Yini i-Telestroke? Inhloso, Inqubo & Nezinzuzo

I-Telestroke iyisevisi yezokwelapha eshintshayo eletha ochwepheshe be-stroke ngqo ezigulini ngobuchwepheshe bevidiyo, ngisho nalapho beqhelelene ngamakhilomitha amaningi. Cabanga ngayo njengokuba nochwepheshe be-stroke ekhona ngokoqobo egumbini lakho eliphuthumayo, elilungele ukusiza odokotela ukuthi benze izinqumo ezisindisa ukuphila ngesikhathi sangempela. Le ndlela entsha ishintshe indlela esiphatha ngayo ama-stroke, ikakhulukazi ezindaweni lapho ochwepheshe bezinzwa bengatholakali ngokushesha.

Yini i-telestroke?

I-Telestroke iyindlela ye-telemedicine exhuma iziguli ze-stroke nodokotela bezinzwa ngocingo lwevidiyo oluvikelekile kanye nezinhlelo zokucabanga zedijithali. Lapho othile efika esibhedlela enezimpawu ze-stroke, ithimba lezokwelapha lendawo lingaxhumana ngokushesha nochwepheshe be-stroke ongase abe ngamakhulu amakhilomitha kude.

Ubuchwepheshe busebenza ngokudlulisa ividiyo yesikhathi sangempela yesiguli kanye nokuskena kobuchopho baso kanye nolwazi lwezokwelapha kuchwepheshe okude. Lokhu kuvumela udokotela wezinzwa ukuthi ahlolisise isiguli, abuke izimpawu zaso, futhi aqondise ithimba lendawo ngezinqumo zokwelapha ezibalulekile. Kubaluleke kakhulu ngoba ukwelashwa kwe-stroke kuthatha isikhathi esiningi - wonke umzuzu ubalulekile lapho izicubu zobuchopho zisengozini.

Izibhedlela eziningi zasemakhaya nezincane manje zincike kumasevisi e-telestroke ukuze zinikeze iziguli zazo izinga elifanayo lokunakekelwa okukhethekile olutholakala ezikhungweni ezinkulu zezokwelapha. Lokhu kuthuthukise kakhulu imiphumela ezigulini ze-stroke ezingase zibhekane nokubambezeleka okuyingozi ekwelashweni.

Kungani i-telestroke yenziwa?

I-Telestroke ikhona ukuze ixazulule inkinga ebucayi: ukushoda kochwepheshe be-stroke emiphakathini eminingi, ikakhulukazi ezindaweni zasemakhaya. Lapho othile ene-stroke, badinga ukuhlolwa kochwepheshe kungakapheli amahora ukuze bavimbele ukulimala kobuchopho unomphela noma ukufa.

Inhloso enkulu ukuthi kuqinisekiswe ukuthi iziguli zithola ukwelashwa okufanele kwe-stroke njengemithi yokuchitha amahlule noma izinqubo zokususa amahlule egazi. Lokhu kwelashwa kusebenza kahle uma kunikezwa ngokushesha, kodwa futhi kunobungozi obudinga ukuhlolwa ngokucophelela ochwepheshe abanolwazi. Odokotela basendaweni abaphuthumayo banamakhono, kodwa kungenzeka ababoni ama-stroke kaningi ngokwanele ukuba bazizwe beqiniseka ngokwenza lezi zinqumo eziyinkimbinkimbi bodwa.

I-Telestroke futhi isiza ukunciphisa ukudluliselwa okungadingekile kwe-helicopter ezibhedlela ezikude. Esikhundleni sokuthutha ngokuzenzakalelayo zonke iziguli ezingase zibe ne-stroke, odokotela bangaxhumana kuqala nochwepheshe ukuze banqume ukuthi ubani ngempela odinga ukudluliselwa nokuthi ubani ongaphathwa ngokuphepha endaweni. Lokhu konga isikhathi, imali, futhi kunciphisa ukucindezeleka ezigulini nasemindenini.

Yini inqubo ye-telestroke?

Inqubo ye-telestroke iqala ngesikhathi umuntu efika egumbini eliphuthumayo enezimpawu ezingase zibe yi-stroke. Ithimba lezokwelapha lasendaweni ngokushesha liqala ukuhlolwa kwabo okujwayelekile kwe-stroke ngenkathi ngasikhathi sinye lixhumana nochwepheshe be-stroke okude.

Nakhu okwenzekayo ngokujwayelekile ngesikhathi sokubonisana kwe-telestroke:

• Isiguli sithola i-CT scan yobuchopho baso, ethunyelwa ngokushesha ku-neurologist okude
• Kusungulwa ukuxhumana kwevidiyo okuvikelekile phakathi kombhede wesiguli nochwepheshe
• I-neurologist ingabona futhi ikhulume ngokuqondile nesiguli ngemoto eselula enamakhamera nezikrini
• Uchwepheshe wenza ukuhlolwa kwemizwa ngokucela isiguli ukuthi silandele imiyalo, sihambise izitho zaso, futhi sikhulume
• Imiphumela yokuhlolwa kwegazi nomlando wezokwelapha kwabiwa nge-elekthronikhi nodokotela obonisana naye
• I-neurologist inikeza izincomo ngokushesha zokwelashwa noma ukudluliselwa

Ukubonisana konke kuvame ukuthatha imizuzu engu-15-30. Ngesikhathi esifanayo, uchwepheshe okude angathola ukuthi ngabe isiguli sidinga imithi yokubulala amahlule, ukungenelela kokuhlinzwa, noma ezinye izindlela zokwelapha ezikhethekile. Baphinde banqume ukuthi ngabe isiguli kufanele sidluliselwe esikhungweni esibanzi sokushaywa unhlangothi noma singelashwa ngokuphepha esibhedlela sendawo.

Ungalungiselela kanjani ukuhlolwa kwe-telestroke?

Ngokungafani nezinqubo eziningi zezokwelapha, ukuhlolwa kwe-telestroke kwenzeka ngesikhathi sezimo eziphuthumayo, ngakho-ke akuvamile ukuba nesikhathi sokulungiselela kusengaphambili. Kodwa-ke, ukuqonda okukulindele kungasiza ukunciphisa ukukhathazeka kuzo zombili iziguli namalungu omndeni.

Uma unomuntu onezimpawu zokushaywa unhlangothi, ukulungiselela okubaluleke kakhulu ukubayisa esibhedlela ngokushesha okukhulu. Ungazami ukubashayela wena uqobo - shayela ku-911 ukuze abezimo eziphuthumayo baqale ukwelashwa besendleleni futhi baxwayise isibhedlela ukuthi silungiselele isiguli esingaba nokushaywa unhlangothi.

Uma ufika esibhedlela, ungasiza ngokunikeza imininingwane ebalulekile eqenjini lezokwelapha:

• Lapho izimpawu ziqala ukuvela noma lapho umuntu agcinwa khona enempilo
• Imithi yamanje, ikakhulukazi ama-blood thinners
• Ukuhlinzwa kwamuva noma izinqubo zezokwelapha
• Noma yikuphi ukungezwani nemithi
• Umlando wezokwelapha okuhlanganisa ukushaywa unhlangothi kwangaphambilini, izinkinga zenhliziyo, noma isifo sikashukela

Ngesikhathi sokubonisana nge-telestroke, amalungu omndeni avame ukuvunyelwa ukuhlala ekamelweni. Uchwepheshe okude angase akubuze imibuzo ngalokho okubonile lapho izimpawu ziqala. Zama ukuhlala uzolile futhi uphendule ngokuqondile ngangokunokwenzeka - ukubona kwakho kungaba kubalulekile ekwenzeni izinqumo zokwelapha.

Isebenza kanjani ubuchwepheshe be-telestroke?

Ubuchwepheshe be-Telestroke buhlanganisa izinhlelo eziningana eziyinkimbinkimbi ukudala ukuxhumana okungenazihibe phakathi kweziguli nochwepheshe. Isisekelo sixhumano lwe-inthanethi oluvikelekile, olinesivinini esiphezulu oluhlangabezana nezindinganiso eziqinile zobumfihlo bezokwelapha.

Izingxenye zekhompyutha zivamise ukufaka inqola ephathekayo enamakhamera e-high-definition, izikrini ezinkulu, nemishini yomsindo engahambiswa ngqo eceleni kombhede wesiguli. Lezi zinhlelo zenzelwe ukuhlinzeka ngevidiyo nomsindo ocacile, okuvumela uchwepheshe okude ukuthi abone izimpawu ezincane njengokuwa kobuso noma ubunzima bokukhuluma.

Ukuthwebula ubuchopho kudlala indima ebalulekile ohlelweni. Ama-CT scan nama-MRI adluliselwa ngedijithali ngemizuzu, okuvumela udokotela wezinzwa okude ukuthi ahlolisise izithombe ngesikhathi sangempela. Isofthiwe ethuthukisiwe ingakhomba ngisho nezindawo ezingaba nezinkinga noma iqhathanise izithombe eceleni ukuze kulandelwe izinguquko.

Ubuciko buphinde buhlanganiswe namarekhodi ezokwelapha esibhedlela, ngakho-ke uchwepheshe obonisana naye angabukeza imiphumela yelabhorethri, uhlu lwemithi, kanye nezifundo zokuthwebula zangaphambilini. Lonke lolu lwazi lusiza ukudala isithombe esiphelele sesimo sesiguli, okwenza izinqumo zokwelashwa ezinolwazi.

Ziyini izinzuzo ze-telestroke?

I-Telestroke ishintshe kakhulu ukunakekelwa kwesifo sohlangothi ngokwenza ubuchwepheshe obukhethekile butholakale ezigulini kungakhathaliseki indawo yazo. Inzuzo enkulu ukuthuthukiswa kwemiphumela yesiguli - izifundo zikhombisa ukuthi izibhedlela ezisebenzisa izinsizakalo ze-telestroke zinezilinganiso zokwelashwa ezingcono kanye nokuncishiswa kokukhubazeka phakathi kwabasindile esifweni sohlangothi.

Ezigulini ezindaweni zasemakhaya noma ezingathuthukisiwe, i-telestroke ingashintsha impilo. Esikhundleni sokulinda amahora ukudluliselwa esibhedlela esikude, bangathola ukuhlolwa kochwepheshe nokwelashwa ngemizuzu yokufika. Lelijubane livame ukusho umehluko phakathi kokululama okuphelele nokukhubazeka unomphela.

Ubuciko buphinde banciphise ukudluliselwa okungadingekile nokulaliswa esibhedlela. Lapho uchwepheshe okude enquma ukuthi izimpawu zesiguli azibangelwa isifo sohlangothi, zingelashwa endaweni noma zikhishwe ekhaya. Lokhu kusindisa imindeni ukucindezeleka nezindleko zokuhamba eziya ezikhungweni zezokwelapha ezikude.

Nabahlinzeki bezempilo nabo bayazuza. Odokotela abaphuthumayo bathola ukuzethemba ekwelapheni iziguli ezinomdlavuza wengqondo lapho benosizo lochwepheshe olutholakala 24/7. Lolu lwazi oluthuthukisiwe kancane kancane lwakha amakhono endawo, ekugcineni luphakamisa izinga lokunakekelwa emphakathini.

Ziyini izithiyo ze-telestroke?

Ngenkathi i-telestroke iyigugu elikhulu, inezithiyo ezithile okufanele iziguli nemindeni yaziqonde. Ubuchwepheshe buxhomeke ekuxhumekeni kwe-inthanethi okuthembekile, futhi izinkinga zobuchwepheshe ngezinye izikhathi zingalibazisa ukubonisana, yize izinhlelo zokusekela zivame ukuba khona.

Ukuhlolwa komzimba ngamavidiyo kunezithiyo ezingokwemvelo uma kuqhathaniswa nokuhlolwa komuntu siqu. Uchwepheshe okude ngeke akwazi ukuthinta isiguli noma enze izivivinyo ezithile ezinemininingwane ezingase zenzeke ngokuhlolwa okusebenzayo. Kodwa-ke, ochwepheshe be-telestroke neurologists abanolwazi baye bavumelanisa amasu abo ukuthi asebenze ngempumelelo ngaphakathi kwalezi zithiyo.

Akuzona zonke izindlela zokwelapha umdlavuza wengqondo ezinganikezwa nge-telestroke. Izinqubo eziyinkimbinkimbi njengokususa igazi ngomshini noma ukuhlinzwa kobuchopho zidinga ukudluliselwa ezikhungweni ezikhethekile. I-Telestroke isiza ekutholeni ukuthi ngubani odinga lezi zindlela zokwelapha ezithuthukisiwe, kodwa ayikwazi ukufaka esikhundleni sesidingo sezikhungo eziphelele zomdlavuza wengqondo ngokuphelele.

Ezinye iziguli, ikakhulukazi lezo ezingazi lutho noma ezigula kakhulu, zingase zingakwazi ukuhlanganyela ngokugcwele ekuhlolweni kwevidiyo. Kulezi zimo, uchwepheshe uthembele kakhulu ezifundweni zokucabanga kanye nolwazi oluvela emindenini noma ofakazi.

Ingabe i-telestroke isebenza kahle njengokubonisana komuntu siqu?

Ucwaningo ngokuqhubekayo lubonisa ukuthi ukubonisana nge-telestroke kusebenza kahle kakhulu uma kuqhathaniswa nokuhlolwa komuntu siqu. Izifundo zithole ukuthi ochwepheshe abakude bangakwazi ukuxilonga ngokuqondile umdlavuza wengqondo futhi benze izinqumo ezifanele zokwelapha ezimweni eziningi.

Isihluthulelo sokusebenza kahle kwe-telestroke sitholakala ekhwalithini yobuchwepheshe kanye nobungoti bezazi ezikhethekile ezibonisana. Odokotela bezinzwa abahlinzeka njalo ngezinsizakalo ze-telestroke bathuthukisa amakhono athile okuhlola kude futhi baba nekhono elikhulu ekwenzeni izinqumo ngokusekelwe ekuhlolweni kwevidiyo kanye nezifundo zokucabanga.

Imiphumela yeziguli evela ezinhlelweni ze-telestroke ivame ukufana noma idlule lezo ezivela ekunakekelweni kwesitroko kwendabuko. Lokhu kungenxa yokuthi i-telestroke yenza ukwelashwa ngokushesha, okungaba kubaluleke kakhulu kunezinto ezincane ezihlukile phakathi kokuhlolwa okukude nokomuntu siqu.

Nokho, zikhona izimo ezithile lapho ukuhlolwa komuntu siqu kusaqhubeka kungcono. Amacala ayinkimbinkimbi anezinkinga eziningi zezokwelapha noma izimpawu ezingacacile zingazuza ekuhlolweni okusebenzayo. Izindaba ezinhle ukuthi ochwepheshe be-telestroke banekhono lokuhlonza lezi zimo futhi bangancoma ukudluliswa ngokushesha uma kudingeka.

Kwenziwani ngemva kokubonisana nge-telestroke?

Ngemva kokubonisana nge-telestroke, indlela yakho yokunakekelwa incike ezincomweni zochwepheshe. Uma udinga ukwelashwa kwesitroko ngokushesha njengemithi yokubulala amahlule, ithimba lendawo lizoqala lokhu ngokushesha ngaphansi kokuqondisa kochwepheshe okude.

Ezinye iziguli zizonconywa ukuthi zidluliselwe esikhungweni esibanzi sesitroko ukuze zithole ukwelashwa okuthuthukisiwe noma ukuqapha okukhethekile. Uchwepheshe we-telestroke usiza ukuxhumanisa lokhu kudluliswa futhi uqinisekisa ukuthi isibhedlela esitholayo silungiselelwe ngalo lonke ulwazi oludingekayo mayelana nesimo sakho nokwelashwa.

Uma ungelashwa ngokuphepha esibhedlela sendawo, ngokuvamile uzovunyelwa ukuze uqashwe futhi unakekelwe ngokuqhubekayo. Uchwepheshe we-telestroke uvame ukuhlala etholakala ukuze alandele imibuzo futhi anganikeza isiqondiso ezinqumweni zokuqhubeka nokwelashwa.

Kubantu abanezimpawu ezingasho ukuthi bayisifo sohlangothi, uchwepheshe uzochaza ukuthi yini engase ibangele lezo zimpawu futhi ancome ukunakekelwa okulandelayo okufanele. Lokhu kungabandakanya ukubonana nodokotela wakho oyinhloko noma ezinye izazi zezifo zezimo ezingalingisa izimpawu zesifo sohlangothi.

Kufanele ngilindele nini ukuthi i-telestroke isetshenziswe?

I-Telestroke ivame ukusetshenziswa lapho umuntu efika esibhedlela enezimpawu ezingabonisa isifo sohlangothi. Lezi zimpawu zihlanganisa ubuthakathaka obuzumayo ohlangothini olulodwa lomzimba, ubunzima bokukhuluma, ikhanda elibuhlungu kakhulu, noma ukulahlekelwa umbono noma ibhalansi.

Akuzona zonke izibhedlela ezinamakhono e-telestroke, kodwa le sevisi iba ejwayelekile, ikakhulukazi ezibhedlela zasemakhaya nezincane zasemadolobheni. Izinsizakalo zezokwelapha eziphuthumayo zivame ukwazi ukuthi yiziphi izibhedlela endaweni yazo ezinikeza i-telestroke futhi zingase zithuthe iziguli ngokufanele.

Isinqumo sokusebenzisa i-telestroke sincike ezintweni eziningana, okuhlanganisa ubunzima bezimpawu, ukuthi seziqale kudala kangakanani, nokuthi ngabe isibhedlela sendawo sinongoti bezinzwa abatholakala ngokushesha. Odokotela abaphuthumayo baqeqeshwe ukubona ukuthi nini ukubonisana nge-telestroke kungaba usizo.

Uma ukhathazekile ngezimpawu zesifo sohlangothi kuwe noma othandiweyo, ungakhathazeki ngokuthi ngabe i-telestroke iyatholakala yini – gxila ekufikeni esibhedlela esiseduze ngokushesha ngangokunokwenzeka. Ithimba lezokwelapha lizinqumela indlela engcono kakhulu yokuhlola nokwelapha.

Imibuzo evame ukubuzwa mayelana ne-telestroke

Q.1 Ingabe ukubonisana nge-telestroke kulungile njengokubonana nodokotela wezinzwa mathupha?

Yebo, ucwaningo lubonisa ukuthi ukubonisana nge-telestroke kuphumelela kakhulu ekuhlolweni nasekuthathweni kwezinqumo zokwelashwa kwesitroko. Ochwepheshe abakude bangakwazi ukuxilonga izitroko ngokunembile futhi baqondise ukwelashwa okufanele ezimweni eziningi. Ubuchwepheshe bunikeza ikhwalithi yevidiyo enhle futhi buvumela ochwepheshe ukuthi benze ukuhlolwa okujulile kwemizwa. Noma kukhona imikhawulo ethile uma kuqhathaniswa nokuhlolwa komuntu siqu, izinzuzo zokufinyelela ngokushesha ochwepheshe ngokuvamile zidlula lezi zinkinga, ikakhulukazi ezimweni zesitroko ezibucayi ngesikhathi.

Umbuzo 2: Ingabe i-telestroke ibiza ngaphezu kokunakekelwa okuvamile okuphuthumayo?

Izimali zokubonisana nge-Telestroke zivame ukumbozwa yizinhlelo eziningi zomshuwalense, okuhlanganisa i-Medicare ne-Medicaid, njenganoma yikuphi okunye ukubonisana nochwepheshe. Izindleko zivame ukuba ngaphansi kwalokho obungakukhokhela ukuthuthwa ngendiza enophephela emhlane esibhedlela esikude. Izibhedlela eziningi zakha izinsiza ze-telestroke zibe yizindlela zazo zokunakekela isitroko, ngakho iziguli aziboni izindleko ezihlukene. Ukonga izindleko ngokujwayelekile kungaba kubalulekile lapho i-telestroke ivimbela ukudluliselwa okungadingekile noma yenza ukwelashwa okusheshayo, okuphumelelayo.

Umbuzo 3: Ingabe amalungu omndeni angahlanganyela ekuboniswaneni nge-telestroke?

Yebo, amalungu omndeni ngokuvamile akhuthazwa ukuba abe khona ngesikhathi sokubonisana nge-telestroke. Uchwepheshe okude angase acele amalungu omndeni imibuzo ebalulekile mayelana nokuthi izimpawu zaqala nini nokuthi yini abayibonile. Ukuba khona kwakho kungahlinzeka ngolwazi olubalulekile olusiza ekuqondiseni izinqumo zokwelashwa. Uchwepheshe uzophinde achaze okutholakele nezincomo zabo kuzo zombili iziguli namalungu omndeni, eqinisekisa ukuthi wonke umuntu uqonda uhlelo lokwelashwa.

Umbuzo 4: Kuthiwani uma ukuxhumeka kwevidiyo kuhluleka ngesikhathi sokubonisana?

Izinhlelo ze-Telestroke zinezinhlelo eziningi zokusekela uma kukhona ukwehluleka kwezobuchwepheshe. Izibhedlela eziningi zinezixhumo ze-inthanethi ezingeziwe kanye nemishini yokusekela etholakalayo. Uma ukuxhumana kwevidiyo kulahlekile, uchwepheshe angaqhubeka nokubonisana ngocingo ngenkathi ebukeza izifundo zokucabanga ekude. Ezimweni ezingavamile zokwehluleka okuphelele kwesistimu, ithimba lezokwelapha lendawo liqeqeshwe ukuhlinzeka ngokunakekelwa okufanele kwe-stroke esiphuthumayo ngenkathi lisebenza ukubuyisela ukuxhumana noma ukuhlela ukubonisana nochwepheshe okuhlukile.

Q.5 Ingabe ochwepheshe be-telestroke batholakala amahora angama-24 ngosuku?

Yebo, izinhlelo eziningi ze-telestroke zinikeza ukutholakala kochwepheshe 24/7 ngoba ama-stroke angenzeka nganoma yisiphi isikhathi. Ochwepheshe bavame ukuba sezikhungweni ezinkulu zezokwelapha futhi bashintshana ngokuba ngocingo lokubonisana nge-telestroke. Izikhathi zokuphendula zivame ukushesha kakhulu, ochwepheshe batholakala phakathi kwemizuzu engu-15-30 ngemuva kokuthintwa. Lokhu kutholakala ubusuku nemini kungenye yezinzuzo ezinkulu zezinsizakalo ze-telestroke, ikakhulukazi ezibhedlela ezindaweni lapho odokotela bezinzwa bendawo kungenzeka bangatholakali ngokushesha ebusuku nangezimpelasonto.