Mhedziso inogona kunge isingave chiratidziro chakanaka
Kuziva kwave kuri kuwedzera pamusoro pehutano hwekugadzikana kwehupenyu husingaperi hunokonzerwa nekudzikama (CTE), chirwere chisingagumi chirwere. CTE inoita sokuti inenge ichida kukonzerwa nemhando dzakasiyana-siyana dzekudzivirirwa musoro musoro. Kukuvara kwakadaro kunowanzokonzerwa nebasa rechiuto kana kubva kune zvemitambo, sebhokisi reAmerica.
Pane zvakawanda izvo vatsvakurudzi vasati vachinzwisisa zvinokonzerwa neCTE, uye zvimwe zvinhu zvinowedzera vanhu pangozi.
Zvisinei, kune kukurudzira kubvumirana kuti kunyange kukuvara kwakanyanya kwepamuviri kwekutanga kunokonzera zviratidzo zvishomanana zvingangodaro zvinokonzera kukanganisa.
Syndromes Zvokurapa Kubva Kubva Kumusoro Wekutambudzika
Kuti anzwisise basa rekudzokorora musoro mukukuvadza mukukonzera CTE, zvinogona kubatsira kusiyanisa syndromes dzakasiyana siyana uye zvikamu zvekukuvara. Izvi zvinosanganisira:
- Kutambudza Bongo Kukuvadza
- Mhedziso
- Post-Concussion Syndrome
- Subconcussion (inonziwo kukuvara kwepasi)
- Chronic Traumatic Encephalopathy
Aya syndromes akabatana, uye pane dzimwe nguva angapinda. Zvisinei, zvinogonawo kusanganisira nzira dzakasiyana-siyana dzehupenyu muuropi.
Chii Chinotambudza Bongo Kukuvadza?
Kuora mwoyo kwehupfungwa ( TBI ) kunoreva rudzi rweuropi hukuvara runoitika nekuda kwechimwe rudzi rwekuputika, kuputika, kana kumwe kukuvadzwa mumuviri. Kukanganisa kunogona kuitika kuburikidza nekubata zvakananga kuhupi hutu (sezvinoitika mukuputika kwepfungwa kunetseka) kana zvakasiyana, sezvinongoita huropi mukati mehenya.
Zvinoreva kukuvadzwa kunokonzerwa nemamwe marudzi kunze kwekumanikidza (kusiyana nechinetso chezvehutano soutroke ).
Chirwere cheTV chinowanzoitika pamwero wekutsungirira, zvichienderana nezvakananga zvikamu zveuropi zvakakanganiswa uye kuti zvakanyanya kukanganisa chii. Iyo yakaipisisa yemhando idzi dzekukuvara kunogona kutungamirira kukuvadzwa zvachose kana kufa.
Asi kunyange TB ine unyoro inogona kutungamirira kumatambudziko, zvose munguva pfupi uye munguva refu. Mumakore achangobva kupfuura, vatsvakurudzi vave vachidzidza zvakawanda pamusoro pemigumisiro yenguva refu yevamwe vanhu vanowanzopora zvishoma zvekare TBI.
Vatsvakurudzi vachiri kudzidza zvakawanda pamusoro pezvinoitika muuropi mumazuva, masvondo, uye mwedzi mushure meTV. Kunyange mune dzimwe nguva uropi hunogona kudzokera kune yakasununguka, pane dzimwe nguva kungave nekushanduka kwenguva refu muuropi, kunyanya kune vanhu vanorwara nekukuvara zvakare.
Chii Chigumo?
Mhedziso inogona kuonekwa sechimiro cheTBI. Zviratidzo zvekuongororwa zvinowanzoonekwa kana mushure mekukuvara kana mukati maawa mashoma. Izvo hazvina tsanangudzo dzepasi rose pamusoro pekukurukurirana, asi zvimwe zviratidzo zvinogona kugadziriswa zvinosanganisira:
- Headache
- Chizutu
- Kurongeka kwepakati
- Disorientation
- Kukurova
- Kuoma kuisa pfungwa kana kuyeuka
Kurasikirwa kwekuziva dzimwe nguva kunoitika nekugunun'una, asi hazviwanzoitiki. Mhedziso inowanikwa inobva pane zviratidzo zvemunhu uye nhoroondo yekukuvara. Kazhinji nguva zviratidzo zvekukwikwidza hazvirevi kwenguva yakareba kupfuura vhiki kusvika kumazuva gumi (kunyange izvi zvingave zvakasara kuvana nevechiri kuyaruka).
Chii Chinonzi Post-Concussive Syndrome
Chimwe chiverengero chevanhu vaine chikwata chinoenderera mberi kuti vawane zvimwe zviratidzo.
Panzvimbo yekuenda, zviratidzo zvinopfuurira mushure mekukuvara kwekutanga. Izvi zvinogona kupfuurira kwemwedzi mishoma uye dzimwe nguva kwegore kana kupfuura. Izvi zvinonzi post-concussive syndrome . Vanhu vakadaro vangangodaro vakaramba vachiratidza zviratidzo kubva mukurwisana kwavo, uyewo vanogona kuve nezviratidzo zvimwe zvakadai sekuora mwoyo uye kuzvidya mwoyo.
Kuongororwa kwemashure-concussive syndrome kunokakavadzana-iyo vatsvakurudzi vachiri kuedza kunzwisisa. Zvisinei, zvinokosha kunzwisisa kuti post-concussive syndrome yakasiyana neCTE. Mumashure-concussive syndrome, zviratidzo zvekupikisana zvinopfuurira kwemavhiki akawanda kana kupfuura.
Izvi zvinopesana neCTE, umo zviratidzo hazvisi pachena kwemakore akawanda. Panguva ino hazvisi pachena kuti hukama hupi (kana huripo) pakati pekupedzisira-concussive syndrome uye nekuvandudzwa kwemazuva ekupedzisira kweCTE.
Chii chinopindirana?
Dzimwe nguva uropi hunotambura nekukuvara kunorwadza asi asi zviratidzo zvinonzwisisika zvekuongororwa zvinoonekwa. Izvi zvinogona kugoverwa sechinhu chinonzi "subconcussion." Kukuvadza kwakadaro hakusviki nemirairo yekuongororwa kwepikicha. Munhu angangodaro ane zviratidzo chimwechete kana zviviri zvenguva pfupi, kana kuti hapana zviratidzo zvachose. Zvisinei, uchapupu hwebharatori uye hutsva hwekutsvaga neuroimaging zvinoratidza kuti pane dzimwe nguva uropi hunogona kutambura kukuvara kwepanyama chaiye (uye inogona kunge yakagadzikana kwenguva refu) asi pasina zviratidzo zvishoma kana zviratidzo. Kukuvara kwakadai kunogona kukanganisa huropi kana zvikaitika nguva nenguva.
Zvose zvinokonzerwa nekugunun'una zvinogona kuitika mumitambo yakawanda uye kunze kwemitambo yemitambo. Zvisinei, bhodhi yeAmerica ine yepamusoro purogiramu uye saka yakange iri nyanzvi yekuongororwa. Kukuvara kwechikwata pasi, kunyanya, kunogona kuitika nguva dzose mumitambo yekubatana kana kupopotedzana. Chimwe chezvinhu zvinotinetsa pamusoro pekugumburana ndezvokuti kukuvadza kwakadaro hakugoni kubviswa kubva mumutambo wekusemesa.
Chii CTE?
CTE inokonzera kukanganisa kana kufa kune zvikamu zveuropi panguva. Inotungamirira kune zviratidzo zvakadai
- Kuyeuka kwepfungwa
- Zvakaipa kutonga
- Kudzvinyirirwa kusina kunaka
- Yakaderera, kutaura kwakanyarara
- Parkinsonism (inokonzera kudengenyeka, kusagadzikana, uye kunonoka kufamba)
- Kuora mwoyo (uye dzimwe nguva kuzviuraya)
- Dementia (gare gare mune chirwere)
Zvinokonzera CTE hazvinyatsonzwisiswi. Zvisinei, kudzokorora kumusoro musoro kunofungidzirwa kuti inobatsira. Zvishoma nezvishoma, mamwe mapuroteni anotanga kuunganidza zvisina kufanira muuropi (akadai tau uye TDP-43). Parizvino, hapana chiyero chinogona kushandiswa kuongorora CTE kuvanhu vapenyu. Inogona kuongororwa chete nekuongorora uropi mushure mekufa.
Zvinonzwisisika, zviratidzo zveCTE zvinoonekwa makore mushure mekurwadziwa kwemuviri, somuenzaniso, mumatambi emutambo wechikwata. Zvisinei, zvakakosha kucherechedza kuti havasi vose vanoona zvinowanzoitika mumusoro zvinoita sekutora CTE.
Ndiyo Mhedziso Mubhuku Wakanaka weCTE Risk?
Pari zvino, mitambo yemitambo inonyanya kusimbisa kukurukurirana kupfuura pane kukuvara kwemagetsi. Somuenzaniso, National Football League yakagadzira puro-concussion protocol kuti ibatsire kuziva kuti vatambi vanobvumirwa kudzokera kumutambo. Vatambi vakaonekwa vane kugunun'una vanobviswa kubva mumutambo wekusetsa kwezuva. Izvi zvakakosha pakugadzirisa zvakakwana kubva kuzviratidzo zvekukanganiswa.
Zvisinei, hazvisi pachena kuti zvidziviriro zvakadaro zvinodzivirira vatambi. Pane humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe hunoratidza kuti kudzokorora, kukuvadzwa kwemagetsi (izvo zvisingagone kubviswa kubva mumitambo) zvinogonawo kuisa njodzi yeCTE munguva refu.
Somuenzaniso, svondo ra2018 rakabudiswa mumagazini yezvidzidzo Brain akadzidza kubatana pakati pezviratidzo zvekutengesa uye CTE. Dr Lee Goldstein, purofesa akabatanidzwa kuBoston University yeSchool of Medicine, akashanda neboka revatsvakurudzi vanobva kune dzimwe nzvimbo. Dare racho rakarongedza pfungwa dzepashure-mortem dzevadzidzi-vatambi vakanga vambova nematambudziko anokonzerwa nemitambo. Vakashandisawo mhando yemhando yekudzidza zvinokonzerwa nemhando dzakasiyana dzekutambudza musoro pamushure mekupedzisira CTE kuwana (kana ichiongororwa pasi microscope).
Vakaona kuti dzimwe mheyo dzairatidza zviratidzo zvekugunun'una mushure mekurwa kwepakuvamba kwakasimba hazvina kuzotevera kuwedzera CTE. Zvisinei, dzimwe mutsva dzakaratidzwa kudzokorora (asi zvisinganyanyi kunetseka) zviputi hazvina kuratidza chero zviratidzo zvekufungidzira. Asi mamwe emakonzo acho gare gare akaita zviratidzo zveCTE.
Dare racho rakagumisa kuti mamwe maitiro ayo anotungamirira kugumisiro anogona kupa CTE . Zvisinei, kupikisana pachako hakuratiki kuve kwakakosha kutanga chinangwa. Muhurukuro yehurukuro, Dr Goldstein akati, "Izvi zvakawanikwa zvinopa uchapupu hwakasimba-huchapupu hwakanakisisa hwedu huri kure-kuti humwe hunoita kuti hurumende dzisakanganise haisi ngozi chete asi hunokonzerwa neCTE."
Migumisiro pamitambo
Sangano rinosangana nemitambo rinogona kudikanwa kuti riongorore kukanganisa kweizvi subconcussive zvinogadzirisa pavanenge vachironga mirayiridzo, kunze kwekutevera mazano akangodaro pane zvayo. Kuparara kwekukuvara kwechigunun'una kunowanikwa kuwedzera nguva. Nokuda kwezvino, isu tinoshayiwa ruzivo pamusoro pehuwandu hwesiponcussive zvinogadzirisa izvo zvakachengeteka kune vatambi vasati vapedze mitambo yavo, nguva, kana basa. Zvisinei, nokuda kwekuchengetedzwa kwevatambi, kuchinja kunodiwa kuti kuderedza huwandu hwehutano hwevatambi. Vatambi, zvakare, vanofanira kuve vakadzidziswa kuti kunyange kusina-concussive hits kunogona kuwedzera pangozi yavo yenguva refu yeCTE.
> Sources:
> Bailes JE, Petraglia AL, Omalu BI, et al. Basa rekugunun'una mukudzokorora kunorwadza kwakanyanya kunetseka kwehupfungwa hwepfungwa. J Neurosurg . 2013; 119 (5): 1235-45. doi: 10.3171 / 2013.7.JNS121822.
> Baugh CM, Stamm JM, Riley DO, et al. Chronic traumatic encephalopathy: neurodegeneration inotevera kudzokorora concussive uye subconcussive brain trauma. Br ain Imaging Behav . 2012; 6 (2): 244-54. doi: 10.1007 / s11682-012-9164-5.
> Scorza KA, Raleigh MF, O'Connor FG. Ikozvino mazano mumakwikwi: kuongorora uye kutungamira. Ndiye Chiremba weNzara . 2012 Jan 15; 85 (2): 123-32.
> Tagge CA, Fisher AM, Minaeva OV, et al. Kukurukurirana, kukuvadza kwechidiki, uye kukurumidza tauopathy mumitambo yevechidiki mushure mekukuvadza musoro kwekukuvara uye nehutano kugadzirisa mhando yemuenzaniso. Ubongo . 2018; 141 (2): 422-458.
> Willis MD, Robertson NP. Chirwere chinotyisa chinonzi encephalopathy: kuziva avo vari pangozi uye kunzwisisa pathogenesis. J Neurol . 2017; 264 (6): 1298-1300. doi: 10.1007 / s00415-017-8508-x.