Mhedziso & Post-Concussion Syndrome

Mhedziso ndeyokukuvara kwehuropi hunoita kuti uropi hushande. Migumisiro kubva mukukuvara uku kazhinji kwenguva duku asi inogona kusanganisira headaches, zvinetso nekutungidzirwa, kurangarira, kuenzanisa nekubatana. Mhedziso kazhinji inokonzerwa nekurova kumusoro kana kushungurudzika kwechisimba kwe musoro uye kumusoro. Zvimwe zvinokonzera kukanganisa kwekuziva, asi vazhinji havaiti. Uye zvinokwanisika kuva nekugadzirisa uye kusazviziva. Mhedziso yakajairika mumitambo yekubatana, yakadai sebhola. Zvisinei, vanhu vazhinji vanowana kuzorora zvakakwana mushure mokunge mhirizhonga.

Concussions

Kushungurudzika kweBongo Kukuvara (TBI)

• Kazhinji kacho kazhinji chigumisiro chemusoro dambudziko
• Zvinogonawo kuitika nekuda kwekunyanyisa kukuru kwe musoro kana kukurumidza / kuderedza
• Kukuvara kwakakomba (mTBI / mazano) ndiyo inowanzovhiringidzwa neuropi

Glasgow Coma Scale

Zvinowanzokonzera Mhedziso

• Motokari kupopotedzana
• kana
• Makuvara emitambo
• bata chibharo
• Zvichida kana kuti nemaune kubudisa zvombo
• Impact nezvinhu

dziviriro

Kudzivirirwa kwekukuvadzwa kwakakosha kunogona kuve kwakakosha

Kurudzira Vatwere Kupfeka Makadhi

• Kukwikwidza mitambo, kunyanya bhomba, hokey, bhora uye baseball
• Kukwira bhiza
• Kutakura mabhasikoro, motokari, ATV, nezvimwewo.
• Kukwidzwa kwepamusoro kunobatsira sekumhanya kwedombo, zip lining
• Kuchengetedza, snowboarding

Kurudzira Varwere Kuti Vafukidze Seatbelts

• Kurukurai kukosha kwokupfekedza mabheji nguva dzose mumotokari nevarwere vako vose
• Uyewo kukurudzira kushandiswa kwezvikwata zvinokodzera kana zvigaro zvevana kuti vaone kuti zvakakwana zvakakwana uye basa rebhanhire rechigaro.

Kutyaira Zvakachengeteka

• Varwere havafaniri kumbofambisa apo vari pasi pesimba remishonga, kusanganisira mamwe mishonga kana doro
• Usambotumira mameseji uye kutyaira

Ita Zita Zvakachengeteka Kwavana

• Isai masuo emasuo uye mahwindo emawindo mumusha
• Ngaive munzvimbo dzine zvinhu zvinotyisa, zvakadai segoldwood mulch kana jecha
• Chengetedza vana nokungwarira, kunyanya pavanenge vari pedyo nemvura

Prevent Falls

• Kuchenesa njodzi dzinokonzera dzakadai sedhizha dzakasununguka, kusina gwava pasi kana kuti kumigwagwa kwemafuro
• Kushandisa nonslip mats mumabhati nepamusoro pedenga, uye kuisa mabheji pedyo neimba yega, tub and shower
• Iva nechokwadi chezvikafu zvakakodzera
• Kuisa zvinyorwa pamativi ose maviri ematanho
• Kuvandudza chiedza kumusha
• Balance training training

Balance Training

• Soro rimwe chete
• Bosu bhora kudzidzira
• Core kusimbisa
• Kuchengetedza kwebongo kuedza

Concussion Verbiage

Mhedziso kana mTBI (kukuvadzwa kwehuputi hwepfungwa)

• mTBI ndiro izwi riri kushandiswa kakawanda mumamiriro ekurapa, asi kuongororwa izwi rinonyanya kuzivikanwa mumunharaunda nevanodzidzisa zvemitambo, nezvimwewo.
• Aya mazwi maviri anorondedzera chinhu chimwechete chakakosha, mTBI ndiyo nguva iri nani yekushandisa pakushandisa kwako

Kuongorora Mhedziso

• Yeuka kuti hapasi nguva dzose inofanirwa kuva kurasikirwa kwekuziva kuitira kuti pave nekugadzirisa
• Post-Concussion Syndrome inogona kuitika pasina LOC zvakare
• Zviratidzo zvekukwikwidza zvingasave zviri pakarepo uye zvinogona kutora mazuva kukura
• Tsvaga ye48 post head kurira kukurudzira mireza matsvuku
• shandisa Yakakosha kugadzirisa kuongorora (ACE) fomu kuunganidza ruzivo
• Tora imaging (CT / MRI) sezvinodikanwa kana mabhii mutsvuku aripo

Red Flags

Inoda imaging (CT / MRI)

• Musoro unowedzera kuipa
• Murwere anoita seanotsumwa kana asingamutswe
• Une kuoma kubvuma vanhu kana nzvimbo
• Neck marwadzo
• Seizure basa
• Kurutsirazve
• Kuwedzera kuvhiringidzika kana kutsamwa
• Kusagadzikana kwetsika yekuchinja
• Focal neurologic zviratidzo
• Slurred speech
• Kushaya simba kana kushaya simba mumagumo
• Shanduka munharaunda ye pfungwa

Zviratidzo Zvinowanzovhiringidzika

• Musoro kana kuti kunzwa kwekumanikidzwa mumusoro
• Kurasikirwa kana kuchinjwa kwekuziva
• Maziso akasvibiswa kana zvimwe zvinetso zvekuona, zvakadai sevana vanodzidza kana vasina kukwana
• Kusanganiswa
• Chizutu
• Kuridza munzeve
• Nausea kana kurutsa
• Slurred speech
• Kumbomira kupindura mibvunzo
• Kurasika kurasika
• Kuneta
• Dambudziko rinowedzera
• Kuenderera mberi kana kuramba kuchirikanwa mupfungwa kurasikirwa
• Kukanganisika uye humwe unhu hunochinja
• Kunzwisisa kujekesa uye ruzha
• Matambudziko okurara
• Maitiro anofamba, kushungurudzika, kuzvidya mwoyo kana kuora mwoyo
• Matambudziko ekuravira uye kunhuwa

Mental / Behavioral Changes

• Verbal outbursts
• Kuputika kwepanyama
• Zvakaipa kutonga
• Kuita zvinhu zvisina kufanira
• Negativity
• Kuvhiringidzika
• Kusateerera
• Egocentricity
• Rigidity and inflexibility
• Kuipa maitiro
• Kusava netsitsi
• Kusava nechikonzero kana chiito
• Kushungurudzika kana kufunganya

Zviratidzo Muvana

• Mhedziso inogona kupa zvakasiyana nevana
• Kunyanya kuchema kuchema
• Kufirwa kwechido
• Kurasikirwa kwemashoko mune zviduku zvemasikana kana mabasa
• Nharo dzehope
• Kudzora
• Kusvibiswa
• Kusagadzikana paumire

kukanganwa

Kurasika kurasika uye kukundikana kuumba zvirangariro zvitsva

Dzorera Amnesia

• Kusakwanisa kuyeuka zvinhu zvakaitika vasati vakuvara
• Nokuda kwekukundikana mukuyeuka

Anterograde Amnesia

• Kusakwanisa kuyeuka zvinhu zvakaitika mushure mekukuvara
• Nokuda kwekukundikana kwekuumba zvitsva zvitsva

Kunyangwe kukanganisa kukanganisa kurasika kunogona kunge kunopedzisira kuitika

• Amnesia inogona kunge ichikwira ku 4-10 nguva dzakawanda kupedzisa kwezviratidzo uye kukanganisa kwemagariro zvinotevera kusangana kudarika LOC (pasi pemaminiti 1)

Dzokera Kutamba Kufambira mberi

Baseline: Hapana Zviratidzo

• Sezvo danho rekutanga rekudzoka kuKuchengetedzwa kweMutambo, mutambi wacho anofanira kunge akapedza zororo remuviri uye rwekuziva uye asingave nekutarisana kwezviratidzo kwemaawa mashoma e48. Ramba uchifunga mupfungwa, mudiki mutambi wacho, kunyanya kurapa kurapa.

Danho 1: Chiedza Aerobic Activity

• Chinangwa: Chete kuwedzera moyo wemutambi.
• Nguva: 5 kune 10 maminitsi.
• Zvinoitwa: Bhizimusi rekuvhimisa, kufamba, kana kubuda kwechiedza.
• Kunyangwe pasina kusimudza kwekusimudza, kusvetuka kana kushanda nesimba.

Nhanho 2: Basa rakanaka

• Icho Chinangwa: Mutumbi usina kukwana uye musoro.
• Nguva: Yakaderedzwa kubva pakugara kwenguva yakawanda.
• Zvinoitwa: Kuramba kwakanaka, kushanda kwenguva pfupi, kuenzanisa-kunyanzvi kwepamusoro motokari, uye kuenzanisa-kuwedzerwa weightlifting

Danho 3: Basa rakaoma, risina kubatana

• Chinangwa: Kuwedzera zvakanyanya asi kusingatauri
• Nguva: Swedera kunowanzoita tsika
• Zvinoitwa: Kumhanya, kukwirira-kwakasimba kwakamira, kuchovha bhasikoro, mutambi wacho wenguva dzose wehuremu hwekusimudzira, uye asiri ehukama emitambo-akasarudzika mabhora. Iyi nhanho inogona kuwedzera chimwe chinhu chinonzwisisika kudzidzira kuwedzera kune maeerobic uye mafambiro ekufambisa akaunzwa muDanho 1 ne2.

Nhanho 4: Dzidzira & uzere nekubatana

• Chinangwa: Dzokerazve zvakare mukutaurirana.

Danho 5: Kushinha

• Chinangwa: Dzokera kumakwikwi.

Microglial Priming

Mushure memusoro wekutambudza ma microglial masero anonyorerwa uye anogona kuve akapfuura

• Kuti urwise izvi, iwe unofanirwa kupindira kuputika kwechirwere

Kudzivirira kudzokorora musoro kunetseka

• Pamusana pekugadzirisa mapepa emakumbo, kupindura kwekutsvaga-kunetseka kungave kwakanyanya uye kwakakuvadza

Chii Chinonzi Post-Concussion Syndrome (PCS)?

• Zviratidzo zvinotevera kushungurudzika kwepamusoro kana kukuvadzwa kwakakomba kweuropi, izvo zvinogona kupera vhiki, mwedzi kana makore pashure pokukuvara
• Zviratidzo zvinopfuurira kwenguva yakareba kudarika zvinotarisirwa mushure mokutanga kugadzirisa
• Zvinowanzoonekwa kune vakadzi uye vanhu vezera remakore avo vanotambura zvikuru
• Kuoma kwePCS kazhinji hakuwirirani nekuoma kwekukuvara kwemukoko

PCS Zviratidzo

• Headaches
• Chizutu
• Kuneta
• Kusvibiswa
• kufunganya
• kutadza kurara
• Kutadza kwekufungisisa nekuyeuka
• Kuridza munzeve
• Blurry chiratidzo
• Ruzha uye chiedza chekunzwa
• Kazhinji, inoderera muvira uye kunhuwa

Mhedziso Inobatana Nengozi Zviitiko

• Zviratidzo zvekutanga zvepfungwa pashure pokukuvara
• Kuchinja kwepfungwa dzakadai seamnesia kana fogginess
• Kuneta
• Zvekare nhoroondo yemusoro

Kuongorora kwePCS

PCS inorwara yekuregererwa

• Kana murwere achizadza nezviratidzo mushure mekukuvara kwemusoro, uye zvimwe zvinokonzeresa zvakatemerwa kunze => PCS
• Shandisa zvidzidzo zvakakodzera zvekuedza nekufungidzira kuti utonge zvimwe zvikonzero zvezviratidzo

Musoro wemusoro MuCPS

Kazhinji tension mhando misoro

Bata sezvaunoda nekuda kwekurwadziwa musoro musoro

• Deredza kudzvinyirira
• Kuvandudza unyanzvi hwekubata mupfungwa
• MSK kurapwa kwemishonga yemukati nematare
• Constitutional hydrotherapy
• Adrenal kutsigira / adaptogenic herbs

Inogona kuchinja, kunyanya kune vanhu vakanga vagara vasati vambovapo migraine vasati vakuvara

• Deredza kuderedza mutoro
• Funga nezvekugadzirisa nekuwedzera uye nemishonga
• Deredza chiedza uye kuratidzwa kwakanaka kana kune kunzwisisika

Dhimoni MuPCS

• Mushure mokunge mutambudzi wepamusoro, nguva dzose muongorore BPPV, sezvo ichi ndicho chinonyanya kurudzika chettigo mushure mekutsvaga
• Dix-Hallpike inoita kuti iongorore
• Epley's maneuver yekurapa

Chiedza & Ruzha Kunzwisisa

Hypersensitivity kujekesa uye inzwi rinowanzoonekwa muPCS uye zvinowanzokonzera zvimwe zviratidzo zvakadai sepfungwa uye kuzvidya mwoyo

Kutungamira kwekuwedzerwa mesencephalon kukurudzira kunokosha mumatambudziko akadaro

• Sunglasses
• Mamwe magirazi anovhara magirazi
• Zvinyorwa
• Cotton munzeve

Kurapa KwaPCS

Shandisa chiratidzo chimwe nechimwe sezvaunenge uchida

Shandisa CNS kuvhiringidzika

• Curcumin
• Boswelia
• Mafuta ehove / Omega-3s (*** mushure me r / o kubuda ropa)

Kuchengetedza maitiro therapy

• Kungwarira & zororo kudzidziswa
• Acupuncture
• Ubongo huchinyatsogadzirisa muviri utano hwekuita
• Taura nezvekuongorora kwepfungwa / kurapwa
• Taura kune mTBI nyanzvi

mTBI Nyanzvi

• mTBI yakaoma kurapa uye ihwo humwe hutano huri mune allopathic uye mishonga inobatanidza
• Chinangwa chekutanga ndechekucherechedza uye kutarisa kutarisirwa kwakakodzera
• Tsvakai kudzidziswa muMTBI kana kuronga kutaura kune vanyori veTCTI

Sources

1. HeadMusoro weRamangwana. DVBIC, 4 Kubvumbi 2017, dvbic.dcoe.mil/aheadforthefuture.
2. Alexander G. Reeves, A. & Swenson, R. Kukanganiswa kweNervous System. Dartmouth, 2004.
3. �Tinotungamira kune Vanopa Hutano.� Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 16 Feb. 2015, www.cdc.gov/headsup/providers/.
4. �Post-Concussion Syndrome.� Mayo Clinic, Mayo Foundation for Medical Education and Research, 28 July 2017, www.mayoclinic.org/diseases-conditions/post- concussion-syndrome/symptoms-causes/syc-20353352.