Abaphenyi baseSweden babenesifiso sokufunda ngokubaluleka kokuzivocavoca umzimba ezinyangeni ezi-6 zokuqala kulandela umuntu oshaywa unhlangothi.- Imivimbo, owesihlanuImbangela eholayo yomthombo ojulileE-United States, zenzeka lapho kuqhuma igazi noma i-vein iqhuma ebuchosheni.
- Ababhali abasha abafunda bafundile ukuthi amazinga okusebenza akhulayo athuthukile amathuba ababambiqhaza bokufunda abanomphumela ongcono osebenza ngokulandela unhlangothi.
ImivimboThatha amakhulu ezinkulungwane zabantu minyaka yonke, futhi zingahluka kusuka ekubangelele ukulimala okuncane kuze kube sekufeni.
Emivishwini engeyona eyezinsimu, ezinye izingqinamba abantu ababhekana nazo zingafaka ukulahleka kokusebenza ohlangothini olulodwa lomzimba, ubunzima bokukhuluma nobunzima bemoto.
Umphumela OsebenzayoNgemuva kwesifo sohlangothiisisekelo socwaningo olusha olushicilelwe ngaphakathiI-Jama Network ivulekileUmthombo Othembekile. Ababhali babenesithakazelo ngokuyinhloko ngesikhathi esinezinyanga eziyisithupha kulandela umcimbi wokuhlangothi futhi iyiphi indimaUkusebenza ngokomzimbaidlala ekuthuthukiseni imiphumela.
Ababhali bocwaningo basebenzise idatha kusuka kuImiphumela ScondRedTreated Source, okumele "ukusebenza ngempumelelo kwe-fluoxetine - isivivinyo esilawulwa ngokungahleliwe esihlahleni." Ucwaningo luthole idatha evela kubantu ababenemivimbo phakathi kuka-Okthoba 2014 kuya kuJuni 2019.
Ababhali babenesifiso sabahlanganyeli ababhalisela ucwaningo 2-15 ezinsukwini 2- 15 ngemuva kokuba nesifo sohlangothi futhi nalo lulandela isikhathi esiyizinyanga eziyisithupha.
Ababambiqhaza bekufanele babe nomsebenzi wabo womzimba bahlolwe ngesonto elilodwa, inyanga eyodwa, izinyanga ezintathu, nezinyanga eziyisithupha zokufunda ukufakwa.
Sekukonke, ababambiqhaza abangu-1,367 abalungele isifundo, nabahlanganyeli besilisa abangama-844 kanye nabahlanganyeli besifazane abangama-523. Iminyaka yababambiqhaza isukela eminyakeni engama-65 kuye kwangama-79, inenkathi yeminyaka eyi-72.
Ngesikhathi sokulandela, odokotela bahlola amazinga okusebenza ngokomzimba womzimba. UsebenzisaIsikali se-SALTIN-Grimby Work Work Wevel Scale, umsebenzi wabo wawuphawulwe kwelinye lamazinga amane:
- ukusebenza nokungabikho
- umsebenzi wokukhanya okukhanya kokukhanya okungenani amahora amane ngeviki
- Ukuqina okuphakathi kokuqina kokuqina kwamahora ama-3 ngeviki
- Ukusebenza ngokomzimba okunamandla - okufana nohlobo olubonwe ekuqeqesheni imidlalo yokuncintisana okungenani amahora amane ngeviki.
Abaphenyi babe sebebeka ababambiqhaza bangenye yezigaba ezimbili: ukukhulisa noma ukuncipha.
Iqembu lokukhulisa lalifaka abantu abasekela umsebenzi wokuzikhandla wokukhanya ngemuva kokuthola isilinganiso esiphezulu sokwanda phakathi kwesonto elilodwa nangenyanga eyodwa ye-post-stroke futhi bagcina umsebenzi wokukhanya okukhanya okukhanyayo waya endaweni yezinyanga eziyisithupha.
Ngakolunye uhlangothi, iqembu elahliwe lalihlanganisa nabantu abakhombisa ukwehla emsebenzini futhi ekugcineni basebenza kungasebenzi kungakapheli izinyanga eziyisithupha.
Ukuhlaziywa kokutadisha kukhombisile lokho kwalawa maqembu amabili, iqembu lakhulisa lalinengxabano engcono yokubuyiselwa okusebenzayo.
Lapho ubheka okulandelayo, iqembu lakhulisa laqhubeka nokuzikhandla kokukhanya komzimba ngemuva kokuthola isilinganiso esiphezulu sokwanda phakathi kweviki eli-1 nenyanga eyi-1.
Iqembu elinciphayo lalinokwehla okuncane kunoma yimuphi umsebenzi wokubhala ngokulandelana kwawo ngeviki elilodwa nenyanga eyodwa.
Ngeqembu elahliwe, lonke iqembu lalingasebenzi ngokuqokwa okulandela izinyanga eziyisithupha.
Ababambiqhaza eqenjini lakhulisa laliphansi, ikakhulukazi owesilisa, bakwazi ukuhamba ngokungafundile, banomsebenzi ophilile bezokwelapha, futhi bekungadingi ukusebenzisa imishanguzo ye-antihypensive noma ye-anticoagulant uma kuqhathaniswa nababambe iqhaza.
Abalobi baphawule ukuthi ngenkathi ubhujiswa unhlangothi, abanye abahlanganyeli ababenemivimbo enzima babeseqenjini lokukhuphuka.
"Ngenkathi kungalindeleka ezigulini ezinesihlakala esinzima ukuba zibuyiselwe ukusebenza kabi naphezu kwezinga lokuzivocavoca umzimba, kungakhathalekile ukuqina komqondo," ukusekela izinzuzo zezempilo zokusebenza komzimba, "ucwaningo Ababhali babhale.
Sekukonke, isifundo sigcizelela ukubaluleka kokukhuthaza ukusebenza komzimba kusenesikhathi ngemuva kokuhlaselwa unhlangothi kanye nokubhekisisa abantu abakhombisa ukwehla kokusebenza ngokomzimba enyangeni yokuqala-stroke yenyanga yokuqala.
IBHODI LESIQINISEKISO SAMAHHALAUDkt Robert Pilchik, kususelwa eNew York City, owayengahlanganyeli esifundweni, esisindwa esifundweni seIzindaba Zokwelashwa Namuhla.
"Lolu cwaningo luqinisekisa ukuthi iningi lethu lihlale lisola lokho," kusho uDkt Pilchik. "Ukuzivocavoca umzimba ngokushesha ngemuva kokushaywa kudlala indima ebalulekile ekubuyiseleni amandla okusebenza kanye nokusungula kabusha izindlela ezijwayelekile zokuphila."
"Lokhu kubaluleke kakhulu ngesikhathi sokuzithoba kulandela umcimbi (kuze kufike ezinyangeni ezi-6)," uDkt. Pilchik waqhubeka. "Ukungenelela okuthathiwe ngalesi sikhathi ukuthuthukisa ukubamba iqhaza phakathi kokusongotwa kwabantu abasinda emiphumeleni ethuthukisiwe ezinyangeni ezi-6."
Ukushiwo okukhulu kwalolu cwaningo ukuthi iziguli zenza kangcono lapho umsebenzi wazo womzimba ukhuphuka ngokuhamba kwesikhathi ezinyangeni ezi-6 zokuqala ngemuva kwesifo sohlangothi.
UDkt Adi Iyer, i-neurosurgeon kanye ne-neuroradiologist ehlanganisiwe ePacific Neuroscience Institute eProviden Saint Health Center eSanta Monica, Ca, futhi wakhuluma nayeNgtmayelana nocwaningo. Uthe:
"Ukuzivocavoca umzimba kusiza ekubuyiseleni ukuxhumana kwemisipha yengqondo okungenzeka ukuthi kulimele kulandela unhlangothi. Ukuzivocavoca kusiza 'ukubuyela kabusha' ubuchopho ukusiza iziguli zithole umsebenzi olahlekile. "
Ryan glatt, umqeqeshi wezempilo obukhulu obuqha nobuchopho kanye nohlelo lwe-fitbrain ePacific Neuroscience Institute eSanta Monica, CA, futhi enesisindo.
"Ukuzivocavoca umzimba ngemuva kokulimala kobuchopho okutholwe (njengokushaywa unhlangothi) kubukeka sengathi kubalulekile ekuqaleni kwenqubo," kusho i-Glatt. "Izifundo zesikhathi esizayo ezisebenzisa ukungenelela okuhlukile kokuzivocavoca umzimba, kufaka phakathi ukuvuselelwa okuphakathi, kungajabulisa ukubona ukuthi imiphumela ithinteka kanjani."
Ukushicilelwa kusukaIzindaba zezokwelapha namuhla, ngoI-Erika WattsngoMeyi 9, 2023 - Iqiniso lihlolwe yi-Alexandra Sanfins, Ph.D.
Isikhathi sePosi: Meyi-09-2023