Kufufuza Kufufuza Kosokonezeka
Ngati mukudabwa ngati muli ndi postconcussive syndrome (PCS), mumakhala bwino. Anthu ambiri ali ndi mafunso okhudza matenda a postconcussive, kuphatikizapo akatswiri ovulala kwambiri a ubongo (TBI). Ndipo madokotala ambiri amayesetsa kuvomereza ngakhale ngakhale kutanthauzira kwenikweni kwa matenda a postconcussive. Chifukwa cha ichi, kufufuza pa nkhaniyi kwakhala yamatope ndipo nthawi zina kumatsutsana.
Kawirikawiri, tanthawuzo lovomerezeka kwambiri ndi lakuti vuto la postconcussive liri ndi munthu amene akudwala TBI wofatsa ndikupitirizabe kuvutika ndi zotsatirazi:
- Mutu , chizungulire , malaise, kutopa, kapena kuchepa kulekerera phokoso.
- Kukhumudwa, kuvutika maganizo, nkhawa, kapena kuvutika maganizo
- Kusamala, kuganizira, kapena mavuto
- Kusagona
- Kuchepetsa kulekerera mowa
Akatswiri ambiri amavomereza kuti zizindikiro ziyenera kuyamba pasanathe milungu isanu pambuyo povulazidwa mutu. Kawirikawiri, anthu ambiri omwe ali ndi matenda a postconcussive ali ndi zizindikiro zawo zothetsera. Nthaŵi zambiri izi zimachitika mkati mwa masabata a chiyeso choyambirira, ndi pafupi magawo awiri pa atatu a anthu omwe ali opanda zizindikiro mkati mwa miyezi itatu ya ngozi yawo. Pali kachigawo kakang'ono ka odwala omwe akuyembekezerabe kukhalabe ndi mavuto pambuyo pa chaka. Zakalamba ndi kuvulazidwa kwa mutu kumbuyo ndizifukwa zoopsa zowonjezera nthawi yaitali.
Kuphatikiziranso matenda a PCS ndikuti PCS imagawana zizindikiro zambiri ndi zina, zomwe zambiri, monga kupsinjika maganizo ndi matenda osokonezeka maganizo, zimapezeka mwa anthu omwe ali ndi PCS. Komanso, zizindikiro zambiri za PCS zimagawidwa ndi anthu popanda matenda ena, kapena kuvulazidwa kumalo ena a thupi.
Izi zachititsa akatswiri ena kukayikira ngati matenda opatsirana amatha kukhalapo ngati osiyana. Komabe, anthu omwe ali ndi zizindikiro zofanana koma popanda kuvulazidwa pamutu samalongosola kawiri kawiri kawiri kawiri kazimvetsetsa, kuchepetsa kukumbukira, kapena kutengeka mtima monga omwe anadwala TBI yofatsa.
Palibe amene akudziwa bwino chifukwa chake anthu omwe ali ndi kuvulala kumutu amakhala ndi zizindikiro. Zakale, madokotala adakangana kuti ngati chifukwa cha PCS chinali chakuthupi kapena maganizo, komabe choonadi ndi chakuti PCS imaphatikizapo kuphatikiza zifukwa zonse zakuthupi ndi zamaganizo. Ndipotu, ubongo umayambitsa zokhudzana ndi maganizo, ndipo kuvulala kwa thupi kumayambitsa kusintha kwa maganizo. Mwachitsanzo, odwala ambiri omwe ali ndi matenda a postconcussive alibe chifukwa, chomwe chingakhale chogwirizana kwambiri ndi kuvulala kwa ubongo kapena chokhudzana ndi kuvutika maganizo. Mofananamo, madokotala ena awona kuti odwala omwe ali ndi matenda a post-concussive amatha kukhala otanganidwa ndi zizindikiro zawo mofanana ndi chinyengo. Izi zingachititse anthu okhala ndi PCS kuti agogomeze zizindikiro zawo, koma kodi nkhawa zawo mwina zimachokera ku kuvulazidwa kwa thupi?
Ambiri amawoneka kuti akusonyeza kuti patapita nthawi zizindikiro za matenda a postconcussion akutha, ndizowonjezera kuti zifukwa zakuthupi zimasewera kwambiri. Kukula kwa zizindikiro zowonjezereka kwa chaka kungathe kunenedwa ndi mbiri ya kumwa mowa mopitirira muyeso, luso lodziŵa kuzindikira, vuto la umunthu, kapena vuto la maganizo monga matenda ovutika maganizo kapena nkhawa. Komabe, chiopsezo cha zizindikiro zowonjezereka chinawonjezerekanso ngati kuvulala koyamba kunkagwirizanitsidwa ndi Glasgow Coma Score kwambiri kapena mbiri ya vuto lalikulu la mmbuyo.
Matenda a Postconcussive ndi matenda opatsirana, omwe amatanthauza kuti palibe mayesero ena owonjezera omwe amafunikira kuposa kupenda kwa dokotala.
Izi zikuti , positron emission tomography (PET) zojambula zasonyeza kusagwiritsidwa ntchito shuga ndi ubongo kwa odwala matenda a postconcussive matenda, ngakhale mavuto monga depression angayambitse zofanana zofanana. Zowonongeka zowonongeka zasonyezeranso zosavuta kwa anthu omwe ali ndi PCS. Anthu omwe ali ndi PCS apezeka kuti atha kuchepetsa zovuta pamayesero ena achidziwitso. Kumbali inayi, ngakhale chisanavulaze mutu, ana omwe ali ndi matenda a postconcussive anali osasintha makhalidwe kusiyana ndi omwe zizindikiro zawo sizinapitirire pamapeto.
Potsirizira pake, matenda a post-concussive angakhale ofunika kwambiri kuposa kuzindikira zizindikiro zomwe zimaphatikizapo. Palibe mankhwala ena a PCS kuposa kuthana ndi zizindikiro za munthu aliyense. Mutu umatha kuchiritsidwa ndi mankhwala opweteka , ndipo anti-emetics angakhale othandiza kwa chizungulire. Kusakaniza mankhwala ndi mankhwala kungakhale kopindulitsa pa zizindikiro za kuvutika maganizo. Kulemala kulikonse kumeneku kungathe kuthandizidwa ndi othandizira ogwira ntchito kuti apangitse kuti wodwalayo athe kugwira bwino ntchito.
Ndikofunika kuzindikira kuti kwa anthu ambiri, zizindikiro za postconcussive zimacheperapo pakapita nthawi ndikukhazikitsa, ndi anthu ocheperapo okha omwe ali ndi mavuto omwe amatha chaka kapena kuposerapo. Njira yabwino yothetsera vutoli ndiyofunika kuganizira zochiza matenda, thupi komanso maganizo, ogwirizana ndi vutoli.
Zotsatira:
S Kashluba, Casey JE, Paniak C. Kuzindikira momwe chiwerengero cha ICD-10 chimagwiritsira ntchito matenda a postcorder pambuyo pa vuto lopweteka la ubongo. J Int Neuropsychol Soc. 2006 Jan; 12 (1): 111-8.
TW Allister, Arciniegas D (2002). "Kufufuza ndi kuchiza zizindikiro zotsatila pambuyo". NeuroRehabilitation 17 (4): 265-83.
MA McCrea. Kuwopsa Kowopsya kwa ubongo ndi Postconcussion Syndrome: Cholinga Chatsopano cha Kuzindikira ndi Chithandizo. Oxford [Oxfordshire]: Oxford University Press, (2008)