Kwenzeka Njani Ukuhlaselwa Emva kokulimala kweBrainatic Traumatic?
Phantse i-10% yabantu abaye babandezeleka ngenxa yentlungu enkulu ngokwaneleyo yokubhedlelelwa esibhedlele, bagqiba ukuba bathabathe. Uninzi lwexesha, ukuba umntu usemngciphekweni wokubamba emva kwe-TBI kwenzeka ezinsukwini ezimbalwa zokuqala okanye kwiiveki emva kwengozi. Nangona kunjalo, ngenxa yepesenti encinci yentsholongwane yoluntu, ukuxhwaleka kungaqala inyanga okanye iminyaka kamva.
Ngokuxhomekeke ekufikeni kokuqala kokuthatha, bahluke ngokuhlukileyo:
- Ukuxhamla kwangaphambili kweNgxaki: Ezi zinto zenzeke kwiintsuku ezi-7 zokuqala emva kokulimala kwengqondo ebuhlungu. Phantse ama-25% abantu abafumana ukukhawuleza kwangaphambili kokubandezeleka kunomnye ukukhawuleza ngexesha elithile
- Ukutshatyalaliswa kwexesha elifutshane emva kokuxhamla: Ezi zinto zithatha ubunzima ngaphezu kweveki emva kokulimala kwengqondo ebuhlungu. Yintoni enomdla ngokukhawuleza emva kokudumala kwamathuba, ngaba malunga ne-80% yezigulane ze-TB ezifumana omnye ziya kubakho ubunzima obuninzi ngexesha lokuphila.
- Ukuhluthwa kwesifo: Naliphi ixesha eliphindwe ngokuphindaphindiweyo, loo mntu uthathwa njengesisifo. Phantse isiqingatha sabantu abanesifo sokuhluthwa ngenxa yokulimala kwengqondo ngokuqhubekayo kuqhubeka bexakeka ubomi babo bonke ubomi.
Yintoni Eyenzeka Ngethuba Lokuxhamla?
Ukutshatyalaliswa kwenzeka xa umsebenzi oqhelekileyo wombane wengqondo uphonswa kwi-balance. Oku kunokwenzeka ngezizathu ezahlukahlukeneyo emva kokukhathazeka kwentloko kwizinto ezifana nokulimala kwesakhiwo , ukuvuvukala okanye ukuphuma.
Xa izibonakaliso zombane zilahlekelwa yindlela yazo eqhelekileyo, ziyakwazi ukuhamba kwesekethe, ukuba kuthetha. Kukho nokuba kukho ukunyuka kombane.
Ukuqubuka kubangela ezininzi iimpawu . Ezinye iimpawu zincinci, kunzima ukuzibona ngokuzibona. Ngokwekuphela komda we-spectrum, umsebenzi wokubamba umonakalo ungabangela ukunyakaza komzimba onobundlobongela nokungalawulekiyo, ukulahleka kwememori nokungazi.
Ezinye iimpawu zokubamba ziquka:
- Ukukhangela kwi-space kwaye ungaphenduli kwizwi okanye kumnxeba
- Ukunyuka kwamehlo okungalawulwayo
- I-Lip icwenga, ihlafuna
- Ngokukhawuleza, ukukhathala okukhulu kunye okanye ngaphandle kwesisu
- Ukungakwazi ukuthetha okanye ukuqonda abanye
- Ukugubha okungalawulwayo kwentloko, imilenze yeengalo, i-torso. Ukuzamazama ngokubanzi
Ukongeza kwimisebenzi yokuthatha, kukho ukulahleka kwesibilini okanye umsebenzi wesisu. Emva kokutshatyalaliswa, kungathatha ixesha ukuba 'uvuke', uqaphele ukuba unobungozi kwaye uyazi ngokusingqongileyo. Ukubanjwa kwexesha elidlulileyo kunemizuzu engama-2, kungathatha iintsuku eziliqela ukuba uphucule ngokupheleleyo kwaye unokufumana ukudideka okukhulu, ukuhamba nzima nokuthetha.
Yintoni eyenza ingozi yokuxhatshazwa?
Kukho inani lezinto ezidlala kumngcipheko womntu wokuphuhliswa kwengxaki yokutshatyalaliswa emva kokuxhwaleka kwentloko.
Ukulimala kwangaphambili, njengamahlumela okubetha, kubakho amathuba amaninzi okukhokelela ekuthinjeni. Kuqikelelwa ukuba phakathi kwama-60-70% wabantu abanokulimala kongqondo obunzima baya kubanjwa.
Ukuba ngaba ukuhlinzwa okwenziwe ngababini okanye ngaphezulu kwakudingeka ukulungisa umonakalo okanye ukususa ama-clots egazi ukusuka kwingqondo emva kwexinzelelo lwentloko, umngcipheko wokubamba i-35%.
Ukuba intlungu yesifo iqulethwe ngokupheleleyo kwi-skull (akukho ukulimala okanye ukuhlinzwa okwenzekayo) ingozi ingama-20%.
Kukho ezinye iimeko, ezinye zazo olawula ngazo, ezinokunyusa umngcipheko wokubanjwa kwe-TBI.
Iziyobisi kunye notywala ephantsi kwelokuba kuthathwe ingxube kungakhathaliseki ukulimala kwengqondo kwangaphambili. Emva kwexinzelelo lwentloko, iziyobisi kunye notywala kakhulu kwandisa amathuba okubanjwa. Oku kuyingozi kuba ukuba uphuze okanye uthatha ezinye iziyobisi onokukwazi ukuhlamba ngexesha lokubamba kwaye awuyi kuba nolawulo olufanelekileyo kwi-gag yakho kunye ne-reflexes yakho yokukhwehlela.
Oku kunokukhokelela ekufuneni (inhaling) kwisisu esiswini kwimiphunga engakwazi ukubulala.
Ukungatholi ngokwaneleyo ukulala nokugxininiswa kukunciphise umgca wokubamba. Ngamanye amaxesha ukutshatyalaliswa kwenzeka emva kweminyaka emva kokulimala kwengqondo xa umntu ephantsi koxinzelelo oluninzi kunye novakalelo.
Ezinye izifo ezingahambelani neengxaki zentloko zinokunyusa ukwanda komngcipheko. Ukuba nomkhuhlane ophezulu, ukuhlanza kunye nesifo sohudo kungakhokelela ekusebenziseni ukuthatha.
Imithombo:
Huang, Y., Liao, C., Chen, W., & O, C. (2015). Ukuxhamla kwe-post-craniectomy ye-acute injusticular in traumatically-injured patients. Ubungqina: IYurophu yeNgxelo ye- Epilepsy , 25 150-154. i-doi: 10.1016 / j.seizure.2014.10.008
Lucke-Wold, BP, Nguyen, L., Turner, RC, Logsdon, AF, Chen, Y., Smith, KE, & ... Richter, E. (2015). Ukuphononongwa: Ukulimala kwengqondo kunye nokuhluthwa kwesisu: Iindlela ezisisiseko ezikhokelela ekuthinjeni. Ubunzima: I-European Journal Yokuxwaba , 33 13-23. i-doi: 10.1016 / j.seizure.2015.10.002