka December 2003.
Mehato ea motheo ea Stroke Centre
Litsi tsa motheo tsa stroke li tlameha ho phethahatsa litekanyetso tse itseng e le hore li amoheloe ka molao le ho tiisetsoa ka lebitso leo.
Tse ling tsa litlhoko tsena li kenyelletsa:
- Ho ba le sehlopha sa stroke se khethiloeng bakeng sa ho hlahloba mokuli o tsoelang pele.
- Ho bonts'a ho latela litaelo tsa mekhoa ea litloaelo tsa kliniki bakeng sa stroke.
- Etsa bonnete ba hore basebetsi ba nepahetseng ba lekala la tsebo ea mehato ea lipelo tsa 'mele.
- Ho theha mokhoa oa ho amohela le ho fetisetsa bakuli ba lipelo.
- Ho bokella le ho tlaleha lintlha tse bontšitsoeng mabapi le liphello tsa lipelo.
Mehaho ea Stroke e Fana ka Tlhokomelo ea Kelello le ea Hlophisitsoeng
Sepheo se tloaelehileng sa setsi ka seng sa stroke ke ho tsamaisa, ho hlahloba, ho hlahloba, le ho phekola mokuli ka mong nakong ea lihora tse tharo ho qala ha matšoao a bona. Tlhokomelo ea phekolo e nepahetseng ea stroke e hloka sehlopha sa litsebi tse nang le tsebo le tse nang le phihlelo.
Lithethefatsi tsa stroke li kenyeletsa ho tsamaisa batho ba matla ba nang le mali joaloka IV TPA le intra-arterial thrombolysis. Meriana ena e lokela ho fanoa ka har'a fensetere e khutšoanyane ea nako ka mor'a hore matšoao a qalile, kapa ho seng joalo a bakang mathata a maholo, mohlomong le a bolaeang.
Mesebetsi e meng e kholo eo setsi se ka sehloohong sa stroke se lokelang ho khona ho se finyella nakong ena ea lihora tse tharo sa fensetere e kenyelletsa:
- Ho tsamaisa mokuli ho ea sepetlele
- Etsa tlhahlobo e feletseng ea ngaka-hangata ngaka ea methapo ea mafu
- Ho fumana le ho bala, CT ho hlahloba boko
- Tlosa mali, u e hlahlobe, 'me u tlalehe liphello
- Fana ka phekolo e nepahetseng
Tsamaiso ea Stroke ke Li-Stroke Specialists
Mefuta e mengata ea likoetliso e nang le lisebelisoa tsa likokoana-hloko, e na le methapo ea mafu a methapo ea mafu, kapa methapo ea methapo ea methapo ea mafu (methapoloji ea methapo ea mafu) eo hangata e fumanehang ka tlung, ho potoloha hora. Lingaka tsena li sebetsa tlas'a poleloana "nako ke boko." Ka hona, li lebelo haholo, empa li nepahetse haholo, ha li lemoha liropo tse sa tloaelehang. Ha sena se etsahala, lingaka tsena li koetliselitsoe ho hokahanya ho buuoa ka morao-rao, le ho lokisetsa ho fetisetsoa ka potlako setsing sa tlhokomelo e matla, kapa sepetlele se khethehileng haholoanyane.
Tlhompho e Loketseng le Tsamaiso ea Mathata a Stroke
Lingaka le baoki bao e leng karolo ea stroke centre ba koetliselitsoe ho hlokomela mathata a bongaka a ka hlahang ho motho ea nang le lefu la stroke. Sena ke sa bohlokoa ka ho fetisisa, kaha bakuli ba leqe ba atisa ho mpefala kapele lihora tse seng kae tse qalang kapa matsatsi a seng makae ka mor'a lefuba. Ha e le hantle, esita le likotlo tse bonolo ka ho fetisisa li beha kotsi ea 10% ea ho fetela ho tse khōloanyane lihora tse 48 tsa pele.
Tse ling tsa mathata a tloaelehileng ka mor'a lefuba li akarelletsa:
- Leqeba le lecha, kapa le atolohang
- Ho ts'elisoa, haholo-holo ha ho tšoaroa ka t-PA
- Ho khaotsa
- Ho ruruha ha pelo
- Mathata a bongaka a kang pneumonia le mafu a mang
Basebetsi ba Tloaelehileng ba Tseba Litlhoko tsa Mokuli ba Stroke
Melemo ea bohlokoa ea litsi tsa likoetliso ke kamano ea bona le basebeletsi ba sechaba le basebeletsi ba bang ba thusang ba tsebang litlhoko tse khutšoanyane le tsa nako e telele tsa bakuli ba leqeba. Hangata litsebi tsena tse koetlisitsoeng li fana ka thuso e kholo ho rarolla mathata a amanang le inshorense ea bophelo bo botle , ho fumana litemoso tsa bakuli ba nang le lefuba, lingaka, litsebi tsa kelello, kapa litsebi tsa mosebetsi, le ho khetha mananeo a molemo ka ho fetisisa a ho tsosolosa likokoana-hloko ho ntlafatsa mokhoa oa ho hlaphoheloa le ho ba bonolo ka mor'a lefuba.
Liphello tsa Motheo oa Stroke Centre
Ho ea ka ts'ebetso ea lintlha tse hatisitsoeng ke Journal of the American Heart Association, bakuli ba fumanang phekolo ea lefuba lipeng tsa mantlha tsa lifofane ba ka 'na ba fuoa phekolo ka T-PA ho feta bakuli ba sa phekoloeng Litsing tsa Primary Stroke.
Sampula e 'ngoe ea mokuli e ileng ea ithuta bakuli ba fetang 120 000 ba ileng ba amoheloa le ho phekoloa ka lebaka la ho otloa ke lefu, e ile ea hatisoa Journal of Stroke le Cerebrovascular Disease. Bakuli ba ne ba kenyeletsa bakuli ba nang le lefuba ba ileng ba amoheloa litsing tse ka sehloohong tsa lithethefatsi le bakuli ba ileng ba kenngoa lipetlele tse sa khethoang e le litsi tsa motheo tsa stroke.
Bangoli ba thuto ba hlokometse hore bakuli ba ts'oaetso ba ileng ba tšoaroa litsing tsa matšoao a maholo ba ne ba sa khone ho ba le mathata a sepetlele 'me ba ka ba le liphello tse molemo ha ba tsoa sepetlele.
Kalafo ea Stroke ka Leholimo
Tsela e ncha ea ho fumana bakuli ba leqeba e ile ea tšoara mashano ka potlako setsing sa phekolo ea lefuba se bitsoang Mobile Stroke Unit. Kaha ho na le ba 'maloa feela lefatšeng le tse peli United States, Mobile Stroke Units li sebetsa hantle feela joalokaha lebitso le bolela, ho qala ho hlahlojoa ha li-stroke, ka linako tse ling esita le kalafo, tseleng ea sepetlele, ho boloka nako ea bohlokoa.
> Mehloli:
> Joint Commission Primary Primary Stroke Sebelisa More rt-PA Sechabeng sa Batho ba Phelang Lefatše Mohlala, Mullen MT, Kasner SE, Kallan MJ, Kleindorfer DO, Albright KC, Carr BG, Journal of the American Heart Association , 2013 Mar 26; 2 (2) : e000071
> Litefiso tsa Liketsahalo tse mpe le Liphello Har'a bakuli ba Stroke ba amoheletsoeng Litsing tsa Mantlha tsa Stroke. Chaudhry SA, Afzal MR, Chaudhry BZ, Zafar TT, Safdar A, Kassab KA, Hussain SI, Qureshi A, Journal of Stroke le Cerebrovascular Disease, 2016 Aug; 25 (8): 1960-5
E hlophisitsoe ke Heidi Moawad MD