Ingabe uvame ukushaya ikhanda lakho? Ake sixoxe nge-CTE! (I-Chronic Traumatic Encephalopathy)

Ingabe ungumlandeli wezemidlalo? Mhlawumbe udlala umdlalo ofana ne-rugby noma isibhakela. Noma mhlawumbe ubulokhu uwela futhi ushaya ikhanda lakho ngaso sonke isikhathi kusukela useyingane. Nakuba ukushaywa okumbalwa ekhanda kulungile, imiphumela ephindaphindwayo eminyakeni eminingi ayilungile. Namuhla sizokhuluma ngokulimala kobuchopho okungathi sína, okuhlala njalo okungabangelwa ukulimala ekhanda isikhathi eside. Kubizwa ngokuthi i-Chronic Traumatic Encephalopathy, noma i-CTE ngamafuphi.

Kalula nje, iyini i-CTE?

I-CTE yisimo esithinta ubuchopho bethu. Sibangelwa ukushaywa noma ukulimala ekhanda okuphindaphindiwe isikhathi eside. Uma lokhu kwenzeka, amangqamuzana ezinzwa ebuchosheni bethu, amangqamuzana amancane alawula imicabango yethu, izinkumbulo, kanye nokunyakaza, aqala ukufa noma ukulimala unomphela. Lokhu kubizwa ngokuthi ukuwohloka kwemizwa kwisayensi yezokwelapha.

Cabanga ngobuchopho bakho njengomjikelezo oyinkimbinkimbi owakhiwe yizigidi zezintambo ezincane (amangqamuzana ezinzwa) ezisebenza ndawonye. Nge-CTE, lezi zintambo ziyasha kancane kancane. Njengoba lo monakalo ukhula ngokuhamba kwesikhathi, ungabangela izinguquko ezinkulu ekuziphatheni kwakho, ekucabangeni, nasemizweni yakho.

Yiziphi izimpawu ezingaba khona ze-CTE?

Izimpawu ze-CTE zingafana kakhulu nezezinye izifo ezilimaza ubuchopho. Zithinta kakhulu izindawo ezintathu zokuphila kwethu: ukucabanga kwethu, isimo sethu sengqondo, kanye nokunyakaza kwethu ngokomzimba. Ake sibheke le mininingwane ukuze sikuqonde kahle lokhu.

Ngezinye izikhathi lezi zinguquko zingaba nzima ukuziqonda wena. Umndeni wakho nabangani bakho bangase bathi, "Awuseyena umuntu ofanayo owawunguye ngaphambili" noma "Ukuziphatha kwakho kushintshile." Ungathukutheli ngaleso sikhathi. Khumbula, bakusho lokhu ngenxa yothando nokukhathalela kwakho.

Kungani i-CTE ikhula? Ubani osengozini enkulu?

Njengoba sixoxile ngaphambili, imbangela eyinhloko ye-CTE ukulimala kwekhanda okuphindaphindiwe. Abacwaningi basazama ukuthola ukuthi kungani abanye abantu beyihlakulela kanti abanye abayenzi. Kodwa into eyodwa icacile: cishe wonke umuntu one-CTE unomlando wokulimala kwekhanda eminyakeni eminingi.

Abacwaningi bakholelwa ukuthi lokhu kungenxa yokuhlangana okungajwayelekile kohlobo lweprotheni olubizwa ngokuthi ama-tau proteins ebuchosheni bethu. Kalula nje, la ma-tau protein afana nohlaka olunikeza amangqamuzana ethu ezinzwa ukuma futhi lusize ukuwagcina ezinzile. Kodwa uma sishaywa ikhanda ngokuphindaphindiwe, loluhlaka luyaphuka futhi amaprotheni e-tau ayahlangana, alimaze futhi abulale amangqamuzana ezinzwa.

Ubani osengozini enkulu?

• Kulabo abadlala imidlalo ethile: Ikakhulukazi labo abadlala imidlalo efana ne-rugby, ibhola laseMelika, isibhakela, kanye ne-mixed martial arts (MMA).
• Kulabo abasenkonzweni yezempi: Ngenxa yokuthi kungenzeka ukuthi balimale ekhanda ngesikhathi sokuqeqeshwa noma enkundleni yempi.

Wazi kanjani ukuthi une-CTE?

Lena yingxenye eyinkimbinkimbi kakhulu yalesi sifo. Okwamanje ayikho indlela yokwazi ngokuqiniseka okungu-100% ukuthi umuntu une-CTE esaphila. Okuwukuphela kwendlela yokuqinisekisa i-CTE ukuhlola isampula yezicubu ezithathwe ebuchosheni ngemva kokuba umuntu eshonile ngaphansi kwe-microscope. Lokhu kubizwa ngokuthi i -'autopsy' .

Udokotela uqoqa amaqiniso amaningana ukuze afinyelele kulesi siphetho:

• Uzohlolwa ngokomzimba.
• Kwenziwa ukuhlolwa okukhethekile okuhlobene nesimiso sezinzwa (ukuhlolwa kwe-Neurological).
• Sizolalela ngokucophelela izimpawu zakho kanye nezinguquko ekuziphatheni kwakho.
• Bazokubuza ngomlando wakho wezokwelapha, ikakhulukazi uma uke waba nokulimala ekhanda.

Akuwona wonke umuntu onalezi zimpawu one-CTE, njengoba kunezinye izimo eziningi ezingabangela izimpawu ezifanayo. Udokotela wakho angase afune ukwenza izivivinyo ezithile ukuze asuse lezo zimo.

• Ukuhlolwa kwegazi
• Ukuskena kwe-CT
• Ukuskena kwe-MRI
• Ukuskena kwe-PET
• Ukubhoboza kwe-Lumbar

Ingabe kukhona ukwelashwa? Yini engenziwa?

Akukho ukwelashwa okungabuyisela emuva umonakalo ebuchosheni obangelwa yi-CTE. Kodwa-ke, kunezinto eziningi ongazenza ukuze uphathe izimpawu zakho futhi wenze impilo yakho ibe lula. Udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Ukwelashwa kokuziphatha kwengqondo: Kusiza ekuphatheni izinto ezifana nokucindezeleka nokukhathazeka.
• Ukwelashwa Kwabasebenzi: Kuhlinzeka ngamathuluzi nosizo lokwenza imisebenzi yansuku zonke ibe lula.
• Ukwelashwa ngokomzimba: Kusiza ngezinkinga ezihlobene nokulinganisela kanye nokunyakaza komzimba.
• Ukwelapha ngenkulumo: Kusiza ngobunzima bokukhuluma noma bokugwinya.

Ucwaningo nge-CTE lusaqhubeka, ngakho buza udokotela wakho ngezivivinyo zemitholampilo zokwelashwa okusha.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi ulimele ekhanda, qiniseka ukuthi ubona udokotela. Ungakushayi indiva lokho, ikakhulukazi uma lokhu kungekona ukulimala kwakho kokuqala. Tshela udokotela ukuthi ulimale kangaki ekhanda.

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Kungenzeka kangakanani ukuthi ngine-CTE?
• Ingabe kuphephile kimi ukuqhubeka nokudlala imidlalo noma ukwenza umsebenzi womzimba?
• Uhlobo luni lokwelashwa engizoludinga esikhathini esizayo?
• Yiziphi izimpawu noma izinguquko okufanele ngiziqaphele ngokukhethekile?

Yini ongayilindela uma uhlala ne-CTE?

I-CTE iyisimo esihlala njalo, esihlala njalo. Futhi iyisifo esiqhubekayo . Lokhu kusho ukuthi izimpawu zingaba zimbi kancane kancane ngokuhamba kwesikhathi. Kodwa lezi zinguquko zenzeka kancane kancane, mhlawumbe eminyakeni noma amashumi eminyaka.

I-CTE ayisongeli impilo ngqo. Kodwa-ke, njengoba lesi sifo siqhubeka, izinkinga zingavela, njengobunzima bokwenza imisebenzi yansuku zonke. Ezigabeni zokugcina zalesi sifo, kungadingeka usizo ukuze udle, ugeze, futhi ugqoke ngokuzimela.

Kuvamile ukuzizwa wesaba futhi udidekile uma ufunda ngalesi sifo. Kodwa awuwedwa. Odokotela nochwepheshe bezempilo yengqondo bangakusiza wena nomndeni wakho ukuba nibhekane nalesi simo.