Ðe nèƒo ta le afi aɖea? Ðe wòle be míalé ŋku ɖe eŋu nenye be ʋuʋudedie? Na míasrɔ̃ nu tso dodokpɔ sia ŋu!

Ðe nèƒo ta esime nèle fefem, le du ƒum, le titim, alo le anyinɔƒe ko kpɔa? Enyo, ebɔ ŋutɔ, vevietɔ le ɖevi suewo kple amesiwo ƒoa kamedefefewo dome. Ɣeaɖewoɣi la, ƒoƒo vi aɖe ate ŋu adze abe ɖe menye nya gã aɖeke o ene. Gake ele be míaɖɔ ŋu ɖo vie le abi aɖewo siwo woxɔna le ta, abe ʋuʋudedi ene ŋu . Eyata egbea, mina míaƒo nu tso nusi ʋuʋudedi nye, dodokpɔ siwo wowɔna nɛ, kple nusiwo wòle be míanya ŋu.

Nukae nye ʋuʋudedi? Kpuie ko la,...

Bu wò ta abe koklozi ene, eye wò ahɔhɔ̃ le eme dedie. Gake ne èƒo ta sesĩe kasia le afi aɖe, alo ne wò ta ʋuʋu yi ŋgɔ, megbe, alo ɖe axadzi zi ɖeka le ƒoƒo sesẽ aɖe si woƒo ɖe ŋutilãa ta ta la, ahɔhɔ̃ si le wò ta me ate ŋu aʋuʋu vie. Emae nye nusi míeyɔna be ʋuʋudedi, si nye abi si woxɔna le ahɔhɔ̃a ŋu ɣeyiɣi kpui aɖe, si nu mesẽna o. Ne míagblɔe tututu la, ɖɔktawo yɔa esia be ahɔhɔ̃ me abi si nu sẽ si nu sẽ (TBI). Esia ate ŋu agblẽ nu le ahɔhɔ̃a ƒe dɔwɔwɔ nyuie ŋu hena ɣeyiɣi aɖe.

Aleke mawɔ anya ne ʋuʋudedi le ŋunye?

Nukpɔsusu totro aɖe si bɔ enye si. Eyae nye be ne wò susu megale dɔ wɔm o ko hafi ʋuʋua dzɔna. Le nyateƒe me la, ame akpa gãtɔ siwo ŋu ʋuʋudedi le la mebuna gbeɖe o. Wò, viwò, alo ame aɖe si te ɖe ŋuwò la ate ŋu aʋuʋu eye mànyae gɔ̃ hã o. Esia tae wòle vevie be nàkpɔ ɖɔkta be woado ye kpɔ, ne èsusu be "abi sue aɖe koe" wònye gɔ̃ hã.

Tsɔe be viwò sue la ge tso zikpui dzi eye wòƒo ta esime wòle fefem. Efaa avi hena ɣeyiɣi aɖe eye emegbe wògadzea fefe gɔme ake. Àte ŋu asusu be, "Oo, naneke megblẽ le eŋu o." Gake anyo wu be nànɔ ŋku lém ɖe eŋu, elabena dzesi aɖewo ate ŋu adze emegbe.

Nukawoe nyea ʋuʋudedi ƒe dzesiwo? Kpɔ nyuie le esiawo ŋu!

Ʋuʋudedi ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Wo dometɔ aɖewo dona le abixɔxɔ vɔ megbe teti, gake bubuwo ya ate ŋu ado le gaƒoƒo alo ŋkeke aɖewo megbe gɔ̃ hã. Dzesi vevi siwo nàte ŋu ade dzesii dometɔ aɖewoe nye esi:

• Taɖuame: Esiae nye dzesi si bɔ wu.
• Aɖuɖɔtoe alo ʋuʋudedi: Àte ŋu ase le ɖokuiwò me be yeƒe dɔgbo le ʋuʋum eye àse le ɖokuiwò me be yeaɖe aɖuɖɔ.
• Tɔtɔ: Nɔnɔme si me susu mele o, abe "Nukae dzɔ? Afikae mele?"
• Ame ƒe susu megabuna hena ɣeyiɣi aɖe: Medzɔna ɖe ame sia ame dzi o, gake ate ŋu adzɔ ɖe ame aɖewo dzi.
• Dadasɔ ƒe bu/taɖuame/alɔ̃madɔmadɔ: Àte ŋu ase le ɖokuiwò me be "yele tsatsam hele tsatsam", "ele ʋuʋum le afisi nèbɔbɔ nɔ gɔ̃ hã".
• Nukpɔkpɔ ƒe kuxiwo: Àte ŋu akpɔ nuwo le akpa eve me (nukpɔkpɔ eve) alo akpɔ nuwo le mɔ si me kɔ o nu (nukpɔkpɔ si me kɔ o).
• Towo ƒe ɖiɖi: Eɖina abe "ringing..." gbeɖiɖi ene.
• Kekeli kple gbeɖiɖi ƒe seselelãme:Akaɖiawo tsi, eye gbeɖiɖia sesẽ ŋutɔ.
• Ðeɖiteameŋu alo alɔ̃dɔdɔ: Ðeko wòsena le eɖokui me be ɖeɖi te ye ŋu, alɔ̃ le ye ƒom.
• Tɔtrɔ siwo va le alɔ̃dɔdɔ me: Àte ŋu adɔ alɔ̃ wu alesi nèdɔa alɔ̃ wu tsã, alo màte ŋu adɔ alɔ̃ kura o.
• Nugɔmesese kple/alo susu tsɔtsɔ ɖo nu ŋu sesẽ: Edze abe nane mele ta me tom o ene, eye esesẽna be wò susu nanɔ nu ɖeka ŋu.
• Blanuiléle alo blanuiléle: Blanuiléle ko, dziɖeleameƒo.
• Dzikudodo, dzimaɖitsitsi, kple dzimaɖitsitsi: Dzikudodo ɖe nu suesuesuewo ta, sese le ɖokuiwò me be yemele nyuie o.
• Seselelãme be "ɖeko mesɔ o" alo "le "afu" me: Abe ɖe ahɔhɔ̃a mele tame bum o ene la, nusianu me mekɔ o.
• Esesẽna be susu nanɔ nu ŋu, ŋkuɖoɖonudzi kple/alo ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ.

Ne èkpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema le ta xɔxɔ vɔ megbe la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.

Ɣekaɣie wòle be woado wò kpɔ be yeƒe lãme ʋuʋu hã?

Kpuie ko la, ne èƒo wò ta le afi aɖe, alo ne wò kɔ ʋuʋu zi ɖeka eye wòhe ŋusẽ ɖe wò ta dzi (abe ``Whiplash'' ene), anyo be woadoe akpɔ be ʋuʋudedi le ŋuwò hã. Dodokpɔ siawo léa ŋku ɖe wò ``Sidzedze'', si nye alesi wò ahɔhɔ̃ bua tamee, alesi nèsea nyatakakawo gɔmee, kple wò ŋutete be nàɖo ŋku nu mawo tɔgbe dzi.

Ʋuʋudedi dodokpɔ nye dɔwɔnu vevi aɖe si kpena ɖe ɖɔktawo ŋu wokpɔnɛ nenye be ʋuʋudedi aɖe le ame ŋu. Dɔlélea didi kaba ate ŋu akpe ɖe ame ŋu wòawɔ ɖoɖo ɖe atikewɔwɔ si sɔ ŋu eye wòahaya kabakaba. Wogbugbɔa dodokpɔ sia hã wɔna le hayahayaɣi be woakpɔ alesi ahɔhɔ̃a le hayahayam nyuie.

Nukae ahɔhɔ̃a ƒe ʋuʋu ƒe dodokpɔ léa ŋku ɖe eŋu?

Dodokpɔ si wowɔna le ahɔhɔ̃a ƒe ʋuʋu ŋu dzroa ahɔhɔ̃a ƒe dɔwɔwɔ vovovowo me. Wo dometɔ vevitɔwoe nye:

• Ŋudzɔnɔnɔ: Aleke gbegbe nèle ŋudzɔe.
• Ŋkuɖodzinyawo: Aleke ŋkuɖoɖonudzi ɣeyiɣi kpui aɖe kple ɣeyiɣi didi ƒe ŋkuɖoɖonudzi le?
• Lɔlɔ̃ ɖe nu dzi kple susu tsɔtsɔ ɖe nu ŋu: Ɣeyiɣi didi kae nàte ŋu alé fɔ ɖe nu ɖeka ŋu ahanɔ eŋu bum atraɖii.
• Alesi nèbu tame kple kuxiwo gbɔ kpɔkpɔ kabakaba: Ðe nàte ŋu aɖo nyabiasewo ŋu kaba ahabu nuwo ŋu nyuiea?
• Ŋutete si le ame si be wòaɖo ŋku nyatakakawo dzi.
• Nukpɔkpɔ.
• Dadasɔ kple nuwɔwɔ aduadu.
• Nusiwo ŋu wobua tame le.
• Tosese.

Nukae nye ʋuʋudedi dodokpɔwo? Aleke wowɔa woe?

Dodokpɔ ƒomevi geɖe li siwo wowɔna tsɔ doa ʋuʋudedi kpɔ. Esiawo ateŋu anye nyabiase gbalẽvi bɔbɔe ŋutɔwo, dzesiwo me dzodzro ƒe xexlẽdzesiwo, kple bubuawo.Kamedefefewo ƒe hehenalawo kple ɖɔktawoe wɔa ɖewo, gake bubuwo ya woawo ŋutɔwo naa wo.

Nu vevitɔ kekeake: Dɔwɔnu siawo siwo wotsɔ léa ŋku ɖe ʋu ƒe sisi ŋu la menye atike siwo woatsɔ axɔ ɖe atikewɔlawo ƒe dodokpɔ teƒe o. Ne fefewɔla aɖe, vevietɔ sɔhɛ fefewɔla si mexɔ ƒe 18 haɖe o, ƒe lãme ʋuʋu la, manyo gbeɖe be nàgbugbɔ wo aɖo ɖa be woaƒoe gbemagbe o. Ele be woaɖe wo le fefea me vaseɖe esime ɖɔkta nada wo kpɔ eye wòagblɔ be afɔku le eme be woaƒo.

Kpɔɖeŋu aɖewoe nye esi:

Dɔwɔnu xɔŋkɔ siwo wozãna tsɔ léa ŋku ɖe ʋuʋudedi ŋu

• SAC (Standardized Assessment of Concussion) Dodokpɔ: Wozãa esia tsɔ bua fefewɔlawo ƒe susu ƒe nɔnɔme enumake ŋu, le bɔlƒoƒea alo le xɔ si me wowɔa dɔ kpata le me. Ebia be woabia wo ŋkeke kple gaƒoƒo, abia tso wo si be woaɖo ŋku nya aɖewo dzi ahagbugbɔ wo agblɔ, eye woabia tso wo si be woagblɔ xexlẽdzesi aɖewo na akpa kemɛ. Exɔa abe miniti 5 ene.
• SCAT 5 (Kamedefefewo ƒe Ʋuʋudedi ƒe Dɔwɔnu 5): Esia nye dodokpɔ si me kɔ wu na amesiwo xɔ wu ƒe 13. Tsɔ kpe ɖe nusiwo le SAC dodokpɔa me ŋu la, nuwo abe kɔ dodokpɔ, ŋutilã ƒe dadasɔ ƒe dodokpɔ, kple dzesiwo me dzodzro hã le eme. Eƒe akpa bubu hã li na ɖevi suewo (ƒe 6-12).
• King-Devick dodokpɔ: Esia bia be woaxlẽ xexlẽdzesi siwo wowɔ le vome tso agbalẽviwo me ɖe wo nɔewo yome. Wowɔa esia hafi wodzea fefe aɖe gɔme eye wodea dzesi ɣeyiɣia. Wogawɔa esia ake le ta ƒe abixɔxɔ vɔ megbe. Ne etsi megbe abe sɛkɛnd 5 ene wu ɣeyiɣi si va yi la, wosusu be ame aɖe ʋuʋu.
• BESS (Balance Error Scoring System): Esia dzidzea dadasɔ. Ele be nàtsi tre eye nàmiã ŋku eye nàtsɔ wò asiwo aɖo wò akɔta abe sɛkɛnd 20 ene le nɔnɔme vovovowo me le teƒe si li ke kple teƒe si meli ke o (e.g. le futukpɔ dzi).
• ACE (Acute Concussion Evaluation): Esia nye dɔwɔnu si ɖɔktawo zãna. Eƒoa nyatakaka gbogbo aɖewo nu ƒu, abe nusi gbɔ ʋuʋudedia tso, dzesiwo (woŋlɔ nya 22 ɖe eme), ŋkuɖoɖonudzi ƒe kuxiwo, ʋuʋudedi si nɔ ame ŋu va yi, kple atikewɔwɔ me nɔnɔme bubuwo ene.
• ImPACT (Immediate Post-Concussion Assessment and Cognitive Test): Esia nye dodokpɔ si wozãna le kɔmpiuta dzi, vevietɔ na fefewɔla siwo xɔ wu ƒe 12. Edzidzea ahɔhɔ̃a ƒe dɔwɔwɔ vovovowo, abe ŋkuɖoɖonudzi, ɣeyiɣi si wotsɔ wɔa nui, kple xexlẽdzesiwo nyanya ene.

Ne dodokpɔ siawo ɖee fia be ame ƒe lãme ʋuʋu gɔ̃ hã la, ele be nàyi ɖɔkta gbɔ godoo. Ðɔktaa ado wò ŋutilã kpɔ bliboe, alé ŋku ɖe wò nukpɔkpɔ kple dadasɔ ŋu, eye ne ehiã la, woate ŋu awɔ MRI alo CT scan atsɔ akpɔe ɖa be ʋu alo abi aɖe le dodom le ememe hã.Azɔ hã, ʋudodokpɔ aɖe li si woyɔna be ``Brain Trauma Indicator''. Esia dzidzea protein tɔxɛ eve siwo ƒoa ƒu ɖe ʋua me ne abi sue aɖe le ahɔhɔ̃a ŋu. Ne protein siawo le eme la, woate ŋu asusui be ʋu ate ŋu anɔ dodom le ahɔhɔ̃a me.

Nukae nye dodokpɔ siwo wowɔna le gɔmedzedzea me kple esiwo wowɔna le axadzi na kamedefefewɔlawo?

Wowɔa esiawo ƒe akpa gãtɔ ɖe kamedefefewɔla siwo le suku dzi. Amesiwo ƒoa kamedefefe siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ la doa ʋu ƒe sisi ƒe dodokpɔ le gɔmedzedzea me hafi ɣeyiɣia dzea egɔme. Esia dzidzea woƒe ahɔhɔ̃ ƒe dɔwɔwɔ le xexeame katã – nuwo abe ŋkuɖoɖonudzi, tamebubu ƒe duƒuƒu, kple susu tsɔtsɔ ɖo nu ŋu ene. Kɔmpiuta dzi dodokpɔ sia le abe videofefe ene.

Ne fefewɔla aɖe xɔ abi le ta le fefea wɔɣi la, woɖea wo le fefea me eye wogawɔa dodokpɔ sia ake. Emegbe míate ŋu atsɔ emetsonuwo asɔ kple gɔmedzedze si míewɔ va yi akpɔe ɖa be vovototo aɖe le wo dome hã.

Sideline Concussion Evaluation nye mɔnu bɔbɔe bubu. Wokplɔa fefewɔla aɖe si wosusu be eƒe lãme ʋuʋu la yia axadzi eye woléa ŋku ɖe ahɔhɔ̃a ƒe dɔwɔwɔ ŋu. Nya siwo wobiaa zi geɖe dometɔ aɖewoe nye:

• "Nukae nye ƒuƒoƒo si tsi tre ɖe eŋu? Nukae nye xexlẽdzesia?" (Kpɔ ŋkuɖoɖonudzi ɣeyiɣi kpui aɖe)
• "Gblɔ wò ŋkɔ kple dzigbezã nam." (Kpɔ ŋkuɖoɖonudzi ɣeyiɣi didi)
• "Dze agbagba nàgblɔ ƒea ƒe ɣletiwo le akpa kemɛ." (Dɔ sesẽ aɖe) .

Le afisia hã la, mele be woaɖe mɔ na fefewɔla aɖeke si wosusu be eʋuʋu la be wòatrɔ ayi fefea dzi ɖɔkta ƒe mɔɖeɖe manɔmee o! Togbɔ be dodokpɔ siawo ate ŋu ana nyatakaka aɖewo hã la, ɖɔkta ƒe nyataƒoƒoe nye vevitɔ kekeake.

Àte ŋu awɔ dodokpɔ vi aɖe le aƒemea?

Gbã la, ɖo ŋku esia dzi: Atikewɔla aɖe koe ate ŋu anya ʋu ƒe sisi nyuie. Gake ne ame aɖe si nènya ƒo ta (le kpɔɖeŋu me, ne viwò dze anyi esime wòle fefem, alo ne ame tsitsi aɖe dze anyi) la, nu aɖewo li nàte ŋu awɔ atsɔ aƒo nyatakakawo nu ƒu hafi ayi ɖɔkta gbɔ. Nyatakaka sia akpe ɖe ɖɔktaa ŋu ŋutɔ.

Nya siwo nàte ŋu abia kple nusiwo nàte ŋu alé ŋku ɖe le ɣeyiɣi sia tɔgbe me dometɔ aɖewoe nye esi:

• Bia amesi ƒo woƒe ta la be eƒe ŋkɔ, teƒe si wole, ɣeyiɣi, ŋkeke, kple nusi dzɔ.
• Na woagblɔ nya "xexeame" ŋɔŋlɔdzesi ɖesiaɖe. (Kpɔɖeŋu: ಯ-ಕ-ಓ-ಲ)
• Biae ne taɖuame, taɖuame, alo ʋuʋudedi le eŋu .
• Biae be wòalé ŋku ɖe wò asibidɛ ŋu akpɔe ɖa be etsɔ ŋku eveawo kplɔe ɖo hã. (Wɔ "X" gã aɖe ɖe eŋgɔ kple wò asibidɛ.)
• Bia nenye be lãmetutudɔ alo gbɔdzɔgbɔdzɔ le wò ŋutilã ƒe akpa aɖe hã .
• Kpɔe ɖa be eƒoa nu ne ele nu ƒom alo ne eƒe nyawo me mekɔ o hã .
• Kpɔe ɖa be ŋkuvi siwo le eƒe ŋkuwo me ƒe lolome sɔ hã, eye ne ɖeka lolo wu/sue wu hã .
• Do go yi gota nàkpɔe ɖa be toɣliɖeɖea le fu ɖem nɛ hã .
• Ðe tɔtrɔ aɖe va le eƒe nuwɔna mea?Kpɔe ɖa be ètsi dzimaɖi, èdoa dziku, nètɔtɔna, alo nèle alɔ̃ dɔm wu alesi nèwɔnɛ ɖaa hã.

Gake ɖo ŋku edzi be mele be wò ŋutɔ nàde dzesi ʋuʋudedi gbeɖe o. Ne èƒo ta le afi sia afi, ne abi sue aɖee wònye gɔ̃ hã la, ele be nàkpɔ ɖɔkta godoo. Ðɔktaa akpɔ dɔlélea to eya ŋutɔ ƒe dodokpɔwo wɔwɔ me eye ne ehiã la, awɔ scanning.

Nukae dodokpɔa me tsonu gblɔ? Nukae nèwɔna emegbe?

Dzesideɖoɖo aɖe le ʋuʋudedi dodokpɔ ɖesiaɖe si. Ðɔktaa aƒo dodokpɔ siawo me tsonu, wò dzesiwo, kple dodokpɔ bubuwo me tsonu nu ƒu akpɔe ɖa be ʋuʋudedi le ŋuwò hã.

Ne ʋuʋudedi le ŋuwò la, wò ɖɔkta aƒo nu kpli wò tso ``hayahaya ƒe ɖoɖo aɖe ŋu.'' Zi geɖe la, nusiwo le eme abe:

• Mlɔ anyi eye nàɖi ɖe eme nyuie wu alesi nèwɔna ɖaa. Gake menyo be nànɔ anyi ko awɔ naneke o, elabena ema ate ŋu ahe hayahaya ɖe megbe.
• De dzesi nusiwo nana ame ƒe lãme ʋuʋuna ƒe dzesiwo dzina ɖe edzi. Ne èkpɔ dzesi siawo dometɔ aɖe la, dzudzɔ nusi wɔm nèle eye nàɖi ɖe eme.
• Ne wò dzesiawo le ɖiɖim la, trɔ yi gbesiagbedɔwo wɔwɔ dzi vivivi.
• Ne sukuvi si ŋu ʋuʋudedia le la, wɔ ɖoɖo ɖe ɣeyiɣi si woadze tɔtrɔ yi suku gɔme ŋu (to nuƒoƒo kple nufialawo, suku dɔnɔdzikpɔlawo, kple aɖaŋuɖolawo me).
• Kamedefefewo ƒe hehenalawo kple suku alo habɔbɔ ƒe ʋuʋudedi ƒe ɖoɖowoe nye se kple ɖoɖo siwo wowɔna tsɔ léa be na ame aɖe (zi geɖe la, enye sukuvi-lãmesẽfefewɔla) si xɔ abi le ta.

Ðe míalé ŋku ɖe ŋkuwo ŋua? - Concussion ŋku dodokpɔ

Zi geɖe la, ele be akpa yibɔ si le wò ŋkuwo titina (míeyɔnae be ŋkuvi) ƒe lolome nasɔ le ŋku eveawo siaa me. Azɔ hã, ele be woaxe kaba ne kekeli va dze wo dzi.

Dodokpɔ bɔbɔe aɖe si woatsɔ akpɔe ɖa be ʋuʋudedi hãe nye be woalé akaɖi si me mekɔ o ɖe ŋku dzi ahalé ŋku ɖe eŋu. Ne ŋkume ƒe ŋkume mekeke kabakaba le kekeli ƒe ŋuɖoɖo me o, alo ne ekeke la, ateŋu anye ahɔhɔ̃ ƒe abi ƒe dzesi (e.g., taɖuame ƒe nyaƒoɖeamenu si dzi ɖe edzi - ICP). Ne ŋkumeɖonu mewɔa nu ɖe ​​kekeli ŋu kura o la, ate ŋu anye ahɔhɔ̃a ƒe gbegblẽ vevie ƒe dzesi.

Azɔ hã, asibidɛ yibɔa ƒe nɔnɔme le vevie. Zi geɖe la, ele be woanɔ goglo. Ne woƒe nɔnɔme le abe dzogoe ene la, ema hã ate ŋu anye ahɔhɔ̃medɔléle aɖe ƒe dzesi.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Togbɔ be ahɔhɔ̃meʋuʋu nye abi si nu mesẽ o hã la, menye nusi woabu nu tsɛee wònye o. Dɔwɔnu siwo le bɔbɔe ŋutɔ eye wowɔa dɔ kabakaba siwo kpena ɖe ɖɔktawo ŋu be woanya dɔlélea. Gake ɖɔktawo mezãa dodokpɔ siawo ɖeɖeko tsɔ dea dzesii nenye be ʋuʋudedi aɖe dzɔ o. Wowɔa dodokpɔ bliboa hã, eye wowɔa scan hã ne ehiã.

Ne wokpɔ dɔlélea le ŋuwò kaba eye nèkpɔ egbɔ nyuie la, àte ŋu ahaya kaba eye nàxe mɔ ɖe nu bubu siwo agblẽ nu le ŋuwò nu.

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Eyata ne èƒo ta le afi sia afi, aleke kee wòɖalolo alo le sue o, ele be nàkpɔ ɖɔkta godoo ahaxɔ aɖaŋuɖoɖo. Emae nye nu nyuitɔ kekeake na wò dedienɔnɔ kple wò hayahaya kaba. Èse egɔmea?

` Ʋuʋudedi, ahɔhɔ̃ ƒe abixɔxɔ, ta ƒe abixɔxɔ, ʋuʋudedi dodokpɔ, dzesiwo, atikewɔwɔ dodokpɔwo, hayahaya