He aha ka Telestroke? Ke Kumu, ke Kaʻina Hana & nā Pōmaikaʻi

He lawelawe lapaʻau hou ka Telestroke e lawe pololei mai ana i nā loea stroke i nā maʻi ma o ka ʻenehana wikiō, ʻoiai inā he mau mile ka mamao. E noʻonoʻo e like me ka loaʻa ʻana o kahi loea stroke ma kāu lumi pilikia kūloko, mākaukau e kōkua i nā kauka e hana i nā hoʻoholo e ola ai i ka manawa maoli. Ua hoʻololi kēia hana hou i ke ʻano o kā mākou mālama ʻana i nā stroke, ʻoiai ma nā wahi i loaʻa ʻole nā ​​neurologist loea.

He aha ka telestroke?

He ʻano telemedicine ka Telestroke e hoʻopili ai i nā maʻi stroke me nā neurologists ma o nā kelepona wikiō palekana a me nā ʻōnaehana kiʻi kikohoʻe. Ke hōʻea kekahi i ka haukapila me nā hōʻailona stroke, hiki i ka hui lapaʻau kūloko ke kūkākūkā koke me kahi loea stroke i hiki ke mau haneli mile ka mamao.

Hana ka ʻenehana ma ka hoʻouna ʻana i ka wikiō manawa maoli o ka mea maʻi me kā lākou scans lolo a me ka ʻike lapaʻau i ka loea mamao. Hāʻawi kēia i ka neurologist e nānā i ka mea maʻi, nānā i kā lākou mau hōʻailona, ​​a alakaʻi i ka hui kūloko ma o nā hoʻoholo lapaʻau koʻikoʻi. He mea waiwai nui ia no ka mea he mea koʻikoʻi ka mālama ʻana i ka stroke i ka manawa - helu ʻia kēlā me kēia minuke ke pilikia ka ʻiʻo lolo.

Nui nā haukapila kuaʻāina a me nā haukapila liʻiliʻi e hilinaʻi nei i nā lawelawe telestroke e hāʻawi i kā lākou mau maʻi i ka pae like o ka mālama loea i loaʻa ma nā kikowaena lapaʻau nui. Ua hoʻomaikaʻi nui kēia i nā hopena no nā maʻi stroke i hiki ke kū i nā lohi weliweli i ka mālama ʻana.

No ke aha e hana ʻia ai ka telestroke?

Aia ka Telestroke e hoʻoponopono i kahi pilikia koʻikoʻi: ka hemahema o nā loea stroke i nā kaiāulu he nui, ʻoiai nā wahi kuaʻāina. Ke loaʻa i kekahi ka stroke, pono lākou i ka loiloi loea i loko o nā hola e pale ai i ka pōʻino lolo mau a i ʻole ka make.

ʻO ka pahuhopu nui e hōʻoia i ka loaʻa ʻana o nā maʻi i nā lāʻau lapaʻau kūpono no ka hahau ʻana e like me nā lāʻau lapaʻau e wāwahi ana i ke koko a i ʻole nā kaʻina hana e wehe i nā ʻōpala koko. ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau ke hāʻawi ʻia koke, akā lawe pū lākou i nā pilikia e koi ai i ka loiloi akahele e nā loea i ʻike ʻia. He akamai nā kauka ulia pōpilikia kūloko, akā ʻaʻole paha lākou e ʻike pinepine i nā hahau ʻana e manaʻoʻiʻo ai i ka hana ʻana i kēia mau hoʻoholo paʻakikī wale nō.

Kōkua pū ʻo Telestroke i ka hōʻemi ʻana i nā hoʻoili helikopa pono ʻole i nā haukapila mamao. Ma kahi o ka lawe ʻana i nā maʻi hahau hiki ke hiki, hiki i nā kauka ke kūkākūkā mua me nā loea e hoʻoholo i ka mea e pono maoli ai ka hoʻoili a me ka mea hiki ke mālama palekana ma kahi. Mālama kēia i ka manawa, ke kālā, a hoʻemi i ke kaumaha no nā maʻi a me nā ʻohana.

He aha ke kaʻina hana no ka telestroke?

Hoʻomaka ke kaʻina hana telestroke i ka manawa e hōʻea ai kekahi i ka lumi ulia pōpilikia me nā hōʻailona hahau hiki. Hoʻomaka koke ka hui lapaʻau kūloko i kā lākou loiloi hahau maʻamau i ka manawa like e hoʻopili ana me ka loea hahau mamao.

Eia ka mea e hana maʻamau i ka wā o ke kūkākūkā telestroke:

• Loaʻa i ka mea maʻi kahi scan CT o ko lākou lolo, e hoʻouna koke ʻia i ka neurologist mamao
• Hoʻokumu ʻia kahi pilina wikiō palekana ma waena o kahi moe o ka mea maʻi a me ka loea
• Hiki i ka neurologist ke ʻike a kamaʻilio pololei me ka mea maʻi ma o ke kaʻa kelepona me nā kamera a me nā pale
• Hana ka loea i kahi hoʻokolokolo neurological ma ke noi ʻana i ka mea maʻi e hahai i nā kauoha, e hoʻoneʻe i ko lākou mau lālā, a e ʻōlelo
• Hoʻokaʻawale ʻia nā hopena hoʻāʻo koko a me ka mōʻaukala olakino ma ka uila me ke kauka kūkākūkā
• Hāʻawi ka neurologist i nā ʻōlelo aʻoaʻo koke no ka mālama ʻana a i ʻole ka hoʻoili ʻana

He 15-30 mau minuke ka lōʻihi o ke kūkākūkā ʻana. I loko o kēia manawa, hiki i ka loea mamao ke hoʻoholo inā pono ka mea maʻi i ka lāʻau lapaʻau e wāwahi i nā ʻōpū koko, ke ʻoki ʻana, a i ʻole nā lāʻau lapaʻau kūikawā ʻē aʻe. Hoʻoholo pū lākou inā pono e hoʻoili ʻia ka mea maʻi i kahi kikowaena hahau ākea a i ʻole hiki ke mālama ʻia me ka palekana ma ka haukapila kūloko.

Pehea e hoʻomākaukau ai no ka loiloi telestroke?

ʻAʻole like me nā kaʻina hana lapaʻau he nui, hana ʻia nā loiloi telestroke i nā pilikia, no laila ʻaʻole pinepine ka manawa no ka hoʻomākaukau mua. Eia naʻe, hiki i ka hoʻomaopopo ʻana i ka mea e manaʻo ai ke kōkua i ka hōʻemi ʻana i ka hopohopo no nā mea maʻi a me nā lālā o ka ʻohana.

Inā ʻoe me kekahi e loaʻa ana nā hōʻailona hahau, ʻo ka hoʻomākaukau nui loa ʻo ka lawe ʻana iā lākou i ka haukapila i ka hiki wawe. Mai ho'āʻo e hoʻokele iā lākou iā ʻoe iho – e kelepona iā 911 i hiki i nā paramedics ke hoʻomaka i ka lāʻau lapaʻau ma ke ala a e makaʻala i ka haukapila e hoʻomākaukau no kahi mea maʻi hahau.

Ke hōʻea ʻoe i ka haukapila, hiki iā ʻoe ke kōkua ma ka hāʻawi ʻana i ka ʻike nui i ka hui lapaʻau:

• I ka manawa i ʻike mua ʻia ai nā hōʻailona a i ʻole ka manawa i ʻike hope ʻia ai ke kanaka
• Nā lāʻau lapaʻau o kēia manawa, ʻoi aku hoʻi nā mea hoʻokahe koko
• Nā ʻoki ʻana a i ʻole nā kaʻina hana lapaʻau hou
• ʻO nā maʻi allergies i nā lāʻau lapaʻau
• ʻO ka mōʻaukala olakino me nā hahau mua, nā pilikia o ka naʻau, a i ʻole ka maʻi diabetes

I ka wā o ke kūkākūkā telestroke, ʻae ʻia nā lālā o ka ʻohana e noho i loko o ka lumi. Hiki i ka loea mamao ke nīnau iā ʻoe i nā nīnau e pili ana i kāu mea i ʻike ai i ka wā i hoʻomaka ai nā hōʻailona. E ho'āʻo e noho mālie a pane pololei i ka hiki – hiki i kāu mau ʻike ke koʻikoʻi no nā hoʻoholo lapaʻau.

Pehea e hana ai ka ʻenehana telestroke?

Hoʻohui ka ʻenehana Telestroke i kekahi mau ʻōnaehana loea e hana i kahi pilina maʻalahi ma waena o nā mea maʻi a me nā loea. ʻO ke kumu he pilina pūnaewele palekana a wikiwiki e kū ana i nā kūlana pilikino lapaʻau koʻikoʻi.

ʻO ka lako paʻa e komo pū ana me kahi kaʻa lawe lima me nā kamera kiʻekiʻe, nā pale nui, a me nā lako leo e hiki ke hoʻolele pololei ʻia i kahi moe o ka mea maʻi. Hoʻolālā ʻia kēia mau ʻōnaehana e hāʻawi i ke wikiō a me ke kani maopopo loa, e ʻae ana i ka loea mamao e ʻike i nā hōʻailona maʻalahi e like me ka hāʻule ʻana o ka maka a i ʻole nā pilikia o ka ʻōlelo.

He mea nui ka hana ʻana o ka lolo i loko o ka ʻōnaehana. Hoʻouna ʻia nā scans CT a me nā MRI ma ke ʻano kikohoʻe i loko o nā minuke, e ʻae ana i ka neurologist mamao e nānā i nā kiʻi i ka manawa maoli. Hiki i ka polokalamu holomua ke hōʻike i nā wahi pilikia a i ʻole e hoʻohālikelike i nā kiʻi ma ka ʻaoʻao e nānā i nā loli.

Hoʻohui pū ka ʻenehana me nā moʻolelo olakino o ka haukapila, no laila hiki i ka loea kūkākūkā ke nānā i nā hopena lab, nā papa inoa lāʻau, a me nā haʻawina kiʻi mua. Kōkua kēia ʻike a pau i ka hana ʻana i kahi kiʻi piha o ke kūlana o ka mea maʻi, e hiki ai i nā hoʻoholo lapaʻau i ʻike ʻia.

He aha nā pōmaikaʻi o ka telestroke?

Ua hoʻololi ʻo Telestroke i ka mālama ʻana i ka hahau ʻana ma ka hana ʻana i ka loea kūikawā i loaʻa i nā mea maʻi me ka nānā ʻole i ko lākou wahi. ʻO ka pōmaikaʻi nui loa ka hoʻomaikaʻi ʻana i nā hopena o ka mea maʻi - hōʻike nā haʻawina i nā haukapila e hoʻohana ana i nā lawelawe telestroke i nā helu lapaʻau maikaʻi a me ka hōʻemi ʻana i ke kino kīnā i waena o ka poʻe i ola i ka hahau.

No nā mea maʻi ma nā wahi kuaʻāina a i ʻole nā wahi i lawelawe ʻole ʻia, hiki i ka telestroke ke hoʻololi i ke ola. Ma kahi o ke kali ʻana i nā hola no ka hoʻoili ʻana i kahi haukapila mamao, hiki iā lākou ke loaʻa ka loiloi loea a me ka mālama ʻana i loko o nā minuke o ka hōʻea ʻana. ʻO kēia wikiwiki ke ʻano pinepine o ka ʻokoʻa ma waena o ka hoʻōla piha a me ke kino kīnā mau.

Hoʻemi pū ka ʻenehana i nā hoʻoili pono ʻole a me nā hoʻopaʻa ʻana i ka haukapila. Ke hoʻoholo ka loea mamao ʻaʻole i loaʻa nā hōʻailona o ka mea maʻi ma muli o ka hahau ʻana, hiki ke mālama ʻia lākou ma kahi kūloko a i ʻole hoʻokuʻu ʻia i ka home. Mālama kēia i nā ʻohana i ke koʻikoʻi a me nā lilo o ka hele ʻana i nā kikowaena olakino mamao.

Loaʻa nō hoʻi nā pōmaikaʻi i nā mea mālama ola. Loaʻa i nā kauka ulia pōpilikia ka hilinaʻi i ka mālama ʻana i nā maʻi hahau i ka wā e loaʻa ai iā lākou ke kākoʻo loea 24/7. Hoʻonui mālie kēia ʻike i ka hiki a me nā mākau o ka ʻāina, e hoʻokiʻekiʻe ana i ke kūlana o ka mālama ʻana i ke kaiāulu.

He aha nā palena o ka telestroke?

ʻOiai he mea waiwai nui ka telestroke, he mau palena kona e pono ai nā maʻi a me nā ʻohana e hoʻomaopopo. Aia ka ʻenehana i nā pilina pūnaewele hilinaʻi, a hiki i nā pilikia ʻenehana ke hoʻopaneʻe i nā kūkākūkā i kekahi manawa, ʻoiai aia nā ʻōnaehana kākoʻo.

He mau palena ko ka nānā kino ma o ke wikiō i hoʻohālikelike ʻia me ka loiloi ma ke kanaka. ʻAʻole hiki i ka loea mamao ke hoʻopā i ka mea maʻi a i ʻole e hana i kekahi mau hoʻokolohua kikoʻī e hiki ke hana ʻia me ka nānā lima. Eia naʻe, ua hoʻololi nā neurologists telestroke i ko lākou mau ʻenehana e hana pono i loko o kēia mau palena.

ʻAʻole hiki ke hāʻawi ʻia nā lāʻau lapaʻau hahau a pau ma o ka telestroke. Pono nā kaʻina hana paʻakikī e like me ka wehe ʻana i ka clot mechanical a i ʻole ke ʻoki ʻana i ka lolo i ka hoʻoili ʻana i nā kikowaena loea. Kōkua ka Telestroke i ka hoʻoholo ʻana i ka mea e pono ai kēia mau lāʻau lapaʻau holomua, akā ʻaʻole hiki ke pani i ka pono no nā kikowaena hahau piha.

ʻAʻole hiki i kekahi mau maʻi, ʻo ia hoʻi ka poʻe ʻike ʻole a i ʻole nāwaliwali loa, ke komo piha i ka nānā wikiō. I kēia mau hihia, hilinaʻi nui ka loea i nā haʻawina kiʻi a me ka ʻike mai nā lālā ʻohana a i ʻole nā ​​mea hōʻike.

He mea maikaʻi anei ka telestroke e like me ke kūkākūkā ʻana ma ke kanaka?

Hōʻike mau ka noiʻi i ka maikaʻi loa o nā kūkākūkā telestroke i hoʻohālikelike ʻia me nā loiloi ma ke kanaka. Ua ʻike nā haʻawina e hiki i nā loea mamao ke ʻike pololei i nā hahau a hana i nā hoʻoholo lapaʻau kūpono i ka hapa nui o nā hihia.

ʻO ke kī i ka pono o ka telestroke aia i ka maikaʻi o ka ʻenehana a me ka ʻike o nā loea kūkākūkā. Hoʻomohala nā neurologists e hāʻawi mau ana i nā lawelawe telestroke i nā mākau kūikawā no ka loiloi mamao a lilo i mea mākaukau loa i ka hana ʻana i nā hoʻoholo e pili ana i nā hoʻokolokolo wikiō a me nā haʻawina kiʻi.

ʻO nā hopena o nā maʻi mai nā papahana telestroke e like pinepine a ʻoi aku paha ma mua o nā mea mai ka mālama ʻana i ka hahau kuʻuna. ʻO kēia ma kahi ʻāpana no ka mea hiki i ka telestroke ke wikiwiki i nā manawa lapaʻau, hiki ke ʻoi aku ka mea nui ma mua o nā ʻokoʻa liʻiliʻi ma waena o ka loiloi mamao a me ka loiloi kanaka.

Eia naʻe, aia kekahi mau kūlana kahi e makemake ʻia ai ka loiloi kanaka. Hiki i nā hihia paʻakikī me nā pilikia olakino he nui a i ʻole nā ​​hōʻailona maopopo ʻole ke pōmaikaʻi mai ka hoʻokolokolo lima. ʻO ka nūhou maikaʻi, ua mākaukau nā loea telestroke i ka ʻike ʻana i kēia mau kūlana a hiki ke paipai i ka hoʻoili koke ʻana ke pono.

He aha ka mea e hana ai ma hope o ke kūkākūkā telestroke?

Ma hope o ke kūkākūkā telestroke, pili kāu ala mālama i nā ʻōlelo aʻoaʻo a ka loea. Inā pono ʻoe i ka lāʻau lapaʻau hahau koke e like me ka lāʻau lapaʻau clot-busting, e hoʻomaka koke ka hui kūloko i kēia ma lalo o ke alakaʻi a ka loea mamao.

E paipai ʻia kekahi mau maʻi e hoʻoili ʻia i kahi kikowaena hahau piha no nā lāʻau lapaʻau holomua a i ʻole ka nānā ʻana i ka loea. Kōkua ka loea telestroke i ka hoʻonohonoho ʻana i kēia hoʻoili a hōʻoia i ka mākaukau o ka haukapila e loaʻa ana me nā ʻike pono a pau e pili ana i kou kūlana a me ka lāʻau lapaʻau.

Inā hiki ke mālama palekana ʻia ʻoe ma ka haukapila kūloko, e ʻae ʻia ʻoe no ka nānā ʻana a me ka mālama hou aku. Loaʻa pinepine ka loea telestroke no nā nīnau e pili ana a hiki ke hāʻawi i ke alakaʻi i nā hoʻoholo lapaʻau e hoʻomau nei.

No nā mea maʻi i ʻike ʻia ʻaʻole he hahau ko lākou mau hōʻailona, e wehewehe ana ke kauka loea i ka mea e hana nei i nā hōʻailona a e ʻōlelo aku i ka mālama ʻana i ka wā e hiki mai ana. Hiki i kēia ke komo i ka ʻike ʻana i kāu kauka mālama mua a i ʻole nā ​​kauka loea ʻē aʻe no nā maʻi e hiki ke hoʻohālike i nā hōʻailona hahau.

I ka manawa hea e manaʻo ai au e hoʻohana ʻia ka telestroke?

Hoʻohana pinepine ʻia ka Telestroke i ka wā e hōʻea ai kekahi i ka haukapila me nā hōʻailona e hōʻike ana i ka hahau. Aia kēia mau hōʻailona i ka nāwaliwali koke ʻana ma kekahi ʻaoʻao o ke kino, ka pilikia o ka ʻōlelo ʻana, ke poʻo nui, a i ʻole ka nalowale o ka ʻike a i ʻole ke kaulike.

ʻAʻole i loaʻa i nā haukapila a pau nā hiki ke telestroke, akā ke lilo nei ka lawelawe i mea maʻamau, ʻoiai ma nā haukapila kuaʻāina a me nā haukapila liʻiliʻi. ʻIke pinepine nā lawelawe lapaʻau pilikia i nā haukapila ma ko lākou wahi e hāʻawi ana i ka telestroke a hiki ke lawe i nā maʻi e like me ia.

Aia ka hoʻoholo e hoʻohana i ka telestroke ma nā mea he nui, me ke koʻikoʻi o nā hōʻailona, ​​ka lōʻihi o ka hoʻomaka ʻana, a inā loaʻa nā neurologists i ka haukapila kūloko. Hoʻomaʻamaʻa ʻia nā kauka pilikia e ʻike i ka wā e pono ai ke kūkākūkā telestroke.

Inā hopohopo ʻoe e pili ana i nā hōʻailona hahau iā ʻoe iho a i ʻole kekahi mea aloha, mai hopohopo e pili ana inā loaʻa ka telestroke - e nānā i ka hele ʻana i ka haukapila kokoke loa i ka hiki. E hoʻoholo ke kime lapaʻau i ke ala maikaʻi loa no ka loiloi a me ka mālama ʻana.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka telestroke

Q.1 Ua like anei ke kūkākūkā telestroke me ka ʻike ʻana i kahi neurologist ma ke kanaka?

ʻAe, ua hōʻike nā noiʻi he mea maikaʻi loa nā kūkākūkā telestroke no ka loiloi ʻana a me nā hoʻoholo lapaʻau ʻana i ka hahau. Hiki i nā loea mamao ke ʻike pololei i nā hahau a alakaʻi i nā lapaʻau kūpono i ka hapa nui o nā hihia. Hāʻawi ka ʻenehana i ka maikaʻi o ke wikiō maikaʻi loa a hiki i nā loea ke hana i nā hoʻokolokolo neurological piha. ʻOiai aia kekahi mau palena i hoʻohālikelike ʻia me ka loiloi kanaka, ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā loea wikiwiki ma mua o kēia mau hopohopo, ʻoiai i nā kūlana hahau e pili ana i ka manawa.

Q.2 ʻOi aku ka nui o ke kumukūʻai o ka telestroke ma mua o ka mālama ulia pōpilikia maʻamau?

Ua uhi ʻia nā uku kūkākūkā Telestroke e ka hapa nui o nā hoʻolālā ʻinikua, me Medicare a me Medicaid, e like me nā kūkākūkā loea ʻē aʻe. ʻOi aku ka liʻiliʻi o ke kumukūʻai ma mua o ka mea āu e uku ai no ka lawe ʻana i ka helikopter ulia pōpilikia i kahi haukapila mamao. Nui nā haukapila e kūkulu i nā lawelawe telestroke i kā lākou mau protocol mālama hahau maʻamau, no laila ʻaʻole ʻike nā mea maʻi i nā uku kaʻawale. Hiki ke koʻikoʻi ka mālama ʻana i ke kumukūʻai holoʻokoʻa ke pale ka telestroke i nā hoʻoili pono ʻole a i ʻole e hiki ai i ka wikiwiki, ka lapaʻau ʻoi aku ka maikaʻi.

Q.3 Hiki i nā lālā o ka ʻohana ke komo i ke kūkākūkā telestroke?

ʻAe, ua paipai ʻia nā lālā o ka ʻohana e hele i nā kūkākūkā telestroke. Hiki i ka loea mamao ke nīnau i nā lālā o ka ʻohana i nā nīnau koʻikoʻi e pili ana i ka wā i hoʻomaka ai nā hōʻailona a me kā lākou i ʻike ai. Hiki i kou hele ʻana ke hāʻawi i ka ʻike waiwai e kōkua i ke alakaʻi ʻana i nā hoʻoholo lapaʻau. E wehewehe pū ka loea i kā lākou ʻike a me nā ʻōlelo aʻoaʻo i ka mea maʻi a me nā lālā o ka ʻohana, e hōʻoia ana e maopopo i nā mea a pau ka hoʻolālā lapaʻau.

Q.4 He aha inā e hāʻule ka pilina wikiō i ka wā o ke kūkākūkā?

He nui nā hoʻolālā kākoʻo o nā ʻōnaehana telestroke no nā pilikia ʻenehana. Loaʻa i ka hapa nui o nā halemai nā pilina pūnaewele redundant a me nā lako kākoʻo. Inā nalowale ka pilina wikiō, hiki i ka loea ke hoʻomau i ke kūkākūkā ma ke kelepona ʻoiai e nānā ana i nā haʻawina kiʻi mamao. I nā hihia kakaʻikahi o ka hāʻule ʻana o ka ʻōnaehana, ua aʻo ʻia ka hui lapaʻau kūloko e hāʻawi i ka mālama ʻana i ka hahau ulia pōpilikia kūpono ʻoiai e hana ana e hoʻihoʻi i ka pilina a i ʻole e hoʻonohonoho i ke kūkākūkā loea ʻē aʻe.

Q.5 Loaʻa nā loea telestroke 24 hola i ka lā?

ʻAe, hāʻawi ka hapa nui o nā papahana telestroke i ka uhi loea 24/7 no ka mea hiki ke hana ʻia nā hahau i kēlā me kēia manawa. Aia nā loea ma nā kikowaena lapaʻau nui a hoʻololi i ka hana ʻana i ke kelepona no nā kūkākūkā telestroke. He wikiwiki loa nā manawa pane, me nā loea i loaʻa i loko o 15-30 mau minuke o ka hoʻopili ʻia ʻana. ʻO kēia loaʻa ʻana o ka uaki kekahi o nā mea nui o nā lawelawe telestroke, ʻoiai no nā halemai ma nā wahi kahi i loaʻa ʻole ai nā neurologists kūloko i ka pō a me nā hopena pule.