Marasa lafiya na asibiti da alamun bugun jini suna buƙatar kimantawar ƙwararru da sauri da kuma magani don dakatar da lalacewar kwakwalwa, wanda zai iya nuna bambanci tsakanin rayuwa da mutuwa.Koyaya, yawancin asibitoci ba su da ƙungiyar kula da bugun jini na kowane lokaci.Don gyara wannan gazawar, yawancin asibitocin Amurka suna ba da shawarwarin likitanci ga ƙwararrun bugun jini waɗanda ƙila za su kasance ɗaruruwan mil nesa.
Masu bincike da abokan aiki a Blavatnik School of Harvard Medical School.
An buga wannan binciken a kan layi a ranar 1 ga Maris a cikin "JAMA Neurology" kuma yana wakiltar bincike na farko na kasa game da tsinkayen marasa lafiya na bugun jini.Sakamakon ya nuna cewa idan aka kwatanta da marasa lafiya da suka halarci irin wannan asibitocin da ba su da sabis na bugun jini, mutanen da suka ziyarci asibitocin da ke ba da magunguna don tantance bugun jini sun sami kulawa mai kyau kuma suna iya tsira daga bugun jini.
Sabis na bugun jini mai nisa da aka kimanta a cikin wannan binciken yana ba da damar asibitoci ba tare da ƙwararrun gida ba don haɗa marasa lafiya tare da likitocin ƙwayoyin cuta waɗanda suka kware a maganin bugun jini.Yin amfani da bidiyo, ƙwararrun ƙwararrun nesa na iya kusan bincika mutane masu alamun bugun jini, duba gwaje-gwajen rediyo, da ba da shawara kan mafi kyawun zaɓuɓɓukan magani.
Amfani da kima mai nisa yana ƙara zama gama gari.Yanzu ana amfani da Telestroke a kusan kashi ɗaya bisa uku na asibitocin Amurka, amma kimanta tasirin sa a yawancin asibitoci har yanzu yana da iyaka.
Babban marubucin binciken, masanin farfesa na manufofin kula da lafiya da magani a HMS, kuma mazaunin Beth Israel Deaconess Medical Center ya ce: "Bincikenmu ya ba da muhimmiyar shaida cewa bugun jini na iya inganta kulawa da ceton rayuka."
A cikin wannan binciken, masu bincike sun kwatanta sakamakon da kuma adadin rayuwa na kwanaki 30 na masu fama da bugun jini na 150,000 da aka bi da su a fiye da asibitoci 1,200 a Amurka.Rabin su sun ba da shawarwarin bugun jini, yayin da sauran ba su yi ba.
Ɗaya daga cikin sakamakon binciken shine ko majiyyaci ya sami maganin reperfusion, wanda zai iya mayar da jini zuwa yankin kwakwalwa da bugun jini ya shafa kafin lalacewar da ba za a iya gyarawa ba.
Idan aka kwatanta da majinyata da ake yi wa jinya a asibitocin da ba na Bihua ba, adadin maganin sake juyar da majinyata a asibitocin Bihua ya kai kashi 13% mafi girma, kuma adadin mutuwar kwanaki 30 ya ragu da kashi 4%.Masu bincike sun gano cewa asibitocin da ke da mafi ƙarancin adadin marasa lafiya da asibitoci a yankunan karkara suna da fa'ida mafi girma.
Mawallafin marubucin, Andrew Wilcock, mataimakin farfesa a Makarantar Likita ta Lana ta Jami'ar Vermont, ya ce: "A cikin ƙananan asibitocin karkara, amfani da bugun jini ya zama mafi girman fa'ida-kayan aikin da ba kasafai ke iya bugun jini ba."Mai binciken Manufofin Kula da Lafiya na HMS."Wadannan binciken sun jaddada bukatar magance matsalolin kudi da wadannan kananan asibitocin ke fuskanta wajen bullo da cutar shanyewar jiki."
Marubutan hadin gwiwa sun hada da Jessica Richard daga HMS;Lee Schwamm da Kori Zachrison daga HMS da Babban Asibitin Massachusetts;Jose Zubizarreta daga HMS, Makarantar Kiwon Lafiyar Jama'a ta Chenhe na Jami'ar Harvard da Jami'ar Harvard;da Lori-Uscher-Pines daga RAND Corp.
Wannan binciken ya sami goyan bayan Cibiyar Kula da Cututtukan Neurological da Buga (Grant No. R01NS111952).DOI: 10.1001 / jamaneurol.2021.0023
Lokacin aikawa: Maris-03-2021