Kodi munagunda mutu wanu? Kodi mungadziwe bwanji ngati ubongo wanu wawonongeka? (Mayeso a Kugundana kwa Mitsempha)

Tangoganizani kuti mwagundidwa mutu ndi mpira mukusewera cricket, kapena mwana wanu wagwa pa njinga n’kumenya mutu wake mwamphamvu. Nthawi zambiri timaganiza kuti, "O... ndi bala chabe, zikhala bwino posachedwa." Komabe, ngakhale kuvulala pang'ono pamutu nthawi zina kungakhale koopsa. Pazochitika zotere, ndikofunikira kuti tonse tidziwe za kuwonongeka kwakanthawi kwa ubongo, komwe kumatchedwa 'concussion', komwe kungapulumutse miyoyo.

Mwachidule, kodi kugwedezeka kwa mutu kumeneku n’chiyani?

Kugwedezeka kwa ubongo ndi kusokonezeka kwakanthawi kwa ntchito ya ubongo komwe kumachitika chifukwa cha kumenyedwa mwamphamvu, kugwedezeka, kapena kukhudzidwa ndi mutu. Malinga ndi zamankhwala, uku ndi kuvulala pang'ono kwa ubongo komwe kumachitika chifukwa cha kuvulala koopsa . Monga momwe botolo la madzi limagwedezedwera mwamphamvu, madzi omwe ali mkati mwake amagwedezeka mutu ukagundidwa. Kugwedezeka kumeneku kumayambitsa kuwonongeka kwakanthawi kwa maselo a ubongo, zomwe zimasokoneza kulumikizana pakati pawo kwakanthawi.

Maganizo olakwika ambiri ndi akuti muyenera kutaya chikumbumtima kuti mutuluke ndi mutu. Izi sizolondola kwenikweni. Ndipotu, anthu ambiri omwe amatuluka mutu sataya chikumbumtima. Choncho musaganize kuti, "Sindinataye chikumbumtima, choncho palibe vuto" mukangogunda mutu. Ngakhale kumenyedwa pang'ono kungakhale koopsa, choncho nthawi zonse ndi bwino kupita kwa dokotala ndikupita kuchipatala.

Kodi zizindikiro za concussion ndi ziti?

Pali zizindikiro zambiri zomwe zingasonyeze kuti munthu wavulala mutu chifukwa cha kugwedezeka kwa mutu. Zizindikiro zina zingawonekere nthawi yomweyo atavulala, pomwe zina zingawonekere maola angapo kapena masiku angapo pambuyo pake. Chifukwa chake, ndikofunikira kuyang'anira munthu amene wavulala mutu kwa masiku angapo.

Kuti zikhale zosavuta kumvetsetsa, tiyeni tigawane zizindikiro izi m'magulu angapo.

Kodi ndi liti pamene muyenera kuyesedwa ngati muli ndi vuto la kugwedezeka kwa ubongo?

Yankho losavuta ndi ili: Nthawi iliyonse mutu ukavulala kwambiri . Zingakhale chifukwa chosewera masewera, kuchita ngozi ya galimoto, kapena kugwa pamene mukugwira ntchito zapakhomo. Kuyezetsa kwa concussion ndi njira yomwe imayang'ana momwe ubongo wanu umaganizira komanso kugwiritsa ntchito chidziwitso umakhudzidwira mutu ukavulala.

Mayeso awa adzabwerezedwanso tsiku lina kuti adziwe momwe ubongo wanu wachiritsira komanso ngati mungabwerere ku zochita zanu zachizolowezi (sukulu, ntchito, masewera).

Kodi mayeso a concussion amaona chiyani mu ubongo?

Pali mitundu yosiyanasiyana ya mayeso a concussion. Ena ndi osavuta kwambiri, ngakhale mphunzitsi wamasewera amatha kuwachita. Ena ndi mayeso ovuta omwe madokotala amachita. Zonsezi zimaphatikizapo kuyesa ntchito zosiyanasiyana za ubongo kudzera mukulankhula, kulemba, kapena kugwiritsa ntchito mayeso apakompyuta.

Zinthu zazikulu zomwe zayesedwa ndi izi:

• Kusamala ndi Kusamala: Kodi mukumvetsera bwino bwanji?
• Kukumbukira: Kodi kukumbukira kwa nthawi yochepa ndi nthawi yayitali kuli bwanji?
• Kufulumira kwa kuganiza: Zimatenga nthawi yayitali bwanji kuyankha funso kapena kumvetsetsa china chake?
• Kumbukirani: Kodi mungakumbukire ndikubwereza zomwe mwangonena kumene?
• Masomphenya:Kodi maso akugwira ntchito bwino?
• Kulinganiza ndi Kugwirizana: Kodi mungayime ndi mwendo umodzi ndikusunga bwino thupi lanu?
• Reflexes: Kodi thupi limachita bwanji zokha?

Kodi mayeso a concussion omwe amagwiritsidwa ntchito kwambiri ndi ati?

Pali njira zingapo zodziwira matenda a concussion zomwe zimagwiritsidwa ntchito padziko lonse lapansi. Zambiri mwa izi ndi mafunso kapena mndandanda wa zizindikiro. Zilinso ndi njira zowerengera.

Nazi zitsanzo zina:

Mayeso pa bwalo lamasewera

• Mayeso a SAC (Standardized Assessment of Concussion): Izi zimagwiritsidwa ntchito poyesa mwachangu momwe munthu akuganizira za wothamanga pabwalo kapena m'chipinda chodzidzimutsa (ETU). Zimafunsa mafunso osavuta okhudza zinthu monga tsiku ndi nthawi, kukumbukira, ndi chisamaliro.
• Mayeso a SCAT 5 (Chida Choyesera Kugwedezeka kwa Masewera 5): Iyi ndi mayeso ofotokoza zambiri kuposa SAC. Amaperekedwa kwa anthu azaka zopitilira 13. Amafufuza zinthu zambiri, monga momwe khosi lilili, momwe thupi lilili, komanso mndandanda wa zizindikiro. Palinso mtundu wina (wa ana) wa ana.
• Mayeso a King-Devick: Izi zimaphatikizapo kuwerenga makadi angapo olembedwa mwachangu momwe zingathere. Izi zimachitika masewera asanayambe ndipo nthawi imalembedwa. Izi zimachitikanso mutu utavulala. Ngati zimatenga masekondi 5 kapena kuposerapo kuposa kale, zitha kukhala chizindikiro cha kugwedezeka kwa mutu.

Mayeso Oyenera

• Mayeso a BESS (Balance Error Scoring System): Izi zimayesa kulimba kwanu. Mukupemphedwa kuti mugwire malo osiyanasiyana pamalo okhazikika komanso pamalo osakhazikika (monga pa mphasa ya thovu) maso anu atatsekedwa kwa masekondi 20. Mumalandira zigoli kutengera kuchuluka kwa momwe mukugwedera kapena kugwa.

Muyeso wa Zizindikiro

• ACE (Acute Concussion Evaluation): Iyi ndi mafunso omwe amagwiritsidwa ntchito ndi madokotala. Amasonkhanitsa zambiri zokhudza zizindikiro 22, momwe ngoziyo inachitikira, ngati panali kuvulala mutu m'mbuyomu, ndi matenda ena.
• Kuyesa kwa PCSS (Chiwerengero cha Zizindikiro Pambuyo pa Kugwedezeka kwa Mtima): Pankhaniyi, wodwalayo amayesa zizindikiro 21 malinga ndi momwe zilili zovuta (osati konse, pang'ono, mwamphamvu).

Mayeso a Pakompyuta a Neurocognitive

• Mayeso a ImPACT (Kuwunika Komwe Kumachitika Pambuyo pa Kugwedezeka kwa Maganizo ndi Mayeso Ozindikira):Iyi ndi mayeso apakompyuta kwa osewera azaka zopitilira 12. Ili ngati masewera apakanema. Imatha kuyeza zinthu zambiri, kuphatikizapo kukumbukira kwa maso ndi mawu, nthawi yochitira zinthu, komanso liwiro lomwe ubongo umagwiritsira ntchito chidziwitso.

Kaya mayeso otani achitika, dokotala adzakuyang'anirani bwino asanafike pa mfundo yomaliza. Ngati pakufunika kutero, angakupatseninso MRI kapena CT scan kuti aone ngati pali magazi kapena mabala muubongo.

Kodi mungachite chiyani ngati mukukayikira kuti muli ndi vuto la kugwedezeka kwa ubongo kunyumba?

Choyamba, kumbukirani kuti dokotala yekha ndi amene angathe kuzindikira ndi kutsimikizira kuti munthu wagwidwa ndi vuto la kugwedezeka kwa mutu . Komabe, ngati munthu wapafupi nanu (mwana, kholo) wagwa n’kumugunda mutu, pali zinthu zina zomwe mungaganizire musanapite kwa dokotala. Izi zingathandize kwambiri dokotalayo pozindikira vuto lake.

Mukhoza kuona zinthu zotsatirazi ndikugawana chidziwitsocho ndi dokotala wanu:

• Funsani mafunso osavuta: mufunseni dzina lake, komwe ali, nthawi, tsiku, ndi zomwe zachitika posachedwapa.
• Yesani kukumbukira kwanu: Pemphani munthu winayo kuti anene mawu osavuta (monga "dziko").
• Funsani za zizindikiro: Funsani ngati mutu wanu ukupweteka, chizungulire, kapena nseru.
• Yang'anani mayendedwe a maso: Yang'anani chala chanu ndipo chipempheni kuti chisunthe maso onse awiri mbali yomwe chikuyenda. Onani ngati maso onse awiri akuyenda bwino.
• Kusintha kwa thupi: Funsani ngati pali dzanzi kapena kumva ngati palibe moyo kulikonse m'thupi.
• Kusintha kwa kalankhulidwe: Onani ngati nkhaniyo yasokonekera kapena ngati munthuyo akulankhula mwanjira yosayenera.
• Wophunzira: Yang'anani ngati ophunzira onse awiri ali ofanana kukula kapena ngati mmodzi ndi wamkulu kuposa wina.
• Kusintha kwa khalidwe: Onani ngati akuoneka wosakhazikika, wokwiya, kapena wosokonezeka kuposa masiku onse.

Kodi chimachitika ndi chiyani malinga ndi zotsatira za mayeso?

Ngati dokotala atsimikiza kuti muli ndi vuto la kugwedezeka kwa mutu, adzakupatsani ndondomeko yoti muchiritse. Ndondomekoyi ikuphatikizapo izi:

• Kupuma: Muyenera kupuma ndi kugona bwino kuposa masiku onse. Koma sizikutanthauza kuti muyenera kukhala pabedi tsiku lonse. Ubongo wanu umafunikanso kupuma. Izi zikutanthauza kuchepetsa nthawi yomwe mumakhala mukuonera TV, kugwiritsa ntchito foni yanu, kuwerenga mabuku, komanso kusewera masewera apakompyuta.
• Kupewa zinthu zomwe zimayambitsa zizindikiro: Dziwani zinthu zomwe zimapangitsa mutu wanu ndi chizungulire kukhala zovuta kwambiri, ndipo pewani zinthu zimenezo kwa kanthawi.
• Kuchira pang'onopang'ono: Zizindikiro zikachepa, pang'onopang'ono mungabwerere ku zochita zanu zachizolowezi. Ngati muli ndi mwana, tsatirani malangizo a dokotala anu okhudza momwe mungabwerere kusukulu komanso nthawi yobwerera ku masewera.
• Kugwirizana: Muyenera kulankhula ndi aphunzitsi a sukulu ndi aphunzitsi a masewera, kufotokozera mwana za vuto lake, ndikutsatira malangizo a dokotala.