Kuzindikira kukambirana kungakhale kovuta. Ngakhale kuti vuto lililonse limapangitsa munthu kukhala ndi vuto linalake, zomwe zimakhala zovuta kwambiri pamutu-sizikuphatikizapo kutuluka kwa magazi kapena kuvulala mu ubongo.
Izi zikutanthawuza kuti kugwiritsa ntchito njira yojambulira ubongo monga kujambula maginito resonance (MRI) kapena computed tomography (CT), zomwe zimachitika kuti azindikire kuvulala koopsa kwa ubongo (TBI), si njira yabwino yodziwira kukambirana.
Popeza kuti ubongo umatha kudzivulaza kapena kutuluka magazi mu ubongo, koma osati kuwonongeka kwa ma makina kuti agwiritse ntchito zizindikiro zotsutsana, madokotala ayenera kudalira kuyang'anitsitsa mosamala za zizindikiro ndi ntchito yamaganizo.
Nthawi zina izi zimachitika pa sitepala, mwamsanga pambuyo pa kuvulala, pamene wothamanga akukumana ndi vuto kapena kumenyana kumutu ndipo chisankho chiyenera kufulumizitsidwa ngati atha kubwerera mwamsewero.
Kuyesedwa kwa Kukambirana
Zizindikiro za mgwirizano zimasiyana kwambiri. Nthawi zina zimakhala zomveka kuti wina akhoza kukhala naye. Koma nthawi zambiri zizindikirozo n'zosavuta komanso zowonekera. Munthu angangomva "atachoka" kapena ngati "sakupeza" zinthu. Mulimonsemo, kupeza ndondomeko yeniyeni ya kugonana kumafuna kuyang'ana pa zifukwa zingapo.
Chifukwa palibe mayeso ovuta kuti azindikire kukambirana, kawirikawiri njira zingapo zimakhudzidwa. Mwachitsanzo, gulu la Weill Cornell Brain ndi Spine, limapeputsa izi:
- Kuyesera mitundu yosiyanasiyana ya amnesia. Izi zimaphatikizapo kubwezeretsanso amnesia, omwe amatanthauza kusazindikira za zomwe zinachitika kisanachitike kuvulala kwa ubongo, kuwonongeka kwa chidziwitso, ndi kupsinjika kwa amnesia. Mavuto amtendere amnesia ndi ofunika kwambiri chifukwa amauza dokotala zambiri zokhudza momwe wodwalayo akufotokozera.
- Kutsimikiza kwa kuuma kwa zizindikiro ndi momwe iwo aliri ochulukirapo. Kawirikawiri izi ndi mbali ya masewera omwe ali pamasewera omwe adavulala pamunda, pogwiritsa ntchito mlingo woyenerera. Zambiri mwa izi, Chida cha Sideline Concussion Assessment, kapena SCAT-2, amayang'ana zizindikiro, chidwi, kukumbukira; zochitika zaposachedwa mu masewera kapena chochitika; ndipo amayesa mavuto kuti akhale oyenera komanso ogwirizana.
- Kufufuza kwa zizindikiro za ubongo. Izi zingaphatikize mayesero a mphamvu, kutengeka, kuganiza, kugwirizana, ndi ntchito zina zamaganizo.
Kuyesedwa koyambirira
Kuphatikiza pa kupeza chithandizo choyamba pa nthawi yovulazidwa, ndikofunika kuti anthu omwe atenge nawo mbali pazochitika-makamaka othamanga-wophunzira omwe akufuna kutenga nawo mbali masewera othamanga kwambiri monga mpira-kuti achite mayeso oyambirira . Ndipotu, izi ndizofunikira masukulu apamwamba, makoleji, komanso magulu oyendetsa makampani ochita masewera olimbitsa thupi.
Chifukwa chachikulu chomwe wothamanga akusowa kuyesedwa koyambanso ndikuti anthu abwinobwino samachita chimodzimodzi ndi mayesero omwe amayeza luso monga mofulumira, molondola, ndi kayendedwe ka maso. Izi zikutanthawuza kuti kuyesa pa yeseso yotsatila sikuti "zabwino" kapena "zoipa" zokha, koma ziyenera kukhazikitsidwa ngati palibe kuchepa kwakukulu poyerekeza ndi maziko omwe adayikidwa asanavulaze mutu .
Ngati wothamanga-wophunzira ali ndi pang'onopang'ono kapena akutsimikizika pazomwe akuyesa kupweteka pamutu pambuyo pa kuvulaza mutu, ndiye kuti malipiro apansi angakhale chizindikiro cha mkangano. Kuphatikiza ndi kuyezetsa ubongo ndi zizindikiro zonse monga kugona, kupweteka, kapena vuto, kulingalira kwa chiyeso chotsatira chitha kugwiritsidwa ntchito kuthandizira kudziwa ngati wothamanga wasokonezeka.
Kuyesedwa komaliza kumaphatikizapo mayeso a mayendedwe a ubongo omwe amapangidwa kuti awonetse ndikuthamanga wothamanga wamng'ono pa luso lomwe likuphatikizapo mbali zingapo za ubongo wake. Mayesero oyamba-kukambirana ndi ntchito zomwe zimayesa kuthetsa mavuto, nthawi yoyankha, liwiro, masomphenya, ndi kugwirizana.
Palibe chida chogwiritsira ntchito ndondomeko yowonongeka yomwe ikufunika ndi bungwe lovomerezeka lachipatala kapena la masewera. Pali njira zosiyanasiyana zokhazikitsa ndondomeko zisanachitike, kuphatikizapo kafukufuku wamakono omwe ali mkati mwa munthu kapena kapangidwe ka mafunso oyambirira. Palinso mayesero amodzi omwe alipo pamsika omwe angagwiritsidwe ntchito kukhazikitsa mapiritsi oyambirira kwa osewera nyengo isanayambe.
Mayesero am'mbuyomu angapangidwe ndi makompyuta kapena adokotala, malinga ndi mtundu wa kafukufuku ndi malamulo a mgwirizano kapena sukulu. Zotsatira zazotsatirazo zalembedwa ndi kupulumutsidwa kotero kuti ngati wothamanga akukumana ndi chiganizo chokayikira, iye akhoza kutenga kachiyeso kawiri kawiri kuti ayesere.
Chitsanzo cha mayesero a makompyuta chinapangidwa ndi ofufuza pa yunivesite ya Pittsburgh's Sports Medicine Center ndipo amatchedwa "Immediate Post-Concussion Assessment" ndi "Symbol Testing System system", kapena ImPACT. Kuyezetsa uku kumapangitsa munthu wothamanga kukumbukira, nthawi yake yogwira ntchito, komanso kuyendetsa mwamsanga kuti athandizire kudziwa ngati wothamanga angabwerere masewera atatha kuvulala mutu. Pulojekiti ya ImPACT ikugwiritsidwa ntchito pa masukulu ambiri ndi masukulu akuluakulu, komanso ndi National Football League ndi National Hockey League.
> Zotsatira:
> Hall E, Cottle J, Ketcham C, Patel K, ndi Barnes KP. "Kukambirana koyambirira kwazing'ono: Zochitika Zosasintha, Zizindikiro, ndi Kuchita Zogwirizana ndi Magulu, J Athl Train Jan 10, 2017. DOI: 10.4085 / 1062-6050-51.12.21
> Thomas, RE, Alves, J, Vaska, MM, ndi Magalhaes, R. "SCAT2 ndi SCAT3 Maphunziro a Baseline ndi Atapanga Masewero Okhudza Zowonongeka / Kugonjetsa: Kugwirizana Kwambiri Ndi Njira Zolemera." BMJ Open Sport & Exer Med . 2016; 2 : e000095. DOI: 10.1136 / bmjsem-2015-000095.
> Weill Cornell Ubongo ndi Zam'mimba. "Kusanthula ndi Kuthetsa Kukambirana." Nov 2014.