Izivivinyo Zomcabango: Zisetshenziswa Kanjani, Nini, Futhi Kungani Zisetshenziswa

-Delile

• Kuyini ukuhlolwa kwesifuba?
• Ngabe ukuhlolwa kwe-concussion kusetshenziselwa ini?
• Ukuhlola ukulimala
• Ukunquma izinyathelo ezilandelayo
• Ukubonana nodokotela nini
• I-Post-concussion protocol
• Injani inqubo yokululama yesifuba?
• Ukuthatha

Ukudideka uhlobo lokulimala kobuchopho okungabangelwa ukuwa, ezemidlalo ezinomthelela omkhulu, nezinye izingozi.

Ngenkathi bengukulimala okuncane kobuchwepheshe, izingxabano kwesinye isikhathi zithwala izingozi ezinkulu kakhulu, kufaka phakathi:

• ukulahlekelwa ukwazi
• ukukhubazeka kwamakhono emoto
• ukulimala komgogodla

Njengoba izimpawu zokuxubana zingahluka, udokotela wakho kungenzeka a-oda ukuhlolwa ukuthola ukuthi ukulimala kwakho kubangele ukungqubuzana yini. Ungase futhi ukwazi ukwenza izivivinyo uwedwa ekhaya ngenkathi ulinde usizo lwezokwelapha.

Qhubeka ufunde ukuze ufunde kabanzi mayelana nokuhlolwa kokushayisana, nokuthi ungalufuna nini usizo oluphuthumayo.

Kuyini ukuhlolwa kwesifuba?

Ukuhlolwa kokushayisana kuchungechunge lwemibuzo ekala izimpawu zakho ngemuva kokulimala ekhanda. Imibuzo eku-inthanethi ikucela ukuthi ukale ubukhulu bezimpawu, njenge:

• ikhanda
• Isiyezi noma izingqinamba ezilinganiselayo
• umbono uyashintsha
• ukuzwela ekukhanyeni noma emsindweni
• amazinga aphansi wamandla
• inkungu yengqondo, noma inkumbulo kanye nezinkinga zokuhlushwa
• ukuba ndikindiki
• ukucasuka noma ukudabuka
• izinkinga zokulala

Ochwepheshe bezokwelapha kwezemidlalo kwesinye isikhathi basebenzisa izinhlu zokuhlola eziyinkimbinkimbi ukuhlola abasubathi abalimele. Isivivinyo esivame kakhulu sibizwa ngokuthi yi-post-concussion symptom scale (PCSS).

Njengezinhla zokubheka okuku-inthanethi, i-PCSS ifaka phakathi izimpawu ezingaba khona zokuqina ngokuqina kwazo ukuthola ukuthi ngabe ukushayisana kwenzeke yini, nokuthi kudingeka ukuhlolwa okwengeziwe.

Ezinye izivivinyo zempikiswano zingahlola amakhono emoto omuntu olimele, ngaphezu kokuhlola izimpawu. Isibonelo, ithuluzi elilinganisiwe lokuhlola ukuxubana (i-SCAT) lihlola ibhalansi, ukuxhumanisa, namanye amakhono wemoto abalulekile ukuthi ukungqubuzana kungaphazamisa. Ukuhlolwa kwe-SCAT nakho kulawulwa ochwepheshe.

Ngenkathi izinhla zokuhlola ziyindawo yokuqala yokuhlola izimpawu zokushayisana okungaba khona, kungcono ukubona udokotela wakho uma usola ukuthi wena noma umuntu omthandayo unenkinga.

Umhlinzeki wezokunakekelwa kwempilo angahlola izimpawu zakho futhi ahlele nokuhlolwa kwezokwelapha ukubheka ubuchopho bakho nomgogodla wakho.

Lokhu kufaka phakathi:

• ukuhlolwa ngokomzimba
• i-CT scan
• ukuskena kwe-MRI
• Ama-X-ray
• ukuqapha kwegagasi lobuchopho nge-electroencephalogram (EEG)

Ngabe ukuhlolwa kwe-concussion kusetshenziselwa ini?

Ukuhlola ukulimala

Ukuhlolwa komcabango kusetshenziselwa ikakhulukazi ukuthola ukuthi izimpawu zomuntu ngemuva kokulimala zithinte ubuchopho.

Omunye angabonisa lezi zimpawu ezilandelayo ngesikhathi sokushayisana:

• ukudideka
• inkulumo engahambi kahle
• izinguquko emehlweni, kufaka phakathi ukunyakaza nosayizi womfundi
• ukuxhumanisa nezinkinga zokulinganisela
• ukuhlanza
• uketshezi oluvela emakhaleni noma ezindlebeni
• ukulahlekelwa ukwazi
• ikhanda
• ngingakhumbuli okwenzekile
• isithuthwane

Izingane nezingane ezincane nazo zingathola izingxabano. Bangabonisa okulandelayo:

• ukozela noma ukukhathala
• kunciphise izinga lomsebenzi
• ukucasuka
• ukuhlanza
• uketshezi oluvela ezindlebeni noma ekhaleni

Ngaphandle kwezimpawu ezingenhla, ungahle uthande ukusebenzisa ukuhlolwa kwempikiswano uma wena noma umuntu omaziyo:

• ukuwa okungathi sína
• ulimale emdlalweni onomthelela omkhulu, njengebhola likanobhutshuzwayo, ibhola, noma isibhakela
• unengozi yebhayisikili
• isekela i-whiplash engozini yemoto

Ukunquma izinyathelo ezilandelayo

Ukuhlolwa komcabango kungaba wusizo ekunqumeni noma yiziphi izinyathelo ezilandelayo. Isibonelo, othandekayo okhombisa ukudideka nobunzima bokuhamba ngemuva kokuwa angadinga ukuhlolwa okwengeziwe kudokotela.

Ama-comas, ukulahlekelwa ukwazi, nokulimala emhlane noma entanyeni kungadinga ukunakekelwa kwezempilo okuphuthumayo.

Ukubonana nodokotela nini

Kubalulekile ukuthi ubonane nodokotela uma usola ukuthi kunomuntu obenenkinga. Bangakwazi ukukhipha noma yimuphi umonakalo omkhulu wobuchopho.

Izingane ezithola ukulimala ekhanda kufanele zihlolwe ngudokotela wezingane. Thatha ingane yakho uyise esibhedlela khona manjalo uma iqulekile.

Endabeni yekhoma, shayela ku-911 futhi ufune usizo oluphuthumayo lwezokwelapha.

Ungadinga futhi ukufuna usizo oluphuthumayo lwezokwelapha uma ingxabano ihambisana nokulimala komgogodla. Ezimweni ezinjalo, kufanele ugweme ukuzama ukuhambisa umhlane noma intamo yomuntu futhi esikhundleni salokho ushayele i-ambulensi usizo.

I-Post-concussion protocol

Ngemuva kokuthi welashelwe ukuxubana, kusazodingeka ukuthi uthathe kalula. Noma ukhishwe esibhedlela, udokotela wakho angakutusa ukuthi ugweme okwesikhashana umsebenzi odale ukuqubuka kwakho kokuqala.

Ungadinga futhi ukugwema ezemidlalo ezinomthelela omkhulu nokusebenzisa imishini esindayo.

Injani inqubo yokululama yesifuba?

Umugqa wesikhathi wokululama uncike ekutheni ingxabano inzima kangakanani.

Ezimweni eziningi, othandekayo wakho uzolulama ngaphakathi, noma lokhu kungahluka. Okunye ukulimala okukhulu emgogodleni nasekhanda kungaholela ekutholeni isikhathi eside ngenxa yesidingo sokuhlinzwa.

Ngesikhathi sokululama, kungenzeka ukuzwa ukucasuka, ikhanda, nobunzima bokuhlushwa. Ukukhanya komsindo nokuzwela nakho kungenzeka.

Abantu futhi bangaba nezimpawu ezingokomzwelo, njengokukhathazeka, ukudangala, nokuba nenkinga yokulala.

I-Post-concussion syndrome (i-PCS) yisimo lapho izimpawu zakho zokuxubana zihlala isikhathi eside kunesikhathi esivamile sokululama.

Ama-PCS angahlala amasonto ambalwa, izinyanga, noma ngaphezulu. Ngalesi sikhathi, ungathola amakhono ancishisiwe ezithuthi angathinta ukunyakaza kwansuku zonke.

Ukuthatha

Ukuhlolwa kokushayisana kwasekhaya kwesinye isikhathi kungasiza ekuhlinzekeni ukuqonda kokuthi ngabe wena noma umuntu omaziyo uke waba nenkinga. Lokhu kubaluleke kakhulu uma ngabe uwe, ingozi, noma ukulimala okuqondile ekhanda.

Noma kunjalo, kubalulekile ukubona udokotela ngemuva kokuqubuka, noma ngabe ucabanga ukuthi izimpawu zincane. Bangakwazi ukuqhuba ukuhlolwa kwe-imaging ukuze baqiniseke ukuthi awuzange ulimaze ubuchopho obukhulu noma ukulimala komgogodla.

Njalo funa ukunakekelwa kwezimo eziphuthumayo uma othile eye waba ne-coma noma intamo embi noma ukulimala emhlane.