ʻO nā poʻe maʻi o ka haukapila me nā hōʻailona hahau e koi i ka loiloi loea a me ka mālama ʻana e hoʻōki i ka pōʻino o ka lolo, ʻo ia ke ʻano o ka ʻokoʻa ma waena o ke ola a me ka make.Eia nō naʻe, ʻaʻohe nui o nā haukapila i loaʻa i kahi hui mālama stroke a puni ka manawa.No ka hoʻoponopono ʻana i kēia hemahema, nui nā halemai ʻAmelika e hāʻawi i nā kūkākūkā telemedicine i nā poʻe loea stroke i loaʻa paha he mau haneli mau mile.
Nā mea noiʻi a me nā hoa hana ma ke kula ʻo Blavatnik o ke Kula Lapaʻau ʻo Harvard.
Ua paʻi ʻia kēia haʻawina ma ka pūnaewele ma Malaki 1 ma "JAMA Neurology" a ke hōʻike nei i ka loiloi mua o ka ʻāina o ka prognosis o nā maʻi maʻi.Ua hōʻike nā hopena i ka hoʻohālikelike ʻia me nā poʻe maʻi i hele i nā halemai like ʻole i loaʻa i nā lawelawe hahau, ʻo ka poʻe i kipa aku i nā halemai i hoʻolako i ka telemedicine e loiloi i ka hahau ʻana i loaʻa ka mālama maikaʻi a ʻoi aku ka maikaʻi o ke ola ʻana i ka hahau.
ʻO ka lawelawe hahau mamao i loiloi ʻia i loko o kēia haʻawina e hiki ai i nā halemai me ka ʻole o ka ʻike kūloko e hoʻopili i nā maʻi me nā neurologist i loea i ka mālama ʻana i ka maʻi stroke.Ke hoʻohana nei i ke wikiō, hiki i nā loea mamao ke nānā pono i nā poʻe me nā hōʻailona stroke, nānā i nā hoʻokolohua radiological, a aʻo i nā koho lapaʻau maikaʻi loa.
ʻOi aku ka maʻamau o ka hoʻohana ʻana i ka loiloi mamao.Hoʻohana ʻia ʻo Telestroke ma kahi kokoke i kahi hapakolu o nā haukapila US, akā ua kaupalena ʻia ka loiloi o kona hopena i nā halemai he nui.
ʻO ka mea kākau kiʻekiʻe o ke aʻo ʻana, he loea pili i ke kulekele mālama olakino a me ka lāʻau lapaʻau ma HMS, a me kahi kamaʻāina ma Beth Israel Deaconess Medical Center i ʻōlelo ʻia: "ʻO kā mākou ʻike e hāʻawi i nā hōʻike koʻikoʻi e hiki i ka hahau ke hoʻomaikaʻi i ka mālama a mālama i nā ola."
I loko o kēia noiʻi, ua hoʻohālikelike nā mea noiʻi i nā hopena a me 30 mau lā ola ola o 150,000 mau maʻi hahau i mālama ʻia ma mua o 1,200 mau haukapila ma United States.ʻO ka hapalua o lākou i hāʻawi i ka ʻōlelo aʻoaʻo stroke, a ʻo ka hapa ʻē aʻe ʻaʻole.
ʻO kekahi o nā hopena o ke aʻo ʻana inā ua loaʻa i ka mea maʻi ka reperfusion therapy, hiki ke hoʻihoʻi i ke kahe o ke koko i ka ʻāpana lolo i hoʻopilikia ʻia e ka hahau ma mua o ka hiki ʻana mai o ka pōʻino hiki ʻole.
Ke hoʻohālikelike ʻia me nā poʻe maʻi i mālama ʻia ma nā halemai non-Bihua, ʻo ka helu pili o ka reperfusion therapy no nā poʻe maʻi i mālama ʻia ma nā haukapila Bihua he 13% kiʻekiʻe, a ʻo ka helu pili o 30 mau lā make he 4% haʻahaʻa.Ua ʻike nā mea noiʻi ʻo nā halemai me ka liʻiliʻi loa o nā maʻi a me nā halemai ma nā kuaʻāina i loaʻa nā pōmaikaʻi maikaʻi loa.
ʻO ka mea kākau alakaʻi, ʻo Andrew Wilcock, ke kaukaʻi kōkua ma ke Kula Lapaʻau ʻo Lana o ke Kulanui o Vermont, i ʻōlelo ʻia: “Ma nā halemai kuaʻāina liʻiliʻi, ʻo ka hoʻohana ʻana i ka hahau ʻana me he mea lā ʻo ia ka mea pōmaikaʻi nui loa i hiki ʻole ke hiki i ka hahau."HMS Healthcare Policy Researcher."Ke hōʻike nei kēia mau ʻike i ka pono e hoʻoponopono i nā pilikia kālā e kū nei kēia mau haukapila liʻiliʻi i ka hoʻokomo ʻana i nā hahau."
ʻO nā mea kākau pū me Jessica Richard mai HMS;ʻO Lee Schwamm lāua ʻo Kori Zachrison mai HMS a me Massachusetts General Hospital;ʻO Jose Zubizarreta mai HMS, ke Kula Nui ʻo Chenhe o ke Kulanui o Harvard a me ke Kulanui ʻo Harvard;a me Lori-Uscher-Pines mai RAND Corp.
Ua kākoʻo ʻia kēia noiʻi e ka National Institute of Neurological Diseases and Stroke (Grant No. R01NS111952).DOI: 10.1001 / jamaneurol.2021.0023
Ka manawa hoʻouna: Mar-03-2021