Imajin se bɔl nak yu ed we yu de ple kriket, ɔ yu smɔl pikin fɔdɔm frɔm baysikul ɛn nak dɛn ed tranga wan. Bɔku tɛm wi kin tink se, "O... na jɔs brus, i go fayn insay wan mɔnt." Bɔt, ivin we pɔsin blo smɔl na in ed, sɔntɛnde i kin rili siriɔs. Na dis kayn tin, i impɔtant fɔ mek wi ɔl no bɔt di tɛmporari damej we de na di bren, we dɛn kɔl ‘kɔnkyushɔn’, we kin sev layf.
Fɔ tɔk am simpul wan, wetin na dis kɔnkyushɔn?
Kɔnkyushɔn na we di bren nɔ de wok fɔ sɔm tɛm we pɔsin blo, jolt, ɔ impak na di ed fɔ sɔm tɛm. We wi de tɔk bɔt mɛrɛsin, dis na smɔl bad bad injury na in bren . Jɔs lɛk aw dɛn kin shek bɔtul wata bad bad wan, na so di wata we de insay de shek we dɛn nak di ed. Dis jolt kin mek di bren sɛl dɛn pwɛl fɔ sɔm tɛm, ɛn dis kin mek dɛn nɔ ebul fɔ tɔk to dɛnsɛf fɔ sɔm tɛm.
Wan mistek we pipul dɛn kin tink na dat yu fɔ lɔs kɔnshɛns fɔ mek yu gɛt kɔnkyushɔn. Dis na tin we nɔ rayt atɔl. Infakt, bɔku pipul dɛn we kin gɛt kɔnkyushɔn nɔ kin ɛva lɔs dɛn maynd. So nɔ tink se, "A nɔ bin lɔs kɔnshɛns, so i nɔ bad" afta yu dɔn hit yu ed. Ivin smɔl bit kin rili bad, so i fayn ɔltɛm fɔ go to dɔktɔ ɛn chɛk yu.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt kɔnkyushɔn?
Bɔrku sayn dɛm de wae kin sho se pɔrsin wae dɔn gɛt injury na in ed, kɔnkyushɔn. Sɔm pan dɛn sayn ya kin apin jɔs afta di injury, ɛn ɔda wan dɛn kin apin afta sɔm awa ɔ ivin sɔm dez. So, i impɔtant fɔ wach pɔsin we dɔn gɛt injury na in ed fɔ sɔm dez.
Fɔ mek i izi fɔ ɔndastand, lɛ wi sheb dɛn sik ya to sɔm kayn we.
| Kategori fɔ di simptom dɛn | Di tin dɛn we pɔsin kin si |
|---|---|
| Di kwaliti dɛn we pɔsin gɛt na in bɔdi |
|
| Di chenj dɛn we de apin na di we aw pɔsin de tink ɛn mɛmba | |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev |
Ustɛm dɛn fɔ chɛk yu fɔ si if yu gɛt kɔnkyushɔn?
Di simpul ansa na: Eni taim we big big blow de fo ed . I kin bi bikɔs yu de ple spɔt, we yu gɛt motoka aksidɛnt, ɔ we yu fɔdɔm we yu de du os wok. Kɔnkyushɔn tɛst na wan we fɔ luk aw yu bren in ebul fɔ tink ɛn prosɛs infɔmeshɔn kin afɛkt afta dɛn dɔn blo yu ed.
I rili impɔtant fɔ mek dɛn du dɛn tɛst ya kwik kwik wan bikɔs if dɛn no se pɔsin gɛt kɔnkyushɔn kwik kwik wan, dɛn kin du di rɛst ɛn mɛnejɛmɛnt we nid fɔ du am fayn fayn wan. Dis kin ɛp di bren fɔ wɛl kwik ɛn fɔ mek i nɔ pwɛl mɔ.
Dɛn go ripit dɛn tɛst ya leta fɔ no aw yu bren dɔn wɛl ɛn if yu kin go bak to nɔmal tin dɛn (skul, wok, spɔt).
Wetin kɔnkyushɔn tɛst kin luk pan na di bren?
Bɔku difrɛn kayn kɔnkyushɔn tɛst dɛn de. Sɔm dɛn rili simpul, ivin spɔt kɔch kin du dɛn. Sɔm pan dɛn na kɔmpleks tɛst dɛn we dɔktɔ dɛn kin du. Ɔl dɛn tin ya gɛt fɔ du wit fɔ tɛst difrɛn we aw di bren de wok bay we dɛn de tɔk, rayt, ɔ yuz kɔmpyuta tɛst.
Di men tin dɛn we dɛn kin tɛst na:
- Fɔ Wach ɛn Atɛnshɔn: Aw yu de pe atɛnshɔn fayn fayn wan?
- Mɛmori: Aw na fɔ mɛmba fɔ shɔt tɛm ɛn fɔ lɔng tɛm?
- Spid fɔ tink: Aw lɔng i kin tek fɔ ansa kwɛstyɔn ɔ ɔndastand sɔntin?
- Mɛmba: Yu kin mɛmba ɛn ripit sɔntin we yu jɔs tɔk?
- Si:Yu tink se di yay dɛn de wok fayn?
- Balans ɛn Kɔdineshɔn: Yu kin tinap pan wan leg ɛn kɔntinyu fɔ balans?
- Riflεks dεm: Aw di bכdi in כtomatכk rεspכns dεm de?
Wetin na di kɔnkyushɔn tɛst dɛm wae dɛn kin yuse pas ɔl?
Bɔku nem dɛn de fɔ kɔnkyushɔn skrinin we dɛn kin yuz ɔlsay na di wɔl. Bɔrku pan dɛn tin ya na kwɛshɔn ɔr simptom list. Dɛn gɛt sistɛm dɛn bak fɔ skɔ.
Wan wɔnin we rili impɔtant: Dɛn tɛst ya nɔto fɔ tek ples fɔ mek dɛn du dɔktɔ in ɛgzam. Ɛspɛshali if pikin we nɔ rich 18 ia yet gɛt injuri na in ed, dɛn nɔ fɔ alaw dɛn fɔ ple bak da de de. Dɛn fɔ pul di pikin na di gem te dɔktɔ dɔn chɛk dɛn ɛn gi dɛn di "klia fɔ ple" kliarens.
Na sɔm ɛgzampul dɛn ya:
Test dɛn na di ples usay dɛn kin ple
- SAC Test (Standardized Assessment of Concussion): Dɛn kin yuz dis fɔ no kwik kwik wan di maynd we atlet gɛt na di fil ɔ na di imejensi rum (ETU). I kin aks simpul kwɛstyɔn dɛn bɔt tin dɛn lɛk deti ɛn tɛm, mɛmori, ɛn atɛnshɔn.
- SCAT 5 Tɛst (Spɔt Kɔnkyushɔn Asɛsmɛnt Tul 5): Dis na tɛst we gɛt mɔ ditayla pas di SAC. Dɛn kin gi am to pipul dɛm wae dɔn pas 13. I kin chɛk bɔrku tin, lɛk aw dɛn nɛk de, aw bɔdi balans, ɛn wan list fɔ di sayn dɛm wae de sho se pɔrsin gɛt dis sik. Wan sɛpret (pidiatric) vɛshɔn de bak fɔ pikin dɛn.
- King-Devick Test: Dis min se yu fɔ rid sɔm kad dɛn we gɛt nɔmba kwik kwik wan. Dɛn kin du dis bifo di gem bigin ɛn dɛn kin rayt di tɛm. Dɛn kin du dis bak afta di ed wund. If i tek 5 sɛkɔn ɔ pas dat pas aw i bin de bifo, i kin bi sayn fɔ se yu dɔn kɔnkyushɔn.
Balɛns Tɛst dɛn
- BESS tɛst (Balance Error Scoring System): Dis de mɛzhɔ yu balans. dεn aks yu fכ ol difrεn posishכn dεm pan wan stebul sεf εn wan we nכ stebul (e.g., pan fכm mat) wit yu yay dεm we dεn kכl fכ 20 sekכnd. Dɛn kin gi yu mak bay aw yu de swɛ ɔ yu fɔdɔm.
Di Skel dɛn we de sho di Simptom dɛn
- ACE (Acute Concussion Evaluation): Dis na kwɛstyɔn we dɔktɔ dɛn kin yuz. I kin gɛda bɔku tin bɔt 22 sayn dɛm, aw di aksidɛnt apin, if dɛn dɔn gɛt injury na dɛn ed bifo, ɛn ɔda mɛrɛsin dɛm.
- PCSS test (Post-Concussion Symptom Scale): Insay dis, di pɔsin kin rayt 21 simptom dɛn akɔdin to aw dɛn siriɔs (nɔto atɔl, smɔl, siriɔs).
Kɔmpyuta Nyurokognitiv Tɛst dɛn
- ImPACT Test (Immediate Post-Kɔnkyushɔn Asɛsmɛnt ɛn Kɔgnitiv Tɛst):Dis na kɔmpyuta tɛst fɔ pleya dɛn we dɔn pas 12 ia. I tan lɛk vidio gem. I kin mɛzhɔ bɔku tin dɛn, lɛk fɔ mɛmba tin dɛn we pɔsin de si ɛn we i de tɔk, di tɛm we i de biev, ɛn di spid we di bren de prosɛs di infɔmeshɔn.
Ilɛk us tɛst dɛn du, dɔktɔ go chɛk yu gud gud wan bifo i rich di las tin. If nid de, dɛn kin ɔda bak fɔ mek dɛn du MRI ɔ CT skan fɔ chɛk if blɔd de kɔmɔt ɔ brus na di bren.
Wetin fɔ du if yu sɔprayz se yu gɛt kɔnkyushɔn na os?
Fɔs, mɛmba se na dɔktɔ nɔmɔ go ebul fɔ no ɛn kɔnfirm se yu gɛt kɔnkyushɔn . Bɔt if pɔsin we de nia yu (pikin, mama ɔ papa) fɔdɔm ɛn nak dɛn ed, sɔm tin dɛn de we yu kin gɛda bifo yu go to dɔktɔ. Dɛn tin ya go rili ɛp di dɔktɔ fɔ no if i gɛt di sik.
Nɔ ɛva du dɛn tin ya ɛn jɔs de na os ɛn se, "O... i nɔ bad." Nɔ tek ɛni blow na di ed layt wan. Go to dɔktɔ wantɛm wantɛm.
Yu kin wach dɛn tin ya ɛn sheb da infɔmeshɔn de wit yu dɔktɔ:
- Aks simpul kwɛstyɔn dɛn: aks am in nem, usay i de, di tɛm, di de, ɛn wetin apin jɔs naw.
- Tεst yu mεmכri: Aks di כda pכsin fכ se wan simpul wכd (e.g. "world").
- Aks bɔt di sayn dɛm: Aks if yu gɛt ed we de at, yu ed de tɔn, ɔ yu de nɔs.
- Wach aw yu yay de muv: Luk yu finga ɛn aks am fɔ muv in tu yay dɛn na di say we i de muv. Si if di tu yay dɛn de muv togɛda fayn fayn wan.
- Chenj na di bɔdi: Aks if ɛnitin de we de mek yu nɔ gɛt layf ɔ fil se yu nɔ gɛt layf ɛnisay na di bɔdi.
- Chenj na di we aw yu de tɔk: Si if di stori de miks ɔ if di pɔsin de tɔk di kayn we we nɔmal.
- Pupil: Chɛk fɔ si if di tu pikin dɛn na di sem saiz ɔ if wan big pas di ɔda wan.
- Di chenj we i de biev: Si if i tan lɛk se i nɔ de rɛst, i de wɔri, ɔ i kɔnfyus pas aw i kin bi.
Wetin kin apin akɔdin to di tɛst rizɔlt?
If di dɔktɔ kɔnfirm se yu gɛt kɔnkyushɔn, i go gi yu plan fɔ wɛl. Dis plan go mɔs gɛt dɛn tin ya:
- Rɛst: Yu nid fɔ rɛst ɛn slip fayn pas aw yu kin slip. Bɔt dat nɔ min se yu fɔ de na bed ɔl di de. Yu bren nid fɔ rɛst bak. Dat min se yu nɔ fɔ spɛn bɔku tɛm fɔ wach TV, yuz yu fon, rid buk, ɛn ple kɔmpyuta gem.
- Fɔ avɔyd tin dɛn we kin mek yu gɛt di sik: Fɛn ɔda tin dɛn we kin mek yu ed at ɛn diziz mɔ ɛn mɔ, ɛn nɔ de nia dɛn tin dɛn de fɔ sɔm tɛm.
- Smɔl smɔl yu kin wɛl: As di sik de kam dɔŋ, yu kin go bak smɔl smɔl fɔ du tin dɛn we yu nɔ bin de du. If yu gɛt pikin, fala wetin yu dɔktɔ tɛl yu bɔt aw fɔ go bak na skul ɛn ustɛm fɔ go bak na spɔt.
- Kɔdinɛshɔn: Yu nid fɔ tɔk to di skul in ticha dɛn ɛn spɔt kɔch dɛn, ɛksplen di pikin in kɔndishɔn, ɛn fala di instrɔkshɔn dɛn we di dɔktɔ tɛl yu.
Mɛsej we dɛn kin kɛr go na os
- Ɛni blo we pɔsin blo na in ed kin rili siriɔs. Nɔ ɛva ignore am as "jɔs brus."
- If pɔsin kɔnkyushɔn, i nɔ min se i nɔ nid fɔ lɛ i nɔ no natin. Bren damej kin apin ivin if yu nɔr no natin.
- If yu hit yu ed, mɔ if yu gɛt sɔm sayn dɛn lɛk ed we de at, vɔmit, diziz, ɔ we yu nɔ de mɛmba, go to dɔktɔ wantɛm wantɛm.
- Di bɛst we fɔ wɛl frɔm kɔnkyushɔn na fɔ rɛst pan yu bɔdi ɛn yu maynd. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Nɔ go bak to pikin dɛn to spɔt, mɔ di wan dɛn we de ple spɔt, te dɔktɔ se dɛn "fuli wɛl."
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