Musa ukungayinaki imiqondiso ye-Whiplash kunye neempawu: Funa unyango

Abo bafumana iintlungu zentamo, ukuqina, intloko ebuhlungu, igxalaba kunye neentlungu zangasemva banokuhlupheka ngenxa yokulimala kwe-whiplash. Ngaba ukwazi iimpawu kunye neempawu ze-whiplash kunokunceda abantu babone ukwenzakala kwaye bancede ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?

Iimpawu zeWhiplash kunye neempawu

I-Whiplash yingozi yentamo eyenzeka ngokuqhelekileyo emva kokungqubuzana kwemoto okanye ingozi kodwa ingenzeka ngayo nayiphi na inzakalo ebetha ngokukhawuleza intamo phambili nasemva. Kukulimala kancinci ukuya phakathi kwemisipha yentamo. Iimpawu eziqhelekileyo ze-whiplash kunye neempawu ziquka:

• intlungu entanyeni
• Ukuqina kwentamo
• intloko ebuhlungu
• Utywala
• intlungu Gxalaba
• Umqolo obuhlungu
• Ukubetha entanyeni okanye phantsi kweengalo. (Johns Hopkins Medicine. 2024)
• Abanye abantu banokuhlakulela iintlungu ezingapheliyo kunye neentloko.

Iimpawu kunye nonyango luxhomekeke kubukhulu bokulimala. Unyango lunokubandakanya amayeza eentlungu angaphaya kwe-counter, unyango lwe-ice kunye nobushushu, i-chiropractic, unyango lomzimba, kunye nokuzivocavoca.

Iimpawu kunye neempawu rhoqo

Ukunyakaza ngokukhawuleza kwentloko kunokuchaphazela izakhiwo ezininzi ngaphakathi kwentamo. Ezi zakhiwo ziquka:

• izihlunu
• Amathambo
• Amalungu
• Tendons
• IiLigaments
• Iidiski eziphakathi kwendawo
• Ivazi yegazi
• Imithambo-luvo.
• Nayiphi na okanye zonke ezi zinto zinokuchaphazeleka ngokulimala kwe-whiplash. (I-MedlinePlus, ngo-2017)

Statistics

I-Whiplash yi-neck sprain eyenzeka kwi-neck-neck-jerking motion. Ukulimala kwe-Whiplash akhawunti ngaphezu kwesiqingatha sokulimala kwezithuthi zezithuthi. (UMichele Sterling, ngo-2014) Nokuba kukwenzakala kancinci, ezona mpawu zixhaphakileyo ziquka: (Nobuhiro Tanaka et al., 2018)

• intlungu entanyeni
• Ukuqina okulandelayo
• Ububele bentamo
• Uluhlu olulinganiselweyo lwentshukumo yentamo

Abantu ngabanye banokuhlakulela ukungahambi kakuhle kwentamo kunye nentlungu emva nje kokulimala; nangona kunjalo, iintlungu ezingakumbi kunye nokuqina akwenzeki kanye emva kokulimala. Iimpawu zidla ngokuba mandundu ngosuku olulandelayo okanye kwiiyure ezingama-24 kamva. (Nobuhiro Tanaka et al., 2018)

Iimpawu zokuqala

Abaphandi baye bafumanisa ukuba malunga nesiqingatha sabantu abane-whiplash bahlakulela iimpawu kwiiyure ezintandathu zokulimala. Malunga ne-90% ivelisa iimpawu kwiiyure ezingama-24, kwaye i-100% ivelisa iimpawu kwiiyure ze-72. (Nobuhiro Tanaka et al., 2018)

I-Whiplash vs. I-Traumatic Cervical Spine Injury

I-Whiplash ichaza ukulimala okuncinci ukuya kwimodareyitha yentamo ngaphandle kweempawu ezibalulekileyo ze-skeletal okanye ze-neurological. Ukulimala okuphawulekayo kwentamo kunokukhokelela ekuqhekekeni kunye nokuchithwa komqolo onokuthi uchaphazele iimbilini kunye nentambo yomgogodla. Emva kokuba umntu ehlakulela iingxaki ze-neurological ezinxulumene nokulimala kwentamo, ukuxilongwa kutshintsha ukusuka kwi-whiplash ukuya kwi-traumatic cervical spine. Le yantlukwano inokubhida njengoko ikwisipeyithi esinye. Ukuqonda ngakumbi ubunzima bentamo yentamo, inkqubo yokuhlelwa kweQuebec ihlukanisa ukulimala kwentamo kula mabanga alandelayo (Nobuhiro Tanaka et al., 2018)

Bakala 0

• Oku kuthetha ukuba akukho zimpawu zentamo okanye iimpawu zokuhlolwa komzimba.

Bakala 1

• Kukho intlungu yentamo kunye nokuqina.
• Zimbalwa kakhulu iziphumo zovavanyo lomzimba.

Bakala 2

• Ibonisa intlungu yentamo kunye nokuqina
• Ububele bentamo
• Ukunciphisa ukuhamba okanye intamo yokunyakaza kwimvavanyo yomzimba.

Bakala 3

• Ibandakanya intlungu yemisipha kunye nokuqina.
• Iimpawu zeNeurological ziquka:
• Ubungqina
• Ukulinganisa
• Ubuthathaka kwiingalo
• Ukuncipha kwengqondo

Bakala 4

• Ibandakanya ukuphuka okanye ukuchithwa kwamathambo omqolo womgogodla.

Ezinye Iimpawu

Ezinye iimpawu ze-whiplash kunye neempawu ezinokudibaniswa nokulimala kodwa aziqhelekanga okanye zenzeke kuphela ngokulimala okukhulu kubandakanya (Nobuhiro Tanaka et al., 2018)

• Intloko yesifo
• Iintlungu zomhlathi
• Iingxaki zokulala
• Intloko ebuhlungu
• Unzima ukugxila
• Ubunzima bokufunda
• Umbono ongezantsi
• Utywala
• Ukuqhuba ubunzima

Iimpawu ezinqabileyo

Abantu abanokulimala kakhulu banokuhlakulela iimpawu ezinqabileyo ezihlala zibonisa ukulimala komgudu womlomo wesibeleko kwaye ziquka: (Nobuhiro Tanaka et al., 2018)

• kunesifo
• Ukugubha
• Izwi litshintsha
• I-Torticollis - i-spasms ebuhlungu yemisipha egcina intloko ijika kwicala elinye.
• Ukopha ebuchotsheni

Iingxaki

Uninzi lwabantu ngokubanzi luyaphola kwiimpawu zabo kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa. (UMichele Sterling, ngo-2014) Nangona kunjalo, iingxaki ze-whiplash zinokuthi zenzeke, ngakumbi ngebanga elibi kakhulu le-3 okanye ibakala lesi-4. Iingxaki eziqhelekileyo zokulimala kwe-whiplash ziquka intlungu engapheliyo / ixesha elide kunye neentloko. (UMichele Sterling, ngo-2014) Ukulimala komgogodla womlomo wesibeleko kunokuchaphazela intambo yomgogodla kwaye idibaniswe neengxaki ezingapheliyo ze-neurological, kubandakanywa ukuphazamiseka, ubuthathaka, kunye nobunzima bokuhamba. (ULuc van Den Hauwe et al., 2020)

impatho

Iintlungu ziqheleke kakhulu ngosuku olulandelayo kunasemva kokwenzakala. Unyango lokulimala kwe-Whiplash musculoskeletal kuxhomekeke ekubeni ingaba yingozi kakhulu okanye umntu uye waphuhlisa intlungu engapheliyo entanyeni kunye nokuqina.

• Iintlungu ezibuhlungu zinokunyangwa ngamayeza angaphaya kwekhawuntara afana neTylenol kunye ne-Advil, ezinyanga iintlungu ngempumelelo.
• I-Advil i-nonsteroidal anti-inflammatory enokuthi ithathwe kunye ne-Tylenol yokunciphisa intlungu, esebenza ngeendlela ezahlukeneyo.
• Isiseko sonyango sikhuthaza umsebenzi oqhelekileyo kunye nokwelula kunye nokuzivocavoca. (UMichele Sterling, ngo-2014)
• Unyango lomzimba lusebenzisa uluhlu oluhlukeneyo lweendlela zokuzivocavoca ukuqinisa imisipha yentamo kunye nokunciphisa intlungu.
• Uhlengahlengiso lwe-Chiropractic kunye nokunciphisa ukungabikho kokuhlinzwa kunokunceda ukulungelelanisa kunye nokondla umqolo.
• Ukwenza i-Acupuncture kunokubangela ukuba umzimba ukhulule amahomoni endalo anika isiqabu kwiintlungu, ukunceda ukukhulula izicubu ezithambileyo, ukwandisa ukujikeleza, kunye nokunciphisa ukuvuvukala. Umqolo womlomo wesibeleko unokubuyela ekulungelelaniseni xa izicubu ezithambileyo zingasadumbanga kwaye zixhaphaze. (Tae-Woong Moon et al., 2014)

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Ukulimala Kweentambo

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Ucaphulo

Amayeza, JH (2024). Ukulimala kweWhiplash. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury

MedlinePlus. (2017). Ukwenzakala Entanyeni kunye nokuphazamiseka. Ifunyenwe kwi medlineplus.gov/neckinjuriesanddisorders.html#cat_95

Sterling M. (2014). Ukulawulwa kwePhysiotherapy yeengxaki ezinxulumene ne-whiplash (WAD). Ijenali ye-physiotherapy, i-60 (1), i-5-12. doi.org/10.1016/j.jphys.2013.12.004

Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). I-Pathology kunye noNyango lwe-Traumatic Cervical Spine Syndrome: I-Whiplash Injury. Ukuqhubela phambili kwi-orthopedics, i-2018, i-4765050. doi.org/10.1155/2018/4765050

van Den Hauwe L, Sundgren PC, Flanders AE. (2020). I-Spinal Trauma kunye ne-Spinal Cord Injury (SCI). Ku: Hodler J, Kubik-Huch RA, von Schulthess GK, abahleli. Izifo zengqondo, iNtloko kunye neNtamo, i-Spine 2020-2023: i-Diagnostic Imaging [i-Intanethi]. Cham (CH): Springer; 2020. Isahluko 19. Ifumaneka ku: www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19

Inyanga, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). I-acupuncture yokunyanga i-whiplash ehambelana ne-disorder: ukuphononongwa okucwangcisiweyo kwezilingo zeklinikhi ezingahleliwe. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2014, 870271. doi.org/10.1155/2014/870271