Iingqungquthela & I-Post-Concussion Syndrome

Iingqungquthela kukulimala kwengqondo echaphazela ingqondo. Iimpembelelo ezi zinto zixakeka ngexeshana kodwa zingabandakanya intloko, iingxaki zoxinzelelo, imemori, ukulinganisela kunye nokulungelelaniswa. Iingqungquthela zivame ukubangelwa ukuvuthela intloko okanye ukugubhazela kwintlanzi nentloko ephezulu. Ezinye iingqungquthela zibangela ukulahlekelwa kwengqondo, kodwa ininzi ayinayo. Kwaye kunokwenzeka ukuba ube nomngcipheko kwaye ungayiqondi. Iingqungquthela ziqhelekileyo kwimidlalo yokuthintana, njengebhola. Nangona kunjalo, abaninzi abantu bafumana ukufumana ngokupheleleyo emva kwengqungquthela.

Iingxoxo

Ukulimala kweBrainatic Brain (TBI)

• Ngokuqhelekileyo isiphumo sekhanda ngxakini
• Kananjalo kwenzeka nangenxa yokugungqiswa kancinci kwentloko okanye ukukhawuleza / ukunciphisa
• Ukulimala kanobuhlungu (mTBI / iingcamango) yindlela eqhelekileyo yokulimala kwengqondo

Glasgow Coma Scale

Izizathu Eziqhelekileyo Zengqungquthela

• Iinqwelo zithuthi
• Falls
• Ukulimala kwezemidlalo
• uhlaselo
• Ukukhutshwa ngengozi okanye ukukhutshwa ngamabomu kwezixhobo
• Impembelelo ngezinto

uthintelo

Ukuthintela ukulimala ngokukhawuleza kunokubaluleka

Khuthaza izigulana zokugqoka iiklasi

• Khu phiswano zemidlalo, ngakumbi ibhokisi, hokey, ibhola lebhola
• Ukukhwela ngemva ehashini
• Ukukhwela iibhayisikili, izithuthuthu, ii-ATVs, njl.
• Ukuphakama okuphezulu kusebenza njengokwenyuka kwamatye, i-zip lining
• Ukushushuluza, ukuhamba ngekhephu

Khuthaza izigulana ukugqoka ii-Seatbelts

• Xoxa ukubaluleka kokugqoka iibhande zokubamba ngamaxesha onke kwizithuthi kunye nezigulane zakho zonke
• Khuthaza nokusetyenziswa kwe-booster ezifanelekileyo okanye izihlalo zeemoto kubantwana ukuqinisekisa ukufaneleka okufanelekileyo kunye nomsebenzi weebhanti zokuhlala.

Ukuqhuba Ngokuphepha

• Izigulane akufanele ziqhube ngexa ziphantsi kwefuthe lamachiza, kuquka amachiza athile okanye utywala
• Ungalokothi uthumele umyalezo kwaye uqhube

Yenza iZithuba zikhuselekileyo kubantwana

• Faka ifowuni yamasango kunye neefestile ezisekhaya
• Ngamana kwiindawo ezinokubangela ukukrakra, ezifana ne-mulch hardwood okanye isanti
• Gcina abantwana ngononophelo, ngakumbi xa bekufuphi namanzi

Ukuthintela

• Ukucima izingozi ezinjengeemigqomo ehlambulukileyo, i-unven flooring okanye i-clutter
• Ukusebenzisa amatshini angenasiphelo kwibhayibhile kunye nasesibhedini sokuhambisa, kwaye ufaka imivalo yokubamba ngasese kwindlu yangasese, ibhagi nesitya
• Qinisekisa izihlangu ezifanelekileyo
• Ukufaka ii-handrails kumacala amabini
• Ukuphucula ukukhanya kulo lonke ikhaya
• Uqeqesho lokulinganisela

UkuQeqesha

• Ukulingana komlenze omnye
• Ukuqeqeshwa kwebhola yeBosu
• Ukuqiniswa okukhulu
• Ukuqhelanisa ubuchopho

Ingqungquthela

Ingqungquthela ngokubhekiselele kwi-mTBI (ukulimala kwengqondo ebuhlungu)

• I-MTTI igama lisetyenziselwa ngokuqhelekileyo kwisethingi zonyango, kodwa ingqungquthela yimizuzu eyaziwayo ngokubanzi ebantwini ngabaqeqeshi bezemidlalo, njl njl.
• Amagama amabini achaza into efanayo, i-mTBI iyonaxesha elifanelekileyo lokusebenzisa ekutshintsheni kwakho

Ukuphonononga Ingqungquthela

• Khumbula ukuba akusoloko kukho ukulahlekelwa yintliziyo ngenxa yokuba kukho ingxubusho
• I-Post-Concussion Syndrome ingenzeka ngaphandle kwe-LOC
• Iimpawu zesigxina asinakukhawuleza kwaye zingathatha iintsuku ukuphuhlisa
• Jonga kwi-48 yokulimala kwentloko ukujonga iiflegi ezibomvu
• ukusebenzisa Uhlobo lokuhlalutya oluchanekileyo (ACE) ukuqokelela ulwazi
• I-order imaging (CT / MRI) njengoko kuyimfuneko ukuba iiflegi ezibomvu zincinci zikhoyo

Iiflegi ezibomvu

Kudinga ukucinga (CT / MRI)

• Intloko ziba nzima
• Umonde ubonakala esozela okanye engakwazi ukuvuswa
• Ngaba kunzima ukuqonda abantu okanye indawo
• intlungu entanyeni
• Umsebenzi wokuSebenza
• Ukuhlanza okuphindaphindiweyo
• Ukwandisa ukudideka okanye ukucaphuka
• Ukuguquka kokuziphatha okungavamile
• Iimpawu ze-neurologic
• Intetho edibeneyo
• Ubuthathaka okanye ukuphazamiseka kwimida
• Tshintsha kwimeko ukuqonda

Iimpawu eziqhelekileyo zeNgqungquthela

• Intloko okanye uvakalelo lwexinzelelo entloko
• Ukulahlekelwa okanye ukuguqulwa kwengqondo
• Amehlo athatywayo okanye ezinye iingxaki zombono, ezifana nabafundi abahlanjululwe okanye abangenalo
• Ukudideka
• Utywala
• Ukubetha ezindlebeni
• Isihlunu okanye ukuhlanza
• Intetho edibeneyo
• Impendulo ekhawulezileyo kwimibandela
• Ukulahleka kwememori
• Ukukhathala
• Ingxaki ijolise
• Ukulahleka kwememori eqhubekayo okanye eqhubekayo
• Ukutshatyalaliswa kunye nolunye utshintsho lomntu
• Ukuqonda ukukhanya nokuvakala
• Iingxaki zokulala
• Umoya uguquka, uxinzelelo, uxhalabe okanye uxinzelelo
• Ukuphazamiseka kwengongoma kunye nevumba

Iinguqu zeengqondo / zokuziphatha

• Ukugqithwa kwamagama
• Ukuqhuma komzimba
• I sigwebo
• Indlela yokuziphatha
• Ukungahambi kakuhle
• Ukungathobeli
• Ukunganakwa
• Egocentricity
• Ubungqina kunye nokungaziphathi kakuhle
• Ukuziphatha okungengozi
• Ukungabi novelwano
• Ukungabi nasishukumisayo okanye iqhinga
• Ukuxinezeleka okanye uxhalabe

Izimpawu Kubantwana

• Iingqungquthela zingabonisa ngokuhlukileyo kubantwana
• Ukukhala ngokweqile
• Ukuphelelwa kwesidlo
• Ukulahlekelwa ngumdla kwimidlalo yamatye okanye imisebenzi
• Imiba yokulala
• Ukuvutha
• Ukutshatyalaliswa
• Ukungaqiniseki ngethuba

kunesifo

Ukulahleka kweememori kunye nokungaphumeleli ukwenza imibulelo emitsha

Ukuhlaziya i-Amnesia

• Ukungakwazi ukukhumbula izinto ezenzeka ngaphambi kokulimala
• Ngenxa yokuhluleka kokukhumbula

Anterograde Amnesia

• Ukungakwazi ukukhumbula izinto ezenzeka emva kokulimala
• Ngenxa yokungaphumeleli ukwenza izinto ezintsha

Nokuba ukulahlekelwa kweememori ezimfutshane kungabikho kwangaphambili kwesiphumo

• I-Amnesia ingaba yimizuzu ye-4-10 ngaphezulu kweempawu kunye nokulahlekelwa kwengqondo emva kokuxubusha kunokuba yi-LOC (ngaphantsi kwe-1 iminithi)

Buyisela Ukudlala Inkqubela

Isiseko: Akukho zibonakaliso

• Njengoko isinyathelo esisezantsi sokubuyela kuPhuculo lokuPhumela, umdlali kufuneka azalise ukuphumla komzimba kunye nokuqonda kwaye angabikho iimpawu zokuxubusha ubuncinane beeyure ze-48. Gcinani engqondweni, omncinci umdlali, okhuselekileyo unyango.

Inyathelo 1: Umsebenzi wokukhanya we-Aerobic

• Injongo: Kukunyusa nje ukubetha kwentliziyo yembaleki.
• Ixesha: 5 kumzuzu we-10.
• Imisebenzi: Ukuqhuba ibhayisikili, ukuhamba, okanye ukuhamba ukukhanya.
• Ngokuqinisekileyo akukho ukuphakama kwesisindo, ukuxuma okanye ukuqhuba kanzima.

Inyathelo 2: Umsebenzi omiselweyo

• Injongo: Umzimba ongekho phantsi kunye nentloko.
• Ixesha: Iyancipha kwixesha eliqhelekileyo.
• ImiSebenzi: Ukuhamba ngokukhawuleza, ukuhamba okufutshane, ukuhamba ngokukhawuleza ukuhamba ngebhayisikili, kunye nokunyaniseka kokulinganisela

Isinyathelo 3: Umsebenzi omninzi, ongathintana naye

• Iinjongo: Uninzi olungakumbi kodwa ungathintana
• Ixesha: Vala kwixesha eliqhelekileyo
• Izinto ezenziwayo: Ukubaleka, ukuhamba ngamandla ngebhayisikile, indlela yomdlali yokuphakamisa ubunzima rhoqo, kunye nokungaziqhagamsheli kwezemidlalo. Eli nqanaba linokongeza icandelo elithile lokuziqhelanisa nokuzilolonga ukongeza kwizinto ze-aerobic kunye neentshukumo eziziswe kwiNyathelo 1 kunye nelesi-2.

Inyathelo 4: Ziqhelise kwaye uqhagamshelane ngokupheleleyo

• Injongo: Phinda uvuselele ngokuqhagamshelana ngokupheleleyo.

Inyathelo 5: Ukhuphiswano

• Injongo: Buyela kukhuphiswano.

Ukumnandi kweMicrolial

Emva kweentloko ze-microglial cells ezithintekayo kwaye ziyakwazi ukusebenza

• Ukulwa nale nto, kufuneka uxolelane ne-inflammation cascade

Ukuthintela intlungu ephindwe rhoqo

• Ngenxa yokuthotywa kweeseli ze-foam, impendulo ekutshatyalaliswa kwintlungu ingaba nzima kakhulu kwaye ibonakalise

Yintoni i-Post-Concussion Syndrome (i-PCS)?

• Iimpawu ezilandela ukukhathazeka kwentloko okanye ukulimala kanobuhlungu obunzima, obuya kuthatha iiveki, iinyanga okanye iminyaka emva kokulimala
• Iimpawu ziqhubeka ixesha elide kunokuba zilindelwe emva kwengqungquthela yokuqala
• Okuqhelekileyo kubasetyhini kunye nabantu abaneminyaka yobudala abahluphekileyo
• Ubunzima be-PCS kaninzi aluhambelani nobunzima bokulimala kwentloko

Iimpawu zePSS

• Intloko
• Utywala
• Ukukhathala
• Ukutshatyalaliswa
• Ukuxhalabisa
• ugwayi
• Ukulahlekelwa kwengqalelo kunye nokukhumbula
• Ukubetha ezindlebeni
• Umbono ogqabileyo
• Umsindo kunye nobuthakathaka bokukhanya
• Ngokuqhelekileyo, kuncipha kwintleko kunye novumba

Iingxubusho ezinxulumene nobungozi

• Impawu zokuqala zentloko emva kokulimala
• Iinguqu zengqondo ezinjenge-amnesia okanye i-fogginess
• Ukukhathala
• Ngaphambili imbali yeentloko

Uvavanyo lwe-PCS

I-PCS isifo sokuxilongwa

• Ukuba isigulana sibonisa iimpawu emva kokonzakala kwentloko, kunye nezinye izinto ezinokubangela ukuba zikhutshwe => PCS
• Sebenzisa iimvavanyo ezifanelekileyo zokuphonononga kunye nokucinga ukulawula ezinye izizathu zeempawu

Intloko e-PCS

Rhoqo tension yintloko yentloko

Yiphatha njengoko unokuyenza ngenxa yentloko yesifo

• Ukunciphisa uxinzelelo
• Ukuphucula izakhono zokujamelana nokuxinezeleka
• I-MSK unyango lweengingqi zomlomo wesibeleko
• I-hydrotherapy
• I-adrenal support / adaptogenic herbs

Unokufudumala, ingakumbi kubantu ababenemibandela ye-migraine ngaphambi kokulimala

• Ukunciphisa umthwalo ovuthayo
• Cinga ngolawulo kunye neyeza kunye neyeza
• Ukunciphisa ukukhanya nokukhanya okucacileyo ukuba kukho uvakalelo

Utywala e PCS

• Emva kwexinzelelo lwentloko, hlalutya rhoqo kwi-BPPV, njengolu luhlobo oluqhelekileyo lwe-vertigo emva kwexinzelelo
• I-Dix-Hallpike isebenze ukuxilonga
• Uhambo luka-Epleyys kunyango

UkuKhanya kunye noVavanyo lweSandi

Ukunyanzelisa ukukhanya kunye nokuvakala kuqhelekileyo kwi-PCS kwaye ngokugqithiseleyo kuqhuba ezinye iimpawu ezifana nentloko kunye nokuxhalabisa

Ukulawulwa kokunyuka kwama-mesencephalon kubaluleke kakhulu kwiimeko

• iindondo
• Ezinye iziglasi zokuvala izibane
• Iiplebe
• Ikhokotle ezindlebeni

Unyango lwe-PCS

Ukulawula uphawu ngalunye njengoko uthanda

Ukulawula ukuvuvukala kwe-CNS

• Curcumin
• Boswelia
• Ioyile yentlanzi / i-Omega-3s (*** emva kokuba r / o wophile)

Ulwaphulo lokuziphatha

• Ingqondo kunye noqeqesho lokuphumla
• Ukwenza i-Acupuncture
• Ukulinganisa ubuchopho obunzima bokuzilolonga umzimba
• Khangela ukuhlolwa kwengqondo / unyango
• Khangela kwi-mTBI ingcali

Iingcali zeMTBI

• I-MTBI kunzima ukuyiphatha kwaye iyodwa ekhethekileyo kwi-allopathic kunye neyeza ezongezelelweyo
• Injongo ephambili kukuba kuqaphele kwaye ibhekiselele kunyango olufanelekileyo
• Phishekela uqeqesho kwi-MTBI okanye icebo lokubhekisela kwiingcali ze-TBI

imithombo

1. Intloko yexesha elizayo Future I-DVBIC, 4 ku-Epreli 2017, dvbic.dcoe.mil/aheadforthefuture.
2. UAlexander G. Reeves, A. kunye noSwenson, R. Ukuphazamiseka kwenkqubo yeNervous. UDartmouth, 2004.
3. �Nxibelela kubaBoneleli bezeMpilo.� Amaziko oLawulo noThintelo lweZifo, amaZiko oLawulo lweSifo noThintelo, ngomhla we-16 kuFebhruwari wama-2015, www.cdc.gov/headsup/providers/.
4. �I-Post-Concussion Syndrome.� Ikliniki yaseMayo, iSiseko seMayo seMfundo yezoNyango kunye noPhando, nge-28 kaJulayi 2017, www.mayoclinic.org/diseases-conditions/post-concussion-syndrome/symptoms-causes/syc-20353352.