Zicabange ugibele imoto enamasondo amathathu emgwaqweni. Kungazelelwe, imoto ivele ivele, ngakho umshayeli ushaya amabhuleki. Ikhanda lakho livele libuyele emuva ngokuzumayo. Awuzwa lutho ngaleso sikhathi, kodwa uma uvuka ekuseni ngakusasa, awukwazi ukujika intamo yakho, kubuhlungu kakhulu. Wake waba nesipiliyoni esinjengalesi? Ngokuvamile, lokhu kushaqeka okungazelelwe kubangela ukulimala kwemisipha, imisipha, namathambo entamo, okwaziwa ngokwezokwelapha ngokuthi 'i-whiplash.'
Kalula nje, iyini i-Whiplash?
I-Whiplash ukulimala okwenzeka lapho intamo yakho (ngokwezokwelapha, sikubiza ngokuthi "umgogodla womlomo wesibeletho") kanye nomhlane ongaphezulu ngokuzumayo kushukunyiswa emuva naphambili. Uma sikhuluma iqiniso, kufana nokukhubeka kwentamo.
Ukuze siqonde ukuthi lokhu kwenzeka kanjani, ake sithathe isibonelo esincane. Uma usemotweni ehambayo bese ubhuleka ngokuzumayo, umzimba wakho uphonswa phambili, akunjalo? Ngokufanayo, uma ushesha ngokuzumayo usuka emotweni emile, umzimba wakho ucindezelwa esihlalweni bese ubuyela emuva. Ku-physics, lokhu kubizwa ngokuthi i-inertia. Njengomzimba wakho, ubuchopho bakho bungaphakathi kwekhanda lakho. Uma kwenzeka ukushayisana ngokuzumayo, intamo yakho isebenza 'njengesithambisi sokushaqeka' ekhanda lakho, inciphisa umonakalo ebuchosheni bakho.
Kodwa ekulimaleni kwe-whiplash, umthelela ushesha kakhulu kangangokuthi ikhanda lakho, intamo, nezinye izingxenye zomzimba wakho zihamba ngesivinini esihlukile. Lokhu kubeka ingcindezi engabekezeleleki emisipheni, emithanjeni, namathambo entanyeni yakho. Uma umthelela unzima kakhulu, kulapho umonakalo omkhulu ongaba khona. Kodwa ngokumangazayo, ngisho nomphumela omncane kakhulu ungabangela i-whiplash enzima . Imbangela isacwaningwa. Ezimweni ezimbi kakhulu, ingabangela ukuba amathambo entanyeni yakho aphuke, kulimaze umgogodla kanye nemizwa. Yingakho odokotela bethatha ubuhlungu bentamo ngokungathi sína kakhulu ngemva kwengozi.
Ubani othinteka kakhulu yilesi simo?
I-Whiplash ingenzeka kunoma ubani, kunoma yimuphi ubudala, kodwa amaqembu amabili ikakhulukazi asengozini enkulu yemiphumela emibi noma yesikhathi eside.
1. Abantu asebekhulile (abaneminyaka engaphezu kwengu-65 ubudala): Njengoba bekhula, imisipha namathambo abo abuthakathaka ngokwemvelo, okwenza bathambekele kalula kunoma yiluphi uhlobo lokulimala.
2. Abesifazane: Ucwaningo luthole ukuthi abesifazane banamathuba amaningi okubhekana nezingozi zezimoto. Kungase kube nezizathu eziningana zalokhu.
- Ukuphakama: Njengoba abesifazane ngokuvamile bebafushane kunabesilisa, isihlalo semoto singase singalingani kahle ekhanda labo.
- Ukwakheka komgogodla:Isikhala kanye nesakhiwo samathambo omgogodla wowesifazane kuhlukile kwesamadoda.
- Imisipha: Abesifazane ngokuvamile banemisipha embalwa, ngakho abakwazi ukumunca amandla okushaya okungazelelwe.
- Ukwakheka kwezimoto: Njengoba izimoto eziningi zenzelwe ukulingana nosayizi womzimba ojwayelekile wabesilisa, izici zokuphepha zingase zingabi yimpumelelo kangako kwabesifazane.
Ziyini izimpawu ze-whiplash?
Izimpawu ze-Whiplash zincike ebunzimeni bokulimala. Kubalulekile ukukhumbula ukuthi nakuba ezinye izimpawu zingase zivele ngokushesha ngemva kwengozi, ezinye zingathatha amahora angu-12, usuku, noma ngisho nezinsuku ezimbalwa ukuze zivele. Yingakho kubalulekile ukunaka umzimba wakho izinsuku ezimbalwa ngemva kwengozi.
Kukhona ukuhlukaniswa kobucayi balesi simo. Kubizwa ngokuthi 'iQuebec Classification'. Ake sibheke izigaba kanye nezimpawu ezihambisana nazo.
| Ibanga | Izimpawu kanye nencazelo |
|---|---|
| Isigaba 0 | Akukho buhlungu noma uphawu lokulimala. |
| Isigaba 1 | Kukhona ubuhlungu kuphela. Ungase uzizwe ukuqina uma ushukumisa intamo yakho futhi uzwe ubuhlungu uma uyithinta. |
| Isigaba sesi-2 | Ngaphezu kobuhlungu, kukhona nezimpawu zomzimba zokulimala. Isibonelo:
|
| Isigaba 3 | Kulesi sigaba , kuvela izimpawu zemizwa . Lokhu kusho ukuthi imizwa icindezelwa ukuvuvukala okubangelwa ukulimala.
|
| Isigaba 4 | Lesi yisigaba esibucayi kakhulu nesiyingozi kakhulu . Izimpawu ezishiwo ngenhla, ikakhulukazi izimpawu zemizwa, ziba zimbi kakhulu. Lokhu kubonisa ukuthi ithambo lomgogodla entanyeni lingase liqhekeke noma lisuke endaweni yalo, okubeka ingcindezi emgogodleni. Lesi yisimo esidinga ukwelashwa okuphuthumayo. |
Ziyini izimbangela ze-whiplash?
I-Whiplash ingenzeka noma nini lapho ushintsha isivinini noma indlela ngokuzumayo. Izimbangela ezivame kakhulu yilezi:
- Izingozi zezimoto: Ikakhulukazi ukushayisana kwezimoto ngemuva kuyimbangela ehamba phambili.
- Ezemidlalo zokuxhumana: Kwezemidlalo ezifana ne-rugby, ibhola lezinyawo, kanye ne-hockey.
- Ukugibela izinto ezifana nama-roller coaster emapaki okuzijabulisa.
- Ukushelela noma ukuwa okulula: Ngezinye izikhathi, ngisho nokuwa okuvamile kungabangela i-whiplash, kuye ngendlela owa ngayo.
Udokotela uhlonza kanjani i-whiplash ngokunembile?
Udokotela uzoxilonga i-Whiplash kuphela ngemva kokukhipha ezinye izimo ezingathi sína. Okusho ukuthi, udokotela uzoqala ahlole ukuthi kukhona yini okuyingozi, njengokulimala kwentamo noma umgogodla. Lokhu kubizwa nge-Whiplash kuphela ngemva kokuqinisekisa ukuthi azikho izinto ezinjalo.
Ukuze enze lokhu, udokotela uzokubuza imibuzo mayelana nokuthi ingozi yenzeke kanjani kanye nezimpawu zakho. Ngaphezu kwalokho, uzokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa. Uma kudingeka, kungase kudingeke ukuthi kwenziwe lezi zivivinyo ezilandelayo:
- Ama-X-ray
- I-CT Scan (i-Computerized Tomography - i-CT scan)
- Ukuskena kwe-MRI (Ukufanekisa kwe-Magnetic Resonance - Ukuskena kwe-MRI)
Yiziphi izindlela zokwelapha lokhu?
Akukho "ukwelashwa" okuqondile kwe-whiplash. Umgomo oyinhloko wokwelapha ukulawula izimpawu nokusekela umzimba emandleni awo okuphulukisa ngokwawo. Kunezindlela eziningana zokwelapha.
Ukunciphisa ukunyakaza kwentamo (Ukungasebenzi)
Uma usola ukulimala kwentamo noma umhlane ngemuva kwengozi, into yokuqala ezokwenziwa yizinsizakalo eziphuthumayo ukufaka ikhola yomlomo wesibeletho (noma i-C-collar) ukuze intamo yakho ingasebenzi. Lokhu kuzonciphisa isisindo sekhanda lakho emisipheni yentamo yakho futhi kuvimbele ukulimala okwengeziwe emgogodleni wakho.
Imithi
Izinhlobo eziningana zemithi zisetshenziselwa ukulawula ubuhlungu nezinye izimpawu.
- Ama-Painkiller: Ama-painkiller avamile njenge-paracetamol kanye nama-NSAID (isb., i-ibuprofen, i-naproxen) anganikezwa. Uma ubuhlungu bukhulu, odokotela bangase banikeze nemithi enamandla njenge-opioid isikhathi esifushane, ngokuqapha okukhulu.
- Imithi yokulwa nokuvuvukala: Le mithi isiza ekunciphiseni ukuvuvukala.
- Iziphumuli zemisipha: Zinciphisa ubuhlungu obukhulu obubangelwa ukuqaqamba kwemisipha futhi zivumela imisipha ukuba iphole.
- Ukuvinjwa kwemizwa: Ngobuhlungu obukhulu nobuhlala isikhathi eside, lokhu kwelashwa kusetshenziselwa ukuvimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
Ukusebenzisa ukubanda nokushisa
Ukufaka into ebandayo, njengeqhwa, endaweni elimele izinsuku zokuqala ezingu-7-10 kungasiza ekunciphiseni ukuvuvukala nokuvuvukala. Ngemva kwalokho, ukusebenzisa iphakethe lokushisa elincane kungandisa ukugeleza kwegazi endaweni elimele futhi kusheshise inqubo yokuphulukiswa.
Ukuzivocavoca noma ukwelashwa ngokomzimba
Ngemva kokuba ukulimala sekupholile, ukuzivocavoca ngaphansi kokuqondiswa ngumelaphi womzimba kungasiza ekuqiniseni imisipha yentamo nokubuyisela uhla lokunyakaza kwentamo.
Ezinye izindlela zokwelapha ezithile
Ukwelashwa okufana ne-Transcutaneous Electrical Nerve Stimulation (TENS) (efaka ugesi omnene esikhumbeni) kanye ne-Radiofrequency Nerve Ablation (esebenzisa ukushisa ukuvimba izimpawu zobuhlungu) nakho kuyasetshenziswa ezinhlungwini ezingapheli. Akuvamile kakhulu, ukuhlinzwa kungadingeka uma i-vertebra entanyeni iphukile noma i-ligament idabuke.
Yisiphi isikhathi esingcono kakhulu sokubona udokotela?
Uma ulahlekelwa ingqondo ngesikhathi sokulimala kwe-whiplash, noma uma unezimpawu zezinzwa (isiyezi, ukungazweli, ubuthakathaka, ubunzima bokugwinya), ungalokothi uhlale ekhaya wedwa. Lokhu kungaba izimpawu zokuxhuzula noma ukulimala kobuchopho okubuhlungu, ngakho funa usizo lwezokwelapha ngokushesha.
Ungathola ukuqonda okucacile kwalokhu kuthebula elingezansi.
| Ithuba | Okufanele ngikwenze |
|---|---|
| Uzobona nini udokotela wakho |
|
| Isikhathi sokuya e-ETU (Emergency Treatment Unit) ngokushesha |
|
Yini esingayenza ukuze sinciphise ingozi ye-whiplash?
Nakuba lokhu kungenakuvinjelwa ngokuphelele ngoba kwenzeka ngokuzumayo, kunezinto eziningana esingazenza ukuze sinciphise ingozi.
- Lungisa isihlalo semoto kanye ne-headrest kahle: Lungisa ukuphakama kwe-headrest ukuze ilingane kahle phakathi nengemuva lekhanda lakho.
- Gqoka ibhande lesihlalo ngendlela efanele: Gqoka ibhande lesihlalo emahlombe akho, linamathele emzimbeni wakho.
- Shayela ngokuphepha: Ungasondeli kakhulu emotweni engaphambili, gcina ibanga eliphephile, futhi ugweme ukubhuleka kanzima okungazelelwe.
- Uma uzwa ukuthi imoto izoshayisana: Uma uzwa ukuthi imoto iqhamuka ngemuva izokushayisa, gcina ikhanda lakho liqonde bese ugoba i-headrest uma kungenzeka.
- Zivikele lapho udlala: Landela imithetho futhi ugweme ukushayisana okuyingozi lapho udlala imidlalo ehilela ukushayisana.
Kwabaningi abantu, i-whiplash iyalulama ezinsukwini noma emavikini ambalwa. Kodwa-ke, kwabanye abantu, ubuhlungu besikhathi eside bungahlala izinyanga noma ngisho neminyaka. Ngakho-ke, uma uzwa ubuhlungu bentamo ngemva kwengozi, ungabunaki. Unganqikazi ukufuna iseluleko sezokwelapha uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- I-Whiplash iwukulimala kwangempela entanyeni okubangelwa ukugxumagxuma okungazelelwe, hhayi okuncane.
- Izimpawu zingase zingaveli ngokushesha ngemva kwengozi, kodwa zingase zivele emahoreni noma ezinsukwini kamuva. Ngakho-ke qaphela.
- Nakuba ubuhlungu obuncane bungaphathwa ekhaya, uma ubuhlungu bukhulu noma bungapheli phakathi nezinsuku ezimbalwa, bona udokotela wakho.
- Uma unezimpawu zezinzwa ezifana nekhanda elibuhlungu kakhulu, isiyezi, ukungazweli, ubuthakathaka, noma izinkinga zokubona, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukuphepha kuyinto ebaluleke kakhulu. Lungisa kahle i-headrest yemoto, shayela ngokuphepha, bese uzama ukugwema izingozi.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment