I-Whiplash yintamo kunye nokulimala komgudu okuqhelekileyo kubangelwa ukugqotshwa kwemoto ekupheleni, kodwa kunjalo kunezinye izizathu, ngokunjalo. Ngokomzekelo, iNkonzo yezeMpilo kaZwelonke yase-UK ithi ukubetha ngokukhawuleza kwintloko efana nohlobo olulondolozwayo ngelixa lidlala ngexesha lezemidlalo yokuqhagamshelana (ibhoksi okanye umbhoxo,) okanye i-slip okanye ukuwa okubangela i-jolt enamandla ngasemva kwentloko nazo zi bangela.
Kanti esinye isizathu esibangelwa ngumntwana we-syndrome.
Whiplash uchazwe
Yintoni eyenzekayo entanyeni yakho xa unesibhakabhaka? Makhe sijonge kuyo ngokubhekiselele ekugqibeleni kwemoto ekupheleni.
Ngokuqhelekileyo, bobabini abaqhubi kunye nabagibeli kwisithuthi esithintekayo bangalondoloza ukulimala kwe-whiplash. Kodwa abantu abahlala kwelinye isithuthi banokulimala, ngokunjalo. Ukuthetha ngokwezakhono, nangona kunjalo, ukulimala kwabagibeli kwenye imoto akuyiyo i-whiplash.
Iimpembelelo zokubambisana ngokugqithisa ngokuqhelekileyo zinyanzelisa intamo kunye nentloko ukuba "iqhube" ngokukhawuleza kwaye ngokukhawuleza. Njengoko uza kubona, oku kusasazeka kunokuba yinto ekhokelela ekubandezelekeni kwenzalo.
Ucwaningo olwenziwa ngo-2009 olunesihloko esithi "I-Biomechanics ye-Whiplash Injury" eyapapashwa kwi- Chinese Journal yeTraumatology yachonga amaxesha amathathu ahlukeneyo emva kwefuthe, elowo unako ukulimaza entanyeni.
- Ekuqaleni, intamo ikhawuleza kwaye ithathwa ngamandla kwi-bellation, eyona nto ihamba phambili yokuguqula umlenze wesibeletho . Kule ndawo, intamo ilahleka ijika layo eliqhelekileyo le-lordotic.
- Kwisigaba sesi-2, amathambo entanyeni engaphantsi aqala ukunyuka, yinto intshukumo eya kwicala elingaphambene nekhenketho. Ngale ndlela, umlenze wesibeletho uthatha ijika eliyi-S.
- Enyanisweni, ukunyuka kuya kwandiso kuyaqhubeka kuze kube yilapho zonke iinthambo zentamo zandisiwe. (Ukongezwa kufana nokunyakaza.) Ngoko kwisigaba se-3 kunye nesigxina sesithuba sokugqibela, intamo yonke isongeziweyo.
Abaphandi baseTshayina bafumana ubungqina bokuqala bokuthi i-whiplash enxulumene nentlungu yentlungu ingabangelwa yintambo ukuya kwi-capsule ye-facet joint (ekhoyo emva komgcini womgogodla kuwo wonke umgangatho we-vertebral), okanye ngokutsala (into ebizwa ngokuthi ukuphazamiseka ) kwi-vertebra enye ukusuka kwilandelayo. Bacacisa ubungqina obuninzi bomonakalo kwi-capsule ye-facet kuneendlela zokuphazamiseka kwe-vertebral.
Indlela yokunciphisa umphumo weWhiplash
Nangona akunakwenzeka njalo, ukuhlala ngokukhuselekileyo esihlalweni sakho kuyinkqubo ebalulekileyo yokukhusela ukulimala. Uphononongo luka-2006 lubonise ukuba i-backrest (kuquka i-headrestrest) engaphezu kwama-intshi ama-60 (60 mm) kude nasemva kwentloko yakho, inokunceda ukunciphisa i-whiplash, ukuba okanye xa kwenzeka.
Ngokutsho kukaDkt. Brian Stemper, umbhali wocwaningo luka-2006, isantya seemoto kwiimpembelelo asinakuqinela ubunzima be-whiplash ukulimala. Iimoto ezihamba ngokukhawuleza ziyakwazi ukuvelisa ukulimala kwe-whiplash enamandla, uthi.
Kwaye abaphandi bakaYale bathi ukuba ikhanda lakho liphendukile ngexesha lempembelelo kwenza ukuba i-whiplash yingozi ngakumbi.
Baqaphela ukuba kukho idideyithi eyongezelelweyo yokwelula ebeka kwiigaments kwintlambo yomlomo wesibeleko xa ikhanda lakho litshintshile-ngaphandle kokuchaphazela. Kodwa xa ufika emva kokuphela ngentloko yakho nentamo kweso sikhundla, iigamente zolule ngakumbi. Ukugqithisa (intamo yentamo) kunokukhokelela ekugqobeni kunye nokungazinzi komgudu, bathi.
Abaphandi bancedisa ukuba intloko yokujika ikhwelo inzima kakhulu kunesimo apho ukhangele phambili; Ngenxa yoko, ukulimala okunxulumene nakho kunzima, ngokunjalo.
Ngamanye amaxesha inxeba ye-whiplash ayibonakali-okanye wena ugqirha wakho.
Isizathu sokuba iimpawu ezinjengeentlungu okanye ukukhawulelwa azibonakali ngokukhawuleza. Ngaphezu koko, umonakalo owenziwe yi-whiplash ngokuqhelekileyo unobunzima okanye uphelele kwiisisitye esithambileyo, kwaye ngaleyo ndlela akaze ibonakale kuma-ray-ray, kwaye ngokungaqhelekanga, ukuba kukho, kwi-MRIs.
Xa bezenza baziwa, iimpawu ze-whiplash ziquka izinto ezinjengeentlungu zentamo, ukuqina kwentamo, ubuthakathaka bexinzelelo, ukuxakeka kwegazi, intloko kunye nokulahlekelwa kwememori nokunye.
Umthombo:
Chen H., et. al. I-Biomechanics ye-whiplash ukulimala. Chin J Traumatolo. Oktobha 2009. http://www.ncbi.nlm.nih.gov/pubmed/19788851
INkonzo yezeMpilo yeNational. Whiplash. I-NHS ukhetha iphepha lewebhu. Umhla wokugqibela: Matshi 2014. http://www.nhs.uk/conditions/whiplash/Pages/Introduction.aspx
Panjabi, M. Whiplash Ukulimala Kuninzi ngakumbi xa iNtloko iphendukile. Iphepha lewebhu leYale News. Matshi 2006. http://news.yale.edu/2006/03/13/whiplash-injury-much-more-severe-when-head-turned
Stemper, Brian, Ph.D., Yoganandan, Narayan, Pintar, Frank, (2006) .Ukuthintelwa kwentloko yokumisa isithintelo kwi-neckem neck-neck kinematics in whiplash. Uhlalutyo lwengozi kunye nokukhusela. 38, 317-323. http://www.ncbi.nlm.nih.gov/pubmed/16289336
Stemper, Brian, Ph.D., Udliwano-ndlebe kunye ne-imeyile yoNxibelelwano. Disemba 21 no-2006.