Abacwaningi abavela eSweden babenesithakazelo sokufunda ngokubaluleka kokuzivivinya ezinyangeni ezingu-6 zokuqala ngemva kokuba umuntu oshaywe isifo sohlangothi.- Imivimbo, eyesihlanuimbangela ehamba phambili yokufaTrusted Sourcee-United States, kwenzeka lapho ihlule legazi liqhuma noma kuqhuma umthambo ebuchosheni.
- Ababhali bocwaningo olusha bafunde ukuthi ukwanda kwamazinga omsebenzi kuthuthukisa amathuba okuba abahlanganyeli bocwaningo babe nomphumela ongcono wokusebenza ngemva kokushaywa unhlangothi.
Imivimbozithinta amakhulu ezinkulungwane zabantu minyaka yonke, futhi zingasukela ekubangeleni umonakalo omncane kuze kube sekufeni.
Emivimbo engabulali, ezinye izinkinga abantu ababhekana nazo zingase zihlanganise ukulahlekelwa ukusebenza ohlangothini olulodwa lomzimba, ukungakwazi ukukhuluma kahle, nokushoda kwamakhono emoto.
Umphumela osebenzayokulandela ukushaywa unhlangothiyisisekelo socwaningo olusha olushicilelwe kuI-JAMA Network OpenUmthombo Othenjwayo.Ababhali babenentshisekelo ngokuyinhloko esikhathini esiyizinyanga eziyisithupha kulandela isigameko sohlangothi nokuthi iyiphi indimaumsebenzi womzimbaidlala ekwenzeni ngcono imiphumela.
Ababhali bocwaningo basebenzise idatha evela kuIMIPHUMELA studyUmthombo othembekile, okusho ukuthi “Ukusebenza Kwe-Fluoxetine — Isivivinyo Esilawulwa Ngokungahleliwe ku-Stroke.”Ucwaningo luthole idatha kubantu abashaywa unhlangothi phakathi kuka-Okthoba 2014 kuya kuJuni 2019.
Ababhali babenentshisekelo kubahlanganyeli ababhalisele ucwaningo ezinsukwini ezi-2-15 ngemuva kokushaywa unhlangothi futhi abalandele isikhathi esiyizinyanga eziyisithupha.
Ababambiqhaza bekufanele bahlolwe umsebenzi wabo womzimba ngesonto elilodwa, inyanga eyodwa, izinyanga ezintathu, nezinyanga eziyisithupha ukuze kufakwe isifundo.
Sebebonke, ababambiqhaza abangu-1,367 bafanelekele ucwaningo, ngabesilisa abangama-844 nabangu-523 besifazane ababambiqhaza.Iminyaka yabahlanganyeli yayisukela kwengama-65 kuye kwengama-79, kanti iphakathi kweminyaka engama-72.
Ngesikhathi sokulandelela, odokotela bahlola amazinga okusebenza ngokomzimba kwabahlanganyeli.Ukusebenzisa i-I-Saltin-Grimby Physical Activity Level Scale, umsebenzi wabo umakwe kwelinye lamazinga amane:
- ukungasebenzi
- umfutho okhanyayo wokuzivocavoca okungenani amahora ama-4 ngeviki
- umsebenzi womzimba olinganiselayo okungenani amahora ama-3 ngesonto
- umsebenzi womzimba onamandla, njengohlobo olubonwa ekuqeqesheni imidlalo yokuncintisana okungenani amahora angu-4 ngeviki.
Abacwaningi babe sebebeka ababambiqhaza kwesinye sezigaba ezimbili: ukwandisa noma ukunciphisa.
Iqembu labakhuphulayo lalihlanganisa abantu abaqhubekisela phambili umsebenzi womzimba wokukhanya ngemva kokufinyelela izinga eliphezulu lokukhuphuka phakathi kweviki elilodwa nenyanga eyodwa ngemva kokushaywa unhlangothi futhi bagcina umsebenzi womzimba wokukhanya kuze kufike ephuzwini lezinyanga eziyisithupha.
Ngakolunye uhlangothi, iqembu elinciphile lalihlanganisa abantu ababonisa ukwehla kokuzivivinya futhi bagcina bepholile phakathi nezinyanga eziyisithupha.
Ukuhlaziywa kocwaningo kubonise ukuthi emaqenjini amabili, iqembu elikhulayo lalinethuba elingcono lokuthola kabusha ukusebenza.
Uma ubheka okulandelwayo, iqembu elikhuphulayo ligcine umsebenzi womzimba wokukhanya ngemva kokuzuza izinga eliphezulu lokunyuka phakathi kweviki elingu-1 nenyanga engu-1.
Iqembu elinciphile libe nokwehla okuncane kunoma yimuphi umsebenzi womzimba ngesikhathi sokuqokwa kwawo kokulandelela kwesonto elilodwa kanye nenyanga eyodwa.
Ngeqembu elinciphile, lonke iqembu alibange lisasebenza ngokuqokwa kokulandelela kwezinyanga eziyisithupha.
Abahlanganyeli eqenjini labakhuphulayo babebancane, ikakhulukazi abesilisa, bekwazi ukuhamba bengasizwanga, benomsebenzi wokuqonda onempilo, futhi babengadingi ukusebenzisa imishanguzo ye-antihypertensive noma i-anticoagulant uma kuqhathaniswa nabanciphayo ababambiqhaza.
Ababhali baphawule ukuthi nakuba ukuqina kwe-stroke kuyisici, abanye ababambiqhaza ababenemivimbo enzima baseqenjini elikhulayo.
"Nakuba kungase kulindeleke ukuthi iziguli ezine-stroke ezinzima zibe nokululama okusebenzayo okumpofu naphezu kwezinga labo lokusebenza ngokomzimba, ukusebenza ngokomzimba kusahlotshaniswa nomphumela ongcono, kungakhathaliseki ukuthi kunzima kangakanani, ukusekela izinzuzo zezempilo zomsebenzi womzimba we-poststroke," ucwaningo. ababhali babhala.
Sekukonke, lolu cwaningo lugcizelela ukubaluleka kokukhuthaza umsebenzi womzimba kusenesikhathi ngemuva kokushaywa unhlangothi futhi kubhekiswe kubantu abakhombisa ukwehla kokusebenza komzimba ngenyanga yokuqala ngemuva kokushaywa unhlangothi.
Udokotela wenhliziyo oqinisekisiwe webhodiUDkt Robert Pilchik, ozinze eNew York City, owayengahileleki ocwaningweni, walinganisa isifundoIzindaba Zokwelapha Namuhla.
“Lolu cwaningo luqinisekisa lokho abaningi bethu abebelokhu bekusola,” kusho uDkt. Pilchik."Ukusebenza komzimba ngokushesha ngemva kokushaywa unhlangothi kudlala indima ebalulekile ekubuyiseleni amandla okusebenza nasekusunguleni kabusha izindlela zokuphila ezivamile."
"Lokhu kubaluleke kakhulu phakathi nenkathi ye-subacute elandela umcimbi (kuze kufike ezinyangeni ze-6)," uDkt Pilchik waqhubeka."Ukungenelela okuthathwe ngalesi sikhathi ukuze kuthuthukiswe ukubamba iqhaza phakathi kwabasinde besifo sohlangothi kubangela imiphumela ethuthukisiwe ezinyangeni ze-6."
Umthelela omkhulu walolu cwaningo ukuthi iziguli zenza kangcono uma umsebenzi wazo womzimba ukhuphuka ngokuhamba kwesikhathi ezinyangeni eziyi-6 zokuqala kulandela ukushaywa unhlangothi.
UDkt Adi Iyer, udokotela ohlinzayo kanye ne-neuroradiologist ongenele e-Pacific Neuroscience Institute e-Providence Saint John's Health Centre e-Santa Monica, CA, naye ukhulume noMNTmayelana nocwaningo.Uthe:
“Ukuzivocavoca umzimba kusiza ekuqeqesheni kabusha ukuxhumana kwemisipha yengqondo okungenzeka ukuthi konakele kulandela ukushaywa unhlangothi.Ukuzivocavoca kusiza 'ukuxhuma kabusha' ubuchopho ukusiza iziguli ziphinde zisebenze elahlekile.”
URyan Glatt, umqeqeshi wezempilo wobuchopho ophezulu kanye nomqondisi we-FitBrain Programme e-Pacific Neuroscience Institute e-Santa Monica, CA, naye walinganisa.
"Ukusebenza ngokomzimba ngemva kokulimala kobuchopho okutholakele (njengokushaywa unhlangothi) kubonakala kubalulekile ekuqaleni kwenqubo," kusho uGlatt."Izifundo zesikhathi esizayo ezisebenzisa ukungenelela okuhlukile kokusebenza ngokomzimba, okubandakanya ukuvuselelwa kwezinhlaka ezihlukene, zingajabulisa ukubona ukuthi imiphumela ithinteka kanjani."
Kushicilelwe kabusha kusukaMedical News namuhla, ByU-Erika WattsngoMeyi 9, 2023 - Iqiniso lihlolwe ngu-Alexandra Sanfins, Ph.D.
Isikhathi sokuthumela: May-09-2023