Umsebenzi womzimba uyisitshixo sokuphucula ukubuyiswa kwe-post-stroke, uphando lufumanisa

• Abaphandi abavela eSweden babenomdla wokufunda ngokubaluleka kokusebenza ngokomzimba kwiinyanga ze-6 zokuqala emva kokuba umntu onesifo sohlangothi.
• Imivimbo, eyesihlanuoyena nobangela wokufa oThenjiweyoeUnited States, kwenzeka xa ihlwili legazi ligqabhuka okanye umthambo ugqabhuka ebuchotsheni.
• Ababhali bophononongo olutsha bafunde ukuba ukonyuka kwamanqanaba omsebenzi kuphucule amathuba okuba abathathi-nxaxheba bophononongo babe nesiphumo esingcono sokusebenza emva kokubetha.

Imivimbozichaphazela amakhulu amawaka abantu minyaka le, kwaye zinokusuka ekudaleni umonakalo ongephi ukusa ekufeni.

Kwimivimbo engabulali, eminye imiba abantu abajongene nayo inokubandakanya ukulahleka kokusebenza kwelinye icala lomzimba, ubunzima bokuthetha, kunye nokusilela kwezakhono zemoto.

Isiphumo esisebenzayokulandela istrokesisiseko sophononongo olutsha olupapashwe kwiI-JAMA Network OpenUmthombo othembekileyo.Ababhali babenomdla ngokuyintloko kwixesha leenyanga ezintandathu emva kwesiganeko se-stroke kwaye yintoni indimaumsebenzi womzimbaidlala ekuphuculeni iziphumo.

Ababhali bophononongo basebenzise idatha evela kwiIMIPHUMELA ukufunda Umthombo oThenjiweyo, emele "Ukusebenza kweFluoxetine - Uvavanyo oluLawulwe ngokungacwangciswanga kwiStroke."Uphononongo lufumene idatha kubantu ababene-stroke phakathi kuka-Oktobha 2014 ukuya kuJuni ka-2019.

Ababhali babenomdla kubathathi-nxaxheba ababhalisele uphononongo kwiintsuku ze-2-15 emva kokuphazamiseka kwaye baphinde balandele ixesha leenyanga ezintandathu.

Abathathi-nxaxheba kwafuneka ukuba umsebenzi wabo womzimba uvavanywe kwiveki enye, inyanga enye, iinyanga ezintathu, kunye neenyanga ezintandathu ukuze kufakwe isifundo.

Ngokubanzi, abathathi-nxaxheba be-1,367 bafanelekele isifundo, kunye nabathathi-nxaxheba be-844 kunye nabathathi-nxaxheba be-523 ababhinqileyo.Ubudala babathathi-nxaxheba babususela kuma-65 ukuya kuma-79 eminyaka ubudala, bephakathi kweminyaka engama-72.

Ngethuba lokulandelwa, oogqirha bavavanya amanqanaba omsebenzi womzimba wabathathi-nxaxheba.Ukusebenzisa iI-Saltin-Grimby yeNqanaba loMzimba loMzimba, umsebenzi wabo waphawulwa kwelinye lamanqanaba amane:

• ukungasebenzi
• ukukhanya-ukuqina umsebenzi womzimba ubuncinane iiyure ezi-4 ngeveki
• umsebenzi ophakathi womzimba ubuncinane iiyure ezi-3 ngeveki
• umsebenzi womzimba onamandla, njengohlobo olubonwa kuqeqesho lwemidlalo ekhuphisanayo ubuncinane iiyure ezi-4 ngeveki.

Abaphandi babeka abathathi-nxaxheba kwelinye lamacandelo amabini: ukunyuka okanye ukunciphisa.

Iqela elikhulayo libandakanya abantu abagcina ukukhanya-ukuqina komzimba emva kokufikelela kwinqanaba eliphezulu lokunyuka phakathi kweveki enye kunye nenyanga enye emva kokubetha kwaye bagcina umsebenzi womzimba wokukhanya ukuya kwinqanaba leenyanga ezintandathu.

Kwelinye icala, iqela elinciphileyo liquka abantu ababonise ukuhla kokwenza umthambo baza ekugqibeleni bayeka ukusebenza kwiinyanga ezintandathu.

Uphononongo lophononongo lubonise ukuba kumaqela amabini, iqela elikhulayo lalinamathuba angcono okubuyisela ukusebenza.

Xa ujonge ukulandelwa, iqela lokunyuswa ligcine ukukhanya-ukuqina komzimba emva kokufikelela kwinqanaba eliphezulu lokunyuka phakathi kweveki ye-1 kunye nenyanga ye-1.

Iqela elinciphileyo libe nokwehla okuncinci kuwo nawuphi na umsebenzi womzimba kwi-aphoyintimenti yokulandela iveki enye kunye nenyanga enye.

Ngeqela elinciphileyo, lonke iqela liye layeka ukusebenza ngokuqeshwa kweenyanga ezintandathu.

Abathathi-nxaxheba kwiqela elikhulayo babebancinci, ubukhulu becala ngamadoda, babekwazi ukuhamba bengancediswanga, babenomsebenzi wokuqonda okunempilo, kwaye kwakungekho mfuneko yokuba basebenzise amayeza okulwa noxinzelelo lwegazi okanye amayeza okulwa noxinzelelo xa kuthelekiswa nabathathi-nxaxheba abancinci.

Ababhali baqaphele ukuba ngelixa ubunzima be-stroke buyinto, abanye abathathi-nxaxheba ababenemivimbo enzima babekwiqela elikhulayo.

"Nangona kunokulindeleka ukuba izigulane ezine-stroke enzima zibe nokubuyiswa komsebenzi ophantsi nangona inqanaba labo lokusebenza ngokomzimba, ukusebenza ngokomzimba kusahambelana nesiphumo esingcono, kungakhathaliseki ukuba bunzima be-stroke, ukuxhasa inzuzo yezempilo yomsebenzi womzimba emva kokuphazamiseka," isifundo. ababhali babhale.

Ngokubanzi, uphando lugxininisa ukubaluleka kokukhuthaza umsebenzi womzimba kwangethuba emva kokubetha i-stroke kunye nokujolisa kubantu ababonisa ukwehla komsebenzi womzimba kwinyanga yokuqala emva kokuphazamiseka.

Ibhodi ye-cardiologist eqinisekisiweyoUGqr. Robert Pilchik, esekelwe kwisiXeko saseNew York, owayengabandakanyekanga kwisifundo, walinganisa kwisifundoIindaba zonyango Namhlanje.

“Olu phononongo luqinisekisa oko abaninzi bethu bebesoloko bekukrokrela,” watsho uGqr. Pilchik."Umsebenzi owenziwe ngokomzimba ngokukhawuleza emva kokubetha udlala indima ebalulekileyo ekubuyiseleni amandla okusebenza kunye nokuseka kwakhona indlela yokuphila eqhelekileyo."

"Oku kubaluleke kakhulu ngexesha le-subacute emva kwesiganeko (ukuya kwiinyanga ze-6)," uDkt Pilchik waqhubeka."Amanyathelo athathiweyo ngeli xesha ukunyusa inxaxheba phakathi kwabasindileyo be-stroke kubangela iziphumo eziphuculweyo kwiinyanga ze-6."

Impembelelo enkulu yolu phononongo kukuba izigulane zenza ngcono xa umsebenzi wabo womzimba ukhula ngokuhamba kwexesha kwiinyanga zokuqala ze-6 emva kokuphazamiseka.

UGqr. Adi Iyer, i-neurosurgeon kunye ne-neuroradiologist yongenelelo kwi-Pacific Neuroscience Institute kwi-Providence Saint John's Health Centre e-Santa Monica, CA, naye wathetha naye.MNTmalunga nesifundo.Uthe:

“Ukusebenza komzimba kunceda ekuziqeqesheni kwakhona unxibelelwano lwezihlunu zengqondo olunokuthi lonakaliswe emva kokubethwa sistrowuku.Ukuzilolonga kunceda 'ukubuyisela intambo' ingqondo ukunceda izigulana ziphinde zisebenze.”

URyan Glatt, Umqeqeshi ophezulu wezempilo wengqondo kunye nomlawuli weNkqubo yeFitBrain kwi-Pacific Neuroscience Institute eSanta Monica, CA, nayo yalinganisa.

"Umsebenzi womzimba emva kokulimala kwengqondo efunyenweyo (njenge-stroke) ibonakala ibalulekile ngaphambili kwinkqubo," kusho uGlatt."Izifundo zexesha elizayo ezizalisekisa iindlela ezahlukeneyo zokungenelela ngokomzimba, kubandakanywa nokuvuselelwa kweendlela ezahlukeneyo, kuya kuba nomdla ukubona ukuba iziphumo zichaphazeleka njani."

Iphinde yapapashwa ukusukaIindaba zoNyango namhlanje, nguUErika WattsngoMeyi 9, 2023 - Inyaniso ihlolwe ngu Alexandra Sanfins, Ph.D.