Odwala m'chipatala omwe ali ndi zizindikiro za sitiroko amafuna kuunika mwachangu ndi akatswiri kuti athetse kuwonongeka kwa ubongo, zomwe zingatanthauze kusiyana pakati pa moyo ndi imfa.Komabe, zipatala zambiri zilibe gulu losamalira sitiroko usana ndi usiku.Kuti athetse vutoli, zipatala zambiri za ku America zimapereka chithandizo cha telemedicine kwa akatswiri a sitiroko omwe angakhale pamtunda wa makilomita mazana ambiri.
Ofufuza ndi ogwira nawo ntchito ku Blavatnik School of Harvard Medical School.
Kafukufukuyu adasindikizidwa pa intaneti pa Marichi 1 mu "JAMA Neurology" ndipo akuyimira kuwunika koyamba kwadziko komwe kumayambitsa matenda a sitiroko.Zotsatirazo zinasonyeza kuti poyerekeza ndi odwala omwe amapita ku zipatala zofanana zomwe zinalibe chithandizo cha sitiroko, anthu omwe adayendera zipatala zomwe zinapereka telemedicine kuti ziwone sitiroko adalandira chisamaliro chabwino ndipo amatha kupulumuka ku stroke.
Utumiki wa sitiroko wakutali womwe udawunikidwa mu phunziroli umathandizira zipatala zopanda ukatswiri wamba kuti zilumikizane ndi odwala omwe ali ndi akatswiri amisala omwe amagwira ntchito pachipatala cha stroke.Pogwiritsa ntchito kanema, akatswiri akutali amatha kuyang'ana anthu omwe ali ndi zizindikiro za sitiroko, kuyang'ana mayeso a radiological, ndikulangiza njira zabwino zothandizira.
Kugwiritsiridwa ntchito kwa matenda a sitiroko akutali kukuchulukirachulukira.Telestroke tsopano ikugwiritsidwa ntchito pafupifupi gawo limodzi mwa magawo atatu a zipatala zaku US, koma kuwunika momwe zipatala zambiri zimakhudzira akadali ochepa.
Mlembi wamkulu wa phunziroli, pulofesa wothandizira zaumoyo ndi mankhwala ku HMS, komanso wokhala ku Beth Israel Deaconess Medical Center anati: "Zomwe tapeza zimapereka umboni wofunikira wakuti sitiroko ingapangitse chisamaliro ndikupulumutsa miyoyo."
Mu phunziro ili, ochita kafukufuku anayerekezera zotsatira ndi masiku a 30 opulumuka odwala 150,000 odwala sitiroko omwe amachitidwa m'zipatala zoposa 1,200 ku United States.Theka la iwo anapereka uphungu wa sitiroko, pamene theka lina sanatero.
Chimodzi mwazotsatira za kafukufukuyu ndi chakuti ngati wodwalayo walandira chithandizo cha reperfusion, chomwe chingabwezeretse magazi kudera laubongo lomwe linakhudzidwa ndi sitiroko isanawonongeke.
Poyerekeza ndi odwala omwe amathandizidwa m'zipatala zomwe si za Bihua, chiwerengero cha odwala omwe amachiritsidwa m'zipatala za Bihua chinali 13%, ndipo chiwerengero cha imfa za masiku 30 chinali 4% chochepa.Ofufuza apeza kuti zipatala zokhala ndi odwala ochepa komanso zipatala zakumidzi zili ndi phindu lalikulu kwambiri.
Mlembi wamkulu, Andrew Wilcock, pulofesa wothandizira pa yunivesite ya Vermont's Lana School of Medicine, anati: "M'zipatala zazing'ono zakumidzi, kugwiritsira ntchito sitiroko kumawoneka ngati chithandizo chachikulu chomwe sichikhoza kudwala sitiroko."Wofufuza wa HMS Healthcare Policy."Zotsatirazi zikugogomezera kufunika kothana ndi zovuta zachuma zomwe zipatala zing'onozing'onozi zimakumana nazo poyambitsa sitiroko."
Olemba nawo akuphatikizapo Jessica Richard wochokera ku HMS;Lee Schwamm ndi Kori Zachrison ochokera ku HMS ndi Massachusetts General Hospital;Jose Zubizarreta wochokera ku HMS, Chenhe School of Public Health ya Harvard University ndi Harvard University;ndi Lori-Uscher-Pines wochokera ku RAND Corp.
Kafukufukuyu adathandizidwa ndi National Institute of Neurological Diseases and Stroke (Grant No. R01NS111952).DOI: 10.1001 / jamaneurol.2021.0023
Nthawi yotumiza: Mar-03-2021