Ukuphonononga ukuxilongwa kweNtsholongwane
Ukuba uyazibuza ukuba unayo i-postconcussive syndrome (i-PCS), usempilweni enhle. Abantu abaninzi banemibuzo malunga ne-postconcussive syndrome, kuquka neengcali zengozi yokulimala kwengqondo (TBI). Kwaye amagqirha amaninzi alwela ukuvumelana malunga nenkcazelo ecacileyo ye-postconcussive syndrome. Ngenxa yolu, uphando malunga nesihloko luye lwadaka kwaye ngezinye izikhathi luphikisana.
Ngokuqhelekileyo, inkcazelo eqhelekileyo eyamkelweyo kukuba i-postconcussive syndrome iqulethwe ngumntu ohlupheke kwi-TBI enomzimba kwaye uyaqhubeka ehlupheka ngenxa yezi zinto ezilandelayo:
- Intloko , utywala , i-malaise, ukukhathala, okanye ukunyamezela kwengxolo.
- Ukutshatyalaliswa, ukuxinezeleka, ukuxhalabisa okanye ukunyamekela
- Uxinzelelo oluthile, imemori okanye ubunzima beengqondo
- Ukungabikho
- Ukunciphisa ukunyamezela utywala
Uninzi lweengcali ziyavuma ukuba iimpawu kufuneka ziqale emva kweeveki ezi-4 emva kokulimala kwentloko. Ngokuqhelekileyo, uninzi lwabantu abane-postconcussive syndrome baneempawu zabo zokugqiba ngokupheleleyo. Uninzi lwalo xesha lwenzeka kwiiveki zokulimala kwasekuqaleni, malunga neyesibini kwisithathu sabantu abangenazo iimpawu ezingenazo iimpawu kwiinyanga ezintathu zengozi yabo. Ingqungquthela encinci yezigulane ziqikelelwa ukuba zinengxaki emva konyaka. Umdala omdala kunye nokulimala kwangaphambili kwentloko yimiba engozi yokufumana kwakhona ixesha elide.
Kwakhona ukuxilonga ukuxilongwa kwe-PCS kukuba i-PCS inokwabelana ngeempawu ezininzi ngezinye iimeko, ezininzi zazo, ezifana nokudandatheka kunye nesifo sengxaki yokuxinwa kwengqondo, ziqhelekileyo kubantu abane-PCS. Kwakhona, ezininzi iimpawu ze-PCS zabelwe ngabantu ngaphandle kwesinye isifo, okanye ngokulimala kwenye indawo yomzimba.
Oku kuye kwabangela ezinye iingcali ukuba zibuze ukuba i-post-concussion syndrome ikhona ngokwenene. Ngakolunye uhlangothi, abantu abaneempawu ezifanayo kodwa bengenako ukulimala kwentloko ngokukhawuleza bayichaza ngesantya esifanayo sokunciphisa ingqondo, iingxaki zeememori, okanye ukuqonda okubonakalayo njengabo bafumana i-TBI enomzimba.
Akukho mntu uyazi kakuhle ukuba kutheni abantu abanokulimala kwentloko bahlakulela le mpawu. Ngokomlando, oogqirha baxubusha malunga nokuba imbangela ye-PCS yayisokwenyama okanye yengqondo, kodwa inyaniso mhlawumbi i-PCS ibandakanya ukudibanisa kokubili izinto zomzimba nezengqondo. Emva kwakho konke, ingqondo ijongene namava engqondo, kunye nokulimala emzimbeni kunokudala utshintsho lweengqondo. Ngokomzekelo, izigulane ezininzi ezine-postconcussive syndrome azikho nto ezinokubangela ukuxhatshazwa kwengqondo okanye ezihlobene nokudandatheka. Ngokufanayo, ezinye iiklinikhi ziye zaphawula ukuba izigulane ezine-post-concussve syndrome zihlala zixakeke ngeempawu zabo ngendlela efana ne-hypochondria. Oku kunokubangela ukuba abantu abane-PCS baphumelele-bagxininise iimpawu zabo, kodwa ingaba ukukhathazeka kwabo ngandlela-thile kubangelwa yingozi engokwenyama eyenziwa yingqondo yabo?
Uninzi lubonakala lubonisa ukuba ixesha elidlulileyo leempawu zesifo se-postconcussion siphezulu, mhlawumbi kunokuba izinto zengqondo zidlala indima eyandayo. Ukuphuhliswa kweempawu eziqhubekayo ngaphezu konyaka kunokuqikelelwa ngembali yokusetyenziswa kakubi kotywala, ukunyamekela kwengqondo, ubunzima bomntu, okanye ingxaki yesifo sengqondo ezifana nokudakumba okanye ukuxhalabisa. Ngakolunye uhlangothi, umngcipheko weempawu ezongezelelekileyo zonyuka kwakhona ukuba ukulimala kokuqala kwadibene neGlasgow Coma Score okanye i-history of trauma ephambili yangaphambili.
I-postconcussive syndrome yinkqubo yokuxilongwa kwintsholongwane, oku kuthetha ukuba akukho mvavanyo eyongeziweyo idla ngokufunekayo ngaphandle koviwo logqirha.
Oko kwathiwa, i- positron emission tomography (PET) i-scans ibonise ukusetyenziswa kwe-glucose ye-glucose ekunciphiseni kweengqondo kwizigulane ezinezifo ze-postconcussive syndrome, nangona iingxaki ezinjengexinzelelo zingabangela ukufana okufanayo. Izinto ezinokuthi zenzeke nazo zibonise ukungaqhelekanga kubantu abane-PCS. Abantu abane-PCS bafunyenwe ukuba banciphise amanqaku kwiimvavanyo ezithile zengqondo. Ngakolunye uhlangothi, nangaphambi kokulimala kwentloko, abantwana abane-postconcussive syndrome babenokuhlengahlengiswa kokuziphatha kunokuba abo babonakaliswa yimpawu zabo.
Ekugqibeleni, ukuxilongwa kwe-post-concussive syndrome kungabalulekanga kangako kunokubona iimpawu ezichaphazelekayo. Ayikho enye unyango kwi-PCS kunokujongana neempawu zomntu ngamnye. Intloko ingaphathwa ngamachiza enhlungu , kwaye i-anti-emetics ingayinceda ukutywaba. Udibaniso lwamachiza kunye nonyango lunokuba luncedo kwiimpawu zokudakumba. Nakuphi na ukhubazeko lwangaphakathi lungabhekiswa kunye neengcali zengqesho ukuze kuphuculwe amandla okhathazeka ukuba asebenze kakuhle emsebenzini.
Kubalulekile ukuqaphela ukuba kubantu abaninzi, iimpawu zangemva kwexesha emva kwexesha zize zixazulule, kunye neqela elincinci labantu abaneengxaki ezidlulileyo kunyaka okanye ngaphezulu. Indlela efanelekileyo yokubuyisela mhlawumbi igxininise ekuphatheni iimpawu zomntu, zomzimba nezengqondo, ezihambelana nale meko ephazamisayo.
Imithombo:
S Kashluba, Casey JE, Paniak C. Ukuvavanya ukusetyenziswa kwe-ICD-10 impawu zokuxilonga kwi-postconcussion syndrome elandela ukulimala kwengqondo ebuhlungu.J Int Intetho ye-Neuropsychol Soc. 2006 uJan; 12 (1): 111-8.
TW Allister, Arciniegas D (2002). "Ukuphononongwa kunye nokunyangwa kweempawu ze-postconcussive". I-NeuroRabilitation 17 (4): 265-83.
MA McCrea. Ubunzima bokuBulala kunye nePostconcussion Syndrome: Isiseko esitsha soBungqina beSifo neNyango. Oxford [Oxfordshire]: I-Oxford University Press, (2008)