Cibiyoyin bugun jini na farko sune asibitoci da Hukumar hadin gwiwa ta amince da su, wanda shine kungiyar da ta ba da izinin shirye-shiryen kiwon lafiya a Amurka. Kamfanin Dillancin Labaran ya fara tabbatar da cibiyoyin kula da cutar ta farko a cikin watan Disambar 2003.
Matsalar Cibiyar Binciken Farko
Cibiyoyin bugun farko na farko sun cika wasu ka'idodin don a yarda da su ta hanyar amincewa da wannan ƙayyadaddun.
Wasu daga cikin waɗannan bukatun sun haɗa da:
- Samun cibiyoyin bugun jini na musamman don ci gaba da lura da hankali.
- Bayyana yarda da bin ka'idodin ka'idojin ƙwaƙwalwar ƙwararrakin kullun.
- Tabbatar da ma'aikatan gaggawa na ma'aikatan gaggawa sun san ilimin shawo kan cutar.
- Kafa hanya don karɓa da kuma canja wurin marasa lafiya.
- Tattarawa da bayar da rahoton bayanai masu dacewa game da sakamakon bugun jini.
Cibiyoyin Rigakawa suna ba da Kulawa ta Hanyar Hanyar Hankali da Ƙungiya
Manufar kowa na kowane ciwon bugun jini shine ɗauka, tantancewa, bincikar cutar, da kuma kula da kowace bugun jini a cikin sa'o'i uku na farkon bayyanar cututtuka. Gudanar da magani na bugun jini daidai ya bukaci ma'aikatan lafiya da gwani.
Hanyoyin cututtuka sun hada da gwamnati na masu rauni mai karfi irin su IV TPA da intrometterial thrombolysis. Wadannan magunguna dole ne a gudanar da su a cikin wani gajeren lokaci bayan bayyanar cututtukan farawa, ko kuma suna sa mai tsanani, da kuma yiwuwar matsalolin mutuwa.
Wasu daga cikin manyan ayyuka na cibiyar kwastan na farko dole ne su iya cim ma a cikin wannan sa'a na tsawon sa'a uku:
- Sanya masu haƙuri zuwa asibitin
- Yi cikakken kimantawa ta hanyar likitan - sau da yawa likitan ne
- Samu kuma karanta, CT scan na kwakwalwa
- Zana jini, nazarinta, da kuma bada rahoton sakamakon
- Bayar da magani mai kyau
Gudanar da Rashin Hari da Masu Rashin Gyara
Yawancin annoba na cike da ƙungiyar fasikancin aiki na da masu bincike, ko masu ilimin lissafi (masu binciken da ba su da kwarewa a cikin bugun jini) a kan ma'aikatan, kuma sau da yawa suna samuwa a cikin gidan, a duk lokacin agogo. Wadannan likitocin suna aiki a ƙarƙashin kalmar "lokaci ne kwakwalwa." Sabili da haka, suna da sauri sosai, amma suna da cikakkun bayanai, yayin da suke fahimtar cututtuka masu guba. Lokacin da wannan ya faru, wadannan likitoci suna horar da su don daidaita matsalolin gaggawa, da kuma shirya gaggawa zuwa wurin kulawa mai kulawa da lafiya, ko kuma asibiti mafi mahimmanci.
Daidaita Ƙwarewa da Gudanar da Ƙunƙarar Cutar
Kwararren likitoci da masu aikin jinya wadanda ke cikin ɓarna na cibiyar shan magani sun horar da su don gane matsalolin da suka shafi likita wanda zai iya tashi a wanda ya sha wahala. Wannan yana da matukar mahimmanci, kamar yadda masu fama da bugun jini suka damu da sauri a cikin 'yan sa'o'i kadan ko kwanakin bayan bugun jini. A gaskiya, ko da magungunan bugun jini yana ci gaba da hadarin kasuwa 10% na juyawa zuwa babba a cikin farkon 48 hours.
Wasu daga cikin matsalolin da suke da yawa bayan bugun jini sun hada da:
- Sabuwar, ko kuma fadada bugun jini
- Bleeding, musamman lokacin da aka bi da t-PA
- Riƙe
- Brain kumburi
- Rarraba na likita irin su ciwon huhu da sauran cututtuka
Ma'aikatan tsofaffin ma'aikata sun san da bukatun marasa lafiya
Babban amfani da cibiyoyin bugun jini shine haɗarsu da ma'aikatan zamantakewar al'umma da sauran ma'aikatan da suka saba wa bukatun marasa lafiya da na tsawon lokaci. Wadannan malaman horarwa suna ba da taimako mai yawa wajen magance matsalolin da ke da alaka da asibiti na kiwon lafiya , wajen samun izini tare da likitoci, masu ilimin psychologists, ko masu ilimin likita, da kuma zabar shirye-shiryen gyare-gyare mafi kyau don kara inganta da saukakawa bayan bugun jini.
Matsalar Cibiyar Binciken Farko
Bisa ga bayanan da jarida ta Journal of the American Heart Association ya wallafa, marasa lafiya da suke karbar magani a gundumomi na farko sun fi karfin magani tare da T-PA fiye da marasa lafiya da ba a kula da su ba a Cibiyoyin Harkokin Cutar.
Wani samfurin karin magani wanda ya yi nazari akan marasa lafiya 120,000 da aka shigar da su kuma ya bi da su saboda bugun jini an buga su a cikin Journal of Stroke da Cerebrovascular Disease. Wadanda suka kamu da cutar sun hada da wadanda suka kamu da cutar bugun jini da kuma marasa lafiya da aka shigar da su a asibitin da ba a sanya su a matsayin manyan cibiyoyin bugun jini ba.
Mawallafin binciken sun lura cewa marasa lafiya da suka kamu da cutar a cikin cibiyoyin gubar dalma na farko ba su da wata matsala a cikin matsalolin asibiti kuma suna iya samun sakamako mafi kyau a kan fitarwa daga asibitin.
Tashin Jiyya a kan Horizon
Har ma sabon hanyar da za a iya samun marasa lafiya da ke fama da bugun jini yana bi da sauri a cikin cibiyar shan magani wanda ake kira Unit Mobile Stroke Unit. Tare da ƙananan 'yan a duniya da biyu a Amurka, Ƙungiyar Hannun Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙira ta aiki kamar yadda sunan yake nuna, farawa na fashewa, kuma wani lokuta ma magani, a kan hanyar zuwa asibiti, ajiye lokaci mai daraja.
> Sources:
> Cibiyar Harkokin Gudanar da Ƙungiyar Harkokin Kasuwanci ta Amfani da Ƙarƙashin RT-PA a cikin Ƙwararren Ƙwararren Ƙwararrun Ƙwararruwa , Mullen MT, Kasner SE, Kallan MJ, Kleindorfer DO, Albright KC, Carr BG, Littafin Ƙungiyar Zuciya ta Amirka , 2013 Mar 26; 2 (2) : e000071
> Kwancen abubuwan da ke faruwa da bala'i da kuma sakamakon da aka samu a cikin marasa lafiya marasa lafiya da aka shigar da su zuwa Cibiyoyin Harkokin Wuta. Chaudhry SA, Afzal MR, Chaudhry BZ, Zafar TT, Safdar A, Kassab MY, Hussain SI, Qureshi A, Littafin Lafiya da Cerebrovascular Disease, 2016 Aug 25 (8): 1960-5
Edited by Heidi Moawad MD