Khawuthelekelele uqhuba imoto enamavili amathathu endleleni. Ngequbuliso, imoto ifika phambili, ngoko umqhubi ubetha iibhuleki. Intloko yakho ngequbuliso iya phambili ize ibuye umva kwakhona. Awuva nto ngelo xesha, kodwa xa uvuka kusasa, awukwazi ukujika intamo yakho, ibuhlungu kakhulu. Ngaba wakha waba namava anje? Rhoqo, olu qhushumbo ngequbuliso lubangela umonakalo kwimisipha, imisipha, kunye namathambo entamo, eyaziwa ngokwezonyango ngokuba yi-'whiplash.'
Ngamafutshane, yintoni iWhiplash?
I-Whiplash kukwenzakala okwenzeka xa intamo yakho (ngokwezonyango, sibiza oku ngokuthi "umqolo wesibeleko") kunye nomqolo ongasentla zishukunyiswa ngequbuliso. Ukuchaneka, kufana nokukruneka kwentamo.
Ukuze siqonde indlela okwenzeka ngayo oku, masithathe umzekelo omncinci. Xa usemotweni ehambayo uze ngequbuliso uqhoboshe, umzimba wakho uphoswa phambili, akunjalo? Ngokufanayo, xa ngequbuliso ukhawuleza usuka emotweni emiyo, umzimba wakho ucinezelwa kwisihlalo uze ubuyele umva. Kwifiziksi, oku kubizwa ngokuba yi-inertia. Njengomzimba wakho, ingqondo yakho ikwangaphakathi kwentloko yakho. Kwimeko yokungqubana ngequbuliso, intamo yakho isebenza 'njengesixhobo sokufunxa umothuko' entlokweni yakho, inciphisa umonakalo engqondweni yakho.
Kodwa kwingozi ye-whiplash, impembelelo ikhawuleza kangangokuba intloko yakho, intamo, kunye nezinye iindawo zomzimba wakho zihamba ngesantya esahlukileyo. Oku kubeka uxinzelelo olungenakunyamezeleka kwimisipha, imisipha, kunye namathambo entanyeni yakho. Okukhona impembelelo inzima, kokukhona inokubangela umonakalo omkhulu. Kodwa ngokumangalisayo, nokuba impembelelo encinci kakhulu inokubangela i-whiplash enzima . Isizathu sisaphandwa. Kwiimeko ezimbi kakhulu, inokubangela ukuba amathambo entanyeni yakho aphuke, onakalise umqolo kunye nemithambo-luvo. Yiyo loo nto oogqirha bethatha intlungu yentamo nzulu kakhulu emva kwengozi.
Ngubani ochaphazeleka kakhulu yile meko?
I-Whiplash inokwenzeka nakubani na, nangayiphi na iminyaka, kodwa amaqela amabini ngokukodwa asengozini enkulu yemiphumo emibi okanye yexesha elide.
1. Abantu abadala (abangaphezulu kweminyaka engama-65 ubudala): Njengoko bekhula, izihlunu namathambo abo abuthathaka ngokwemvelo, nto leyo ebenza babe sesichengeni sokwenzakala.
2. Abafazi: Uphando lufumanise ukuba abafazi banamathuba amaninzi okufumana iingozi zeemoto. Kusenokuba nezizathu ezininzi zoku.
- Ubude: Ekubeni abafazi bedla ngokuba bafutshane kunamadoda, isiciko sentloko kwisihlalo semoto sisenokungangeni kakuhle entlokweni yabo.
- Ulwakhiwo lomqolo:Isithuba kunye nolwakhiwo lwethambo lomqolo kumqolo womfazi lwahlukile kolwamadoda.
- Izihlunu: Abafazi ngokubanzi banezihlunu ezimbalwa, ngoko ke abakwazi ukufunxa amandla okubetha ngequbuliso.
- Uyilo lwezithuthi: Ekubeni izithuthi ezininzi zenzelwe ukulingana nomzimba oqhelekileyo wamadoda, iimpawu zokhuseleko zisenokungasebenzi kangako kubafazi.
Zithini iimpawu ze-whiplash?
Iimpawu zeWhiplash zixhomekeke kubukhulu bengozi. Kubalulekile ukukhumbula ukuba nangona ezinye iimpawu zinokuvela kwangoko emva kwengozi, ezinye zinokuthatha iiyure ezili-12, usuku, okanye iintsuku ezimbalwa ukuba zivele. Yiyo loo nto kubalulekile ukuba unike ingqalelo emzimbeni wakho kangangeentsuku ezimbalwa emva kwengozi.
Kukho ulwahlulo lobunzima bale meko. Ibizwa ngokuba yi-'Quebec Classification'. Makhe sijonge amanqanaba kunye neempawu ezinxulumene nawo.
| Ibanga | Iimpawu kunye nenkcazo |
|---|---|
| Inqanaba 0 | Akukho ntlungu okanye uphawu lokwenzakala. |
| Inqanaba loku-1 | Kukho intlungu kuphela. Ungaziva ukuqina xa ushukumisa intamo yakho kwaye uzive uthambile xa uyichukumisa. |
| Inqanaba lesi-2 | Ukongeza kwiintlungu, kukwakho neempawu zomzimba zokwenzakala. Umzekelo:
|
| Inqanaba lesi-3 | Kule nqanaba , kuvela iimpawu zemithambo-luvo . Oku kuthetha ukuba imithambo-luvo icinezelwe kukudumba okubangelwa kukwenzakala.
|
| Inqanaba lesi-4 | Eli lelona nqanaba linzima neliyingozi . Iimpawu ezikhankanyiweyo apha ngasentla, ingakumbi iimpawu zemithambo-luvo, ziba nzima kakhulu. Oku kubonisa ukuba ithambo lomqolo entanyeni lisenokuba liqhekekile okanye lisusiwe, nto leyo ebeka uxinzelelo kumqolo. Le yimeko efuna unyango olungxamisekileyo. |
Zithini izizathu ze-whiplash?
I-Whiplash inokwenzeka nangaliphi na ixesha xa utshintsha isantya okanye icala ngequbuliso. Ezona zizathu zixhaphakileyo zezi:
- Iingozi zeemoto: Ingakumbi ukungqubana ngasemva zezona zinto ziphambili.
- Imidlalo yokunxibelelana: Kwimidlalo efana neragbi, ibhola ekhatywayo, kunye nehoki.
- Ukukhwela izinto ezifana neeroller coasters kwiindawo zokuzonwabisa.
- Ukutyibilika okanye ukuwa okulula: Ngamanye amaxesha, nokuba ukuwa okuqhelekileyo kunokubangela i-whiplash, kuxhomekeke kwindlela owa ngayo.
Ugqirha ufumanisa njani ngokuchanekileyo i-whiplash?
Ugqirha uza kuyixilonga iWhiplash kuphela emva kokuba egwebe ezinye izifo ezinzulu. Oko kukuthi, ugqirha uza kuqala ajonge ukuba kukho into enobungozi, njengokwaphuka kwethambo lentamo okanye ukwenzakala komqolo. Oku kubizwa ngokuba yiWhiplash kuphela emva kokuqinisekisa ukuba azikho ezo zinto.
Ukuze enze oku, ugqirha uza kukubuza imibuzo malunga nendlela eyenzeke ngayo ingozi kunye neempawu zakho. Ukongeza, uza kwenza uvavanyo lomzimba kunye novavanyo lwemithambo-luvo. Ukuba kuyimfuneko, uvavanyo olulandelayo lunokuyalelwa:
- Ii-X-reyi
- I-CT Scan (i-Computerized Tomography - ii-CT scans)
- Iiskeni ze-MRI (Umfanekiso weMagnetic Resonance - iiskeni ze-MRI)
Zithini iindlela zonyango zoku?
Akukho "nyango" ngqo lwe-whiplash. Injongo ephambili yonyango kukulawula iimpawu kunye nokuxhasa umzimba ekubeni ukwazi ukuphiliswa ngokwawo. Kukho iindlela ezahlukeneyo zonyango.
Ukunciphisa intshukumo yentamo (Ukungasebenzi)
Ukuba ukrokrela ukuba kukho ukwenzakala entanyeni okanye emqolo emva kwengozi, into yokuqala eza kwenziwa ziinkonzo zongxamiseko kukubeka ikhola yomlomo wesibeleko (okanye ikhola ye-C) ukuze intamo yakho ingasebenzi. Oku kuya kunciphisa ubunzima bentloko yakho kwimisipha yentamo yakho kwaye kuthintele umonakalo ongakumbi kumqolo wakho.
Amayeza
Iindidi ezahlukeneyo zamayeza zisetyenziselwa ukulawula iintlungu kunye nezinye iimpawu.
- Iipilisi zokunciphisa iintlungu: Iipilisi zokunciphisa iintlungu eziqhelekileyo ezifana neparacetamol kunye neeNSAID (umz., ibuprofen, naproxen) zinokunikwa. Ukuba iintlungu zinzima, oogqirha banokunika amayeza anamandla afana neeopioid ixesha elifutshane, ngononophelo olukhulu.
- Amayeza okulwa nokuvuvukala: La mayeza anceda ekunciphiseni ukudumba.
- Iziphumzi zemisipha: Zinciphisa iintlungu ezibangelwa kukuqaqamba kwemisipha kwaye zivumela izihlunu ukuba ziphilise.
- Ukuvaleka kwemithambo-luvo: Kwiintlungu ezinzima nezihlala ixesha elide, olu nyango lusetyenziselwa ukuthintela imiqondiso yentlungu ukuba ingafiki engqondweni.
Ukusebenzisa ubushushu kunye nokubanda
Ukufaka into ebandayo, efana nomkhenkce, kwindawo eyonzakeleyo kwiintsuku zokuqala ezisi-7 ukuya kwezili-10 kunokunceda ukunciphisa ukudumba nokudumba. Emva koko, ukufaka ipakethe yobushushu ekhaphukhaphu kunokunyusa ukuhamba kwegazi kwindawo eyonzakeleyo kwaye kukhawulezise inkqubo yokuphiliswa.
Ukuzilolonga okanye unyango lomzimba
Emva kokuba ukwenzakala kupholile, ukuzilolonga phantsi kwesikhokelo sengcali yezonyango kunokunceda ukuqinisa izihlunu zentamo nokubuyisela umgama wentamo wokuhamba.
Ezinye iindlela zonyango ezithile
Unyango olufana neTranscutaneous Electrical Nerve Stimulation (TENS) (esebenzisa umbane othambileyo eluswini) kunye neRadiofrequency Nerve Ablation (esebenzisa ubushushu ukuthintela imiqondiso yentlungu) nazo zisetyenziswa kwiintlungu ezingapheliyo. Amaxesha amaninzi, utyando lunokufuneka ukuba ithambo lomqolo entanyeni liphukile okanye i-ligament ikrazukile.
Liliphi ixesha elifanelekileyo lokubona ugqirha?
Ukuba ulahlekelwa zingqondo ngexesha lokwenzakala nge-whiplash, okanye ukuba uneempawu ze-neurological (isiyezi, ukungaziva, ubuthathaka, ubunzima bokuginya), ungaze uhlale ekhaya wedwa. Ezi zinokuba ziimpawu zokuxinwa okanye ukwenzakala kwengqondo okubuhlungu, ngoko ke funa uncedo lwezonyango ngokukhawuleza.
Ungakuqonda oku ngokucacileyo kwitheyibhile engezantsi.
| Amathuba | Kwenziwe ntoni |
|---|---|
| Uzakumbona nini ugqirha wakho |
|
| Ixesha lokuya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko |
|
Yintoni esinokuyenza ukunciphisa umngcipheko we-whiplash?
Nangona oku kungenakuthintelwa ngokupheleleyo kuba kwenzeka ngequbuliso, kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko.
- Lungisa isihlalo semoto kunye ne-headrest ngokufanelekileyo: Lungisa ukuphakama kwe-headrest ukuze ilingane kakuhle embindini wentloko yakho.
- Nxiba ibhanti yesihlalo ngokuchanekileyo: Nxiba ibhanti yesihlalo emagxeni akho, inamathele emzimbeni wakho.
- Qhuba ngokukhuselekileyo: Gcina umgama okhuselekileyo ukusuka kwisithuthi esiphambi kwakho, kwaye uphephe ukuqhobosheka ngequbuliso.
- Ukuba uvakalelwa kukuba kuza kungqubana imoto: Ukuba uvakalelwa kukuba imoto evela ngasemva iza kukutshayisa, gcina intloko yakho ithe tye uze ugobe intloko ukuba kunokwenzeka.
- Zikhusele xa udlala: Landela imithetho kwaye uphephe ukungqubana okuyingozi xa udlala imidlalo equka ukungqubana.
Kwabaninzi abantu, i-whiplash iyaphola kwiintsuku okanye iiveki ezimbalwa. Nangona kunjalo, kwabanye abantu, iintlungu ezihlala ixesha elide zinokuhlala iinyanga okanye iminyaka. Ke ngoko, ukuba ufumana iintlungu zentamo emva kwengozi, musa ukuzityeshela. Musa ukuthandabuza ukufuna iingcebiso zonyango ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- I-Whiplash kukwenzakala kwentamo okubangelwa kukuxhuzula ngequbuliso, kungekhona into engenamsebenzi.
- Iimpawu zisenokungabonakali kwangoko emva kwengozi, kodwa zinokubonakala emva kweeyure okanye iintsuku. Ngoko ke qaphela.
- Nangona iintlungu ezincinci zinokulawulwa ekhaya, ukuba iintlungu zinzima okanye azipheli kwiintsuku ezimbalwa, bonana nogqirha wakho.
- Ukuba uneempawu zemithambo-luvo ezifana nentloko ebuhlungu kakhulu, isiyezi, ukungaziva, ubuthathaka, okanye iingxaki zokubona, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Ukhuseleko yeyona nto ibalulekileyo. Lungisa intloko yesithuthi ngokufanelekileyo, qhuba ngokukhuselekileyo, kwaye uzame ukunqanda iingozi.
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