Abarwayi bo mu bitaro bafite ibimenyetso byubwonko bakeneye isuzuma ryihuse ninzobere kugirango bahagarike kwangirika kwubwonko, bishobora gusobanura itandukaniro ryubuzima nurupfu.Nyamara, ibitaro byinshi ntabwo bifite itsinda ryita kumasaha kumasaha.Kugira ngo ibyo bishoboke, ibitaro byinshi byo muri Amerika bitanga inama za telemedisine kubuhanga bw’imitsi ishobora kuba iri ku bilometero amagana.
Abashakashatsi na bagenzi bawe ku ishuri rya Blavatnik ry’ishuri ry'ubuvuzi rya Harvard.
Ubu bushakashatsi bwatangajwe ku rubuga rwa interineti ku ya 1 Werurwe muri “JAMA Neurology” kandi bugaragaza isesengura rya mbere ry’igihugu ku iteganyagihe ry’abarwayi ba stroke.Ibisubizo byagaragaje ko ugereranije n’abarwayi bitabiriye ibitaro bisa bidafite serivisi z’imitsi, abantu basuye ibitaro bitanga telemedisine kugira ngo basuzume indwara y’imitsi bahawe ubuvuzi bwiza kandi bishoboka cyane ko barokoka iyo ndwara.
Serivise ya stroke yasuzumwe muri ubu bushakashatsi ituma ibitaro bidafite ubuhanga bwaho bwo guhuza abarwayi naba psychologue kabuhariwe mu kuvura indwara yubwonko.Ukoresheje videwo, abahanga ba kure barashobora gusuzuma abantu bafite ibimenyetso byubwonko, kugenzura ibizamini bya radiologiya, no gutanga inama kuburyo bwiza bwo kuvura.
Gukoresha isuzuma rya kure rya stroke biragenda biba byinshi.Telestroke ubu ikoreshwa hafi kimwe cya gatatu cyibitaro byo muri Amerika, ariko gusuzuma ingaruka zayo mubitaro byinshi biracyari bike.
Umwanditsi mukuru w’ubwo bushakashatsi, umwarimu wungirije wa politiki y’ubuzima n’ubuvuzi muri HMS, akaba atuye mu kigo cy’ubuvuzi cya Beth Israel Deaconess yagize ati: “Ibyo twabonye bitanga ibimenyetso bifatika byerekana ko indwara y’imitsi ishobora guteza imbere ubuvuzi no kurokora ubuzima.”
Muri ubu bushakashatsi, abashakashatsi bagereranije ibyavuye mu mibare n’iminsi 30 yo kubaho kw’abarwayi ba stroke 150.000 bavuwe mu bitaro birenga 1200 byo muri Amerika.Kimwe cya kabiri cyabo batanze inama zubwonko, mugihe ikindi gice batatanze.
Kimwe mu byavuye mu bushakashatsi ni ukumenya niba umurwayi yarahawe imiti ya reperfusion, ishobora kugarura amaraso mu bwonko bwatewe n'ubwonko mbere yuko ibyangiritse bidasubirwaho.
Ugereranije n’abarwayi bavuwe mu bitaro bitari Bihua, igipimo cy’ubuvuzi bwa reperfusion ku barwayi bavuwe mu bitaro bya Bihua cyari hejuru ya 13%, naho umubare w’impfu z’iminsi 30 wari munsi ya 4%.Abashakashatsi basanze ibitaro bifite abarwayi bake n’ibitaro byo mu cyaro bifite inyungu nziza cyane.
Umwanditsi mukuru, Andrew Wilcock, umwungirije wungirije mu Ishuri Rikuru ry’Ubuvuzi rya kaminuza ya Vermont, yagize ati: “Mu bitaro bito byo mu cyaro, gukoresha indwara y’imitsi bisa nkaho ari inyungu nini-nyungu zidakunze kubaho mu bwonko.“Umushakashatsi wa Politiki y’ubuzima ya HMS.Ati: “Ibyavuye mu bushakashatsi bishimangira ko ari ngombwa gukemura inzitizi z’amafaranga ibyo bitaro bito bihura nabyo mu gutangiza inkoni.”
Abanditsi hamwe barimo Jessica Richard wo muri HMS;Lee Schwamm na Kori Zachrison bo mu bitaro bikuru bya HMS na Massachusetts;Jose Zubizarreta wo muri HMS, Ishuri Rikuru ry’Ubuzima rusange rya kaminuza ya Harvard na kaminuza ya Harvard;na Lori-Uscher-Pines kuva RAND Corp.
Ubu bushakashatsi bwatewe inkunga n'ikigo cy'igihugu gishinzwe indwara zifata ubwonko na stroke (Impano No R01NS111952).DOI: 10.1001 / jamaneurol.2021.0023
Igihe cyo kohereza: Werurwe-03-2021